Trial Outcomes & Findings for An Early Safety and Efficacy Study of Ascites Management: Standard Paracentesis or Early Intervention With Pleurx Catheters in Patients With Malignant Ascites (NCT NCT01077063)

NCT ID: NCT01077063

Last Updated: 2015-10-29

Results Overview

Primary Outcome: Safety of the Pleurx catheter procedure or paracentesis Safety of the pleurx catheter procedure or paracentesis. Safety will be assessed by the degree of unacceptable toxicities, defined as life threatening complications related to the procedure. These include peritonitis, perforation, or death related to the procedure.

Recruitment status

TERMINATED

Study phase

NA

Target enrollment

7 participants

Primary outcome timeframe

3 years

Results posted on

2015-10-29

Participant Flow

Participant milestones

Participant milestones
Measure
Pleurx Catheter
a catheter drainage system the subject uses himself/herself. Pleurx catheter: take home catheter drainage system that the subject uses himself/herself as needed.
Paracentesis
cutting and draining procedure for malignant ascites paracentesis: surgical drainage of malignant ascites
Overall Study
STARTED
4
3
Overall Study
COMPLETED
0
0
Overall Study
NOT COMPLETED
4
3

Reasons for withdrawal

Reasons for withdrawal
Measure
Pleurx Catheter
a catheter drainage system the subject uses himself/herself. Pleurx catheter: take home catheter drainage system that the subject uses himself/herself as needed.
Paracentesis
cutting and draining procedure for malignant ascites paracentesis: surgical drainage of malignant ascites
Overall Study
Adverse Event
3
0
Overall Study
Death
1
1
Overall Study
Withdrawal by Subject
0
2

Baseline Characteristics

An Early Safety and Efficacy Study of Ascites Management: Standard Paracentesis or Early Intervention With Pleurx Catheters in Patients With Malignant Ascites

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Paracentesis
n=3 Participants
cutting and draining procedure for malignant ascites paracentesis: surgical drainage of malignant ascites
Pleurx Catheter
n=4 Participants
a catheter drainage system the subject uses himself/herself. Pleurx catheter: take home catheter drainage system that the subject uses himself/herself as needed.
Total
n=7 Participants
Total of all reporting groups
Age, Continuous
53.67 years
n=5 Participants
55 years
n=7 Participants
54.42 years
n=5 Participants
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
3 Participants
n=5 Participants
3 Participants
n=7 Participants
6 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Sex: Female, Male
Female
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Sex: Female, Male
Male
2 Participants
n=5 Participants
3 Participants
n=7 Participants
5 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
White
2 Participants
n=5 Participants
4 Participants
n=7 Participants
6 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
3 Participants
n=5 Participants
4 Participants
n=7 Participants
7 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
United States
3 participants
n=5 Participants
4 participants
n=7 Participants
7 participants
n=5 Participants

PRIMARY outcome

Timeframe: 3 years

Primary Outcome: Safety of the Pleurx catheter procedure or paracentesis Safety of the pleurx catheter procedure or paracentesis. Safety will be assessed by the degree of unacceptable toxicities, defined as life threatening complications related to the procedure. These include peritonitis, perforation, or death related to the procedure.

Outcome measures

Outcome measures
Measure
Paracentesis
n=3 Participants
cutting and draining procedure for malignant ascites paracentesis: surgical drainage of malignant ascites
Pleurx Catheter
n=4 Participants
a catheter drainage system the subject uses himself/herself. Pleurx catheter: take home catheter drainage system that the subject uses himself/herself as needed.
Safety of Pleurx Catheter or Paracentesis
Related peritonitis
0 events
0 events
Safety of Pleurx Catheter or Paracentesis
Related death
0 events
0 events
Safety of Pleurx Catheter or Paracentesis
Related perforation
0 events
0 events
Safety of Pleurx Catheter or Paracentesis
Unnacceptable other (related)
0 events
1 events

Adverse Events

Paracentesis

Serious events: 1 serious events
Other events: 3 other events
Deaths: 0 deaths

Pleurx Catheter

Serious events: 3 serious events
Other events: 4 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Paracentesis
n=3 participants at risk
cutting and draining procedure for malignant ascites paracentesis: surgical drainage of malignant ascites
Pleurx Catheter
n=4 participants at risk
a catheter drainage system the subject uses himself/herself. Pleurx catheter: take home catheter drainage system that the subject uses himself/herself as needed.
Gastrointestinal disorders
nausea
0.00%
0/3
25.0%
1/4 • Number of events 1
Gastrointestinal disorders
vomiting
0.00%
0/3
25.0%
1/4 • Number of events 1
Gastrointestinal disorders
abdominal cramps
0.00%
0/3
25.0%
1/4 • Number of events 1
Infections and infestations
infection (non septic)
0.00%
0/3
25.0%
1/4 • Number of events 1
Gastrointestinal disorders
bowel obstruction
0.00%
0/3
25.0%
1/4 • Number of events 1
General disorders
fatigue
0.00%
0/3
25.0%
1/4 • Number of events 1
Infections and infestations
sepsis
33.3%
1/3 • Number of events 1
0.00%
0/4
Renal and urinary disorders
renal failure
33.3%
1/3 • Number of events 1
0.00%
0/4
Cardiac disorders
hypotension
33.3%
1/3 • Number of events 1
0.00%
0/4
Infections and infestations
peritonitis
33.3%
1/3 • Number of events 1
0.00%
0/4
Gastrointestinal disorders
abdominal pain
33.3%
1/3 • Number of events 1
0.00%
0/4

Other adverse events

Other adverse events
Measure
Paracentesis
n=3 participants at risk
cutting and draining procedure for malignant ascites paracentesis: surgical drainage of malignant ascites
Pleurx Catheter
n=4 participants at risk
a catheter drainage system the subject uses himself/herself. Pleurx catheter: take home catheter drainage system that the subject uses himself/herself as needed.
Investigations
↑ alkaline phosphatase
33.3%
1/3 • Number of events 2
75.0%
3/4 • Number of events 4
Investigations
↑ ALT
66.7%
2/3 • Number of events 3
50.0%
2/4 • Number of events 4
Investigations
↑ AST
33.3%
1/3 • Number of events 2
50.0%
2/4 • Number of events 3
Investigations
↑ CK serum
33.3%
1/3 • Number of events 1
0.00%
0/4
Investigations
↑ creatinine
33.3%
1/3 • Number of events 1
25.0%
1/4 • Number of events 1
Metabolism and nutrition disorders
↑ glucose
33.3%
1/3 • Number of events 1
25.0%
1/4 • Number of events 1
Metabolism and nutrition disorders
↑ potassium
33.3%
1/3 • Number of events 4
25.0%
1/4 • Number of events 1
Metabolism and nutrition disorders
↑ magnesium
0.00%
0/3
25.0%
1/4 • Number of events 1
Investigations
↑ total bilirubin
33.3%
1/3 • Number of events 2
50.0%
2/4 • Number of events 2
Investigations
↑ PT
0.00%
0/3
25.0%
1/4 • Number of events 1
Investigations
↑ PTT
0.00%
0/3
50.0%
2/4 • Number of events 2
Metabolism and nutrition disorders
↑ uric acid
33.3%
1/3 • Number of events 1
0.00%
0/4
Metabolism and nutrition disorders
↓ albumin
33.3%
1/3 • Number of events 3
50.0%
2/4 • Number of events 4
Metabolism and nutrition disorders
↓ calcium
66.7%
2/3 • Number of events 3
25.0%
1/4 • Number of events 2
Metabolism and nutrition disorders
↓ glucose
33.3%
1/3 • Number of events 1
0.00%
0/4
Blood and lymphatic system disorders
↓ hemoglobin
33.3%
1/3 • Number of events 1
50.0%
2/4 • Number of events 5
Blood and lymphatic system disorders
↓ lymphocytes
66.7%
2/3 • Number of events 6
50.0%
2/4 • Number of events 3
Metabolism and nutrition disorders
↓ magnesium
66.7%
2/3 • Number of events 2
0.00%
0/4
Metabolism and nutrition disorders
↓ sodium
66.7%
2/3 • Number of events 3
50.0%
2/4 • Number of events 5
Blood and lymphatic system disorders
↓ platelets
33.3%
1/3 • Number of events 1
0.00%
0/4
Metabolism and nutrition disorders
↓ potassium
33.3%
1/3 • Number of events 1
0.00%
0/4
Metabolism and nutrition disorders
↓ total protein
33.3%
1/3 • Number of events 1
25.0%
1/4 • Number of events 1
Blood and lymphatic system disorders
↓ white blood cells
33.3%
1/3 • Number of events 1
0.00%
0/4
Gastrointestinal disorders
abdominal pain
33.3%
1/3 • Number of events 1
25.0%
1/4 • Number of events 5
Gastrointestinal disorders
anorexia
0.00%
0/3
25.0%
1/4 • Number of events 1
Blood and lymphatic system disorders
bilateral lower extremity pitting edema
66.7%
2/3 • Number of events 3
0.00%
0/4
Gastrointestinal disorders
bloating
33.3%
1/3 • Number of events 1
0.00%
0/4
Renal and urinary disorders
dark urine
0.00%
0/3
25.0%
1/4 • Number of events 1
Nervous system disorders
daytime somnolence
0.00%
0/3
25.0%
1/4 • Number of events 1
Gastrointestinal disorders
decreased appetite
66.7%
2/3 • Number of events 2
0.00%
0/4
Metabolism and nutrition disorders
dehydration
33.3%
1/3 • Number of events 1
25.0%
1/4 • Number of events 1
Gastrointestinal disorders
early satiety
33.3%
1/3 • Number of events 1
0.00%
0/4
General disorders
fatigue
66.7%
2/3 • Number of events 4
25.0%
1/4 • Number of events 2
General disorders
icterus
0.00%
0/3
25.0%
1/4 • Number of events 1
Musculoskeletal and connective tissue disorders
loss of muscle mass
0.00%
0/3
25.0%
1/4 • Number of events 1
Gastrointestinal disorders
mucositis
33.3%
1/3 • Number of events 1
25.0%
1/4 • Number of events 2
Gastrointestinal disorders
nausea
33.3%
1/3 • Number of events 1
0.00%
0/4
Nervous system disorders
numbness right foot
33.3%
1/3 • Number of events 1
0.00%
0/4
Gastrointestinal disorders
rectal bleeding
0.00%
0/3
25.0%
1/4 • Number of events 1
Skin and subcutaneous tissue disorders
reddened rash on abdomen
0.00%
0/3
25.0%
1/4 • Number of events 1
Renal and urinary disorders
urinary retention
0.00%
0/3
25.0%
1/4 • Number of events 1

Additional Information

Daniel Laheru, MD

Sidney Kimmel Comprehensive Cancer Center at JHMI

Phone: 410-955-8974

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place