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Pilot Study of the Correlation Between the Findings of Atypical/Malignant Cells in Sputum and Fluorescence Bronchoscopy in Patients at Risk for Lung Cancer of the LIFE Imaging System and White Light Bronchoscopy Clinical Trials Info presented on Clinical Trials Search isn't intended to be a substitute for certified health advice, travels to or treatment by using a genuine physician. We are not physicians. Always consult your dr. on Pilot Study of the Correlation Between the Findings of Atypical/Malignant Cells in Sputum and Fluorescence Bronchoscopy in Patients at Risk for Lung Cancer of the LIFE Imaging System and White Light Bronchoscopy conditions. Clinical Trials Search.org is a site committed to listing clinical research studies in human subjects. Pilot Study of the Correlation Between the Findings of Atypical/Malignant Cells in Sputum and Fluorescence Bronchoscopy in Patients at Risk for Lung Cancer of the LIFE Imaging System and White Light Bronchoscopy Clinical research trials and Pilot Study of the Correlation Between the Findings of Atypical/Malignant Cells in Sputum and Fluorescence Bronchoscopy in Patients at Risk for Lung Cancer of the LIFE Imaging System and White Light Bronchoscopy health trials occur in hundreds of cities throughout the U.S.A.. A clinical trial or clinical study is a research project with human volunteer subjects. Clinical drug trials and pharmaceutical clinical trials typically assess the effectivity of new drugs. The propose of the studies / undertakings is to resolve certain human health questions. Clinical trials are a popular means for physicians, government agencies, and private sector companies to locate treatments for all sorts of conditions, including Pilot Study of the Correlation Between the Findings of Atypical/Malignant Cells in Sputum and Fluorescence Bronchoscopy in Patients at Risk for Lung Cancer of the LIFE Imaging System and White Light Bronchoscopy. Pilot Study of the Correlation Between the Findings of Atypical/Malignant Cells in Sputum and Fluorescence Bronchoscopy in Patients at Risk for Lung Cancer of the LIFE Imaging System and White Light Bronchoscopy Clinical Trials and other clinical trials permit volunteers to acquire medical treatment choices before they are available to the masses. Some times the test subjects obtain professional assistance for free, and every now and again they are compensated for their time. Sometimes there is a cost for a Pilot Study of the Correlation Between the Findings of Atypical/Malignant Cells in Sputum and Fluorescence Bronchoscopy in Patients at Risk for Lung Cancer of the LIFE Imaging System and White Light Bronchoscopy clinical trial. Participants oftentimes recieve the most expert healthcare available for their Pilot Study of the Correlation Between the Findings of Atypical/Malignant Cells in Sputum and Fluorescence Bronchoscopy in Patients at Risk for Lung Cancer of the LIFE Imaging System and White Light Bronchoscopy condition. Hazards are a reality, however, and can include extra or frequent physician visits, health risks (potentially life-endangering), and/or the treatment being uneffective. Trials are federally governed with rigorous guidelines to protect clinical trials subjects.

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Pilot Study of the Correlation Between the Findings of Atypical/Malignant Cells in Sputum and Fluorescence Bronchoscopy in Patients at Risk for Lung Cancer of the LIFE Imaging System and White Light Bronchoscopy



Pilot Study of the Correlation Between the Findings of Atypical/Malignant Cells in Sputum and Fluorescence Bronchoscopy in Patients at Risk for Lung Cancer of the LIFE Imaging System and White Light Bronchoscopy

For Condition: Carcinoma, Non-Small-Cell Lung,Carcinoma, Small Cell,Carcinoma, Squamous Cell,Lung Neoplasms
Status: Completed
Sponsor(s): National Cancer Institute (NCI) ,
Synopsis: If possible, patients produce a 3-day pooled sputum sample prior to bronchoscopy. Patients then undergo tracheobronchial white-light bronchoscopy followed by autofluorescence bronchoscopy using the Lung Imaging Fluorescence Endoscopic (LIFE) Device attached to a computerized video camera. Visualized tissue is classified as either normal, abnormal, or suspicious. Abnormal or suspicious tissue is biopsied, as is tissue from 1 or 2 randomly chosen normal sites. Immunohistochemical analysis of the biopsy material is conducted without knowledge of the bronchoscopic results. Patients unable to produce a sputum sample prior to bronchoscopy are required to do so after bronchoscopy.
Details: Patients at risk for lung cancer will undergo fiberoptic bronchoscopy with white light and fluorescent bronchoscopy. Patients will have areas in their airways classified as normal (Class I), abnormal (Class II), and suspicious for malignancy (Class III) using white light and followed by an examination with fluorescent light bronchoscopy with the same classification. The class III lesions will be biopsied and at least one biopsy will be done of Class II lesions. The study will assess the impact of fluorescent light bronchoscopy as an adjunct to white light bronchoscopy on the rate of detection and characterization of lesions in patients at risk for lung cancer. The number of preneoplastic lesions in patients treated with combined modality therapy will be compared to the number of lesions identified in patients with surgically resected non-small cell lung cancer. The patient's sputum and biopsy specimens will be studied for the presence of a 31 kilodalton protein detected with the monoclonal antibody, 703D4. The presence of this epitope in the sputum of patients at high risk for lung cancer has been associated with the subsequent development of clinically evident lung cancer. Patients will be studied to determine the relationship between the reactivity of 703D4 in the cells from their tumors, airways, and sputum.
Eligibility:
Study Type:
  Interventional, Treatment, Safety
Minimum Age/Maximum Age: /
Genders: Both
Protocol Entry Criteria: Patients must be able to sign informed consent forms. Patients must be capable of producing sputum samples. Patients must be 18 years of age or older. Patients who have an ECOG performance status of 0-2 are eligible. Patients with any of the following: A) Patients with known or suspected brochogenic carcinomas who are scheduled for bronchoscopy as part of a standard diagnostic or staging workup. B) Patients with Stage I or II completely resected non-smal cell lung cancer with no evidence of metastatic disease. C) Patients with stageIII non-small cell lung cancer alive and free of cancer for 2 or more years. D) Patients with small cell lung cancer alive and free of cancer for 2 or mor years. E) Patients with completely resected head or neck cancer without evidence of metastatic disease. Patients must be excluded from the clinical trial if they fall into one of the following categories: Patients with uncontrolled hypertension (systolic pressure>200mm Hg, Diastolic pressure>120mm Hg. Patients with unstable angina. Patients with white count less than 2000 or greater than 20,000. Patients with platelet count less than 50,000. Patients with known bleeding disorder. Patients with know reaction to topical xylocaine. Patients who have had fluorescent photosensitizing drugs, such as Photofrin, within 3 months of the LIFE examination. Patients who have received ionizing radiation treatment to the chest within 18 months of the LIFE examination. Patients who have had YAG laser treatment in the lung within 1 month of the LIFE examination. Patients who are pregnant.
Total Enrollment: 70

Location and Contact Information:

National Cancer Institute (NCI)
Bethesda,  Maryland,  20892
United States
 


Additional Information:
Study ID Numbers:
  960128;  96-C-0128
Study Start Date: August 27, 1996
Record last reviewed: July 1, 1999
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00001511

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