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SatisfactionNCT01742195

Comparison of Patient Comfort With the Nasal and Oral Insertion of the Endobronchial Ultrasound Bronchoscope

A study testing Oral EBUS insertion and Nasal EBUS insertion in people with Satisfaction, run by Laval University at 1 site in Canada.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The aim of this study is to determine if the insertion of the linear endobronchial ultrasound bronchoscope is more comfortable for patients when done through the nose compared to its insertion through the mouth. Our hypothesis is that nasal insertion is more comfortable. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Satisfaction
What is being tested?
Oral EBUS insertion and Nasal EBUS insertion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
220 participants
Where
1 siteCanada
Study dates
Nov 2012to Jun 2013
Phase
Interventional
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

  • patients older than 18 years of age
  • patients referred for a first linear endobronchial ultrasound

Who cannot join

  • Patients who previously underwent an EBUS
  • Patients intubated with an endotracheal tube
  • Patients under the age of 18
  • Patients unable to provide informed consent
  • Patients currently taking anticoagulants (therapeutic doses of intravenous or subcutaneous heparin, low-molecular weight heparins, direct thrombin inhibitors or other agents)
  • Patients taking anti-platelet therapy other than aspirin (clopidogrel, ticagrelor, prasugrel). A period of 7 days off medication is required before participation.

Trial locations and contacts

1 site in 1 country.

Canada1 site
  • Institut Universitaire de Cardiologie et de Pneumologie de Québec

    Québec, Quebec, G1V 4G5

Other trials in Canada

About this study

Official title: Randomized Study Comparing the Oral and Nasal Routes for Linear Endobronchial Ultrasound

The aim of this study is to determine if the insertion of the linear endobronchial ultrasound bronchoscope is more comfortable for patients when done through the nose compared to its insertion through the mouth. Our hypothesis is that nasal insertion is more comfortable.

Read the detailed description

Linear endobronchial ultrasound (EBUS) now plays a crucial role in the diagnosis, staging, and treatment planning of lung cancer. Most centers perform linear EBUS via the oral route given the larger diameter of the bronchoscope used. However, the feasibility and the diagnostic accuracy of linear EBUS performed through the nose have not been reported. Furthermore, the two routes of insertion have never been compared in terms of patient satisfaction and comfort.

In order to compare the two routes of insertion, consecutive patients referred for a linear endobronchial ultrasound will be recruited. Participants will be randomized to either oral or nasal insertion. All participants will be sedated and will receive local anesthetics in a similar manner. After the procedure, patients will fill a questionnaire regarding their comfort and satisfaction with the procedure.

Conditions
Satisfaction
Being tested
Oral EBUS insertion, Nasal EBUS insertion
Keywords
Endobronchial ultrasound, Bronchoscopy, Patient satisfaction
Medical subject headings
Personal Satisfaction, Patient Satisfaction

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Oral EBUS insertionProcedure or surgery

  • Nasal EBUS insertionProcedure or surgery

Study groups in NCT01742195
Study groupRoleWhat they receive
Nasal EBUS insertionOtherPatients in this arm will undergo a linear endobronchial ultrasound with the bronchoscope inserted through the nose.
Receives: Procedure: Nasal EBUS insertion
Oral EBUS insertionOtherPatients in this arm will undergo a linear endobronchial ultrasound with the bronchoscope inserted through the mouth.
Receives: Procedure: Oral EBUS insertion

What is being measured

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

  1. Patient comfort and satisfaction

    Measured by a questionnaire using a 10-point Likert scale for both comfort and satisfaction.

    Measured: Two hours after endobronchial ultrasound

Secondary outcomes (5)
  1. Physician's assessment of patient comfort

    Measured by a questionnaire using a 10-point Likert scale regarding patient comfort and procedural difficulties.

    Measured: Immediately after the procedure (within 10 minutes)

  2. Duration of endobronchial ultrasound procedure

    Measured in minutes.

    Measured: During the procedure

  3. Total doses of sedation

    Total doses of each sedative used will be recorded.

    Measured: Immediately after the procedure (within 10 minutes)

  4. Occurence of pneumothorax, bleeding more than 50ml, oxygen desaturation to less than 90%, epistaxis, cardiac arrhythmia

    Measured: During the procedure and up to two hours after

  5. Proportion of adequate cytology specimens in each group

    Measured: Days after the procedure (results usually available within 10 days)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted5 Dec 2012 (estimated)
  2. Study startNov 2012
  3. Primary completionJun 2013
  4. Study completionJun 2013

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 N/A
Primary purpose
Diagnosis
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
220 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01742195
Sponsor's protocol ID
IUCPQ-20871
Status last verified
Sep 2013
First submitted
28 Nov 2012
Last updated
11 Sep 2013
Results posted
No
Data monitoring committee
No

Publications

  • Beaudoin S, Martel S, Pelletier S, Lampron N, Simon M, Laberge F, Delage A. Randomized Trial Comparing Patient Comfort Between the Oral and Nasal Insertion Routes for Linear Endobronchial Ultrasound. J Bronchology Interv Pulmonol. 2016 Jan;23(1):39-45. doi: 10.1097/LBR.0000000000000249.

    PubMed 26705010

Questions about this trial

What is this clinical trial studying?

A study testing Oral EBUS insertion and Nasal EBUS insertion in people with Satisfaction, run by Laval University at 1 site in Canada.

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 2 inclusion and 6 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: finished, as of the sponsor's last update on 11 Sep 2013. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Canada. 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.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Patient comfort and satisfaction (time frame: Two hours after endobronchial ultrasound). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01742195, which also lists 1 linked publication.

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 11 Sep 2013.

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