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US NAB With ROSE Versus US FNAB With no ROSE

Not Applicable
Completed
Conditions
Lung Cancer
Interventions
Diagnostic Test: Rapid on-site evaluation
Registration Number
NCT04618874
Lead Sponsor
Fondazione Policlinico Universitario Agostino Gemelli IRCCS
Brief Summary

This is an investigator-initiated, single center, controlled, randomized clinical trial with two parallel arms in a 1:1 ratio. The objective of the study is to systematically assess the influence of rapid on-site evaluation (ROSE) on the diagnostic yield for diagnosis and molecular profiling, as well as on the safety, of pulmonologist-performed ultrasound-assisted needle aspiration biopsy (US-NAB) of superficial lesions across different metastatic sites in a series of consecutive patients with suspect locally advanced or advanced lung cancer.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
136
Inclusion Criteria
  • Known/suspected lung cancer
  • Presence of a suspected "superficial" metastasis at imaging studies (CT and/or PET)
  • Indication to tissue sampling for diagnosis, staging and/or molecular profiling
  • 18 years or older
  • Provision of a written informed consent
Exclusion Criteria
  • Inability or unwillingness to consent
  • Known bleeding disorder that cannot be sufficiently corrected with co-fact or fresh frozen plasma (FFP)
  • Use of antiplatelet (excluded aspirin) or anticoagulant drugs that cannot be discontinued

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
ROSE groupRapid on-site evaluationUltrasound-assisted percutaneous needle aspiration with rapid on-site evaluation
Primary Outcome Measures
NameTimeMethod
Diagnostic yield for a tissue diagnosis20 days
Secondary Outcome Measures
NameTimeMethod
Diagnostic yield for PDL1 testing30 days
Complication rate7 days
Diagnostic yield for cancer genotyping30 days

Trial Locations

Locations (1)

Fondazione Policlinico Universitario A. Gemelli IRCCS

🇮🇹

Roma, Italy

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