Thoracic Neoplasms Clinical Trial
Official title:
Endoscopic Follow-up of Low Grade Precancerous Bronchial Lesions in High Risk Patients (SELEPREBB1)
Verified date | January 2013 |
Source | University Hospital, Rouen |
Contact | n/a |
Is FDA regulated | No |
Health authority | France: Ministry of Health |
Study type | Observational |
The goal of this multicentric French randomized trial is to determine the best auto
fluorescence bronchial endoscopic follow-up strategy in high risk patients bearing low grade
bronchial precancerous lesions. Subjects will be randomly assigned to one of the following
arm :
(A) every 6 months clinical and chest Xrays follow-up without intermediate endoscopy, (B)
every 6 months clinical and chest Xrays follow-up including repeated autofluorescence
endoscopy and biopsies on a 6 months basis in case of low grade dysplasia or on a one year
basis in patients without dysplasia.
After 36 months follow-up, each patient from the two groups will be subjected to a final
autofluorescence endoscopy and biopsy and a Spiral Chest Xray.
The final analysis will compare between the two groups :
1. The probability of progression from an initially identified low grade lesion to a high
grade lesion
2. The probability of respiratory epithelial tract progression assessed by the occurrence
of a lung cancer or high grade lesion.
3. The characteristics of lung cancers detected in each arm
4. In both arm, the influence of risk factors and persistent exposure to tobacco on lesion
evolutivity.
Status | Completed |
Enrollment | 365 |
Est. completion date | November 2009 |
Est. primary completion date | November 2009 |
Accepts healthy volunteers | No |
Gender | Both |
Age group | 18 Years to 80 Years |
Eligibility |
Inclusion Criteria: - Patient with one or several of the following risk factor for lung cancer: - Tobacco consumption more than 30 pack years - Lung or ENT cancer history, cured - Occupational exposure to respiratory carcinogens - Normal baseline CT scan - Autofluorescence endoscopy showing moderate dysplasia or lower grade lesion - Written informed consent Exclusion Criteria: - Treatment with Vit A derivative - Contra indication for a fiberoptic bronchoscopy under local anesthesia. - Known evolutive cancer - Chest radiation therapy within 5 years before inclusion or chemotherapy within two years before inclusion. - Impossibility for a 3 years follow-up |
Observational Model: Cohort, Time Perspective: Prospective
Country | Name | City | State |
---|---|---|---|
France | Rouen University Hospital | Rouen | Haute Normandie |
Lead Sponsor | Collaborator |
---|---|
University Hospital, Rouen |
France,
Thiberville L, Moreno-Swirc S, Vercauteren T, Peltier E, Cavé C, Bourg Heckly G. In vivo imaging of the bronchial wall microstructure using fibered confocal fluorescence microscopy. Am J Respir Crit Care Med. 2007 Jan 1;175(1):22-31. Epub 2006 Oct 5. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | occurence of high grade lesion or occurence of a cancer during endoscopic or clinical follow up | 3 years | No |
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