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Safety of Lung Cryobiopsy in People With Cancer

Phase 2
Active, not recruiting
Conditions
Lung Cancer
Interventions
Procedure: Transbronchial cryobiopsy
Registration Number
NCT04548830
Lead Sponsor
Memorial Sloan Kettering Cancer Center
Brief Summary

The purpose of this study is to find out whether a biopsy technique called transbronchial cryobiopsy (TBCB) is a safe alternative to the standard biopsy procedure (transbronchial forceps biopsy; TBFB). The study researchers think that TBCB may provide better biopsy samples to help diagnose lung disease.

Detailed Description

Not available

Recruitment & Eligibility

Status
ACTIVE_NOT_RECRUITING
Sex
All
Target Recruitment
100
Inclusion Criteria
  • 18 years of age or greater
  • Patients with known or suspected diagnosis of cancer and indeterminant pulmonary nodules or diffuse parenchymal lung disease with non-diagnostic clinical profiles for whom a lung biopsy is deemed useful for diagnosis.
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Exclusion Criteria
  • Patients with pulse oximetry less than 92% on oxygen delivery up to 2 L nasal cannula.

  • Uncorrectable coagulopathy defined as:

    • Platelet count <50,000 x 10^9/L or
    • prothrombin time international normalized ratio >1.5
  • FVC <50% of the predicted value, DLCO <30% of the predicted value or FEV1 <0.8L

  • Known pulmonary hypertension or echocardiographic pulmonary artery systolic pressure >50mmHg

  • A secure diagnosis based on clinical and high-resolution CT scan data.

  • Antiplatelet therapy that cannot be held for more than 5 days.

  • Any patient deemed unfit to undergo bronchoscopy by the proceduralist

  • Female patients with a positive pregnancy test within 30 days of the planned study procedure

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Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Transbronchial cryobiopsyTransbronchial cryobiopsyAll study participants will undergo transbronchial biopsies via our proposed standardized cryo-biopsy protocol in place of the traditional forceps transbronchial biopsy that is typically used at MSK.
Primary Outcome Measures
NameTimeMethod
Post Cryobiopsy complications2 years

will be graded according to Common Terminology Criteria for Adverse Events version 5 (CTCAE v5)

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Memorial Sloan Kettering Cancer Center (All Protocol Activities)

🇺🇸

New York, New York, United States

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