BioGlue or Vivostat in the Control of Air Leak in Thoracic Surgery

NCT ID: NCT00927342

Last Updated: 2009-06-24

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

103 participants

Study Classification

INTERVENTIONAL

Study Start Date

2005-12-31

Study Completion Date

2007-12-31

Brief Summary

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Following lung surgery air may continue to leak from the surface of the lung. Chest drains are placed to allow this air to be removed safely and prevent the lung from collapsing. Drains need to remain until the air leak from the lung has ceased.

Air which continues to leak results in longer chest drainage times which cause increased discomfort and immobility for patients. These patients are at risk of secondary complications such as infection. Longer hospital stays and increased costs ensue. A randomised controlled trial (RCT) conducted at The Royal Brompton Hospital has shown clear benefits in the management of difficult air leak with the use of BioGlue. BioGlue is a surgical sealant applied to the surface of the lung at the time of surgery.

BioGlue is of bovine origin. Concerns exist regarding the potential risk of transmission of blood borne diseases with bovine derived medical products. Should a surgical adhesive without these potential risks prove as effective as BioGlue then its use could be commended.

The Vivostat System is a medical system that derives a sealant from the patient's own blood. A small study has shown that it may also be of benefit in the management of difficult air leaks. The principal aim of our RCT is to compare the duration of air leak, length of chest drainage and hospital stay associated with BioGlue to that of Vivostat.

Detailed Description

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Conditions

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Thoracic Surgery Air Leak

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

SINGLE

Participants

Study Groups

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Vivostat

Group Type ACTIVE_COMPARATOR

Vivostat

Intervention Type OTHER

Patients with an air leak at the end of thoracic surgery despite conventional measures(diathermy, suturing and/or stapling) will receive Vivostat sealant applied to the surface of the lung in an attempt to eliminate air leak

BioGlue

Group Type ACTIVE_COMPARATOR

BioGlue

Intervention Type OTHER

Patients with an air leak at the end of thoracic surgery despite conventional measures(diathermy, suturing and/or stapling) will receive Bioglue sealant applied to the surface of the lung in an attempt to eliminate air leak

Interventions

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Vivostat

Patients with an air leak at the end of thoracic surgery despite conventional measures(diathermy, suturing and/or stapling) will receive Vivostat sealant applied to the surface of the lung in an attempt to eliminate air leak

Intervention Type OTHER

BioGlue

Patients with an air leak at the end of thoracic surgery despite conventional measures(diathermy, suturing and/or stapling) will receive Bioglue sealant applied to the surface of the lung in an attempt to eliminate air leak

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Adults (18 years and over)
* Males and females
* Patients undergoing any thoracic surgical procedure likely to result in alveolar air leak.
* Written informed consent

Exclusion Criteria

* Age less than 18 years
* Pregnancy
* Breast feeding
* Previous treatment with BioGlue or Vivostat
* Inability to give informed consent
* Pneumonectomy
* Empyema
* Grade 0 air leak
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Royal Brompton & Harefield NHS Foundation Trust

OTHER

Sponsor Role lead

Responsible Party

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Department of Thoracic Surgery, Royal Brompton Hospital, London UK

Locations

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Department of Thoracic Surgery, The Royal Brompton Hospital

London, , United Kingdom

Site Status

Countries

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United Kingdom

Other Identifiers

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2005LS001B

Identifier Type: -

Identifier Source: org_study_id

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