A cohort study to investigate whether radiolabelled lung nodule localisation and excision is a technically successful and reliable method for excision, in patients with small lung nodule.
ISRCTN | ISRCTN95525805 |
---|---|
DOI | https://doi.org/10.1186/ISRCTN95525805 |
Secondary identifying numbers | Lung Nodule Study Protocol : Version 1.1, 26th Feb 2015 |
- Submission date
- 21/01/2016
- Registration date
- 22/01/2016
- Last edited
- 07/05/2021
- Recruitment status
- No longer recruiting
- Overall study status
- Completed
- Condition category
- Cancer
Plain English summary of protocol
Contact information
Public
Department of Cardiothoracic Surgery
James Cook University Hospital
Marton Road
Middlesbrough
TS4 3BW
United Kingdom
0000-0002-0866-7825 | |
Phone | 01642 850850 |
mishrapk_25@yahoo.com |
Scientific
Department of Cardiothoracic Surgery
James Cook University Hospital
Marton Road
Middlesbrough
TS4 3BW
United Kingdom
Phone | 01642 850850 |
---|---|
joedunning@nhs.net |
Study information
Study design | Observational, prospective, pilot study |
---|---|
Primary study design | Observational |
Secondary study design | |
Study setting(s) | Hospital |
Study type | Diagnostic |
Participant information sheet | Not available in web format. Please use the contact details below to request a patient information sheet. |
Scientific title | A cohort study to investigate whether radiolabelled lung nodule localisation and excision is a technically successful and reliable method for excision, in patients with small lung nodule: a observational, prospective, pilot study |
Study acronym | Radio-labelled excision of lung nodules (RLELN) |
Study objectives | Injection of small pulmonary nodules with radiolabelled material will improve accurate localisation, aid early resection of these nodules and will optimize patient management with resultant improved outcome. |
Ethics approval(s) | NRES Committee North West - Lancaster, 27/05/2015, ref: 15/NW/0369 |
Health condition(s) or problem(s) studied | Lung cancer or lung nodules of indeterminate origin |
Intervention | Patients with very small nodules not amenable to excision via VATS surgery will be offered the option of radionucleotide injection of their nodules with VATS resection performed on the same day as an alternative to thoracotomy. Patients will be identified from lung cancer multi-disciplinary (MDT) meetings. These MDT meetings are already an integral part of the researchers thoracic surgery services. They meet these patients to discuss their options for the management of these lung nodules and convey them the decision of the MDT. Patient makes a choice and an informed consent is taken. This new treatment option will be discussed as part of their treatment options. The procedure will entail an admission to hospital (as per routine practice for patients who are due to undergo surgery). All patients will sign an informed consent form. They will have an injection of radio labelled substance under local anaesthesia by a consultant radiologist in the CT scan room. This is the same technique which is employed for CT guided lung biopsies which is a well-established procedure and the radiology team are well experienced in its conduct. After this procedure the patient will return to the ward and later that day they will come to theatres, have a general anaesthetic and undergo a minimally invasive excision (key hole surgery) of the nodule in question. The researchers will use the same key hole surgical technique that they routinely employ for larger nodules excision which they are able to see and feel, but the difference will be that they will use intraoperative gamma probe to detect the exact location of the nodule within the lung tissues. The recovery period from this operation will be about 2-4 days. |
Intervention type | Procedure/Surgery |
Primary outcome measure | Technical success of lung nodule excision., assessed via histological confirmation of complete excision of nodule |
Secondary outcome measures | 1. Postoperative complications 2. Length of hospital stay 3. Conversion to Thoracotomy |
Overall study start date | 10/12/2014 |
Completion date | 02/02/2017 |
Eligibility
Participant type(s) | Patient |
---|---|
Age group | Adult |
Sex | Both |
Target number of participants | 20 |
Total final enrolment | 23 |
Key inclusion criteria | 1. Patients more than 16 years of age 2. Nodules less than 15 mm in size 3. Perceived difficulty in localising and excision of the nodule during surgery |
Key exclusion criteria | 1. Patients less than 16 years of age 2. Ability to remove mass without radiolabelling 3. Anatomic location of nodule makes it technically difficult to CT guided radiolabelling 4. Patient not willing to undergo the procedure 5. Inability to consent to the operation 6. Pregnancy |
Date of first enrolment | 02/11/2015 |
Date of final enrolment | 02/02/2017 |
Locations
Countries of recruitment
- England
- United Kingdom
Study participating centre
Middlesbrough
TS4 3BW
United Kingdom
Sponsor information
Research organisation
Research & Development Department
South Tees Hospitals NHS Foundation Trust
Academic Centre, The James Cook University Hospital
Marton Road
Middlesbrough
TS4 3BW
United Kingdom
Phone | 01642 854089 |
---|---|
Joe.Millar@stees.nhs.uk | |
https://ror.org/02vqh3346 |
Funders
Funder type
Hospital/treatment centre
No information available
Results and Publications
Intention to publish date | 01/11/2017 |
---|---|
Individual participant data (IPD) Intention to share | No |
IPD sharing plan summary | Not expected to be made available |
Publication and dissemination plan | The data from this study will be analysed and presented at national and International Meetings. The findings from the study will be published in peer reviewed journals. |
IPD sharing plan |
Study outputs
Output type | Details | Date created | Date added | Peer reviewed? | Patient-facing? |
---|---|---|---|---|---|
Plain English results | 07/05/2021 | No | Yes | ||
Results article | 01/02/2018 | 07/05/2021 | Yes | No | |
HRA research summary | 28/06/2023 | No | No |
Editorial Notes
07/05/2021: The following changes were made to the trial record:
1. Publication reference added.
2. The total final enrolment was added.
21/10/2016: Cancer Help UK lay summary link added.