Lung NeoplasmPhase 4SPOCNCT01064050
Role of a Silicone Prosthesis to Prevent Airway Obstruction Recurrence in Lung Cancers
A Phase 4 study testing silicone trachea-bronchial stent Dumon (Novatech) in people with Lung Neoplasm and Carcinoma, Non-Small-Cell Lung, run by Centre Hospitalier Universitaire de Saint Etienne at 13 sites in France.
Trial summary
A tumoral obstruction of the main stem bronchus is frequently observed in the follow-up of lung cancers with a high impact on survival and quality of life of these patients. The endoluminal resection of these tumors through interventional bronchoscopy can remove the tumor but fails to prevent the recurrence. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Lung Neoplasm, Carcinoma, Non-Small-Cell Lung
- What is being tested?
- silicone trachea-bronchial stent Dumon (Novatech)
- Type of treatment
- Medical device
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 75 participants
- Where
- 13 sitesFrance
- Study dates
- Nov 2008to May 2012
- Phase
- Phase 4
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- > 18 years
- non-small cell lung cancer,
- inoperable and location : tracheal, carinal, main bronchus right or left, or intermediate trunk.
- TNM stage known and oncological treatment later determined
- central initial intrinsic bronchial obstruction > 50%.
- resection of tumor with endoscopy, to obtain after therapeutic bronchoscopy a diameter > 50% normal diameter of bronchial segment achieved.
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- Tumoral segment fully recoverable by a stent
- Written consent, free and informed
- Patient affiliated or who is entitled to to a social security scheme.
Who cannot join
- against-indication for general anesthesia.
- Patient with one lung not working beyond the stenosis
- Patient under guardianship
- Pregnancy
- 12 months follow-up impossible
Trial locations and contacts
13 sites in 1 country.
13 sites in 1 country
France13 sites
Department of pneumology, CHU Amiens
Amiens
Departement of pneumology, CHU Brest
Brest
Pneumology departement, Hôpital Percy
Clamart
Pneumology departement, CHRU Lille
Lille
Pneumology departement, CHU Limoges
Limoges
Pneumology departement, Sainte Marguerite hospital
Marseille
Pneumology departement, CHU Nantes
Nantes
Pneumology departement, Saint-Antoine hospital
Paris
Department of respiratory diseases and allergic, Thoracic Oncology, CHU Reims
Reims
Pneumology Clinic - Albert Calmette hospital- CHU Rouen
Rouen
Pneumology departement CHU Saint-Etienne
Saint-Etienne, 42055
Endoscopy unit, Thoracic surgery department, Foch Hospital
Suresnes
Departement of pneumology, CHU TOULOUSE
Toulouse
About this study
Official title: Role of a Silicone Prosthesis to Prevent Airway Obstruction Recurrence After Therapeutic Bronchoscopy in Lung Cancers (SPOC Study)
A tumoral obstruction of the main stem bronchus is frequently observed in the follow-up of lung cancers with a high impact on survival and quality of life of these patients. The endoluminal resection of these tumors through interventional bronchoscopy can remove the tumor but fails to prevent the recurrence. A stent insertion could achieve this goal but this option was never proved in a prospective protocol.
The aim of this study is to analyze the impact of stent insertion on the survival without symptoms of bronchial obstruction in patients treated for their cancer with and without a first line treatment (chemo-radiotherapy or chemotherapy). The patients will be included after resection of the endoluminal symptomatic tumoral obstruction. We will test the effect of the silicone stent insertion ( from NovatechR ) by comparing a stent arm (170 patients with stent insertion) with a control arm (170 patients without stent). The inclusion period will last 3 years with one year of follow-up for each patient. The one-year survival without symptomatic recurrence (proved on bronchoscopy with more than 50% of obstruction in the treated zone) will be the main endpoint. All patients without symptomatic recurrence at one year will be controlled endoscopically. Survival and stent tolerance will be studied as secondary endpoints. All endoscopic events will be depicted on photographs or videos. Each endoscopical situation (before and after resection, recurrence or side effects of stents) will be analyzed and registered by an independent committee of 3 international experts.
- Conditions
- Lung Neoplasm, Carcinoma, Non-Small-Cell Lung
- Being tested
- silicone trachea-bronchial stent Dumon (Novatech)
- Keywords
- tumoral obstruction of the main stem bronchus, bronchoscopy, silicone stent
- Medical subject headings
- Lung Neoplasms, Carcinoma, Non-Small-Cell Lung
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
silicone trachea-bronchial stent Dumon (Novatech)Device
Bronchial desobstruction under interventional bronchoscopy, for inclusion, with the insertion of silicone stent trachea-bronchial covering the entire tumor area
| Study group | Role | What they receive |
|---|---|---|
| trachea-bronchial stent (Novatech) | Experimental | Not described Receives: Device: silicone trachea-bronchial stent Dumon (Novatech) |
| control | No intervention | Not described |
What is being measured
The primary outcome is the main question the study is designed to answer.
Death and / or symptomatic recurrence (proved on bronchoscopy with more than 50% of obstruction in the treated zone)
Measured: 12 months
Secondary outcomes (4)
death
Measured: 12 months
For patients who had no symptomatic recurrence of bronchial obstruction Presence of a bronchial stenosis> 50% on a systematic bronchial endoscopy months.
Measured: 12 months
Complications of symptomatic trachea-bronchial prosthesis (mobility or migration, granuloma, congestion) motivating endoscopy.
Measured: 12 months
Quality of life : EORTC
Measured: 12 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted8 Feb 2010 (estimated)
- Study startNov 2008
- Primary completionMay 2012
- Study completionMay 2012
Why it stopped: Difficulty to include patient
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Lung NeoplasmStudies of the same condition, open and under way.
- More trials run by Centre Hospitalier Universitaire de Saint EtienneThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 4
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 75 participants (actual)
Sponsor and investigators
- Sponsor type
- University, hospital or other
- Collaborators
- Ministry of Health, France, Ligue contre le cancer, France
- Responsible party
- Sponsor
- Investigators
- Jean-Michel Vergnon, MD PhD, Principal investigator, Centre Hospitalier Universitaire de Saint Etienne
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01064050
- Sponsor's protocol ID
- 0708042
- Other IDs
- 2007-A01190-53
- Acronym
- SPOC
- Status last verified
- Jul 2015
- First submitted
- 2 Feb 2010
- Last updated
- 28 Jul 2015
- Results posted
- No
- Data monitoring committee
- No
Study at a glance
From the registry record, last updated by the sponsor on 28 Jul 2015. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Role of a Silicone Prosthesis to Prevent Airway Obstruction Recurrence After Therapeutic Bronchoscopy in Lung Cancers (SPOC Study)
- ClinicalTrials.gov ID
- NCT01064050
- Acronym / sponsor ID
- SPOC / 0708042
- Conditions
- Lung Neoplasm, Carcinoma, Non-Small-Cell Lung
- Keywords
- tumoral obstruction of the main stem bronchus, bronchoscopy, silicone stent
- Phase
- Phase 4
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: Difficulty to include patient
- Enrolment
- 75 participants (actual)
- Lead sponsor
- Centre Hospitalier Universitaire de Saint EtienneUniversity, hospital or other
- Collaborators
- Ministry of Health, France, Ligue contre le cancer, France
- Study start
- Nov 2008
- Primary completion
- May 2012 (actual)
- Study completion
- May 2012 (actual)
- First posted
- 8 Feb 2010 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
A tumoral obstruction of the main stem bronchus is frequently observed in the follow-up of lung cancers with a high impact on survival and quality of life of these patients. The endoluminal resection of these tumors through interventional bronchoscopy can remove the tumor but fails to prevent the recurrence. A stent insertion could achieve this goal but this option was never proved in a prospective protocol.
The aim of this study is to analyze the impact of stent insertion on the survival without symptoms of bronchial obstruction in patients treated for their cancer with and without a first line treatment (chemo-radiotherapy or chemotherapy). The patients will be included after resection of the endoluminal symptomatic tumoral obstruction. We will test the effect of the silicone stent insertion ( from NovatechR ) by comparing a stent arm (170 patients with stent insertion) with a control arm (170 patients without stent). The inclusion period will last 3 years with one year of follow-up for each patient. The one-year survival without symptomatic recurrence (proved on bronchoscopy with more than 50% of obstruction in the treated zone) will be the main endpoint. All patients without symptomatic recurrence at one year will be controlled endoscopically. Survival and stent tolerance will be studied as secondary endpoints. All endoscopic events will be depicted on photographs or videos. Each endoscopical situation (before and after resection, recurrence or side effects of stents) will be analyzed and registered by an independent committee of 3 international experts.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| trachea-bronchial stent (Novatech) | Experimental | Device: silicone trachea-bronchial stent Dumon (Novatech) |
| control | No intervention | – |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (9 listed)
- > 18 years
- non-small cell lung cancer,
- inoperable and location : tracheal, carinal, main bronchus right or left, or intermediate trunk.
- TNM stage known and oncological treatment later determined
- central initial intrinsic bronchial obstruction > 50%.
Key exclusion criteria (5 listed)
- against-indication for general anesthesia.
- Patient with one lung not working beyond the stenosis
- Patient under guardianship
- Pregnancy
- 12 months follow-up impossible
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| silicone trachea-bronchial stent Dumon (Novatech)Bronchial desobstruction under interventional bronchoscopy, for inclusion, with the insertion of silicone stent trachea-bronchial covering the entire tumor area | Device | trachea-bronchial stent (Novatech) |
Primary outcome
Death and / or symptomatic recurrence (proved on bronchoscopy with more than 50% of obstruction in the treated zone)
Time frame: 12 months
4 secondary outcomes
death
Time frame: 12 months
For patients who had no symptomatic recurrence of bronchial obstruction Presence of a bronchial stenosis> 50% on a systematic bronchial endoscopy months.
Time frame: 12 months
Complications of symptomatic trachea-bronchial prosthesis (mobility or migration, granuloma, congestion) motivating endoscopy.
Time frame: 12 months
Quality of life : EORTC
Time frame: 12 months
Results and safety
The study was stopped early (reason given: Difficulty to include patient). Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 28 Jul 2015.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Jean-Michel Vergnon, MD PhD principal investigator
Centre Hospitalier Universitaire de Saint Etienne
13 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 4 study testing silicone trachea-bronchial stent Dumon (Novatech) in people with Lung Neoplasm and Carcinoma, Non-Small-Cell Lung, run by Centre Hospitalier Universitaire de Saint Etienne at 13 sites in France.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 9 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: stopped early, as of the sponsor's last update on 28 Jul 2015. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 13 sites in France. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study was stopped early (reason given: Difficulty to include patient). Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Death and / or symptomatic recurrence (proved on bronchoscopy with more than 50% of obstruction in the treated zone) (time frame: 12 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 28 Jul 2015.