Malignant Pleural Effusion: Pleur-X vs. Chemical Pleurodesis in VATS

NCT ID: NCT03518788

Last Updated: 2018-05-08

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

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

234 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-01-25

Study Completion Date

2020-12-31

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

This is a prospective randomized study whose aim is to compare the efficacy of the permanent thoracic catheter (Pleur-X) versus chemical pleurodesis in videothoracoscopy (VATS) in the treatment of malignant pleural effusion at the first diagnosis.Patients with malignant pleural effusion for whom there is indication of surgery and who agree to participate in the study will be randomized 1: 1 in the Pleur-X arm (arm 1) or in the chemical pleurodesis arm (arm 2).

The arm 1 provides for the installation of a permanent drainage under local anesthesia while the arm 2 provides a pleurodesis with talc in VATS under general anesthesia.

Both procedures are standard of care.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

Before the study procedure the patients will be requested to perform some examination as physical and radiological examination. Patients will also complete questionnaires for quality of life assessment (EORTC QLQ 30) and symptoms (VAS for pain). Patients will then be randomized into one of the two arms.

For patients included in arm 1, a permanent drainage (Pleur-X) is provided under local anesthesia performed on an outpatient basis while for patients included in arm 2 a pleurodesis with talc in VATS is planned under general anesthesia. Arm 2 patients will be hospitalized for 5 days.

Patients will then be followed up to 3 months after surgery. During this period a medical examination will be required at 1 week, 4 weeks and 3 months after the intervention during which the patient will be asked to complete questionnaires for the evaluation of quality of life (EORTC QLQ 30) and symptoms (VAS for pain ). A chest radiograph will be performed after four weeks to evaluate the primary parameter. Adverse events will be collected throughout the study period.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Malignant Pleural Effusion

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

Pleur-X

Placement of a permanent drainage under local anesthesia

Group Type EXPERIMENTAL

Pleur-X

Intervention Type PROCEDURE

Permanent drainage

pleurodesis

Pleurodesis with talc in VATS

Group Type EXPERIMENTAL

Pleurodesis

Intervention Type PROCEDURE

Pleurodesis with talc in permanent VATS

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

Pleur-X

Permanent drainage

Intervention Type PROCEDURE

Pleurodesis

Pleurodesis with talc in permanent VATS

Intervention Type PROCEDURE

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* Age ≥ 18 years, \<80 years
* First diagnosis of malignant pleural effusion
* Indication to treat the malignant pleural effusion with surgery
* Informed informed consent

Exclusion Criteria

* Previous surgeries on the same hemitorace
* Pregnant women
* Trapped lung syndrome
* Patients with estimated life expectancy \< 4-8 weeks
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Clinical Trial Unit Ente Ospedaliero Cantonale

OTHER

Sponsor Role collaborator

Rolf Inderbitzi

OTHER

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Rolf Inderbitzi

Head of thoracic surgery department

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

Rolf Inderbitzi, MD

Role: STUDY_DIRECTOR

Ente Ospedaliero Cantonale, Bellinzona

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

Ospedale San Giovanni

Bellinzona, , Switzerland

Site Status RECRUITING

Countries

Review the countries where the study has at least one active or historical site.

Switzerland

Central Contacts

Reach out to these primary contacts for questions about participation or study logistics.

Rolf Inderbitzi, MD

Role: CONTACT

+41 (0)91 811 91 76

Stefano Cafarotti, MD

Role: CONTACT

+41 (0)91 811 93 40

Facility Contacts

Find local site contact details for specific facilities participating in the trial.

Rolf Inderbitzi, MD

Role: primary

+41 (0)91 811 91 76

Stefano Cafarotti, MD

Role: backup

+41 (0)91 811 93 40

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

ORBV-CHIR-001

Identifier Type: -

Identifier Source: org_study_id

More Related Trials

Additional clinical trials that may be relevant based on similarity analysis.

Collection of Pleural Effusion Fluid
NCT05539183 NOT_YET_RECRUITING NA