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Endobronchial Ultrasound Transbronchial Needle Aspiration (EBUS-TBNA) Versus Endobronchial Ultrasound Transbronchial Needle Biopsy (EBUS-TBNB) in the Assessment of Mediastinal and Hilar Lymphadenopathy: a Randomised Trial


N/A
18 Years
N/A
Open (Enrolling)
Both
Mediastinal Lymphadenopathy, Hilar Lymphadenopathy, Carcinoma, Lymphoma, Sarcoidosis, Mycobacterial Disease

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Trial Information

Endobronchial Ultrasound Transbronchial Needle Aspiration (EBUS-TBNA) Versus Endobronchial Ultrasound Transbronchial Needle Biopsy (EBUS-TBNB) in the Assessment of Mediastinal and Hilar Lymphadenopathy: a Randomised Trial


Inclusion Criteria:



- Scheduled for EBUS-TBNA as part of clinical care

- Lymph nodes larger than 10mm in diameter

- Age > 18 years

- Able to provide written informed consent

Exclusion Criteria:

- Contraindications for needle or forceps biopsy (e.g. coagulopathy, anticoagulation,
thrombocytopenia)

- Inability to obtain informed consent

Type of Study:

Interventional

Study Design:

Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Investigator), Primary Purpose: Diagnostic

Outcome Measure:

The percentage of lymph nodes sampled resulting in a definitive diagnosis (as defined in the protocol) in the two study arms.

Outcome Description:

The definition of a "definitive diagnosis" is dependant on the diagnosis and is clarified below: Carcinoma/lymphoma: The lymph node sample is adequate to make a diagnosis as well as provide immunohistochemistry information enabling subtyping of the tumour. Sarcoidosis: The presence of well formed epithelioid non-caseating granulomas. Mycobacterial infection: The presence of caseating granulomas, positive Ziehl Nielson staining for acid fast bacilli, or the tissue successfully cultures Mycobacterium.

Outcome Time Frame:

18 months

Safety Issue:

No

Principal Investigator

Zaid Zoumot, MBBS, MRCP, MSc

Investigator Role:

Study Director

Investigator Affiliation:

Royal Brompton Hospital NHS Foundation Trust, Chelsea and Westminster Hospital NHS Fundation Trust

Authority:

United Kingdom: Research Ethics Committee

Study ID:

2011PA002B

NCT ID:

NCT01467635

Start Date:

October 2011

Completion Date:

October 2013

Related Keywords:

  • Mediastinal Lymphadenopathy
  • Hilar Lymphadenopathy
  • Carcinoma
  • Lymphoma
  • Sarcoidosis
  • Mycobacterial Disease
  • Endobronchial ultrasound
  • Transbronchial needle aspiration
  • Transbronchial biopsy forceps
  • Mediastinal lymphadenopathy
  • Hilar lymphadenopathy
  • Carcinoma
  • Lymphoma
  • Mycobacterium Infections
  • Sarcoidosis
  • Lymphatic Diseases

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