| Unique ID issued by UMIN | UMIN000061160 |
|---|---|
| Receipt number | R000069989 |
| Scientific Title | A multicenter prospective observational study evaluating the utility of gastric aspirate culture and post-bronchoscopy sputum for the diagnosis of pulmonary nontuberculous mycobacterial disease |
| Date of disclosure of the study information | 2026/04/15 |
| Last modified on | 2026/04/08 08:30:47 |
Bronchoscopy plus post-bronchoscopy sputum and gastric fluid for improved NTM diagnosis
BOOST-NTM Study
A multicenter prospective observational study evaluating the utility of gastric aspirate culture and post-bronchoscopy sputum for the diagnosis of pulmonary nontuberculous mycobacterial disease
BOOST-NTM Study
| Japan |
nontuberculous mycobacterial pulmonary disease
| Pneumology |
Others
NO
The purpose of this study is to evaluate, in a multicenter prospective observational setting, the incremental diagnostic yield obtained by adding gastric aspirate culture and post-bronchoscopy sputum (PBS) to bronchoscopy in patients with suspected pulmonary nontuberculous mycobacterial disease who undergo bronchoscopic examination.
Furthermore, this study aims to assess the usefulness of a diagnostic approach combining these specimens and to clarify the optimal bronchoscopy-based diagnostic protocol for NTM-PD.
Efficacy
To evaluate the incremental diagnostic yield of adding gastric aspirate culture and post-bronchoscopy sputum (PBS) to bronchoscopy for the diagnosis of pulmonary nontuberculous mycobacterial disease.
1.Microbiological test results for each specimen (bronchoscopic specimens, gastric aspirate, and post-bronchoscopy sputum [PBS])
2.Time to culture positivity (TTP) for each specimen
3.Proportion and details of additional diagnostic cases newly diagnosed by the addition of PBS and/or gastric aspirate culture
4.Clinical characteristics of additional diagnostic cases
5.Final diagnostic classification (Definite NTM, Probable NTM, Indeterminate, and Not NTM)
6.Frequency and details of adverse events related to bronchoscopy and collection of PBS and gastric aspirate
Observational
| 20 | years-old | <= |
| Not applicable |
Male and Female
1. Patients suspected of having pulmonary nontuberculous mycobacterial disease (NTM-PD) based on clinical findings, including imaging findings such as nodular opacities, branching opacities, diffuse homogeneous opacities, cavitary opacities, or bronchial/bronchiolar dilatation.
2. Patients who are scheduled to undergo bronchoscopy as part of routine clinical care for the diagnosis of NTM-PD, with planned collection of post-bronchoscopy sputum (PBS) and gastric aspirate for culture.
3. Patients aged 20 years or older at the time of enrollment.
4. Patients who are unable to submit sputum for culture before bronchoscopy, or who have not had the same mycobacterial species identified as positive on two or more occasions.
5. Patients from whom written informed consent to participate in this study has been obtained.
1. Patients who already meet the diagnostic criteria for pulmonary nontuberculous mycobacterial disease (NTM-PD) before bronchoscopy, or who have a history of treatment for NTM-PD.
2. Patients in whom any of the following specimens were not obtained: bronchoscopic specimens, gastric aspirate for culture, or post-bronchoscopy sputum (PBS).
3. Patients in whom diseases other than NTM-PD, such as pulmonary tuberculosis or lung cancer, are strongly suspected based on clinical findings including imaging findings.
4. Patients who are otherwise considered inappropriate for participation in this study by the principal investigator or the attending physician.
150
| 1st name | Kohei |
| Middle name | |
| Last name | Yamamoto |
University Hospital Kyoto Prefectural University of Medicine
Department of Respiratory Medicine
602-8566
465 Kajii-cho, Kawaramachi-Hirokoji, Kamigyo-ku, Kyoto 602-8566, Japan
075-251-5111
yama@koto.kpu-m.ac.jp
| 1st name | Tatsuya |
| Middle name | |
| Last name | Imabayashi |
Japanese Red Cross Kyoto Daiichi Hospital
Department of Respiratory Medicine
605-0981
15-749 Honmachi, Higashiyama-ku, Kyoto 605-0981, Japan
075-561-1121
imabayas@koto.kpu-m.ac.jp
Japanese Red Cross Kyoto Daiichi Hospital
KOHEI YAMAMOTO
None
Other
Ethics Committee of Kyoto First Red Cross Hospital
15-749 Honmachi, Higashiyama-ku, Kyoto 605-0981, Japan
075-561-1121
soumuka@kyoto1.jrc.or.jp.
NO
京都第一赤十字病院(京都府)
| 2026 | Year | 04 | Month | 15 | Day |
Unpublished
Open public recruiting
| 2026 | Year | 03 | Month | 18 | Day |
| 2026 | Year | 03 | Month | 18 | Day |
| 2026 | Year | 03 | Month | 19 | Day |
| 2028 | Year | 03 | Month | 19 | Day |
This study is a multicenter prospective observational study of patients with suspected pulmonary nontuberculous mycobacterial disease undergoing bronchoscopy. No study-specific allocation, intervention, randomization, or blinding will be performed. Microbiological results of bronchoscopic specimens, gastric aspirate, and post-bronchoscopy sputum (PBS) obtained in routine clinical practice will be collected to evaluate the incremental diagnostic yield.This study will be conducted as a multicenter prospective observational study. Participating institutions will be added sequentially after ethics approval has been obtained at each institution.
| 2026 | Year | 04 | Month | 04 | Day |
| 2026 | Year | 04 | Month | 08 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000069989