UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000062331
Receipt number R000071068
Scientific Title Prospective multicenter observational study evaluating the diagnostic utility of Rapid On-Site Evaluation of touch-imprint cytology during bronchoscopic biopsy with small forceps for peripheral pulmonary lesions
Date of disclosure of the study information 2026/08/01
Last modified on 2026/07/01 17:40:18

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Basic information

Public title

Prospective multicenter observational study evaluating the diagnostic utility of Rapid On-Site Evaluation of touch-imprint cytology during bronchoscopic biopsy
with small forceps for peripheral pulmonary lesions

Acronym

ROSE-BARA study

Scientific Title

Prospective multicenter observational study evaluating the diagnostic utility of Rapid On-Site Evaluation of touch-imprint cytology during bronchoscopic biopsy
with small forceps for peripheral pulmonary lesions

Scientific Title:Acronym

Prospective multicenter observational study evaluating the diagnostic utility of Rapid On-Site Evaluation of touch-imprint cytology during bronchoscopic biopsy
with small forceps for peripheral pulmonary lesions

Region

Japan


Condition

Condition

lung cancer

Classification by specialty

Pneumology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

This observational study aims to determine whether rapid on-site evaluation using touch imprint cytology (ROSE-TIC) of small-forceps biopsy specimens can serve as a diagnostic adjunct for chest abnormalities suspicious for lung cancer. Specifically, in rEBUS-guided bronchoscopy for peripheral pulmonary lesions, we will evaluate the incremental diagnostic yield achieved by adding or modifying sampling procedures in patients with negative ROSE-TIC results and assess its clinical utility.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Primary endpoint

Incremental diagnostic yield achieved by procedural modification or additional sampling based on negative ROSE-TIC results.

Key secondary outcomes

Secondary endpoints

Sensitivity, specificity, positive predictive value, negative predictive value, and concordance rate of ROSE-TIC, using the final pathological diagnosis based on bronchoscopic specimens as the reference standard
Safety
Procedure time
Success rate of biomarker testing
Rate of repeat biopsy for diagnostic purposes
Diagnostic yield of histological and cytological examinations


Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


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

18 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Patients with pulmonary lesions suspicious for malignancy on chest radiography and/or chest computed tomography performed within 1 month before bronchoscopy, who are scheduled to undergo bronchoscopic forceps biopsy to determine the treatment strategy.
Patients scheduled to initially undergo either thin bronchoscopy with the EBUS-GS technique or small-forceps biopsy using an ultrathin bronchoscope.
Patients aged 18 years or older.
Patients from whom written informed consent for participation in this study has been obtained.

Key exclusion criteria

Patients meeting any of the following criteria will be excluded from this clinical study:

Patients in whom a diagnosis other than lung cancer is strongly suspected.
Patients with lesions located within the inner one-third of the distance from the pulmonary hilum.
Patients scheduled to initially undergo EBUS-TBNA or direct-vision biopsy.
Patients with lesions adjacent to major blood vessels.
Pregnant women or women who may be pregnant.
Patients receiving anticoagulant or antiplatelet therapy that cannot be discontinued for the procedure.
Patients with a marked bleeding tendency.
Patients considered unsuitable for bronchoscopy because of thrombocytopenia (platelet count <50,000/uL) or coagulation abnormalities (prothrombin time or activated partial thromboplastin time) identified on blood testing performed within 1 month before the procedure.

Target sample size

110


Research contact person

Name of lead principal investigator

1st name Yuki
Middle name
Last name Takigawa

Organization

NHO Okayama Medical Center

Division name

Department of Respiratory Medicine

Zip code

7011192

Address

1711-1 Okayamashi Kitaku Tamasu

TEL

0862949911

Email

tacky1024@gmail.com


Public contact

Name of contact person

1st name Yuki
Middle name
Last name Takigawa

Organization

NHO Okayama Medical Center

Division name

IRB

Zip code

7011192

Address

1711-1 Okayamashi Kitaku Tamasu

TEL

0862949911

Homepage URL


Email

tacky1024@gmail.com


Sponsor or person

Institute

NHO Okayama Medical Center

Institute

Department

Personal name



Funding Source

Organization

none

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

Department of Clinical Research, National Hospital Organization Okayama Medical Center, Okayama, Japan

Address

1711-1 Okayamashi Kitaku Tamasu

Tel

0862949911

Email

tacky1024@gmail.com


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

2026 Year 08 Month 01 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

Preinitiation

Date of protocol fixation

2026 Year 07 Month 01 Day

Date of IRB


Anticipated trial start date

2026 Year 08 Month 01 Day

Last follow-up date

2028 Year 08 Month 01 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

This observational study will investigate whether rapid on-site evaluation using touch imprint cytology (ROSE-TIC) of small-forceps biopsy specimens can serve as a diagnostic adjunct for chest abnormalities suspicious for lung cancer. The study aims to evaluate the incremental diagnostic yield achieved by adding or modifying bronchoscopic sampling procedures in patients with negative ROSE-TIC results during rEBUS-guided bronchoscopy for peripheral pulmonary lesions, and to assess its clinical utility.


Management information

Registered date

2026 Year 07 Month 24 Day

Last modified on

2026 Year 07 Month 01 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000071068