About this trial
This study involves the use of a medical device, the Creo Medical MicroBlate Flex instrument, to heat and destroy lung tumour cells using microwave energy (this is also called ablation). In this study, the investigators are investigating whether the ablation instrument can be used effectively to treat lung tumours or tumours that have spread to the lungs. If successful, using this technology may mean future patients may not need to undergo surgical removal of these types of lung tumours.
The aim of this study is to evaluate the safety and performance of the MicroBlate Flex instrument in treating individuals with cancerous lung tumours that are due to be removed by surgery. All participants in the study will undergo the microwave ablation procedure, which is a separate and additional procedure to their surgical procedure.
The study, funded by Creo Medical, will be conducted at sites in the UK and Italy, and will involve up to 18 participants.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Have signed informed consent.
Subject is willing and able to comply with all aspects of the treatment and evaluation schedule.
Are ≥ 18 years old.
Have lung lesion(s)/nodule(s) which are histopathological confirmed as cancer.
Disqualifiers
Have target nodule(s) within the International Association for the Study of Lung Cancer (IASLC) "Central Zone" (including bronchial tree, major vessels, heart, oesophagus, spinal cord, and phrenic & laryngeal nerves).
Are pregnant or breast feeding, as determined by standard site practices.
Have participated in an investigational drug or device research study within 30 days of enrolment that would interfere with this study.
Have a physical or psychological condition that would impair study participation or jeopardise the safety or welfare of the subject.
Trial population
General population going through lung cancer screening at investigative site.
Trial design
Cohort
Prospective
Treatments tested in this trial
Ablation
DeviceBronchoscopy and microwave ablation of the lung tumour prior to surgical resection.
Treatment groups
Trial outcomes
Primary outcomes
Safety of the MicroBlate Flex AB1 system in lung tumour ablation
Identification of serious device-related adverse events associated with the delivery of microwave energy by the AB1 system from ablation (Day 0) up to the first surgical incision for the resection (Day 7-21)
Technical Success and Performance of the AB1 instrument
Initial technical success, defined as successful bronchoscopic access by the AB1 instrument of the target tissue, delivery of the scheduled microwave energy to the target tissue (per pre-specified target) and confirmed ablation as evidenced by macroscopic assessment post-surgical resection of the ablated lesion
Secondary outcomes
Assessment/visualization/quantification of the dimensions of the ablated tissue including assessment of margin relative to lesion
Dimensions of the ablated tissue to confirm, correct or add to the IFU-reported relationship between AB1 ablation time and dimensions and volume of the ablated tissue, per pre-specified target
Assessment/visualization/quantification of the dimensions of the ablation observed within the post-ablation CT
Dimensions of the ablated tissue as evidenced on the post-ablation CT
Procedural Time
Procedural time to be captured in the electronic case report form
Assessment of ease of system use (Clinician Questionnaires)
Questionnaires to be completed by clinicians following each procedure, rating their responses on a Likert scale of 1 to 7, with 1 being "extremely clear/easy" and 7 being "extremely difficult"
Other outcomes
Assessment of immunological response following microwave ablation procedure
Immunological response, as determined by change from baseline to pre-surgical resection in immunological and inflammatory blood markers
Sponsors and contacts
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