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RecruitingNCT05804786Updated May 10, 2024

Prospective Cohort of Diagnostic Bronchoscopy for Peripheral Lung Lesions

An observational study in Lung Cancer, sponsored by Seoul National University Bundang Hospital. Recruiting at 11 sites in South Korea. Open to participants aged 19 Years and older. Per ClinicalTrials.gov, last updated 2024-05-10.

Sponsored by Seoul National University Bundang Hospital · Observational

From the registry’s dates

  • Started Apr 2023; still recruiting 3 years 6 months later.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
1,240
Ages
19 Years and older
Sex
All
01

Study summary

The primary objective is To evaluate the usefulness and safety of advanced guided bronchoscopy for histological diagnosis of peripheral pulmonary lesions.

The Secondary objective is to establish a strategy that can most effectively use endoscopes for early diagnosis of lung cancer in a real-world care environment by identifying patient/clinical/image/procedure-related characteristics that can optimize the practicality of emerging technologies.

Read the detailed description
  • Patients with peripheral pulmonary lesions who need histological diagnosis due to suspected lung cancer and whose lesions are judged capable of histological examination through guided bronchoscopy will be prospectively recruited.
  • This study is a pure non-interventional pragmatic design. In addition to biopsy for lung lesions using bronchoscopy, lung cancer staging and tests necessary for metastases and treatment for diagnosed lung cancer are performed according to existing guidelines and the judgment of medical staff.
  • We will analyze the clinical characteristics of guided bronchoscopy procedures used in clinical practice and the main results during the follow-up period of up to one year (diagnostic yield, sensitivity, safety, practicality, and various factors affecting usefulness).
02

Conditions studied

  • Lung Cancer

Keywords

  • Electromagnetic Navigation Bronchoscopy
  • Guided Bronchoscopy
  • Diagnosis
  • Radial Endobronchial Ultrasound
03

In context

Lung Neoplasms

7,334 studies on the registry are indexed under Lung Neoplasms; 1,554 are open to participants now.

This study's planned enrollment of 1,240 is above the median of 190 across 1,547 observational studies indexed under Lung Neoplasms.

Browse Lung Neoplasms studies →

Lead sponsor

Seoul National University Bundang Hospital is the lead sponsor of 376 studies on the registry; 56 are open to participants now.

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

04

Who can participate

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

Study population

Patients with peripheral pulmonary lesions that require histological differentiation because of the possibility of malignancy and are scheduled for biopsy attempted through guided bronchoscopy

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. Patients who agreed in writing to participate in this study
  2. Adult men and women over 19 years of age
  3. Patients who visited the hospital with lung lesions suspected of lung cancer and require a diagnostic biopsy
  4. Patients capable of biopsy through guided bronchoscopy

Exclusion criteria

Exclusion Criteria:

1) Patients who are unable to express their opinions and cannot cooperate due to a lack of cognitive function

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
1,240 participants (estimated)
Patient registry
No

Groups and cohorts

  • single group

    Patients with peripheral pulmonary lesions which require histological differentiation because of the possibility of malignancy, and a biopsy can be attempted through guided bronchoscopy

    Device: Guided bronchoscopy

Interventions

  • DeviceGuided bronchoscopy

    It is performed when a pulmonary lesion with a possibility of malignancy is found on chest CT and histological diagnosis and differentiation are required.

    Also known as: Device: Spin Thoracic Navigation System, Device: Radial EBUS probe

06

What researchers measure

Primary outcomes

  1. Diagnostic yield at index

    The proportion of pathologic results that leads to a specific malignant or benign

    Time frame: Upon reports of pathologic results (up to 2 weeks after bronchoscopy)

Secondary outcomes

  1. Diagnostic accuracy at 12 months

    True positive + True negative (confirmed benign with follow-up of at least 1yr without progression) / Total procedures Pathologic results of a malignant or benign specific diagnosis based on the samples collected via index ENB procedure are categorized as true positives or true negatives. For pathologic results of a benign non-specific diagnosis and non-diagnostic results, follow-up data would be used to determine whether the 12-month status corroborates the benign results. Based on definition scenarios, these results will be determined as true negatives or false negatives. Diagnostic yields based on different scenarios will be reported.

    Time frame: Confirmed by follow-up results at 1 year

  2. Sensitivity for malignancy

    True positive/Confirmed malignancy cases

    Time frame: Confirmed by follow-up results at 1 year

  3. Complication

    Evaluate complications due to guided bronchoscopic biopsy

    Time frame: Confirmed by follow-up results at 1 year

07

Study locations

11 of 11 sites recruiting
  • Dongsan Hospital Keimyung University School of Medicine
    Daegu, South Korea
    • Sun Hyo Park · Contact
    Recruiting
  • Hallym University Dongtan Sacred Heart Hospital
    Gyeonggi-do, South Korea
    • So Jeong Kim · Contact
    Recruiting
  • Chunnam National University Hwasun Hospital
    Hwasun, South Korea
    • Hyung Joo Oh · Contact
    Recruiting
  • Inje University Ilsan Paik Hospital
    Ilsan, South Korea
    • Hyung Gu Kang · Contact
    Recruiting
  • Gyeongsang National University Hospital
    Jinju, South Korea
    • Jong Whan Jeong · Contact
    Recruiting
  • Seoul National University Bundang Hospital
    Seongnam-si, 13620, South Korea
    Recruiting
  • Asan Medical Center, University of Ulsan College of Medicine
    Seoul, South Korea
    • Wonjun Ji · Contact
    Recruiting
  • Gangnam Severence Hospital
    Seoul, South Korea
    • Chi Young Kim · Contact
    Recruiting
  • Hanyang University Hostpital
    Seoul, South Korea
    • Dong Won Park · Contact
    Recruiting
  • The Catholic University of Korea, Seoul, Korea
    Seoul, South Korea
    • Hyeong Jun Cho · Contact
    Recruiting
  • Pusan National University Yangsan Hospital
    Yangsan, South Korea
    • Seong Hoon Yoon · Contact
    Recruiting
08

References and documents

Publications

  • Folch EE, Pritchett MA, Nead MA, Bowling MR, Murgu SD, Krimsky WS, Murillo BA, LeMense GP, Minnich DJ, Bansal S, Ellis BQ, Mahajan AK, Gildea TR, Bechara RI, Sztejman E, Flandes J, Rickman OB, Benzaquen S, Hogarth DK, Linden PA, Wahidi MM, Mattingley JS, Hood KL, Lin H, Wolvers JJ, Khandhar SJ; NAVIGATE Study Investigators. Electromagnetic Navigation Bronchoscopy for Peripheral Pulmonary Lesions: One-Year Results of the Prospective, Multicenter NAVIGATE Study. J Thorac Oncol. 2019 Mar;14(3):445-458. doi: 10.1016/j.jtho.2018.11.013. Epub 2018 Nov 23. PubMed 30476574 ↗
  • Ost DE, Ernst A, Lei X, Kovitz KL, Benzaquen S, Diaz-Mendoza J, Greenhill S, Toth J, Feller-Kopman D, Puchalski J, Baram D, Karunakara R, Jimenez CA, Filner JJ, Morice RC, Eapen GA, Michaud GC, Estrada-Y-Martin RM, Rafeq S, Grosu HB, Ray C, Gilbert CR, Yarmus LB, Simoff M; AQuIRE Bronchoscopy Registry. Diagnostic Yield and Complications of Bronchoscopy for Peripheral Lung Lesions. Results of the AQuIRE Registry. Am J Respir Crit Care Med. 2016 Jan 1;193(1):68-77. doi: 10.1164/rccm.201507-1332OC. PubMed 26367186 ↗
  • Folch EE, Labarca G, Ospina-Delgado D, Kheir F, Majid A, Khandhar SJ, Mehta HJ, Jantz MA, Fernandez-Bussy S. Sensitivity and Safety of Electromagnetic Navigation Bronchoscopy for Lung Cancer Diagnosis: Systematic Review and Meta-analysis. Chest. 2020 Oct;158(4):1753-1769. doi: 10.1016/j.chest.2020.05.534. Epub 2020 May 23. PubMed 32450240 ↗
  • Vachani A, Maldonado F, Laxmanan B, Kalsekar I, Murgu S. The Impact of Alternative Approaches to Diagnostic Yield Calculation in Studies of Bronchoscopy. Chest. 2022 May;161(5):1426-1428. doi: 10.1016/j.chest.2021.08.074. Epub 2021 Sep 7. No abstract available. PubMed 34506792 ↗
  • Bowling MR, Kohan MW, Walker P, Efird J, Ben Or S. The effect of general anesthesia versus intravenous sedation on diagnostic yield and success in electromagnetic navigation bronchoscopy. J Bronchology Interv Pulmonol. 2015 Jan;22(1):5-13. doi: 10.1097/LBR.0000000000000120. PubMed 25590477 ↗
  • Kops SEP, Heus P, Korevaar DA, Damen JAA, Idema DL, Verhoeven RLJ, Annema JT, Hooft L, van der Heijden EHFM. Diagnostic yield and safety of navigation bronchoscopy: A systematic review and meta-analysis. Lung Cancer. 2023 Jun;180:107196. doi: 10.1016/j.lungcan.2023.107196. Epub 2023 Apr 19. PubMed 37130440 ↗

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Apr 2023 (actual). Primary completion is estimated for Jul 2027, 51 months after the start.

Of 578 non-industry observational studies under Lung Neoplasms, half reached primary completion within 68 months of starting (the median), counting those still running; a quarter within 30 and three quarters within 172. This study's planned 51 months is below that.

Counting every sponsor, half of 685 studies reached it within 56 months; a quarter within 29 and three quarters within 130.

How these figures are worked out, and which studies are left out of them.

Registered
Mar 27, 2023
First posted
Apr 7, 2023
StartActual
Apr 1, 2023
Primary completionEst.
Jul 31, 2027
CompletionEst.
Jul 31, 2027
Last update
May 10, 2024
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on May 10, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05804786
Responsible party
Yeon Wook Kim (Professor, Seoul National University Bundang Hospital) — Principal investigator
First posted
Apr 7, 2023
Start date
Apr 1, 2023
Primary completion
Jul 31, 2027 (estimated)
Completion
Jul 31, 2027 (estimated)
Last update
May 10, 2024

Study contacts

Yeon Wook Kim, MD., PhD
Contact
kimyw@snu.ac.kr
+82-31-787-8134
Yeon Wook Kim, MD., PhD
principal investigator · Seoul National University Bundang Hospital

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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