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RecruitingNCT06052098Updated Dec 6, 2023

Transbronchial vs Transthoracic Ablation for Early-stage Peripheral Lung Cancer

An interventional study of The disposable pulmonary radiofrequency ablation catheter and pulmonary radiofrequency ablation system and The disposable percutaneous radiofrequency ablation needle and pulmonary radiofrequency ablation system in Stage IA Lung Cancer, sponsored by Hangzhou Broncus Medical Co., Ltd.. Recruiting at 1 site in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-12-06.

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

Phase
Not applicable
Study type
Interventional
Enrollment
110
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to investigate the efficacy and safety of RFA through a transthoracic or transbronchial approach in the treatment of early-stage peripheral lung cancer.

Read the detailed description

This study is designed as a prospective, randomized controlled trial with 110 participants, randomized in a 1:1 ratio to CT-guided RFA and bronchoscopy-guided RFA groups. The primary study endpoint is the complete ablation rate at 6 months post-ablation. Secondary study endpoints are technical success rate, complete ablation rate at 12 months post-ablation, local control rate at 1, 2, and 3 years post-ablation, progression free survival, overall survival, and safety. Demographic data, clinical baseline characteristics, CT follow-up data, and safety data will be collected and recorded.

02

Conditions studied

  • Stage IA Lung Cancer

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03

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Age greater than 18 years.
  2. Primary peripheral lung cancer diagnosed by pathology, and preoperative staging reveals clinical stage T1N0M0, stage IA.
  3. The planned ablation lesions are assessed to be amenable to CT-guided and bronchoscopy-guided ablation.
  4. Assessed as inoperable or refused surgery, agree to undergo initial ablation therapy, and sign informed consent.

Exclusion criteria

Exclusion Criteria:

  1. Patients with platelet \< 50 × 10 9/L, severe bleeding tendency and coagulation dysfunction that cannot be corrected in a short period of time.
  2. Patients with severe pulmonary fibrosis and pulmonary hypertension.
  3. Perilesional infection and radiation inflammation, puncture site skin infection is not well controlled, systemic infection, high fever > 38.5℃.
  4. Patients with severe liver, kidney, heart, lung and brain dysfunction, severe anemia, dehydration and severe nutritional metabolism disorders that cannot be corrected or improved in a short period of time.
  5. Patients with poorly controlled malignant pleural effusion.
  6. Anticoagulation therapy and/or antiplatelet agents (except novel oral anticoagulants such as dabigatran and rivaroxaban) are discontinued for less than 5\~7 days before ablation.
  7. Eastern Cooperative Oncology Group (ECOG) score > 2.
  8. Combined with other tumors with extensive metastasis, expected survival \< 6 months.
  9. Patients with episodic psychosis.
  10. Patients with implantable electronic devices (such as pacemaker or defibrillator).
  11. Pregnant women, or patients who have pregnancy plans during the study.
  12. Participation or ongoing participation in another clinical study within the past 30 days.
  13. Other situations that the investigator deems inappropriate to participate in this study.
04

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
110 participants (estimated)

Study arms

  • Experimental
    Transbronchial group

    Subjects receive bronchoscopy-guided RFA and undergo follow-up.

    Device: The disposable pulmonary radiofrequency ablation catheter and pulmonary radiofrequency ablation system

  • Experimental
    Transthoracic group

    Subjects receive CT-guided RFA and undergo follow-up.

    Device: The disposable percutaneous radiofrequency ablation needle and pulmonary radiofrequency ablation system

Interventions

  • DeviceThe disposable pulmonary radiofrequency ablation catheter and pulmonary radiofrequency ablation system

    Procedure: In combination with guided bronchoscopy and CBCT, the ablation catheter is placed in the target lesion. CBCT confirms the tool in the lesion, adjusts the position of the ablation catheter, and monitors the extent of ablation.

  • DeviceThe disposable percutaneous radiofrequency ablation needle and pulmonary radiofrequency ablation system

    Procedure: The ablation needle is punctured into the lesion under CT guidance. The extent of the ablation is monitored by CT.

05

What researchers measure

Primary outcomes

  1. Complete ablation rate at 6 months after ablation

    It is defined as the proportion of lesions with complete ablation to all ablated lesions at 6 months after ablation.

    Time frame: 6 months

Secondary outcomes

  1. Technical success rate

    It is defined as the proportion of lesions which the ablation needle reached and successfully ablated to all lesions intended for ablation.

    Time frame: Immediately after ablation

  2. Complete ablation rate 12 months after ablation

    It is defined as the proportion of lesions with complete ablation to all ablated lesions at 12 months after ablation.

    Time frame: 12 months

  3. Local control rate at 1 year, 2 years and 3 years after ablation

    It is defined as the proportion of lesions with complete ablation and incomplete ablation to all ablated lesions at 1 year, 2 years, and 3 years after ablation.

    Time frame: 1 year, 2 years and 3years

  4. Progression free survival (PFS)

    It is defined as the duration from the ablation to the first occurrence of disease progression or the death of the subject.

    Time frame: 3 years

  5. Overall survival (OS)

    It is defined as the total time from the ablation to the death of the subject.

    Time frame: 3 years

  6. Safety

    To assess the incidence of device- or procedure-related (serious) adverse events occurring during the study.

    Time frame: 12 months

06

Study locations

1 of 1 sites recruiting
  • Shanghai Chest Hospital
    Shanghai, Shanghai 200030, China
    • Jiayuan Sun, MD, PhD · Contact · xkyyjysun@163.com · 86-021-22200000
    • Jiayuan Sun, MD, PhD · Principal investigator
    Recruiting
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
NCT06052098
Lead sponsor
Hangzhou Broncus Medical Co., Ltd.
Collaborators
Shanghai Chest Hospital
Responsible party
Sponsor
First posted
Sep 25, 2023
Start date
Oct 11, 2023
Primary completion
Apr 2025 (estimated)
Completion
Oct 2027 (estimated)
Last update
Dec 6, 2023

Study contacts

Jiayuan Sun, MD, PhD
Contact
xkyyjysun@163.com
86-021-22200000 ext. 1511
Jiayuan Sun, MD, PhD
principal investigator · Shanghai Chest 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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