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Not yet recruitingNCT07545057Updated Apr 28, 2026

Robotic-Assisted Bronchoscopy-Guided Synchronous Biopsy and Radiofrequency Ablation for Pulmonary Nodules

An interventional study of Robotic-assisted bronchoscopy-guided synchronous biopsy and radiofrequency ablation for pulmonary nodules in Pulmonary Nodules, sponsored by Shanghai Chest Hospital. Not yet recruiting at 1 site in China. Open to participants aged 18 Years to 100 Years. Per ClinicalTrials.gov, last updated 2026-04-28.

Sponsored by Shanghai Chest Hospital · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
76
Allocation
Not applicable
Ages
18 Years to 100 Years
Sex
All
01

Study summary

This is a prospective, single-arm, open-label clinical study. The primary study objective is to evaluate the feasibility of synchronous biopsy and radiofrequency ablation for pulmonary nodules under robotic-assisted bronchoscopy.

02

Conditions studied

  • Pulmonary Nodules
03

In context

Multiple Pulmonary Nodules

99 studies on the registry are indexed under Multiple Pulmonary Nodules; 42 are open to participants now.

This study's planned enrollment of 76 is below the median of 97 across 46 interventional studies indexed under Multiple Pulmonary Nodules.

Browse Multiple Pulmonary Nodules studies →

Lead sponsor

Shanghai Chest Hospital is the lead sponsor of 198 studies on the registry; 98 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 100 Years
Sexes eligible
All
Accepts healthy volunteers
No

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

  • Age ≥ 18 years old;
  • Chest CT indicates pulmonary nodules, highly suspected of being malignant;
  • Size of pulmonary nodules: 8 mm \< maximum diameter ≤ 30 mm, and the number of pulmonary nodules requiring intervention ≤ 3;
  • Preoperative imaging evaluation indicates no clear lymph node or distant metastasis (cT1N0M0);
  • Multidisciplinary evaluation shows that the patient cannot tolerate surgery and radiotherapy, or the patient refuses surgery and radiotherapy after full ;
  • The patient understands and agrees to receive synchronous and ablation treatment under robotic-assisted bronchoscopy and signs a written informed consent form.

Exclusion criteria

Exclusion Criteria:

  • Patients who cannot tolerate general anesthesia due to advanced age or severe cardiopulmonary diseases, or other reasons;
  • The target nodule has been diagnosed as a malignant tumor or ;
  • Patients with severe bleeding tendency or uncorrectable coagulation disorder ( count \< 50×10\^9 /L, > 18s, prothrombin activity \< 40%);
  • Severe pulmonary fibrosis and pulmonary hypertension;
  • Anticoagulant or anti-platelet drugs have not been discontinued for the required time before surgery;
  • Implanted cardiac pacemaker, defibrillator, or other electronic implants;
  • Presence of important blood vessels that cannot be avoided along the path;
  • Other conditions that the investigators consider not suitable for the patient to participate in this study.
Terms in these criteria, in plain language(5)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

INR, PT and aPTT (clotting tests)

Blood tests of how long blood takes to clot. The INR is the prothrombin time (PT) put on a common scale; about 1 is usual for someone not taking a blood thinner.

Criteria often make an exception for people on a blood thinner such as warfarin, whose INR is raised on purpose.

05

Study design

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

Study arms

  • Experimental
    Patients with clinically suspected malignant pulmonary nodules requiring diagnosis and treatment

    Procedure: Robotic-assisted bronchoscopy-guided synchronous biopsy and radiofrequency ablation for pulmonary nodules

Interventions

  • ProcedureRobotic-assisted bronchoscopy-guided synchronous biopsy and radiofrequency ablation for pulmonary nodules

    All procedures are performed under general anesthesia with endotracheal intubation and mechanical ventilation. All procedures are performed under the guidance of shape-sensing robotic-assisted bronchoscopy integrated with mobile cone-beam computed tomography. Cyobiopsy is performed first using the 1.1-mm cryoprobe, followed by intraoperative frozen section for rapid diagnosis. If malignancy is confirmed, radiofrequency ablation is conducted in the same procedure.

06

What researchers measure

Primary outcomes

  1. Technical success rate (at the lesion level)

    The proportion of lesions with a definite malignant diagnosis by synchronous biopsy and effective ablation (with postoperative immediate imaging indicating that the ablation range is at least 5 mm larger than the boundary of the target lesion) among the lesions ultimately diagnosed as malignant.

    Time frame: 6 months

Secondary outcomes

  1. Biopsy diagnostic yield (at the lesion level)

    The proportion of lesions with a definite malignant or specific benign diagnosis by biopsy among all the lesions undergoing biopsy, evaluated by the pathological diagnosis.

    Time frame: 6 months

  2. Sensitivity of malignancy (at the lesion level)

    The proportion of lesions with a definite malignant diagnosis by biopsy among all the lesions confirmed to be malignant by the gold standard of pathology, evaluated by the pathological diagnosis.

    Time frame: 6 months

  3. Complete ablation rate (at the lesion level)

    The proportion of completely ablated lesions after ablation treatment among all the lesions undergoing ablation treatment, evaluated at 3 months, 1 year, 2 years, 3 years, and 5 years, respectively.

    Time frame: 3 months, 1 year, 2 years, 3 years, and 5 years

  4. Local progression-free period (at the lesion level)

    The time from when the patient receives treatment until the target lesion shows local progression.

    Time frame: 3 months, 1 year, 2 years, 3 years, and 5 years

  5. Progression-free survival

    The time from the patient receiving treatment until tumor progression or death from any cause (whichever occurs first).

    Time frame: 3 months, 1 year, 2 years, 3 years, and 5 years

  6. Overall survival

    The time from the patient receiving treatment until death from any cause.

    Time frame: 3 months, 1 year, 2 years, 3 years, and 5 years

  7. Pulmonary function indicators (at the patient level)

    The change level of indicators such as FEV₁ and DLCO 1 year after surgery compared with the preoperative baseline.

    Time frame: 1 year

  8. The incidence of procedure-related complications (at the patient level)

    The incidence of device- or ablation-related adverse events during the operation and within 1 month after the operation, graded according to the CTCAE v6.0 criteria, with bleeding additionally evaluated using the Nashville Delphi (2020) scale.

    Time frame: 1 month

07

Study locations

1 site
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 28, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT07545057
Responsible party
Jiayuan Sun (Director, Department of Respiratory Endoscopy, Shanghai Chest Hospital) — Principal investigator
First posted
Apr 22, 2026
Start date
May 1, 2026 (estimated)
Primary completion
Jun 30, 2027 (estimated)
Completion
Dec 31, 2027 (estimated)
Last update
Apr 28, 2026

Study contacts

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

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Apr 2026. You cannot join it, but the record below documents what was studied.

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