NCT04106453

Brief Summary

In primary and secondary liver tumors microwave ablation could be an alternative to surgical resection.It could be performed laparoscopically. Under ultrasound control the microwave device is placed in the tumor.Therefore spatial orientation is challenging: the tumor is often missed and the failure rate is high. During learning curve this could lead to incomplete tumor ablation and high rate of local recurrence. Targeting systems could optimize that. The CasOne-SPOT-system is an innovative electromagnetic tracking and navigation system for laparoscopic microwave ablation. In this study targeting precision using the SPOT-System should be compared to conventional laparoscopic ultrasound-guided microwave ablation. Therefore tumor mimics (1-2cm) will be created in ex-vivo pig livers and microwave ablation will be performed ultrasound guided or ultrasound navigated. The ablation procedures will be performed by two novices and two experienced surgeons. Aim of this trial is to is to evaluate, if laparoscopic microwave ablation could be facilitated by the use of the SPOT-navigation system.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
4

participants targeted

Target at below P25 for not_applicable

Timeline
Completed

Started Sep 2019

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

September 14, 2019

Completed
10 days until next milestone

First Submitted

Initial submission to the registry

September 24, 2019

Completed
3 days until next milestone

First Posted

Study publicly available on registry

September 27, 2019

Completed
4 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 14, 2020

Completed
21 days until next milestone

Study Completion

Last participant's last visit for all outcomes

February 4, 2020

Completed
Last Updated

February 5, 2020

Status Verified

February 1, 2020

Enrollment Period

4 months

First QC Date

September 24, 2019

Last Update Submit

February 4, 2020

Conditions

Keywords

laparoscopynavigationmicrowave ablationultrasound guidance

Outcome Measures

Primary Outcomes (1)

  • time to complete ablation

    time from beginning of the targeting process until to complete ablation of the tumor mimic

    0-10 minutes

Secondary Outcomes (1)

  • ablation completeness

    up to 1 day

Study Arms (2)

navigated microwave ablation

EXPERIMENTAL

microwave ablation is performed laparoscopically with navigation

Procedure: navigated microwave ablation

ultrasound guided microwave ablation

ACTIVE COMPARATOR

microwave ablation is performed laparoscopically with ultrasound guidance

Procedure: ultrasound guided navigation

Interventions

the laparoscopic microwave ablation in the pig liver is performed with the CasOne-Spot system

navigated microwave ablation

the laparoscopic microwave ablation iin the pic liver is performed with ultrasound guidance

ultrasound guided microwave ablation

Eligibility Criteria

Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

  • board certified surgeon with experienced liver surgery with/ without experience in laparoscopic microwave ablation

You may not qualify if:

  • non

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

University of Cologne, Department of General, Visceral and Cancer Surgery

Cologne, 50931, Germany

Location

MeSH Terms

Conditions

Liver NeoplasmsSpatial Navigation

Condition Hierarchy (Ancestors)

Digestive System NeoplasmsNeoplasms by SiteNeoplasmsDigestive System DiseasesLiver DiseasesSpatial BehaviorBehavior

Study Officials

  • Roger Wahba, MD, PhD

    General, Visceral, Cancer and Transplant Surgery, University of Cologne

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
OTHER
Intervention Model
CROSSOVER
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Principal Investigator

Study Record Dates

First Submitted

September 24, 2019

First Posted

September 27, 2019

Study Start

September 14, 2019

Primary Completion

January 14, 2020

Study Completion

February 4, 2020

Last Updated

February 5, 2020

Record last verified: 2020-02

Locations