Video-assisted Hyperthermic Pleural Chemoperfusion vs Talc Pleurodesis for Refractory Malignant Pleural Effusions.

NCT ID: NCT01409551

Last Updated: 2014-11-17

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

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-08-31

Study Completion Date

2014-11-30

Brief Summary

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Aim of this study is to compare two methods of pleurodesis for refractory malignant pleural effusions, in terms of safety and efficacy.

Detailed Description

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The study compares prospectively two groups of patients with refractory maignant pleural effusion. Group A consists of patients undergoing video-assisted hyperthermic pleural chemoperfusion (with a pump machine) and group B includes patients undergoing bed-side tube thoracostomy and talc slurry pleurodesis.

Conditions

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Safety of Intervention Efficacy of Intervention Cost Effectiveness

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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VATS hyperthermic pleural chemoperfusion

The patients undergo a VATS drainage of pleural effusion with adhesiolysis and complete mobilization of the lung, following by a 1 hour hyperthermic (40oC)chemoperfusion by means of a pump machine.

Group Type ACTIVE_COMPARATOR

VATS hyperthermic chemoperfusion

Intervention Type PROCEDURE

VATS, adhesiolysis, hyperthermic chemoperfusion (with a pump machine)

Bedside talc slurry pleurodesis

The patients undergo tube thoracostomy under local anesthesia. When the lung is fully expanded, talc slurry bed-side pleurodesis is performed.

Group Type ACTIVE_COMPARATOR

Bedside talc slurry pleurodesis

Intervention Type PROCEDURE

Bedside tube thoracostomy under local anesthesia. Bedside talc slurry pleurodesis.

Interventions

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VATS hyperthermic chemoperfusion

VATS, adhesiolysis, hyperthermic chemoperfusion (with a pump machine)

Intervention Type PROCEDURE

Bedside talc slurry pleurodesis

Bedside tube thoracostomy under local anesthesia. Bedside talc slurry pleurodesis.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Recurrent symptomatic malignant pleural effusion
* No prior intrapleural therapy
* Abscence of bronchial obstruction or fibrosis preventing lung reexpansion
* No systemic chemotherapy immediately prior to or during the first 30-day interval following pleurodesis

Exclusion Criteria

* Poor Karnofsky Performance Status
Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Theagenio Cancer Hospital

OTHER_GOV

Sponsor Role lead

Responsible Party

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Nikolaos Barbetakis

Head of Thoracic Surgery Department

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Nikolaos Barbetakis, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Theagenio Cancer Hospital

Locations

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Thoracic Surgery Department, Theagenio Cancer Hospital

Thessaloniki, , Greece

Site Status

Countries

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Greece

Other Identifiers

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Theagenio Thoracic Surgery 2

Identifier Type: -

Identifier Source: org_study_id