Robotic Bronchoscopy for Lung Nodules

(SERENE Trial)

Not yet recruiting at 1 trial location
SL
YM
Overseen ByYvonne Meli, RN
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: The Cleveland Clinic
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to determine which robotic bronchoscopy method better diagnoses lung nodules. It compares two systems: the Ion™ Endoluminal System, which uses shape-sensing technology, and the Galaxy system by Noah Medical, which uses electromagnetic navigation. Patients scheduled for a bronchoscopy to evaluate lung lesions (abnormal tissue growths) may qualify for the trial. The goal is to identify which system provides a more accurate diagnosis. As an unphased trial, this study allows patients to contribute to advancements in medical technology and improve diagnostic methods for future patients.

Do I need to stop my current medications for the trial?

The trial information does not specify whether you need to stop taking your current medications.

What prior data suggests that these robotic bronchoscopy systems are safe for lung nodule evaluation?

Research has shown that both the Ion™ Endoluminal System and the Galaxy System are generally safe based on previous studies.

For the Ion™ Endoluminal System, one study examined 155 patients and found it allows for accurate biopsies while remaining safe. The study identified no major safety issues, suggesting the procedure is usually well-tolerated.

Similarly, trials with 31 patients tested the Galaxy System, which also demonstrated a strong safety record. No major problems were reported, indicating it is well-tolerated. Additionally, the FDA approved the Galaxy System in 2023, confirming it meets certain safety standards for its intended use.

Both systems offer a safe method for performing lung nodule biopsies, with current evidence supporting their use without major safety concerns.12345

Why are researchers excited about this trial?

Researchers are excited about the robotic bronchoscopy techniques being explored because they offer a more precise and less invasive way to diagnose lung nodules compared to traditional methods. The Ion™ Endoluminal System uses advanced shape-sensing technology that allows doctors to navigate the complex pathways of the lungs with greater accuracy. Meanwhile, the Galaxy by Noah employs electromagnetic navigation, providing real-time guidance to reach nodules effectively. These innovations could lead to quicker, more accurate diagnoses, potentially improving patient outcomes and reducing the need for more invasive procedures like surgical biopsies.

What evidence suggests that this trial's robotic bronchoscopy techniques could be effective for lung nodules?

This trial will compare two robotic bronchoscopy systems for diagnosing lung nodules. Research has shown that the Ion Endoluminal System, one of the systems tested in this trial, helps doctors accurately reach and sample small lung nodules, effectively identifying cancerous tissues. The Galaxy system, another system under study, demonstrated a 100% success rate in procedures for patients with lung nodules, showcasing its ability to navigate and perform biopsies. Both systems offer new ways to access difficult areas in the lungs, improving the chances of early and accurate diagnosis. These advancements could lead to better outcomes for patients with lung nodules.678910

Who Is on the Research Team?

SL

See-Wei Low, MD

Principal Investigator

The Cleveland Clinic

Are You a Good Fit for This Trial?

This trial is for adults 18 or older who are scheduled to have a bronchoscopy to check lung nodules. People cannot join if they can't give informed consent.

Inclusion Criteria

I am at least 18 years old.
Scheduled for navigational bronchoscopy for the evaluation of pulmonary lesion

Exclusion Criteria

Inability to provide informed consent

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants undergo bronchoscopy using either the Ion™ Endoluminal System or the Galaxy by Noah system for evaluation of pulmonary lesions

During the bronchoscopy procedure
1 visit (in-person)

Follow-up

Participants are monitored for diagnostic accuracy and need for additional diagnostic procedures

12 months
Periodic follow-up visits

What Are the Treatments Tested in This Trial?

Interventions

  • Robotic Bronchoscopy

Trial Overview

The study compares two robotic bronchoscopy methods—one using electromagnetic guidance (Galaxy system) and the other using shape-sensing technology (Ion system)—to see which works better for diagnosing lung nodules.

How Is the Trial Designed?

2

Treatment groups

Active Control

Group I: Ion™ Endoluminal System (shape sensing RAB)Active Control1 Intervention
Group II: Galaxy by Noah (EMN-RAB)Active Control1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

The Cleveland Clinic

Lead Sponsor

Trials
1,072
Recruited
1,377,000+

Rush University Medical Center

Collaborator

Trials
448
Recruited
247,000+

Citations

Noah Medical Expands Clinical Evidence for the Galaxy ...

Thirty-one patients with peripheral pulmonary nodules underwent Robotic-Assisted Bronchoscopy using the Galaxy System. Results showed: - 100 ...

Outcomes of Robot-Assisted Transbronchial Biopsies ... - PMC

Here, we present the biopsy outcome and safety data on patients that underwent transbronchial pulmonary nodule biopsies with robot-assisted ...

Protocol for robotic-assisted bronchoscopy versus ...

The results of this study will provide evidence to directly compare ssRAB and ENB in terms of diagnostic yield of PPNs and guide the selection of appropriate ...

Noah Medical reports positive robotic bronchoscopy data

It looked at 31 patients with peripheral pulmonary nodules. Results included 100% procedural success with successful deployment of the biopsy ...

Robotic-assisted bronchoscopy—advancing lung cancer ...

RAB shows excellent potential for diagnostic and therapeutic procedures for lung nodules, including transbronchial biopsy and microwave ablation ...

Learning curve, safety and diagnostic yield of the GalaxyTM ...

Learning curve, safety and diagnostic yield of the GalaxyTM, Noah Medical Group robotic bronchoscopy platform.

“Tool-in-lesion” Accuracy of Galaxy System—A Robotic ... - PMC

The primary aim of this study was to assess the TIL accuracy of the robotic bronchoscope with integrated digital tomosynthesis and augmented ...

Journal of Respirology Publishes Clinical Trial Data ...

FRONTIER Study demonstrates Galaxy System's use of proprietary TiLT+ Technology to successfully navigate peripheral pulmonary nodules, ...

First‐in‐human use of a new robotic electromagnetic ...

We performed a first-in-human clinical trial of a new robotic electromagnetic navigation bronchoscopy system with integrated digital tomosynthesis technology.

Noah Medical Expands Clinical Evidence for the Galaxy ...

Thirty-one patients with peripheral pulmonary nodules underwent Robotic-Assisted Bronchoscopy using the Galaxy System. Results showed: 100 ...