Feasibility of Performing Peripheral Pulmonary Lesion Biopsy Using Robotic Bronchoscopy-Guided Cryoprobe
A Study to Evaluate the Feasibility of Robotic Bronchoscopy-guided Miniature Cryoprobe Biopsy of Peripheral Pulmonary Lesions
1 other identifier
interventional
30
1 country
1
Brief Summary
This research is being done to evaluate the feasibility, and biopsy quality, of using a 1.1mm disposable cryoprobe that is passed through the working channel of the Ion Robotic bronchoscope to collect biopsy tissue.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable
Started Aug 2022
1 active site
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
First Submitted
Initial submission to the registry
May 20, 2022
CompletedFirst Posted
Study publicly available on registry
June 1, 2022
CompletedStudy Start
First participant enrolled
August 15, 2022
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 11, 2023
CompletedStudy Completion
Last participant's last visit for all outcomes
July 11, 2023
CompletedResults Posted
Study results publicly available
October 17, 2024
CompletedOctober 17, 2024
October 1, 2024
11 months
May 20, 2022
July 8, 2024
October 15, 2024
Conditions
Outcome Measures
Primary Outcomes (1)
Ability to Successfully Obtain Sample
Number of tissue samples that are considered by the bronchoscopist as adequate for further pathological analysis
Baseline
Secondary Outcomes (9)
Duration of Biopsy Procedure
Biopsy procedure, approximately 3 hours
Freezing Time for Cryoprobe Biopsies
Biopsy procedure, approximately 60 seconds
Number of Successful Biopsy Attempts
Biopsy procedure, approximately 3 hours
Histological Accessibility Grade
Pathology review, approximately 1 day
Histological Diagnostic Yield
Pathology review, approximately 1 day
- +4 more secondary outcomes
Study Arms (2)
Standard forceps biopsy then research cryoprobe biopsy
EXPERIMENTALSubjects scheduled for a biopsy of lung lesions using robotic bronchoscopy as part of their standard of care will have the lung lesion biopsied using forceps first followed by cryoprobe.
Research cryoprobe biopsy then standard forceps biopsy
EXPERIMENTALSubjects scheduled for a biopsy of lung lesions using robotic bronchoscopy as part of their standard of care will have the lung lesion biopsied using the cryoprobe first followed by forceps.
Interventions
A 1.1mm disposable cryoprobe that is passed through the working channel of the Ion Robotic bronchoscope to collect biopsy tissue
Biopsy forceps used to collect tissue
Eligibility Criteria
You may qualify if:
- \- Patient clinically meets indication for peripheral lung nodule biopsy and has been scheduled for robotic bronchoscopy.
- Lesion Criteria:
- \- Pulmonary nodules of 8-50mm in largest dimension.
You may not qualify if:
- Patients with known bleeding diathesis; Platelet count \< 50,000.
- Current use of systemic anticoagulation or antiplatelet therapy without the ability to hold therapy for the recommended amount of time prior to an invasive procedure (aspirin monotherapy is acceptable).
- Inability or unwillingness to give informed consent.
- Pregnant or nursing females, or females of child-bearing potential who decline a pregnancy test prior to enrollment.
- Pulmonary hypertension, defined as a right ventricular systolic pressure \> 50 mmHg.
- Individuals with current or recent systematic conditions, such as, acute kidney injury, or conditions that would mandate anticoagulation, such as a recent coronary stent.
- International Normalized Ratio (INR) \< 1.5.
- Do Not Resuscitate (DNR) status; Do Not Intubate (DNI) status.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Mayo Cliniclead
- Erbe USA Incorporatedcollaborator
Study Sites (1)
Mayo Clinic Rochester
Rochester, Minnesota, 55905, United States
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Ryan M. Kern, M.D.
- Organization
- Mayo Clinic
Study Officials
- PRINCIPAL INVESTIGATOR
Ryan Kern, MD
Mayo Clinic
Publication Agreements
- PI is Sponsor Employee
- Yes
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
May 20, 2022
First Posted
June 1, 2022
Study Start
August 15, 2022
Primary Completion
July 11, 2023
Study Completion
July 11, 2023
Last Updated
October 17, 2024
Results First Posted
October 17, 2024
Record last verified: 2024-10