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CompletedNCT04182815TARGETUpdated Feb 28, 2025

Transbronchial Biopsy Assisted by Robot Guidance in the Evaluation of Tumors of the Lung

An observational study in Pulmonary Nodule and Lung Cancer, sponsored by Auris Health, Inc.. Completed at 19 sites in 3 countries. Open to participants aged 21 Years and older. Per ClinicalTrials.gov, last updated 2025-02-28.

Sponsored by Auris Health, Inc. (part of Johnson & Johnson) · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
691
Ages
21 Years and older
Sex
All
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Study summary

This study is designed to evaluate clinical safety and diagnostic accuracy of the robotic-assisted bronchoscopy with biopsy performed with the Monarch™ Endoscopy Platform in a broad range of patients with pulmonary lesions.

Read the detailed description

Despite technological advancements in guided bronchoscopy such as electromagnetic navigation bronchoscopy and radial probe endobronchial ultrasound, successful biopsy of peripheral pulmonary lesions remains a challenge due to a number of factors, one of which may be the ability to gain access to peripheral lesions due to the size and maneuverability of conventional bronchoscopes. The diagnostic yield of conventional bronchoscopic approaches for peripheral lesions remains suboptimal.

A novel robotic assisted bronchoscopy procedure now exists for patients with lung nodules. This procedure is performed using the Monarch™ platform (Auris Health, Inc., Redwood City, CA). This study is expected to enroll up to 1200 patients at up to 30 investigative sites.

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Conditions studied

  • Pulmonary Nodule
  • Lung Cancer

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Keywords

  • Bronchoscopy
  • Robotic bronchoscopy
  • Lung Lesions
  • Peripheral lesions
  • Lung Cancer
  • Monarch
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In context

Lung Neoplasms

7,333 studies on the registry are indexed under Lung Neoplasms; 1,554 are open to participants now.

This study's enrollment of 691 is above the median of 190 across 1,547 observational studies indexed under Lung Neoplasms.

Browse Lung Neoplasms studies →

Lead sponsor

Auris Health, Inc. is the lead sponsor of 8 studies on the registry; none are open to participants now.

Of its 6 completed or terminated interventional studies of FDA-regulated products, 4 (67%) have results posted.

First submitted after Auris Health, Inc. became part of Johnson & Johnson.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
21 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

Patients with indeterminate pulmonary nodules considered to undergo a bronchoscopy procedure per standard of care.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Over 21 years of age;
  2. Capable and willing to give informed consent;
  3. Acceptable candidate for an elective, non-emergent bronchoscopic procedure;
  4. Lung lesions, 8 mm to 50 mm in size, requiring bronchoscopic diagnosis which were identified on thin slice CT scan within 28 days of the intended bronchoscopy

Exclusion criteria

Exclusion Criteria:

  1. Medical contraindication to bronchoscopy as assessed by the investigator
  2. Presence of uncorrectable bleeding disorders
  3. Medical devices interfering with electro-magnetic navigation, including but not limited to pacemaker
  4. Patients with the target lesion having endobronchial involvement seen on chest CT
  5. Lack fitness to undergo flexible bronchoscopy as determined by the bronchoscopist prior to procedure,
  6. Participation in any other clinical trial within 30 days of enrollment that would interfere with this study;
  7. Uncontrolled or irreversible coagulopathy;
  8. Female subjects who are pregnant or nursing at the time of the procedure or those of child-bearing potential refusing a pregnancy test prior to the procedure;
  9. CT scan done greater than 28 days before the bronchoscopy procedure.
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Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
691 participants (actual)
Patient registry
No

Groups and cohorts

  • Robotic assisted bronchoscopy

    Robotic assisted bronchoscopy procedures will be performed using the Monarch platform.

    Device: Robotic assisted bronchoscopy

Interventions

  • DeviceRobotic assisted bronchoscopy

    Robotic assisted bronchoscopy of peripheral airways in human subjects for the purpose of biopsying peripheral lung lesions.

    Also known as: Robotic assisted bronchoscopy with Monarch platform

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What researchers measure

Primary outcomes

  1. Incidence of device or procedure related complications

    The primary endpoint is a composite that includes pneumothorax requiring intervention rated as \> Grade 1 according to the Common Terminology Criteria for Adverse Events (CTCAE) scale, bleeding requiring medical intervention, rated as \> Grade 1 according to the CTCAE scale, and respiratory failure, rated as \> Grade 3 according to the CTCAE scale.

    Time frame: up to 7 days post procedure

Secondary outcomes

  1. Rate of device or procedure related complications

    Individual components of the primary endpoint

    Time frame: up to 7 days post procedure

  2. Rate of all pneumothoraxes

    Time frame: up to 7 days post procedure

  3. Total procedure time

    Time frame: During the procedure

  4. Rate of conversion to conventional bronchoscopic procedure

    Time frame: During the procedure

  5. Rate of adverse events unrelated to device or procedure

    Time frame: up to 7 days post procedure

  6. Stage at diagnosis

    Stage at diagnosis (if applicable) will be evaluated for all robotic-assisted bronchoscopy procedures performed for suspicion of lung cancer

    Time frame: up to 24 months post procedure

  7. Diagnostic yield

    Diagnostic yield for all robotic-assisted procedure performed for suspicion of lung cancer will be evaluated based on histopathological assessment of acquired tissue samples

    Time frame: up to 24 months post procedure

  8. Sensitivity for malignancy

    Time frame: up to 24 months post procedure

  9. Rate of post-bronchoscopy infections

    Time frame: up to 7 days post-procedure

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Study locations

19 sites
  • Mayo Clinic Arizona
    Scottsdale, Arizona 85259, United States
  • Costal Pulmonary Associates
    Encinitas, California 92024, United States
  • Eisenhower Medical Center
    Rancho Mirage, California 92270, United States
  • The University of Connecticut Health Center
    Farmington, Connecticut 06030, United States
  • Sarasota Memorial Hospital
    Sarasota, Florida 34239, United States
  • University of Chicago Medicine
    Chicago, Illinois 60637, United States
  • Northwestern Medicine Central DuPage Hospital
    Winfield, Illinois 60190, United States
  • Franciscan Health Indianapolis
    Indianapolis, Indiana 46237, United States
  • Spectrum Health System
    Grand Rapids, Michigan 49546, United States
  • Minnesota Lung Center, Ltd
    Minneapolis, Minnesota 55407, United States
  • Roswell Park Cancer Institute
    Buffalo, New York 14203, United States
  • Cleveland Clinic
    Cleveland, Ohio 931531, United States
  • Cancer Treatment Centers of America
    Tulsa, Oklahoma 74133, United States
  • Clinical Research Associates of Central PA
    Altoona, Pennsylvania 16602, United States
  • University of Pittsburgh Medical Center, Hamot
    Erie, Pennsylvania 16550, United States
  • Medical University of South Carolina
    Charleston, South Carolina 29425, United States
  • TriStar Centennial Medical Center
    Nashville, Tennessee 37203, United States
  • University Health Network
    Toronto, Ontario, Canada
  • Prince of Wales Hospital
    Hong Kong, Hong Kong, China
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References and documents

Publications

  • Gomes C, Cowan B, Xiao M, Morris P, Pederson D, Yasufuku K. Diagnostic effectiveness and safety of robotic-assisted bronchoscopy for subsolid pulmonary nodules: A multicenter prospective observational study. J Thorac Cardiovasc Surg. 2025 Oct;170(4):945-954. doi: 10.1016/j.jtcvs.2025.05.021. Epub 2025 Jun 7. PubMed 40490212 ↗
  • Murgu S, Chen AC, Gilbert CR, Sterman DH, Pederson D, Rafeq S, Laxmanan B, Schwiers ML, Connelly J, Benz HL, Yasufuku K, Silvestri GA; TARGET Investigators. A Prospective, Multicenter Evaluation of Safety and Diagnostic Outcomes With Robotic-Assisted Bronchoscopy: Results of the Transbronchial Biopsy Assisted by Robot Guidance in the Evaluation of Tumors of the Lung (TARGET) Trial. Chest. 2025 Aug;168(2):539-555. doi: 10.1016/j.chest.2025.04.022. Epub 2025 Apr 27. PubMed 40300665 ↗
  • Agrawal A. Interventional Pulmonology: Diagnostic and Therapeutic Advances in Bronchoscopy. Am J Ther. 2021 Feb 9;28(2):e204-e216. doi: 10.1097/MJT.0000000000001344. PubMed 33590989 ↗

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 28, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT04182815
Lead sponsor
Auris Health, Inc.
Responsible party
Sponsor
First posted
Dec 2, 2019
Start date
Dec 10, 2019
Primary completion
Dec 15, 2023
Completion
Dec 15, 2023
Last update
Feb 28, 2025

Study contacts

Septimiu Murgu, MD
principal investigator · University of Chicago

Oversight

FDA-regulated drug
No
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Feb 2025. You cannot join it, but the record below documents what was studied.

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