Evaluation of the Safety and Effectiveness of Percutaneous and Transbronchial Argon-helium Cryoablation
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Lung Cancer
- Sponsor
- China-Japan Friendship Hospital
- Enrollment
- 60
- Primary Endpoint
- Complete response rate and effective rate of target lesions
- Status
- Not Yet Recruiting
- Last Updated
- 3 years ago
Overview
Brief Summary
The goal clinical trial is to evaluation of the safety and effectiveness of percutaneous and transbronchial argon-helium cryoablation in primary lung cancer and metastatic lung cancer. The main question it aims to answer are:Evaluation of the safety and effectiveness of percutaneous and transbronchial argon-helium cryoablation.
Participants will undergo percutaneous or transbronchial argon-helium cryoablation.
Investigators
Gang Hou
Principal Investigator
China-Japan Friendship Hospital
Eligibility Criteria
Inclusion Criteria
- •Primary or metastatic lung cancer with definite pathological diagnosis
- •Not suitable for thoracotomy due to serious or serious lung or systemic diseases
- •Peripheral lung cancer involves pleura and chest wall, and cannot be completely removed after surgery
- •There are indications for surgical resection, but the patient refuses to operate
- •Single tumor, maximum diameter ≤ 5cm
- •Or the number of tumors ≤ 3 and the maximum diameter ≤ 3cm
- •ECOG-PS score ≤ 2
- •The expected survival period is more than three months
- •Those who have not participated in other clinical verifications within 3 months
- •Subjects voluntarily signed the informed consent form
Exclusion Criteria
- •Serious cardio-cerebral disease or other mental diseases
- •Severe pulmonary fibrosis, especially drug-induced pulmonary fibrosis
- •Patients with previous severe pulmonary dysfunction, pulmonary ventilation disorder and multiple pulmonary bullae
- •Have a history of immunodeficiency, including HIV test (enzyme-linked immunosorbent assay and Western blotting) positive
- •Chemotherapy, radiotherapy, interventional therapy, ablation and surgical treatment within 30 days before surgical treatment
- •There is a tendency to severe bleeding, and the platelet is less than 50 × 109/L and severe disorder of coagulation function
- •Coagulation index (PT, TT, APTT)\>2.5 times of the upper normal limit
- •Malignant pleural effusion on the same side of the ablation focus was not well controlled
- •Poor general condition, multiple organ failure, cachexia, severe anemia and nutritional metabolism disorder
- •Those who have extensive extrapulmonary metastasis and are not suitable for ablation treatment
Outcomes
Primary Outcomes
Complete response rate and effective rate of target lesions
Time Frame: 4 weeks(±7d) after the operation of argon-helium cryoablation
Enhanced imaging examination (CT, MRI or color Doppler ultrasound)
Secondary Outcomes
- Subjects' tolerance of the procedure(1 week after the operation of argon-helium cryoablation)
- To evaluate the operational performance of argon-helium cryoablation(during the procedure)
- the iceball coverage rate during the procedure(during the procedure)
- the Eastern Cooperative Oncology Group Performance Status (ECOG PS) score(4 weeks(±7d) after the operation of argon-helium cryoablation)