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Lung Diseases, InterstitialNIVATS-2NCT05722340

NIVATS Versus IGAVATS: a Pilot Trial Addressing Biopsy Quality in Undetermined Interstitial Lung Diseases

A study testing Non-intubated video-assisted thoracic surgery (NIVATS) for lung biopsy and Intubated general anaesthesia video-assisted thoracic surgery (IGAVATS) for lung biopsy in people with Lung Diseases, Interstitial, run by University Hospital, Montpellier at 1 site in France.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The main objective of this study is to compare two independent groups of patients requiring lung biopsy for undetermined interstitial lung disease (ILD) in terms of diagnostic confidence as determined by histologists. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Lung Diseases, Interstitial
What is being tested?
Non-intubated video-assisted thoracic surgery (NIVATS) for lung biopsy and Intubated general anaesthesia video-assisted thoracic surgery (IGAVATS) for lung biopsy
Type of treatment
Surgery or procedure
Could I receive a placebo?
No, everyone receives an active treatment
How many people
24 participants
Where
1 siteFrance
Study dates
24 May 2023to 29 Jun 2026
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patient with purported interstitial lung disease
  • Patient requiring a surgical lung biopsy to reinforce diagnosis according to current recommendations and validated by a multidisciplinary assessment
  • Minimum age: 18 years

Who cannot join

  • Contra-indication for surgery
  • Uncontrolled oesophageal gastric reflux despite optimal treatment
  • Thoracic deformation (For example, pectus excavatum/carinatum or major scoliosis)
  • Risk of pleural adhesion (For example, patient who has already undergone thoracic surgery)
  • History of abnormal bleeding
  • Predictable risk of difficult intubation
Show all 13Show fewer
  • Body mass index (BMI) > 30
  • Severe cardiovascular comorbidity (For example, instable ischemic cardiomyopathy)
  • Unable to comply with all trial procedures/visits (For example, language barriers, upcoming move of household to another region, unwillingness to schedule the required followup visits.)
  • Protected populations according to the French Public Health Code Articles L1121-5,6,8 (For example, pregnant, parturient or lactating women, prisoners, adults under guardianship or otherwise unable to consent.)
  • Potential interference from another study (The patient is participating in another interventional study, or has done so in the past month, or is affected by an exclusion period stipulated by a previous study.)
  • Non-beneficiary of the French single-payer national medical insurance system
  • Lack of signed informed consent

Trial locations and contacts

1 site in 1 country.

France1 site
  • Département d'Anesthésie et Réanimation Cardiothoracique - CHU Arnaud de Villeneuve

    Montpellier

Other trials in France

About this study

Official title: Video-assisted Thoracic Surgery for Lung Biopsy Using Non-intubated (NIVATS) Versus Intubated General Anaesthesia (IGAVATS): a Randomized, Controlled, Pilot Trial Addressing Biopsy Quality in Undetermined Interstitial Lung Diseases

The main objective of this study is to compare two independent groups of patients requiring lung biopsy for undetermined interstitial lung disease (ILD) in terms of diagnostic confidence as determined by histologists.

Read the detailed description

The primary objective of this study is to compare two independent groups of patients requiring lung biopsy for undetermined interstitial lung disease (ILD) in terms of diagnostic confidence as determined by histologists. The experimental arm will be operated under a neoteric non-intubated video assisted thoracic surgery (NIVATS) technique and the comparator arm under a usual intubated general anaesthesia video-assisted thoracic surgery (IGAVATS) technique.

Secondarily, the two groups will also be compared in terms of: (i) further variables associated with histology, biopsy quality and size; (ii) surgical performance, (iii) patient trajectories and lung function; (iv) quality of life, and (v) harms.

Being tested
Non-intubated video-assisted thoracic surgery (NIVATS) for lung biopsy, Intubated general anaesthesia video-assisted thoracic surgery (IGAVATS) for lung biopsy
Medical subject headings
Lung Diseases, Interstitial

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Non-intubated video-assisted thoracic surgery (NIVATS) for lung biopsyProcedure or surgery

    An epidural anaesthesia associated with mild sedation requiring no ventilation is used.

  • Intubated general anaesthesia video-assisted thoracic surgery (IGAVATS) for lung biopsyProcedure or surgery

    Uses a traditional deep anaesthesia and one-lung ventilation

Study groups in NCT05722340
Study groupRoleWhat they receive
NIVATSExperimentalLung biopsy is performed using non-intubated video-assisted thoracic surgery (NIVATS).
Receives: Procedure: Non-intubated video-assisted thoracic surgery (NIVATS) for lung biopsy
IGAVATSActive comparatorLung biopsy is performed using Intubated general anaesthesia video-assisted thoracic surgery (IGAVATS).
Receives: Procedure: Intubated general anaesthesia video-assisted thoracic surgery (IGAVATS) for lung biopsy

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. The level of diagnostic confidence based on centralized histology only

    The level of diagnostic confidence for a given diagnosis is established according to a quantitative scale ranging from '0' (absolute rule-out) to '10' (diagnostic certainty). A visual guide for scale use is provided with scores <1 corresponding to "alternate diagnosis", scores >=1 and <4 corresponding to "indeterminate", scores >=4 and <7 corresponding to "probable", and scores >=7 corresponding to "highly probable" categories.

    Measured: Day 1 to day 15

Secondary outcomes (39)
  1. The level of diagnostic confidence based on routine histology only

    The level of diagnostic confidence for a given diagnosis is established according to a quantitative scale ranging from '0' (absolute rule-out) to '10' (diagnostic certainty). A visual guide for scale use is provided with scores <1 corresponding to "alternate diagnosis", scores >=1 and <4 corresponding to "indeterminate", scores >=4 and <7 corresponding to "probable", and scores >=7 corresponding to "highly probable" categories.

    Measured: Day 1 to day 15

  2. The level of diagnostic confidence achieved at multidisciplinary assessment (MDA)-2

    The level of diagnostic confidence for a given diagnosis is established according to a quantitative scale ranging from '0' (absolute rule-out) to '10' (diagnostic certainty). A visual guide for scale use is provided with scores <1 corresponding to "alternate diagnosis", scores >=1 and <4 corresponding to "indeterminate", scores >=4 and <7 corresponding to "probable", and scores >=7 corresponding to "highly probable" categories.

    Measured: Day 7 to day 28

  3. Change in the level of diagnostic confidence for the most favoured diagnosis between multidisciplinary assessment (MDA)-1 and multidisciplinary assessment (MDA)-2

    The level of diagnostic confidence for a given diagnosis is established according to a quantitative scale ranging from '0' (absolute rule-out) to '10' (diagnostic certainty). A visual guide for scale use is provided with scores <1 corresponding to "alternate diagnosis", scores >=1 and <4 corresponding to "indeterminate", scores >=4 and <7 corresponding to "probable", and scores >=7 corresponding to "highly probable" categories.

    Measured: Day 7 to day 28

  4. Classification according to ATS/ERS at MDA-1

    Classification according to the American Thoracic Society / European Respiratory society: Alternative diagnosis / Indeterminate / Probable / Highly probable

    Measured: Day -28 to day -3

  5. Classification according to ATS/ERS at MDA-2

    Classification according to the American Thoracic Society / European Respiratory society: Alternative diagnosis / Indeterminate / Probable / Highly probable

    Measured: Day 7 to day 28

  6. Inter-histologist concordance for ATS/ERS categories

    Inter-histologist concordance for ATS/ERS categories

    Measured: Day 1 to 15

  7. Longest length (mm) of biopsy specimens

    Longest length (mm) of biopsy specimens

    Measured: Day 1 to 15

  8. Volume (cc) of biopsy specimens

    Volume (cc) of biopsy specimens

    Measured: Day 1 to 15

  9. Weight (g) of biopsy specimens

    Weight (g) of biopsy specimens

    Measured: Day 1 to 15

  10. Numerical scale for biopsy quality

    The histologist ranks biopsy quality from worst imaginable (0) to excellent (10).

    Measured: Day 1 to 15

  11. Preparation time (minutes)

    Minutes lapsed between entering the surgical ward and entering the operating room (OR)

    Measured: Day 0

  12. OR time (minutes)

    Minutes lapsed between entering and exiting the OR

    Measured: Day 0

  13. Recovery room (RR) time (minutes)

    Minutes lapsed between exiting the OR and exiting the surgical ward.

    Measured: Day 0

  14. Post-RR time (hours)

    Hours lapsed between exit from surgical ward, and discharge from hospital

    Measured: Day 1 to 15

  15. First drink time (minutes)

    Minutes lapsed between application of last bandage on surgical wounds to first drink

    Measured: Day 0

  16. Post-operative fasting time (hours)

    Hours lapsed between application of last bandage on surgical wounds to first meal

    Measured: Day 0

  17. Time with chest tube in place (hours)

    Hours lapsed between application of last bandage on surgical wounds to removal of chest tube

    Measured: Day 0

  18. Visual analogue scale score for post-operative pain

    The patient will be asked to evaluate his/her level of post-operative pain using a numeric rating scale (0-10) the morning after surgery where 0 represents no pain, and 10 represents the worse possible pain.

    Measured: Day 1, morning after surgery

  19. Patient satisfaction (satisfied vs unsatisfied)

    The patient will be asked to evaluate his/her satisfaction (satisfied vs unsatisfied)

    Measured: Hospital discharge (expected maximum of 15 days)

  20. Time to dischargeability

    Dischargeability is defined as meeting the following criteria: (i) satisfactory pain control via oral analgesia; (ii) ability to mobilize and return to usual autonomy; (iii) absence of clinical, laboratory and radiological complications; (iv) stable respiratory state compatible pre-surgical state and home discharge; (v) vital signs are normal for the patient; (vi) chest tube removal >12 hours.

    Measured: Days 1 to 15

  21. Length of initial hospitalization stay (hours)

    Length of initial hospitalization stay (hours)

    Measured: Expected maximum of 15 days

  22. Cumulative days of hospitalization

    Cumulative days of hospitalization

    Measured: 12 months

  23. Cumulative days of exacerbation

    Cumulative days of exacerbation

    Measured: 12 months

  24. Days alive, not exacerbating and not in hospital

    Days alive, not exacerbating and not in hospital

    Measured: 12 months

  25. Forced vital capacity (litres)

    Forced vital capacity (litres)

    Measured: Day -28 to Day -1

  26. Forced vital capacity (litres)

    Forced vital capacity (litres)

    Measured: 12 months

  27. Forced vital capacity (% theoretical value)

    Forced vital capacity (% theoretical value)

    Measured: Day -28 to Day -1

  28. Forced vital capacity (% theoretical value)

    Forced vital capacity (% theoretical value)

    Measured: 12 months

  29. Euroqol 5 dimensions 5 levels questionnaire: mobility dimension score

    In its original version, this self-administered questionnaire consists of two pages: the first contains the EQ-5D descriptive system and the second a visual analogue scale. The descriptive system has five dimensions (mobility, self-care, usual activities, pain/discomfort, anxiety/depression), each described by five levels of intensity ("no problems", "slight problems", "moderate problems", "severe problems" and "extreme problems or complete inability"). The respondent must indicate one intensity level for each dimension.

    Measured: Day -28 to Day -1

  30. Euroqol 5 dimensions 5 levels questionnaire: mobility dimension score

    In its original version, this self-administered questionnaire consists of two pages: the first contains the EQ-5D descriptive system and the second a visual analogue scale. The descriptive system has five dimensions (mobility, self-care, usual activities, pain/discomfort, anxiety/depression), each described by five levels of intensity ("no problems", "slight problems", "moderate problems", "severe problems" and "extreme problems or complete inability"). The respondent must indicate one intensity level for each dimension.

    Measured: 12 months

  31. Euroqol 5 dimensions 5 levels questionnaire: self-care dimension score

    In its original version, this self-administered questionnaire consists of two pages: the first contains the EQ-5D descriptive system and the second a visual analogue scale. The descriptive system has five dimensions (mobility, self-care, usual activities, pain/discomfort, anxiety/depression), each described by five levels of intensity ("no problems", "slight problems", "moderate problems", "severe problems" and "extreme problems or complete inability"). The respondent must indicate one intensity level for each dimension.

    Measured: Day -28 to Day -1

  32. Euroqol 5 dimensions 5 levels questionnaire: self-care dimension score

    In its original version, this self-administered questionnaire consists of two pages: the first contains the EQ-5D descriptive system and the second a visual analogue scale. The descriptive system has five dimensions (mobility, self-care, usual activities, pain/discomfort, anxiety/depression), each described by five levels of intensity ("no problems", "slight problems", "moderate problems", "severe problems" and "extreme problems or complete inability"). The respondent must indicate one intensity level for each dimension.

    Measured: 12 months

  33. Euroqol 5 dimensions 5 levels questionnaire: usual activities dimension score

    In its original version, this self-administered questionnaire consists of two pages: the first contains the EQ-5D descriptive system and the second a visual analogue scale. The descriptive system has five dimensions (mobility, self-care, usual activities, pain/discomfort, anxiety/depression), each described by five levels of intensity ("no problems", "slight problems", "moderate problems", "severe problems" and "extreme problems or complete inability"). The respondent must indicate one intensity level for each dimension.

    Measured: Day -28 to Day -1

  34. Euroqol 5 dimensions 5 levels questionnaire: usual activities dimension score

    In its original version, this self-administered questionnaire consists of two pages: the first contains the EQ-5D descriptive system and the second a visual analogue scale. The descriptive system has five dimensions (mobility, self-care, usual activities, pain/discomfort, anxiety/depression), each described by five levels of intensity ("no problems", "slight problems", "moderate problems", "severe problems" and "extreme problems or complete inability"). The respondent must indicate one intensity level for each dimension.

    Measured: 12 months

  35. Euroqol 5 dimensions 5 levels questionnaire: pain/discomfort dimension score

    In its original version, this self-administered questionnaire consists of two pages: the first contains the EQ-5D descriptive system and the second a visual analogue scale. The descriptive system has five dimensions (mobility, self-care, usual activities, pain/discomfort, anxiety/depression), each described by five levels of intensity ("no problems", "slight problems", "moderate problems", "severe problems" and "extreme problems or complete inability"). The respondent must indicate one intensity level for each dimension.

    Measured: Day -28 to Day -1

  36. Euroqol 5 dimensions 5 levels questionnaire: pain/discomfort dimension score

    In its original version, this self-administered questionnaire consists of two pages: the first contains the EQ-5D descriptive system and the second a visual analogue scale. The descriptive system has five dimensions (mobility, self-care, usual activities, pain/discomfort, anxiety/depression), each described by five levels of intensity ("no problems", "slight problems", "moderate problems", "severe problems" and "extreme problems or complete inability"). The respondent must indicate one intensity level for each dimension.

    Measured: 12 months

  37. Euroqol 5 dimensions 5 levels questionnaire: anxiety/depression dimension score

    In its original version, this self-administered questionnaire consists of two pages: the first contains the EQ-5D descriptive system and the second a visual analogue scale. The descriptive system has five dimensions (mobility, self-care, usual activities, pain/discomfort, anxiety/depression), each described by five levels of intensity ("no problems", "slight problems", "moderate problems", "severe problems" and "extreme problems or complete inability"). The respondent must indicate one intensity level for each dimension.

    Measured: Day -28 to Day -1

  38. Euroqol 5 dimensions 5 levels questionnaire: anxiety/depression dimension score

    In its original version, this self-administered questionnaire consists of two pages: the first contains the EQ-5D descriptive system and the second a visual analogue scale. The descriptive system has five dimensions (mobility, self-care, usual activities, pain/discomfort, anxiety/depression), each described by five levels of intensity ("no problems", "slight problems", "moderate problems", "severe problems" and "extreme problems or complete inability"). The respondent must indicate one intensity level for each dimension.

    Measured: 12 months

  39. Presence / absence of complications

    Complications will be listed and classified (Minor: (1) Any complication without need for pharmacologic treatment or other intervention; (2) Any complication that requires pharmacologic treatment or minor intervention only; Major: (3) Any complication that requires surgical, radiologic, endoscopic intervention, or multitherapy; (3a) Intervention does not require general anesthesia; (3b) Intervention requires general anesthesia; (4) Any complication requiring intensive care unit management and life support; (4a) Single organ dysfunction; (4b) Multiorgan dysfunction; (5) Any complication leading to the death of the patient.

    Measured: 12 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted10 Feb 2023
  2. Study start24 May 2023
  3. Primary completion29 Jun 2026
  4. Study completion29 Jun 2026

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Diagnosis
Allocation
Randomised
Intervention model
Parallel groups
Model description
In this prospective, parallel group, randomized (1:1), controlled, pilot trial, screening will take place during routine multidisciplinary assessment (MDA) meetings. The study is then presented to eligible patients during their next pre-surgical visits; if the patients are interested in participating, informed consent procedures are completed (again during routine visits) and the patients are randomized to two arms. In the experimental arm, patients will undergo NIVATS for lung biopsy, and in the standard arm, patients will undergo traditional IGAVATS for lung biopsy. Histology is then performed as usual, before entering a centralized pathway for a second analysis by an expert external to the study, and a second routine MDA convened (both blinded to study arms). Patients are followed-up for 12 months.
Masking
Triple blind
Who is masked
Participant, Care provider, Outcomes assessor
Enrolment
24 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05722340
Sponsor's protocol ID
RECHMPL 22_0042
Acronym
NIVATS-2
Status last verified
Jul 2026
First submitted
18 Jan 2023
Last updated
17 Jul 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: The general goal is to make the study data available to interested researchers as well as to provide proof of transparency for the study. Data will be made available to persons who address a reasonable request to the study director. Individual participant data (and an accompanying data dictionary) will be de-identified and potentially further cleaned or aggregated as the investigators deem necessary to protect participant anonymity. The study protocol, participant Information materials, worksheet and data sharing plan will also be made available to the public.

Questions about this trial

What is this clinical trial studying?

A study testing Non-intubated video-assisted thoracic surgery (NIVATS) for lung biopsy and Intubated general anaesthesia video-assisted thoracic surgery (IGAVATS) for lung biopsy in people with Lung Diseases, Interstitial, run by University Hospital, Montpellier at 1 site in France.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 13 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 17 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in France. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

The level of diagnostic confidence based on centralized histology only (time frame: Day 1 to day 15). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 17 Jul 2026.

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