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Evaluation of the Archimedes™ System for Transparenchymal Nodule Access 2 (EAST2)

B

Broncus Medical

Status

Completed

Conditions

Lung Cancer

Treatments

Device: Archimedes System

Study type

Interventional

Funder types

Industry

Identifiers

NCT02867371
Protocol 44

Details and patient eligibility

About

The Archimedes System is an image-guided navigation system used to access tissue samples in the lungs. This study is being conducted to confirm the performance of the Archimedes System in patients who are scheduled for standard bronchoscopy to diagnose highly suspicious lung cancer or metastatic disease. Navigation to and sampling of the patient's lung cancer tumor is conducted.

Enrollment

166 patients

Sex

All

Ages

21 to 80 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  1. Age 21-75 years at screening
  2. Highly suspicious pulmonary nodule(s), defined as distinct nodule with a diameter of ≥8mm in its largest dimension
  3. No known endobronchial tumor
  4. Tumor located anywhere in parenchymal tissue >1 cm from pleura and accessible bronchoscopically through a POE.
  5. Willing to participate in all aspects of study protocol for duration of study
  6. Able to understand study requirements
  7. Subject or legally authorized representative signs study-related informed consent document

Exclusion criteria

  1. Any contraindication to bronchoscopy, for example:

    1. Untreatable life-threatening arrhythmias
    2. Inability to adequately oxygenate the patient during the procedure
    3. Acute respiratory failure with hypercapnia (unless the patient is intubated and ventilated)
    4. Recent myocardial infarction
    5. Previously diagnosed high-grade tracheal obstruction
    6. Uncorrectable coagulopathy
  2. Known coagulopathy

  3. Platelet dysfunction or platelet count < 100 x 103 cells/mm3

  4. History of major bleeding with bronchoscopy

  5. Suspected pulmonary hypertension: additional testing required, such as echocardiogram

  6. Moderate-to-severe pulmonary fibrosis

  7. Severe emphysema or COPD: additional testing and PI consent is required

  8. Bullae >5 cm located in vicinity of target nodule or tunnel

  9. Any other severe or life-threatening comorbidity that could increase the risk of bronchoscopic biopsy or ATV tunneling, for example:

    1. ASA class > 3
    2. > stage 3 heart failure
    3. severe cachexia
    4. severe respiratory insufficiency or hypoxia
  10. Ongoing systemic infection

  11. Contraindication to general anesthesia

  12. Inability to stop anticoagulants (e.g., heparin, Warfarin) or antiplatelet agents (e.g. aspirin, clopidogrel) prior to procedure

  13. Participation in any other study in last 30 days

  14. Prior thoracic surgery on the same side of the lung as the SPN.

  15. Breastfeeding women or females of childbearing potential with a positive pregnancy test prior to the procedure or the intent to become pregnant during the study.

  16. Life expectancy of less than one year.

  17. Scheduled for lung surgery within 72hrs post-scheduled diagnostic bronchoscopy

  18. Prior radiation therapy treatment in the target lobe

Trial design

Primary purpose

Diagnostic

Allocation

N/A

Interventional model

Single Group Assignment

Masking

None (Open label)

166 participants in 1 patient group

-Navigation and tissue sampling
Experimental group
Description:
Guided bronchoscopic navigation and lung tissue sampling using the Archimedes System
Treatment:
Device: Archimedes System

Trial contacts and locations

10

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Data sourced from clinicaltrials.gov

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