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Not yet recruitingNCT07889297Updated Oct 22, 2026

Pulsed Field Ablation for the Treatment of Malignant Lung Tumors

An interventional study of Pulsed Field Ablation System and Single-Use Pulsed Field Ablation Catheter in Non-Small Cell Lung Cancer and Pulmonary Metastases, sponsored by Shanghai Chest Hospital. Not yet recruiting at 1 site in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-22.

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

Updated Oct 22, 2026Newly registeredGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
15
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

This prospective, single-center, single-arm exploratory study will evaluate the safety and effectiveness of a pulsed field ablation system and a single-use pulsed field ablation catheter for the treatment of malignant lung tumors. Pulsed field ablation uses short electrical pulses to ablate targeted tumor tissue.

The study plans to enroll 15 adult participants at Shanghai Chest Hospital. Each participant will undergo bronchoscopic pulsed field ablation and will be followed for 6 months after the procedure. The main outcome is the proportion of treated lesions showing complete ablation at 6 months. Technical success, tumor control, survival, quality of life, and adverse events will also be evaluated.

Read the detailed description

This is a prospective, single-center, single-arm, open-label exploratory clinical study. Approximately 15 adult participants with eligible primary or metastatic malignant lung tumors will be enrolled.

During the procedure, a single-use pulsed field ablation catheter will be advanced through the bronchial route to the target lesion. The pulsed field ablation system will then deliver electrical pulses to ablate the tumor tissue. If clinically appropriate, supplementary ablation of the original treated lesion may be performed at the 3-month follow-up visit.

Participants will be evaluated before the procedure, during the procedure, approximately 24 hours after the procedure, before discharge or 7 days after the procedure, and at 1, 3, and 6 months. Effectiveness assessments will include complete ablation of the treated lesions, technical success, patient-level complete ablation, intrapulmonary progression-free survival, overall survival, and quality of life. Safety will be evaluated by recording adverse events and serious adverse events throughout the study.

02

Conditions studied

  • Non-Small Cell Lung Cancer
  • Pulmonary Metastases

Keywords

  • Pulsed Field Ablation
  • Pulsed Electric Field Ablation
  • Bronchoscopic Ablation
  • Lung Tumor
  • Tumor Ablation
03

In context

Carcinoma, Non-Small-Cell Lung

6,641 studies on the registry are indexed under Carcinoma, Non-Small-Cell Lung; 1,665 are open to participants now.

This study's planned enrollment of 15 is below the median of 62 across 5,327 interventional studies indexed under Carcinoma, Non-Small-Cell Lung.

Browse Carcinoma, Non-Small-Cell Lung 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 and older
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 or older.
  • Pathologically confirmed primary peripheral non-small cell lung cancer with a clinical stage of T1N0M0, stage IA, including newly developed tumors after surgery and multiple primary lung cancers; or pulmonary metastatic tumors for which the primary lesion has been completely resected and the maximum tumor diameter is 3 cm or less.
  • No more than three lung tumors.
  • The participant refuses surgery or is considered unsuitable for surgery.
  • The participant refuses or is considered unsuitable for radiotherapy, has not responded to previous radiotherapy, or has experienced disease progression after radiotherapy.
  • In the investigator's judgment, the target lesion can be reached through the bronchial route and pulsed field ablation is technically feasible.
  • The participant voluntarily agrees to participate, provides written informed consent, and is able and willing to comply with all study procedures.

Exclusion criteria

Exclusion Criteria:

  • Severe bleeding tendency or an uncorrectable coagulation disorder, including a prothrombin time greater than 18 seconds or prothrombin activity less than 40%.
  • Platelet count less than 70 x 10\^9/L, or anticoagulant and/or antiplatelet medication that has not been discontinued for at least 1 week before ablation, except for prophylactic preoperative use of low-molecular-weight heparin.
  • Imaging performed within 1 month before the procedure showing lymph node metastasis or extrapulmonary metastasis, except for extrapulmonary metastases that have been controlled by local treatment.
  • Extensive pulmonary metastases with an estimated survival of less than 3 months.
  • A condition considered to confer a high risk for the ablation procedure, including severe comorbidities, active infection, severe pulmonary arterial hypertension, severe heart disease, severe hypertension, or severe respiratory failure.
  • A history of arrhythmia within the previous 2 years, including atrial tachyarrhythmia or any ventricular tachyarrhythmia; a history of second-degree Mobitz type II or third-degree atrioventricular block; or sinus bradycardia with a heart rate below 45 beats per minute.
  • Eastern Cooperative Oncology Group (ECOG) performance status greater than 2.
  • The target lesion has received radiotherapy within the previous 6 months.
  • The shortest distance between the target lesion and the trachea, main bronchus, esophagus, branches of the aortic arch, main pulmonary artery, right or left pulmonary artery trunk, or heart is less than 1 cm; or the distance between the pleural margin of the tumor and the pleura is less than 1 cm.
  • A cardiac pacemaker, implantable cardioverter-defibrillator, or another electronic device or metal component is present within or near the planned ablation area.
  • Contraindication to bronchoscopy.
  • Contraindication to general anesthesia.
  • Pregnancy or breastfeeding, or a female or male participant planning pregnancy or conception during the study.
  • Current participation in another clinical study involving an investigational product.
  • Any other condition that, in the investigator's judgment, makes the individual unsuitable for participation in this study.
05

Study design

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

Study arms

  • Experimental
    Pulsed Field Ablation

    Participants will receive bronchoscopic pulsed field ablation for eligible malignant lung tumors using a pulsed field ablation system and a single-use pulsed field ablation catheter. Supplementary ablation of the original treated lesion may be performed at the 3-month follow-up visit if clinically appropriate. Participants will be followed for 6 months after the initial procedure.

    Device: Pulsed Field Ablation System and Single-Use Pulsed Field Ablation Catheter

Interventions

  • DevicePulsed Field Ablation System and Single-Use Pulsed Field Ablation Catheter

    The pulsed field ablation system is used together with a single-use pulsed field ablation catheter. The catheter is advanced through the bronchial route to the target lung lesion, and the system delivers pulsed electrical energy to ablate the targeted tumor tissue. Device placement and ablation are performed according to the study protocol. Supplementary ablation of the original treated lesion may be performed at the 3-month follow-up visit if clinically appropriate.

06

What researchers measure

Primary outcomes

  1. Complete Ablation Rate at 6 Months (Lesion-Level)

    The percentage of evaluable treated lung lesions that maintain complete ablation at 6 months after completion of the ablation procedure. Complete ablation is assessed by computed tomography (CT) and is defined as a target lesion that has decreased or remained unchanged in size and shows no contrast enhancement. Nonenhancing cavities, solid nodules, atelectasis, or fibrosis may be considered findings consistent with complete ablation according to the protocol-defined criteria. The rate is calculated as the number of evaluable lesions meeting the complete ablation criteria divided by the total number of evaluable ablated lesions, multiplied by 100%.

    Time frame: 6 months after completion of the ablation procedure

Secondary outcomes

  1. Technical Success Rate

    The percentage of ablation procedures in which the investigational devices are successfully advanced to the target lesion, the planned ablation procedure is completed, and the devices are successfully withdrawn. The rate is calculated as the number of technically successful procedures divided by the total number of ablation procedures, multiplied by 100%.

    Time frame: Immediately after each ablation procedure

  2. Complete Ablation Rate at 6 Months (Participant-Level)

    The percentage of evaluable participants for whom all treated lung lesions maintain complete ablation at 6 months after completion of the overall ablation procedure. Complete ablation is assessed by CT and is defined as a target lesion that has decreased or remained unchanged in size and shows no contrast enhancement.

    Time frame: 6 months after completion of the overall ablation procedure

  3. Intrapulmonary Progression-Free Survival Rate at 6 Months

    The percentage of evaluable participants without intrapulmonary disease progression at 6 months. Absence of intrapulmonary progression is defined as maintenance of complete ablation of the originally treated lesions, no hilar lymph node metastasis, and no new intrapulmonary lesions.

    Time frame: 6 months after completion of the overall ablation procedure

  4. Overall Survival Rate at 6 Months

    The percentage of enrolled participants who are alive at 6 months after enrollment.

    Time frame: 6 months after enrollment

  5. Change From Baseline in EORTC QLQ-C30 Scores

    Quality of life will be assessed using the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC QLQ-C30). Scores at each post-treatment visit and changes from baseline will be summarized according to the standard scoring procedures for the questionnaire.

    Time frame: Baseline, 7 days or before discharge, and 1, 3, and 6 months after completion of the overall ablation procedure

Other outcomes

  1. Incidence of Adverse Events and Serious Adverse Events

    The number and percentage of participants experiencing adverse events and serious adverse events during the study. Adverse events will be evaluated using CTCAE version 6.0 when applicable. All adverse events, serious adverse events, device-related adverse events, and procedure-related adverse events will be summarized separately. The severity, outcome, and relationship of each event to the investigational devices and ablation procedure will be assessed and recorded.

    Time frame: From the start of the ablation procedure through 6 months after completion of the overall ablation procedure

07

Study locations

1 site
  • Shanghai Chest Hospital
    Shanghai, Shanghai Municipality, China
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

1 registry update 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

Start is estimated for Oct 2026; primary completion for Oct 2028, 24 months later.

Of 305 non-industry interventional studies with no phase under Carcinoma, Non-Small-Cell Lung, half reached primary completion within 55 months of starting (the median), counting those still running; a quarter within 30 and three quarters within 123. This study's planned 24 months is below that.

Counting every sponsor, half of 320 studies reached it within 52 months; a quarter within 28 and three quarters within 123.

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

Registered
Oct 15, 2026
First posted
Oct 22, 2026
StartEst.
Oct 2026
Primary completionEst.
Oct 2028
CompletionEst.
Oct 2028
Last update
Oct 22, 2026
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.
Registered
First appeared on the registry. No changes since
Oct 22, 2026
Show all 1 update
  1. Oct 22, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07889297
Responsible party
Jiayuan Sun (Chief Physician, Shanghai Chest Hospital) — Principal investigator
First posted
Oct 22, 2026
Start date
Oct 2026 (estimated)
Primary completion
Oct 2028 (estimated)
Completion
Oct 2028 (estimated)
Last update
Oct 22, 2026

Study contacts

Jiayuan Sun, MD
Contact
jysun1976@163.com
+86 180 1732 1598
Jiayuan Sun, MD
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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