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Lung NeoplasmsNCT05299606

POWER Study (Prospective Transbronchial Microwave + Robotic-Assisted Bronchoscopy)

A study testing Transbronchial Microwave Ablation in people with Lung Neoplasms, run by Ethicon, Inc. at 10 sites in 3 countries.

Terminated

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

Official record
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Trial summary

This is a prospective, multicenter, single-arm study on transbronchial microwave ablation using the NEUWAVE FLEX Microwave Ablation System and Accessories on oligometastatic tumors in the peripheral lung, guided by the Auris MONARCH Platform for visualization and access while using cone beam CT (computed tomography)… Read more about this study

Who is it for?
Ages 22 years and older
Conditions the study is for
Lung Neoplasms
What is being tested?
Transbronchial Microwave Ablation
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
12 participants
Where
10 sitesin 3 countries
Study dates
21 Oct 2022to 18 Oct 2024
Phase
Interventional
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 22 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Signed informed consent.
  • Subjects greater or equal to 22 years old.
  • Performance status 0-2 (Eastern Cooperative Oncology Group classification (ECOG).
  • Willing to fulfill all follow-up visit requirements.
  • Subjects with at least one oligometastatic lung tumor where the primary tumor is controlled (in the opinion of the investigator or treating oncologist).
  • Oligometastatic lung tumor(s) planned to be ablated in the outer two-thirds of the lung and not closer than 1cm to the pleura.

Who cannot join

  • Pregnant or breastfeeding.
  • Subjects with thoracic implantable devices, including pacemakers or other electronic implants.
  • Chronic, continuous ventilator support, which uses bi-level positive airway pressure (PAP) to improve lung function for severe conditions. (However, intermittent PAP, for non-pulmonary conditions, such as sleep apnea, is permitted).
  • Prior pneumonectomy.
  • Severe bronchiectasis (with FEV1 <30%) or disease deemed to be too severe in the opinion of the investigator.
  • Platelet count ≤ 50,000/mm3.
Show all 16Show fewer
  • Subjects with uncorrectable coagulopathy at time of screening.
  • Subjects medically unable to stop anti-platelet agents (e.g., aspirin, clopidogrel, prasugrel, ticagrelor) at least 5 days prior to the procedure through 48-72 hours after the procedure.
  • Subjects medically unable to stop warfarin at least 3-5 days prior to the ablation procedure, or until INR < 1.5, through 48-72 hours after the procedure. On the day of the procedure, subjects with an INR > 1.5 cannot have the procedure completed that day but may be rescheduled or postponed.
  • Subjects medically unable to stop anticoagulants (e.g., rivaroxaban, apixaban, dabigatran, endoxaban) at least 3 days prior to the ablation procedure through 48-72 hours after the procedure.
  • Expected survival less than 6 months in the opinion of the investigator and/or treating oncologist.
  • Subjects with known or suspected brain metastases.
  • Subject has had any radiation (i.e., SBRT or EBRT) to the intended ablation zone.
  • Endobronchial tumors proximal to and including the segmental airways.
  • Lung ablation, surgical resection therapy, radiotherapy, or any other treating procedure within 30 days prior to the planned study ablation procedure or those who plan to receive a lung ablation, surgical resection, or radiation therapy on the ablated lung side before completing the primary endpoint assessment (30 days post-ablation).
  • Systemic therapy (e.g., chemotherapy, targeted drug therapy, or immunotherapy) within 14 days prior to the planned study ablation procedure or those who plan to receive systemic therapy before completing the primary endpoint assessment (30 days post-ablation).

Trial locations and contacts

10 sites in 3 countries.

10 sites in 3 countries

United States7 sites
  • Cleveland Clinic

    Cleveland, Ohio, 44195

  • UCONN Health

    Farmington, Connecticut, 06030

  • MD Anderson

    Houston, Texas, 77030

  • Minnesota Lung Center

    Minneapolis, Minnesota, 55407

  • University of Pennsylvania

    Philadelphia, Pennsylvania, 19104

  • FirstHealth Moore Regional Hospital

    Pinehurst, North Carolina, 28374

  • Stanford University School of Medicine

    Stanford, California, 94305

Other trials in United States

Canada2 sites
  • Centre Hospitalier de l'Universite de Montreal

    Montreal, Quebec

  • University of Toronto

    Toronto, Ontario

Other trials in Canada

Hong Kong1 site
  • Prince of Wales Hospital

    Shatin

Other trials in Hong Kong

About this study

Official title: A Prospective Multicenter Study of Transbronchial Microwave Ablation Using Robotic-Assisted Bronchoscopy in Subjects With Oligometastatic Tumors in the Lung

This is a prospective, multicenter, single-arm study on transbronchial microwave ablation using the NEUWAVE FLEX Microwave Ablation System and Accessories on oligometastatic tumors in the peripheral lung, guided by the Auris MONARCH Platform for visualization and access while using cone beam CT (computed tomography) to confirm probe tip placement and final ablation zone. The primary endpoint is Technique Efficacy, assessed 30-days post-ablation via CT imaging.

Conditions
Lung Neoplasms
Being tested
Transbronchial Microwave Ablation
Medical subject headings
Lung Neoplasms

What participants receive

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

  • Transbronchial Microwave AblationDevice

    Transbronchial microwave ablation will be performed using the NEUWAVE FLEX Microwave Ablation System and Accessories on oligometastatic tumors in the peripheral lung, guided by the Auris MONARCH Platform for visualization and access while using cone beam CT (computed tomography) to confirm probe tip placement and final ablation zone.

Study groups in NCT05299606
Study groupRoleWhat they receive
Transbronchial Microwave AblationExperimentalTransbronchial microwave ablation will be performed using the NEUWAVE FLEX Microwave Ablation System and Accessories on oligometastatic tumors in the peripheral lung, guided by the Auris MONARCH Platform for visualization and access while using cone beam CT (computed tomography) to confirm probe tip placement and final ablation zone.
Receives: Device: Transbronchial Microwave Ablation

What is being measured

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

  1. Number of Patients Whose Ablation Resulted in Technique Efficacy

    Technique Efficacy is defined as ablation of the target tumor(s) with the ablation zone completely overlapping or encompassing the entire target tumor(s) as assessed using CT imaging 30 days (- 7 to +14 days) after the ablation procedure.

    Measured: 30 days post-ablation

Secondary outcomes (4)
  1. Number of Patients Whose Ablation Resulted in Technical Success

    Technical Success is defined as ablation of the target lesion(s) according to the protocol and covered completely, with an adequate margin (that is, the ablation zone completely overlaps or encompasses the target lesion plus an ablative margin), as assessed by the performing physician using CBCT imaging, immediately following the procedure.

    Measured: Immediately post-ablation (Day 0)

  2. Number of Patients Who Experienced Local Tumor Progression

    Local Tumor Progression, or recurrence of the originally ablated tumor(s) within or abutting the ablation zone, using the 30 day post-ablation imaging as baseline, was analyzed at 3 months, 6 months and 1 year post-ablation via CT imaging

    Measured: Assessed at 3 months, 6 months and 1 year post-ablation

  3. Number of Patients Who Experienced Disease Progression

    Disease Progression includes local tumor progression (that is, recurrence of the target ablated tumor within or abutting the ablation zone) and regional tumor progression (that is, new or progression of non-ablated pre-existing tumors within the lung but outside the ablation zone) and distant tumor progression. Results for each category (local, regional, and distant tumor progression) are specified, as well as Overall Disease Progression. Disease Progression was analyzed at 3 months, 6 months and 1 year post-ablation via CT imaging as per treating physician assessment

    Measured: Assessed at 3 months, 6 months and 1 year post-ablation

  4. Number of Patients Who Required Repeat Ablation of Target Lesion

    Number of patients that experienced a recurrence of the successfully ablated target lesion, as assessed at Day 30 post-ablation, and underwent a repeat ablation of the target Lesion

    Measured: Assessed at 3 months, 6 months and 1 year post-ablation

Timeline

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

  1. First posted29 Mar 2022
  2. Study start21 Oct 2022
  3. Primary completion18 Oct 2024
  4. Study completion18 Oct 2024

Why it stopped: Change in Sponsor strategy

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
Treatment
Allocation
Non-randomised
Intervention model
Single group
Masking
None (open label)
Enrolment
12 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05299606
Sponsor's protocol ID
NEU_2020_03
Status last verified
Nov 2025
First submitted
3 Mar 2022
Last updated
24 Nov 2025
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
Yes
Individual data sharing
Yes: Johnson \& Johnson Medical Device Companies have an agreement with the Yale Open Data Access (YODA) Project to serve as the independent review panel for evaluation of requests for clinical study reports and participant level data from investigators and physicians for scientific research that will advance medical knowledge and public health. Requests for access to the study data can be submitted through the YODA Project site at http://yoda.yale.edu.

Questions about this trial

What is this clinical trial studying?

A study testing Transbronchial Microwave Ablation in people with Lung Neoplasms, run by Ethicon, Inc. at 10 sites in 3 countries.

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 6 inclusion and 16 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 24 Nov 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 10 sites in United States, Canada, Hong Kong. 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 24 Nov 2025). 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?

Number of Patients Whose Ablation Resulted in Technique Efficacy (time frame: 30 days post-ablation). 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 24 Nov 2025.

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