Feasibility of Fluorescence Imaging With Bevacizumab-800CW During Bronchoscopy
DEFLECT I
2 other identifiers
interventional
20
1 country
1
Brief Summary
In this feasibility study, bronchoscopy will be combined with fluorescence molecular imaging using the near-infrared fluorescence (NIRF) tracer bevacizumab-800CW for assessment of pulmonary lesions and/or lymph nodes considered to be malignant.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_2
Started Aug 2026
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
January 30, 2025
CompletedFirst Posted
Study publicly available on registry
February 5, 2025
CompletedStudy Start
First participant enrolled
August 17, 2026
ExpectedPrimary Completion
Last participant's last visit for primary outcome
August 17, 2028
Study Completion
Last participant's last visit for all outcomes
August 17, 2028
March 30, 2026
March 1, 2026
2 years
January 30, 2025
March 24, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Fluorescent signal of malignant lesion versus non-tumorous tissue.
Comparison of the in vivo fluorescent signal of malignant lesion (pulmonary nodule or lymph node metastasis) versus non-tumorous tissue: The fluorescent signal will be assessed qualitatively (categorical data) and quantitatively (pulmonary nodule: by multi-diameter single fiber reflectance spectroscopy/single-fiber fluorescence spectroscopy (MDSFR/SFF), lymph node metastases: by ultrasound guided needle biopsy single-fiber fluorescence (USNB/SFF)).
Assessed directly during the bronchoscopy procedure
Secondary Outcomes (3)
FLuorescence signal analyses
Up to 1 year
Optimal dose of bevacizumab-800CW
Up to 1 year
Safety of bevacizumab-800CW injection and fluorescence molecular imaging
Up to 24 hours after the fluorescence molecular bronchoscopy
Study Arms (2)
Fluorescence molecular imaging during bronchoscopy with bevacizumab-800CW at dose of 15 mg
EXPERIMENTALFluorescence molecular imaging during bronchoscopy with bevacizumab-800CW at dose of 25 mg
EXPERIMENTALInterventions
Patients will receive an intravenous administration of 15 mg bevacizumab-800CW before the bronchoscopy procedure. The bronchoscopy will start with high-definition white light bronchoscopy, followed by fluorescence molecular bronchoscoy to observe the fluorescence signal and MDSFR-SFF spectroscopy to quantify the fluores-cence signal in vivo.
Patients will receive an intravenous administration of 15 mg bevacizumab-800CW before the bronchoscopy procedure. The bronchoscopy will start with high-definition white light bronchoscopy, followed by fluorescence molecular bronchoscoy to observe the fluorescence signal and MDSFR-SFF spectroscopy to quantify the fluores-cence signal in vivo.
Eligibility Criteria
You may qualify if:
- Signed informed consent prior to participation in the study.
- Age ≥ 18 years.
- Patient has at least one intrabronchial, near-to-airway located or peripheral pulmonary nodule - with or without pathological lymph nodes - which is considered malignant (independent of its primary origin).
- Patient is considered fit to undergo a diagnostic and/or therapeutic bronchoscopy (with or without addition of virtual navigation and/or endobronchial ultrasound; including propofol sedation or general anesthesia if either is indicated) to obtain tumor material according to standard care protocols.
You may not qualify if:
- History of infusion reactions to bevacizumab.
- Medical or psychiatric conditions that compromise the patient's ability to give informed consent.
- Pregnancy or breast feeding.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
University Medical Center Groningen
Groningen, Netherlands
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- DIAGNOSTIC
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
January 30, 2025
First Posted
February 5, 2025
Study Start (Estimated)
August 17, 2026
Primary Completion (Estimated)
August 17, 2028
Study Completion (Estimated)
August 17, 2028
Last Updated
March 30, 2026
Record last verified: 2026-03