UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000060663
Receipt number R000069310
Scientific Title Efficacy of a thin convex-probe endobronchial ultrasound bronchoscope in diagnosing pulmonary lesions across different lung regions: a randomized controlled trial
Date of disclosure of the study information 2026/02/13
Last modified on 2026/02/16 08:48:28

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Basic information

Public title

A randomized controlled trial evaluating the utility of a thin convex-probe endobronchial ultrasound bronchoscope for the diagnosis of pulmonary lesions

Acronym

DAEDALUS-TCP

Scientific Title

Efficacy of a thin convex-probe endobronchial ultrasound bronchoscope in diagnosing pulmonary lesions across different lung regions: a randomized controlled trial

Scientific Title:Acronym

DAEDALUS-TCP (Diagnostic Advantage of Enhanced Distal Access Lung UltraSound: a randomized controlled trial using a Thin Convex-Probe bronchoscope)

Region

Japan


Condition

Condition

Pulmonary lesions (including benign and malignant lesions)

Classification by specialty

Pneumology Adult

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To evaluate whether the use of a thin convex-probe endobronchial ultrasound bronchoscope improves the diagnostic yield for target pulmonary lesions compared with a standard convex-probe endobronchial ultrasound bronchoscope in patients undergoing bronchoscopic diagnosis of pulmonary lesions mainly located in the central and intermediate lung regions.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Explanatory

Developmental phase

Not applicable


Assessment

Primary outcomes

Diagnostic yield of the target pulmonary lesion

Key secondary outcomes

1. Diagnostic yield of the target pulmonary lesion by EBUS-TBNA
2. Mapping of target pulmonary lesions in terms of visibility and puncturability
3. Feasibility for nodal staging
4. Safety outcomes
5. Procedure time


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -but assessor(s) are blinded

Control

Active

Stratification

YES

Dynamic allocation

YES

Institution consideration

Institution is considered as adjustment factor in dynamic allocation.

Blocking

NO

Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Diagnosis

Type of intervention

Device,equipment

Interventions/Control_1

Bronchoscopic diagnosis of the target pulmonary lesion using a standard convex-probe endobronchial ultrasound bronchoscope (BF-UC290F). Systematic nodal staging will be performed as needed. Endobronchial ultrasound-guided transbronchial needle aspiration of the target pulmonary lesion will be performed when technically feasible.

Interventions/Control_2

Bronchoscopic diagnosis of the target pulmonary lesion using a thin convex-probe endobronchial ultrasound bronchoscope (BF-UCP190F). Systematic nodal staging will be performed as needed. Endobronchial ultrasound-guided transbronchial needle aspiration of the target pulmonary lesion will be performed when technically feasible.

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

18 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1. Patients with a peripheral pulmonary lesion requiring definitive diagnosis who are scheduled for bronchoscopic diagnosis (excluding airway lesions and ill-defined infiltrative opacities).
2. Patients who underwent chest thin-section CT within 60 days before registration and whose target lesion meets the imaging criteria defined in the protocol.
3. Age 18 years or older at registration.
4. Written informed consent obtained from the patient.

Key exclusion criteria

1. History of local treatment (e.g., surgery or radiotherapy) for bronchial/lung lesions on the same side as the target lesion.
2. Target lesion predominantly ground-glass opacity (consolidation tumor ratio <0.5).
3. Strong suspicion of mediastinal lymph node metastasis on imaging (except as specified in the protocol).
4. Patients considered unable to safely undergo bronchoscopy due to uncontrolled comorbidities or severe bleeding tendency.
5. Patients receiving anticoagulants/antiplatelet agents that cannot be discontinued for the procedure (continuation of aspirin alone is permitted).
6. Patients deemed unsuitable for participation by the attending physician.

Target sample size

140


Research contact person

Name of lead principal investigator

1st name Yuji
Middle name
Last name Matsumoto

Organization

National Cancer Center Hospital

Division name

Department of Endoscopy, Respiartory Endoscopy Division/Department of Thoracic Oncology

Zip code

1040045

Address

5-1-1 Tsukiji, Chuo-ku

TEL

+81335422511

Email

yumatsum@ncc.go.jp


Public contact

Name of contact person

1st name Yuji
Middle name
Last name Matsumoto

Organization

National Cancer Center Hospital

Division name

Department of Endoscopy, Respiartory Endoscopy Division/Department of Thoracic Oncology

Zip code

1040045

Address

5-1-1 Tsukiji, Chuo-ku

TEL

+81335422511

Homepage URL


Email

yumatsum@ncc.go.jp


Sponsor or person

Institute

National Cancer Center, Japan

Institute

Department

Personal name

Yuji Matsumoto


Funding Source

Organization

National Cancer Center, Japan

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

National Cancer Center Institutional Review Board

Address

5-1-1 Tsukiji, Chuo-ku

Tel

+81335422511

Email

ncch-irb@ml.res.ncc.go.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

国立がん研究センター中央病院(東京都)、大阪公立大学大学院(大阪府)、北海道大学病院(北海道)、千葉大学医学部附属病院(千葉県)、宮崎県立宮崎病院(宮崎県)


Other administrative information

Date of disclosure of the study information

2026 Year 02 Month 13 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Open public recruiting

Date of protocol fixation

2026 Year 01 Month 12 Day

Date of IRB

2026 Year 01 Month 29 Day

Anticipated trial start date

2026 Year 02 Month 16 Day

Last follow-up date

2027 Year 05 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2026 Year 02 Month 12 Day

Last modified on

2026 Year 02 Month 16 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000069310