Overview

This trial is active, not recruiting.

Condition nodes, lung
Treatment hook wire ct guided
Phase phase 2
Sponsor Centre Jean Perrin
Start date October 2016
End date October 2017
Trial size 30 participants
Trial identifier NCT02648594, 2015-A00958-41

Summary

When patient presents a lung node, there is an important risk that this node was a tumor. For patients who have these nodes, the surgery is the best treatment. When the surgery is possible, the thoracoscopy may be more advantageous compared to thoracothomy (decrease of post surgery pains, decrease of recovery time and decrease of drugs consumption). Nevertheless, thoracoscopy needs specific materiels and nécessite un équipement spécifique and trained physicians.

Moreover, this technic needs that nodes was well localized. For this, radiologists use CT-guided hook wire localization of these lung nodes before surgery.

TThe hook wire laying is delicate. It can lead secondaries effects as pneumothorax, dislodgement of the hook wire before and after surgery. The success rate of hook wire fixation in lung near of the node is primary.

The main objective of our study is to assess the success rate localization of node in surgery piece, that is to verify if the hook wire have allowed to localize the lung node in surgery piece.

United States No locations recruiting
Other Countries No locations recruiting

Study Design

Endpoint classification safety/efficacy study
Intervention model single group assignment
Masking open label
Primary purpose diagnostic
Arm
(Experimental)
There is only one arm. When patient undergo surgery , the radiologist will place a CT-guided Hook wire in order to localize it in patient lung. The intervention consists to place a CT-guided hook wire in contact with the pulmonary nodule under local anesthesia. Then, the thoracoscopy will be realised. Then, the surgery piece will be examined to confirm if the node is in the surgery piece
hook wire ct guided
The intervention consist to place a CT-guided hook wire in lung patient

Primary Outcomes

Measure
Nodule detection in surgery piece (success rate)
time frame: At surgery

Secondary Outcomes

Measure
Nodule detection under scanner
time frame: After patient inclusion, at scan realisation, before surgery. This detection will be realised up to 4 weeks after inclusion.
Adverse events assessment graded with NCI -CTCAE v4.0
time frame: Before and after surgery, up to 4 weeks after surgery

Eligibility Criteria

Male or female participants at least 18 years old.

Inclusion Criteria: - Age > 18 years - Patient with suspect lung node, needed surgery - Signed consent Exclusion Criteria: - Too deep node - Severe co-morbidities : respiratory insufficiency, cardiac insufficiency - Major emphysema - Patient with only one lung - Pregnant women - Breastfeeding women - Patient with cognitive and psychiatric troubles

Additional Information

Official title Efficacy Assessment of CT-guided Hook Wire Localization of Lung Nodes With Medical Device " Fil d'Ariane " Laurane médical Before Thoracoscopy- HARNO Trial
Description For lung cancer patients, the best treatment remains the surgery when tumor is localized. When patient presents a lung node, there is an important risk that this node was a tumor. For patients who have these nodes, the surgery is the best treatment. When the surgery is possible, the thoracoscopy may be more advantageous compared to thoracothomy (decrease of post surgery pains, decrease of recovery time and decrease of drugs consumption). Nevertheless, thoracoscopy needs specific materiels and nécessite un équipement spécifique and trained physicians. In France, only 1% of surgeries qu'en France, thoracoscopy represents less than 1% of lung cancer surgeries while it represents 30% of interventions in Japan. Moreover, this technic needs that nodes was well localized. For this, radiologists use CT-guided hook wire localization of these lung nodes before surgery. According to the litterature, this localization technic is efficient (Chen et al, 2011). The hook wire laying is delicate. It can lead secondaries effects as pneumothorax, dislodgement of the hook wire before and after surgery. The success rate of hook wire fixation in lung near of the node is primary. The main objective of our study is to assess the success rate localization of node in surgery piece, that is to verify if the hook wire have allowed to localize the lung node in surgery piece. This implies that: - the hook wire was well CT-guided in the lung - the hook wire did not present a dislodgment before or during surgery - the hook wire is near of the node to be removed Among secondaries objectives, the investigators will assess the safety and possible complications which could occur. The investigators will also measure the distance between hook wire and center of the node
Trial information was received from ClinicalTrials.gov and was last updated in October 2016.
Information provided to ClinicalTrials.gov by Centre Jean Perrin.