Disposable scope takes on gold standard in pleural diagnosis
NCT ID NCT07726784
First seen Jul 24, 2026 · Last updated Jul 24, 2026
Summary
This pilot trial tests whether a single-use flexible bronchoscope can safely and effectively replace the semi-rigid pleuroscope for diagnosing pleural effusion—a buildup of fluid around the lungs. Hospitalized patients needing a tissue sample will be randomly assigned to one of the two devices. The study focuses on feasibility, including how often the procedure is completed successfully, and compares procedure time and safety.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- single-use flexible bronchoscope
- What this could lead to
- If the disposable flexible scope proves as safe and effective as the standard tool, it could offer a cheaper, more accessible option for diagnosing pleural effusion.
- What could go wrong
- This is a small pilot study with only 36 participants, so results may not apply broadly. The flexible scope may be harder to use or provide poorer views than the standard device.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 36 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Sep 2026
An estimate. Start dates often move.
- Expected to finish
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Jun 2028
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Age \> 18 years * Patient presents with an undifferentiated pleural effusion with or without initial diagnostic thoracocentesis, thereby necessitating definitive pleural tissue sampling. * Demonstrated presence of a visually significant pleural effusion occupying at least one-third of the affected hemithorax on standard chest radiography, or a visually confirmed loculated effusion accessible via thoracic ultrasound mapping. * The patient has demonstrated full willingness to participate and has signed the formal written informed consent form approved by the institutional review board. Exclusion Criteria: * Age \< 18 years * Patients with contraindications to perform medical thoracoscopy, e.g.: * Uncorrectable coagulopathy (e.g., platelet count \<50,000/µL, INR \>1.5 despite correction) * Severe hypoxemia not correctable with supplemental oxygen * Hemodynamic instability * Extensive pleural adhesions or obliterated pleural space on imaging * Uncontrolled cardiac arrhythmia or recent acute coronary syndrome * Severe pulmonary hypertension with high procedural risk * Inability to tolerate lateral decubitus position * Refusal to provide informed consent * Pregnancy * Previous ipsilateral pleurodesis or thoracic surgery significantly altering pleural anatomy
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Hospital Canselor Tuanku Muhriz, National University of Malaysia,
Cheras, Kuala Lumput, 56000, Malaysia
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Other studies related to the condition(s) this trial covers.
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