CClinicalTrials.gg
CompletedNCT04139408Updated May 19, 2021

Safety and Effectiveness of Disposable Pulmonary Surgical Markers in the Localization of Pulmonary Nodules

An interventional study of Disposable Pulmonary Surgical Marker in Lung Cancer, sponsored by Hangzhou Broncus Medical Co., Ltd.. Completed at 3 sites in China. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2021-05-19.

Sponsored by Hangzhou Broncus Medical Co., Ltd. · Not applicable, Interventional, and Other

Phase
Not applicable
Study type
Interventional
Enrollment
76
Allocation
Not applicable
Ages
18 Years to 70 Years
Sex
All
01

Study summary

During the VATS procedure, some pulmonary nodules are relatively small or far away from the pleura, resulting that they are difficult to be accurately located during the procedure.

The aim of this study is to evaluate the efficacy and safety of using disposable pulmonary surgical markers to localize pulmonary nodules in subjects prior to the resection of pulmonary nodules by video-assisted thoracoscopic surgery (VATS).

Read the detailed description

It is a prospective, multicenter, single group target value clinical trial. The subjects will undergo VATS within 24h after the placement of the Marker, then the Marker and targeted nodule will be removed during VATS. Subjects will be followed up intraoperatively, immediately after placement procedure to the end of VATS resection, 7 days after placement procedure/before discharge (whichever occurs earlier), and 30 days after Marker placement procedure. Demographic and baseline information of subjects, immediate operation success rate of marker placement, positioning success rate, and adverse events will be collected and recorded in this study.

02

Conditions studied

  • Lung Cancer

Keywords

  • Pulmonary Nodule
  • Localization
  • Marker
03

Who can participate

Ages eligible
18 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Age 18-70 years old;
  • Pulmonary nodule, which satisfying any of the following Criteria:

    • solid nodules with diameter ≤1 cm or solid component ≤1 cm non-purely ground glass, and the distance between the solid component of the nodule and the visceral pleural>0.5cm;
    • Pure ground glass opacity (pGGO);
    • Before VATS operation, the doctor judge that the nodule is difficult to locate during the operation.
  • Pulmonary wedge resection or Segmental pulmonary resection under VATS is proposed;
  • Preoperative evaluation shows that placing marker through bronchus is feasible;
  • The subject is able to fully understand the requirements of clinical research;
  • Subject or the legal representative signs the informed consent form.

Exclusion criteria

Exclusion Criteria:

  • Contraindications for bronchoscopy;
  • Systemic factors: sepsis, history of repeated pulmonary infections, and any type of severe infectious disease within one month of screening;
  • Severe cardio and pulmonary disease;
  • Coagulation dysfunction, with a clear tendency to bleed;
  • General anesthesia contraindication;
  • Allergic history of nickel-titanium materials;
  • Breast-feeding or may be or plan to be pregnant during the trial;
  • Participating in clinical trials of other drugs or medical devices;
  • Other conditions that Investigator consider the subject to be inappropriate.
04

Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
76 participants (actual)

Study arms

  • Experimental
    Disposable Pulmonary Surgical Marker

    Locate the pulmonary nodules with Disposable Pulmonary Surgical Marker before VATS.

    Device: Disposable Pulmonary Surgical Marker

Interventions

  • DeviceDisposable Pulmonary Surgical Marker

    The subjects will undergo Marker placement procedure, within 24h before VATS.

05

What researchers measure

Primary outcomes

  1. Positioning success rate

    The proportion of patients who complete VATS resection of target pulmonary nodules/number of patients receiving localization of target pulmonary nodules before operation, expressed as "rate", will be evaluated during and immediately after surgery to evaluate the effectiveness of disposable pulmonary surgical markers in the localization of pulmonary nodules in surgery.

    Time frame: Immediately after VATS

Secondary outcomes

  1. Positioning success rate (in terms of marker placement)

    The proportion of target pulmonary nodules underwent VATS resection/number of pulmonary nodules receiving localization before operation, expressed as "rate".

    Time frame: Immediately after VATS

  2. Immediate operation success rate of marker placement (in terms of marker, placement),including the following operations:

    1. The marker conveyor goes through the bronchoscope and reaches the target release position 2. Marker is successfully released 3. Fully retract the conveyor Complete all the above steps and record the success of the operation as "rate".

    Time frame: Immediately after marker placement

  3. Operation time of Marker placement (in terms of marker placement)

    Defined as starting from the time the marker conveyor is inserted into the bronchoscope until it is withdrew from the bronchoscope.

    Time frame: Immediately after marker placement

  4. Operation time of marker release through bronchoscopy (in terms of marker placement)

    Defined as starting from the time when the bronchoscope is inserted into the airway to the time when the marker conveyor is removed from the bronchoscope.

    Time frame: Immediately after marker placement

  5. Operation time of exploration and removal of target lesion during VATS (in terms of marker placement)

    Defined as starting lesion location exploration after the completion of preoperative surgical preparation and VATS access ports made, to the time of resection and removal of lung tissue.

    Time frame: Immediately after VATS

  6. Safety: AEs (Adverse Events) and SAEs (Serious Adverse Events) occured during the clinical trial

    AEs and SAEs occured from marker placement to 30days after the placement procedure.

    Time frame: 30days

06

Study locations

3 sites
  • Cancer Hospital Chinese Academy of Medical Sciences
    Beijing, China
  • Yunnan Cancer Hospital
    Kunming, China
  • Cancer Hospital of Chinese Academy of Medical Sciences,Shenzhen Center
    Shenzhen, China
07

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

08

Registry details

Key details

Study ID
NCT04139408
Lead sponsor
Hangzhou Broncus Medical Co., Ltd.
Responsible party
Sponsor
First posted
Oct 25, 2019
Start date
Jul 22, 2020
Primary completion
Dec 24, 2020
Completion
Jan 26, 2021
Last update
May 19, 2021

Study contacts

Bin Qiu, MD
principal investigator · Cancer Institute and Hospital, Chinese Academy of Medical Sciences

Oversight

FDA-regulated drug
No
FDA-regulated device
No
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