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Pleural CarcinomatosisNCT03805971

Probe Based Confocal Laser Endomicroscopy During Thoracoscopy for Pleural Malignancies Diagnosis.

An observational study of Pleural Carcinomatosis, run by University of Liege at 1 site in Belgium.

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

Probe based confocal laser endomicroscopy (pCLE) is a new optical endoscopic technique, generating fluorescent light emission from the tissue of interest and allowing in vivo live imaging at a cellular level ("optical biopsies"). Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Pleural Carcinomatosis
What is being tested?
Study of the pleural cavity with a confocal laser endomicroscope.
How many people
65 participants
Where
1 siteBelgium
Study dates
22 May 2018to 1 Dec 2019
Phase
Observational
Are there results?
Yes, posted in the registrySummary in the doctors' view

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

Study population: Every patient refered for a medical thoracoscopy and willing to participate.

Who may be able to join

  • Every patient refered for a medical thoracoscopy and willing to participate.

Who cannot join

  • < 18 ans

Trial locations and contacts

1 site in 1 country.

Belgium1 site
  • CHU de Liège

    Liège, 4000

Other trials in Belgium

About this study

Probe based confocal laser endomicroscopy (pCLE) is a new optical endoscopic technique, generating fluorescent light emission from the tissue of interest and allowing in vivo live imaging at a cellular level ("optical biopsies"). It was first used in gastroenterology and came later to the light in pulmonary medicine and is still an experimental technique. In gastroenterology, this new investigational technique is used in Barret oesophagus, inflammatory bowel disease, pancreas cystic lesions... Nowadays, there are no data concerning usefulness of endomicroscopy in medical thoracoscopy. During thoracoscopy This new tool could help to target biopsies or help clinicians to do the right diagnosis early, allowing rapid therapeutic intervention (talc pleurodesis for example) . Furthermore, some details can be studied only during live imaging as microorganisms or bloodflows. The investigators performed an endomicroscopy to every patient needing a thoracoscopy (no matter the indication) and who agreed to participate. The pCLE features between malignant and benign pleura were compared in order to find specific criteria for malignant infiltration.

Being tested
Study of the pleural cavity with a confocal laser endomicroscope.
Keywords
pCLE, confocal laser endomicroscopy, pleural carcinomatosis, mesothelioma, optical biopsies
Medical subject headings
Mesothelioma

What participants receive

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

  • Study of the pleural cavity with a confocal laser endomicroscope.Device

    Probe based confocal laser endomicroscope can be introduced through the working chanel of the thoracoscope. this allows the study of the pleural cavity with this new tool.

Study groups in NCT03805971
Study groupRoleWhat they receive
patient aged more than 18 years admitted for thoracoscopyProbe based confocal laser endomicroscopy (Mauna kea technologies) will be used, after intravenous fluorescein injection, for every patients admitted for medical thoracoscopy, to study the pleural cavity. Images will be compared with biopsies
Receives: Device: Study of the pleural cavity with a confocal laser endomicroscope.

What is being measured

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

  1. Pleural Carcinomatosis Identification (Compared to Standard Biopsies). Qualitative Criteria.

    Eleven preselected criteria were assessed in their ability to distinguish benign from malignant pleura Qualitative variables are presented in this table

    Measured: One day.

  2. Pleural Carcinomatosis Identification (Compared to Standard Biopsies), Quantitative Criteria.

    Eleven preselected pCLE criteria were assessed in their ability to distinguish benign from malignant pleura.

    Here are presented Mean cell size and maximum vascular diameter

    Measured: One day

  3. Pleural Carcinomatosis Identification (Compared to Standard Biopsies), Quantitative Criteria.

    Eleven preselected pCLE criteria were assessed in their ability to distinguish benign from malignant pleura.

    Quantitative criteria are presented in this table. Here is presented the mean cellular density

    Measured: One day

  4. Pleural Carcinomatosis Identification (Compared to Standard Biopsies), Quantitative Criteria.

    Eleven preselected pCLE criteria were assessed in their ability to distinguish benign from malignant pleura.

    Quantitative criteria are presented in this table. Here is presented the vascular density.

    Measured: One day

Secondary outcomes (1)
  1. Quality of the pCLE Acquisition

    The investigators performing the thoracoscopy had to score the pCLE acquisition. Three level of quality were used: Good, Acceptable, Low.

    Measured: One day

Timeline

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

  1. First posted16 Jan 2019
  2. Study start22 May 2018
  3. Primary completion15 Oct 2019
  4. Study completion1 Dec 2019

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Case only
Time perspective
Prospective
Enrolment
65 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03805971
Sponsor's protocol ID
B707201837069
Status last verified
Mar 2020
First submitted
13 Jan 2019
Last updated
3 Apr 2020
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Bonhomme O, Heinen V, Detrembleur N, Corhay JL, Louis R, Duysinx B. Probe-based confocal laser endomicroscopy for pleural malignancies diagnosis. Respirology. 2021 Feb;26(2):188-195. doi: 10.1111/resp.13945. Epub 2020 Oct 1.

    PubMed 33001538

Questions about this trial

What is this clinical trial studying?

An observational study of Pleural Carcinomatosis, run by University of Liege at 1 site in Belgium.

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 1 inclusion and 1 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 3 Apr 2020. 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 Belgium. 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?

Yes. Results are posted in the registry (first posted 3 Apr 2020). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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?

Pleural Carcinomatosis Identification (Compared to Standard Biopsies). Qualitative Criteria. (time frame: One day.). The study lists 4 primary outcomes in all. 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 NCT03805971, 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 3 Apr 2020.

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