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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT06158971
Registration number
NCT06158971
Ethics application status
Date submitted
5/07/2023
Date registered
6/12/2023
Titles & IDs
Public title
Feasibility Study of the Microwave Ablation System for Lung Tissue Ablation
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Scientific title
Feasibility Study of the Microwave Ablation System for Lung Tissue Ablation
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Secondary ID [1]
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2022-001
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Lung Neoplasm
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Condition category
Condition code
Cancer
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Lung - Mesothelioma
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Cancer
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Lung - Non small cell
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Cancer
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Lung - Small cell
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Devices - Flexible Bronchoscopic Microwave Ablation
Experimental: Flexible Microwave Ablation - Soft tissue ablation will be performed using the phenoWave flexible Microwave Ablation System and Accessories on lesions in the peripheral lung. The image-guided ablation procedure may utilize a combination of the radial EBUS and conebeam CT to confirm the lesion, position of the device relative to lesion and monitor the ablation progress.
Treatment: Devices: Flexible Bronchoscopic Microwave Ablation
The phenoWave flexible microwave ablation system will be used to perform soft tissue ablation in the lungs under image guidance.
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Intervention code [1]
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Treatment: Devices
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Safety - AE occurrence
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Assessment method [1]
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Incidence of complications and occurrence of Adverse Events (AEs)
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Timepoint [1]
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up to 7 days post ablation
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Primary outcome [2]
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Safety - AE frequency
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Assessment method [2]
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Frequency of AEs
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Timepoint [2]
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up to 7 days post ablation
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Primary outcome [3]
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Safety - ablated tissue assessment
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Assessment method [3]
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Percentage of ablated tissue within tumor boundary as assessed on gross and/or histologic evaluation
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Timepoint [3]
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up to 7 days post ablation
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Primary outcome [4]
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Technical Feasibility
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Assessment method [4]
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Evidence of thermal ablation in portion of the tumor as assessed on histopathology
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Timepoint [4]
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up to 7 days post ablation
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Secondary outcome [1]
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Navigational Success
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Assessment method [1]
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Measured distance of phenoWave device tip relative to the planned position from CT data
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Timepoint [1]
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Immediately after completion of procedure (day 0)
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Secondary outcome [2]
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Procedural Measures
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Assessment method [2]
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Total procedure time and navigation time to position the device
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Timepoint [2]
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Immediately after completion of procedure and navigation to the target (day 0)
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Eligibility
Key inclusion criteria
* Age 45-77 years at screening.
* Confirmed NSCLC or solitary metastatic (oligometastatic) or pulmonary metastases from an extra thoracic primary tumor lung nodule through diagnostic biopsy
* Must be eligible for curative lung resection (lobectomy).
* For primary tumor, pre-ablated parenchymal tumor/lesion size = 20 mm if NSCLC, or = 10 mm for metastatic disease in diameter as measured from pre-operative CT image.
* Willing to participate in all aspects of study protocol for duration of study.
* Able to understand study requirements.
* Signs informed consent form.
* Boundary of tumor is at least 15 mm away from the pleura wall and/or fissure.
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Minimum age
45
Years
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Maximum age
77
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Any contraindication to bronchoscopy, for example:
* Untreatable life-threatening arrhythmias.
* Inability to adequately oxygenate the patient during the procedure.
* Acute respiratory failure with hypercapnia (unless the patient is intubated and ventilated).
* Recent myocardial infarction.
* Uncorrectable coagulopathy.
* Known coagulopathy.
* Platelet dysfunction or platelet count < 100 x 109 cells/L OR taking anticoagulant or antiplatelet agents that cannot be safely ceased in the opinion of the pulmonologist or surgeon.
* History of major bleeding with bronchoscopy.
* Suspected pulmonary hypertension.
* Moderate-to-severe pulmonary fibrosis.
* Severe emphysema (GOLD III/IV) or chronic obstructive pulmonary disease (COPD) within 3cm of tumor/lesion boundary: prior COPD assessment data is evaluated and PI consent is required.
* Bullae >5 centimeter (cm) located in vicinity of target tumor/lesion.
* Any other severe or life-threatening comorbidity that could increase the risk of bronchoscopic MWA, for example:
* American Society of Anesthesiologists (ASA) physical status classification >P3
* Stage 3 heart failure
* Severe cachexia
* Severe respiratory insufficiency or hypoxia
* Ongoing systemic infection.
* Contraindication to general anesthesia.
* Inability to stop anticoagulants (e.g., heparin, Warfarin) or antiplatelet agents (e.g. aspirin, clopidogrel) prior to procedure.
* Participation in any other study in last 30 days.
* Breastfeeding women or females of childbearing potential with a positive pregnancy test prior to the procedure or the intent to become pregnant during the study.
* Life expectancy of less than 6 months.
* Prior radiation therapy treatment in the target lobe.
* Implantable pacemaker or defibrillator.
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Study design
Purpose of the study
Other
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Allocation to intervention
NA
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
NA
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
12/03/2024
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
31/01/2025
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Actual
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Sample size
Target
10
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment hospital [1]
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Royal Melbourne Hospital - Melbourne
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Recruitment postcode(s) [1]
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3050 - Melbourne
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
phenoMapper, LLC
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Address
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Country
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Other collaborator category [1]
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Other
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Name [1]
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NIH/NCI - Grant award number: R01CA218357
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
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Summary
Brief summary
Evaluation of safety and technical feasibility of the phenoWave MW Ablation System for microwave ablation of lesions in the lung.
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Trial website
https://clinicaltrials.gov/study/NCT06158971
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Daniel Steinfort, MBBS, BMedSci, FRACP, PhD
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Address
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Melbourne Health
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Henky Wibowo, MSc
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Address
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Country
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Phone
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4085203500
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT06158971