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
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

https://www.cancerresearchuk.org/about-cancer/find-a-clinical-trial/a-study-using-radioactive-labelling-to-help-remove-lung-nodules

Contact information

Mr Pankaj Kumar Mishra
Public

Department of Cardiothoracic Surgery
James Cook University Hospital
Marton Road
Middlesbrough
TS4 3BW
United Kingdom

ORCiD logoORCID ID 0000-0002-0866-7825
Phone 01642 850850
Email mishrapk_25@yahoo.com
Mr Joel Dunning
Scientific

Department of Cardiothoracic Surgery
James Cook University Hospital
Marton Road
Middlesbrough
TS4 3BW
United Kingdom

Phone 01642 850850
Email joedunning@nhs.net

Study information

Study designObservational, prospective, pilot study
Primary study designObservational
Secondary study design
Study setting(s)Hospital
Study typeDiagnostic
Participant information sheet Not available in web format. Please use the contact details below to request a patient information sheet.
Scientific titleA 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 acronymRadio-labelled excision of lung nodules (RLELN)
Study objectivesInjection 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) studiedLung cancer or lung nodules of indeterminate origin
InterventionPatients 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 typeProcedure/Surgery
Primary outcome measureTechnical success of lung nodule excision., assessed via histological confirmation of complete excision of nodule
Secondary outcome measures1. Postoperative complications
2. Length of hospital stay
3. Conversion to Thoracotomy
Overall study start date10/12/2014
Completion date02/02/2017

Eligibility

Participant type(s)Patient
Age groupAdult
SexBoth
Target number of participants20
Total final enrolment23
Key inclusion criteria1. 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 criteria1. 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 enrolment02/11/2015
Date of final enrolment02/02/2017

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

James Cook University Hospital UK
Marton Road
Middlesbrough
TS4 3BW
United Kingdom

Sponsor information

James Cook University Hospital
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
Email Joe.Millar@stees.nhs.uk
ROR logo "ROR" https://ror.org/02vqh3346

Funders

Funder type

Hospital/treatment centre

James Cook University Hospital (UK)

No information available

Results and Publications

Intention to publish date01/11/2017
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot expected to be made available
Publication and dissemination planThe 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.