UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000036153
Receipt number R000041193
Scientific Title Study the usefulness bronchial brushing of for diagnosis of pulmonary mycobacterium avium complex disaese
Date of disclosure of the study information 2019/03/11
Last modified on 2022/05/19 20:13:41

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Basic information

Public title

Study the usefulness bronchial brushing of for diagnosis of pulmonary mycobacterium avium complex disaese

Acronym

Study the usefulness bronchial brushing of for diagnosis of pulmonary mycobacterium avium complex disaese

Scientific Title

Study the usefulness bronchial brushing of for diagnosis of pulmonary mycobacterium avium complex disaese

Scientific Title:Acronym

Study the usefulness bronchial brushing of for diagnosis of pulmonary mycobacterium avium complex disaese

Region

Japan


Condition

Condition

pulmonary Mycobacterium avium complex infection

Classification by specialty

Pneumology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

Investigate the usefulness of bronchoscopic brushing for diagnosis in patients with Mycobacterium avium complex lung disease

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Culture positive rate of washing solution before and after bronchial brushing

Key secondary outcomes



Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Diagnosis

Type of intervention

Maneuver

Interventions/Control_1

When carrying out the bronchoscopic examination, perform the inspection in the order of washing,brush abrasion,washing and compare the culture results of the washing solution before and after brush abrasion.

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

A case in which pulmonary MAC disease was suspected and a bronchoscopic examination was performed within the subject period.

Key exclusion criteria

20 years or younger

Target sample size

60


Research contact person

Name of lead principal investigator

1st name Naohisa
Middle name
Last name Urabe

Organization

Toho University Omori Medical Center,

Division name

Department of Respiratory Medicine

Zip code

143-8540

Address

6-11-1 Omori-nishi, Otaku, Tokyo

TEL

+81-3-3762-4151

Email

naohisa.urabe@med.toho-u.ac.jp


Public contact

Name of contact person

1st name Naohisa
Middle name
Last name Urabe

Organization

Toho University Omori Medical Center,

Division name

Department of Respiratory Medicine

Zip code

143-8540

Address

6-11-1 Omori-nishi, Otaku, Tokyo

TEL

+81-3-3762-4151

Homepage URL


Email

naohisa.urabe@med.toho-u.ac.jp


Sponsor or person

Institute

Toho University Omori Medical Center

Institute

Department

Personal name



Funding Source

Organization

Toho University Omori Medical Center

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Toho University Omori Medical Center

Address

6-11-1 Omori-nishi, Otaku, Tokyo

Tel

+81-3-3762-4151

Email

naohisa.urabe@med.toho-u.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2019 Year 03 Month 11 Day


Related information

URL releasing protocol

https://www.karger.com/Article/FullText/515605

Publication of results

Published


Result

URL related to results and publications

https://www.karger.com/Article/FullText/515605

Number of participants that the trial has enrolled

69

Results

NTM was detected in 37 of the 69 (53.6%) patients. NTM was detected in 34 (49.3%) pre-brushing samples, in 27 (39.1%) post-brushing samples, and in 20 (29.0%) brush samples from the 69 patients. In 2 (2.9%) patients, NTM was detected only in post-brushing samples; in 1 (1.4%) patient, NTM was detected only in a brush sample. As compared with bronchial washing only, additional bronchial brushing increased the NTM culture-positive rate by 4.3% (3/69).

Results date posted

2022 Year 05 Month 19 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

Sixty-nine patients with suspected pulmonary NTM disease, with small nodular infiltrates with or without bronchiectasis on chest CT images, prospectively underwent bronchoscopy examination

Participant flow

The bronchoscopy procedure is follow, First, we performed bronchial washing at the most affected segmental or subsegmental bronchi, as determined by chest CT. Second, bronchial brushing of the same lesion was done for 10 seconds (BC-202D-1210, OLYMPUS, Tokyo, Japan) (Fig. 2). Finally, bronchial washing was repeated. Bronchial washing was done with 20 to 40 ml of normal sterile saline, and samples of bronchial washing fluid were collected before and after bronchial brushing

Adverse events

Bronchial brushing resulted in bronchial bleeding requiring hemostatic treatment in 5 patients. Bleeding improved promptly in all these patients, and no subsequent complications such as pneumonia or hemoptysis were observed

Outcome measures

Compare the NTM culture positivity rate of each sample to determine the usefulness of brush abrasion.

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2018 Year 05 Month 10 Day

Date of IRB

2018 Year 05 Month 10 Day

Anticipated trial start date

2018 Year 05 Month 10 Day

Last follow-up date

2019 Year 12 Month 31 Day

Date of closure to data entry

2019 Year 12 Month 31 Day

Date trial data considered complete

2019 Year 12 Month 31 Day

Date analysis concluded

2020 Year 03 Month 01 Day


Other

Other related information



Management information

Registered date

2019 Year 03 Month 11 Day

Last modified on

2022 Year 05 Month 19 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000041193


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name