Advanced Robotic Techniques and Rapid Onsite Evaluation for Minimally Invasive Diagnosis and Next-Generation Sequencing.

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorVanderbilt University Medical Center

About this trial

ARTEMIS is a multicenter randomized controlled trial. The goal is to understand whether rapid onsite evaluation during robotic assisted bronchoscopy improves the diagnostic performance of the procedure or not.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

≥ 18 years of age at time of bronchoscopy

Undergoing robotic assisted bronchoscopy to biopsy a pulmonary lesion

Disqualifiers

Declines to participate or inability to provide informed consent.

Clinician determination that the use of ROSE is required or contraindicated for the optimal care of an individual patient

Patient enrolled in another trial that requires ROSE for PPL biopsy

Patient previously consented for this trial

Trial design

Design model

Parallel

Treatments tested in this trial

  • Rapid onsite evaluation

    Other intervention

    ROSE involves immediate intraprocedural microscopic assessment of biopsy specimens (typically by a cytotechnologist) to confirm adequacy of biopsy samples for malignant diagnosis during the bronchoscopy

Treatment groups

400 Participants
are divided into 2 treatment groups
Group A: Robotic assisted bronchoscopy with ROSEActive comparator 1 intervention
Group B: Robotic assisted bronchoscopy without ROSEActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

Strict diagnostic yield, defined as the proportion of procedures that result in acquisition of lesional tissue.

Lesional tissue is defined by the presence of specific pathological findings that readily explain the presence of a pulmonary lesion. The following common pathological findings are pre-specified: 1. Malignancy 2. Specific benign pathologic findings including: organizing pneumonia, frank purulence/robust neutrophilic inflammation with a pathogen isolated, granulomatous inflammation, hamartoma, amyloidoma or other uncommon causes of peripheral pulmonary lesions with distinctive pathological patterns.

Time frame
7 days post procedure

Secondary outcomes

1

Sufficiency of malignant specimens for Next-Generation Sequencing

Proportion of malignant biopsies with sufficient material to send for NGS

Time frame
30 days post procedure

Other outcomes

Sponsors and contacts

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This trial is not recruiting at the moment. You can still explore other options: