Feasibility Study of the Microwave Ablation System for Lung Tissue Ablation

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Evaluation of safety and technical feasibility of the phenoWave MW Ablation System for microwave ablation of lesions in the lung.

Study details:

This study is a prospective, single-arm, single-center, study to evaluate the safety and technical feasibility of using the phenoWave MW Ablation System to deliver microwave energy for ablation of lesions in the lung.

Eligibility criteria

Researchers look for people who fit a certain description, called eligibility criteria. See if you qualify.

Inclusion criteria

  1. Age 45-77 years at screening.
  2. Confirmed NSCLC or solitary metastatic (oligometastatic) or pulmonary metastases from an extra thoracic primary tumor lung nodule through diagnostic biopsy
  3. Must be eligible for curative lung resection (lobectomy).
  4. For primary tumor, pre-ablated parenchymal tumor/lesion size ≥ 20 mm if NSCLC, or ≥ 10 mm for metastatic disease in diameter as measured from pre-operative CT image.
  5. Willing to participate in all aspects of study protocol for duration of study.
  6. Able to understand study requirements.
  7. Signs informed consent form.
  8. Boundary of tumor is at least 15 mm away from the pleura wall and/or fissure.

Exclusion criteria

  1. Any contraindication to bronchoscopy, for example:
  2. Untreatable life-threatening arrhythmias.
  3. Inability to adequately oxygenate the patient during the procedure.
  4. Acute respiratory failure with hypercapnia (unless the patient is intubated and ventilated).
  5. Recent myocardial infarction.
  6. Uncorrectable coagulopathy.
  7. Known coagulopathy.
  8. Platelet dysfunction or platelet count < 100 x 109 cells/L OR taking anticoagulant or antiplatelet agents that cannot be safely ceased in the opinion of the pulmonologist or surgeon.
  9. History of major bleeding with bronchoscopy.
  10. Suspected pulmonary hypertension.
  11. Moderate-to-severe pulmonary fibrosis.
  12. Severe emphysema (GOLD III/IV) or chronic obstructive pulmonary disease (COPD) within 3cm of tumor/lesion boundary: prior COPD assessment data is evaluated and PI consent is required.
  13. Bullae >5 centimeter (cm) located in vicinity of target tumor/lesion.
  14. Any other severe or life-threatening comorbidity that could increase the risk of bronchoscopic MWA, for example:
  15. American Society of Anesthesiologists (ASA) physical status classification >P3
  16. Stage 3 heart failure
  17. Severe cachexia
  18. Severe respiratory insufficiency or hypoxia
  19. Ongoing systemic infection.
  20. Contraindication to general anesthesia.
  21. Inability to stop anticoagulants (e.g., heparin, Warfarin) or antiplatelet agents (e.g. aspirin, clopidogrel) prior to procedure.
  22. Participation in any other study in last 30 days.
  23. 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.
  24. Life expectancy of less than 6 months.
  25. Prior radiation therapy treatment in the target lobe.
  26. Implantable pacemaker or defibrillator.

Eligibility

Age eligible for study : NA

Healthy volunteers accepted : No

Gender eligible for study: ALL

Things to know

Study dates

Study start:

Primary completion:

Study completion finish:

study type

Study type

OTHER

phase

Phase

    NA

trial

Study ID

NCT06158971

Intervention or treatment

DEVICE: Flexible Bronchoscopic Microwave Ablation

Conditions

  • Lung Neoplasm
  • Condition: Lung Neoplasm

  • DEVICE: Flexible Bronchoscopic Microwave Ablation

  • Melbourne, Victoria, Australia

  • Sponsor: phenoMapper, LLC

You may be eligible to participate in this trial based on your search. Check eligibility by answering some questions.

Are you running this trial?

If you're a clinic or sponsor, you can claim this study

Research sites nearby

Closest Location:

Royal Melbourne Hospital

Select from list below to view details:

  • Royal Melbourne Hospital

    Melbourne, Victoria, Australia

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Who is running the clinical trial?

pL

phenoMapper, LLC

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Participant Group/ArmIntervention/Treatment
EXPERIMENTAL: Flexible Microwave Ablation
  • Soft tissue ablation will be performed using the phenoWave flexible Microwave Ablation System and Accessories on lesions in the peripheral lung. The image-guided ablation procedure may utilize a combination of the radial EBUS and conebeam CT to confirm the lesion, position of the device relative to lesion and monitor the ablation progress.
Device: Flexible Bronchoscopic Microwave Ablation

    What is the study measuring?

    Primary Outcome

    MeasureDescriptionTime Frame
    Safety - AE occurrenceIncidence of complications and occurrence of Adverse Events (AEs)up to 7 days post ablation
    Safety - AE frequencyFrequency of AEsup to 7 days post ablation
    Safety - ablated tissue assessmentPercentage of ablated tissue within tumor boundary as assessed on gross and/or histologic evaluationup to 7 days post ablation
    Technical FeasibilityEvidence of thermal ablation in portion of the tumor as assessed on histopathologyup to 7 days post ablation

    Secondary Outcome

    MeasureDescriptionTime Frame
    Navigational SuccessMeasured distance of phenoWave device tip relative to the planned position from CT dataImmediately after completion of procedure (day 0)
    Procedural MeasuresTotal procedure time and navigation time to position the deviceImmediately after completion of procedure and navigation to the target (day 0)
    Are you running this trial?If you're a clinic or sponsor, you can claim this study.

    References

    Clinical Trials Gov: Feasibility Study of the Microwave Ablation System for Lung Tissue Ablation

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