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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.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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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

Other trials in France

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.

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 groups in NCT01064050
Study groupRoleWhat they receive
trachea-bronchial stent (Novatech)ExperimentalNot described
Receives: Device: silicone trachea-bronchial stent Dumon (Novatech)
controlNo interventionNot described

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Death and / or symptomatic recurrence (proved on bronchoscopy with more than 50% of obstruction in the treated zone)

    Measured: 12 months

Secondary outcomes (4)
  1. death

    Measured: 12 months

  2. 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

  3. Complications of symptomatic trachea-bronchial prosthesis (mobility or migration, granuloma, congestion) motivating endoscopy.

    Measured: 12 months

  4. 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.

  1. First posted8 Feb 2010 (estimated)
  2. Study startNov 2008
  3. Primary completionMay 2012
  4. Study completionMay 2012

Why it stopped: Difficulty to include patient

Resources

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)
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

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.

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