Pneumostasis With Use of Bio-absorbable Mesh and Fibrin Sealant in Lung Resection

NCT ID: NCT04317924

Last Updated: 2020-08-26

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

WITHDRAWN

Clinical Phase

NA

Study Classification

INTERVENTIONAL

Study Start Date

2020-10-31

Study Completion Date

2022-06-30

Brief Summary

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Prolonged air leak, defined as air leak present 5 days after lung resection, is one of the most common complications after lung resection. This leads to patient discomfort (as the chest tube has to stay in place while air leak is present), prolonged stay, and increased cost.

NeoVeil is a bioabsorbable glycolic acid which has been used in Japan and other Asian countries for air leak prevention after lung resections. NeoVeil is impregnated with fibrin sealant materials and is placed on the lung surface at the time of operation. It then acts as a scaffold on resected area which is prone to air leak.

This randomized clinical trial will be the first in the United States to test its efficacy for air leak prevention.

Detailed Description

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Conditions

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Air Leak From Lung

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Stratified block randomization will be done using known predictors of prolonged air leak: 1) surgical procedure (wedge vs lobectomy) and 2) presence of pulmonary comorbidities (chronic obstructive pulmonary disease and emphysema).
Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Reinforcement of air leak

Participants in this arm will receive reinforcement with the NEOVEIL (polyglycolic acid felt) which will be impregnated with human fibrinogen and thrombin.

Group Type EXPERIMENTAL

Polyglycolic acid felt

Intervention Type DEVICE

Neoveil is a polyglycolic acid felt that has been shown to decrease the incidence of prolonged air leak after lung resection in Japan.

No reinforcement of air leak

Participants in this arm will receive standard of care for air leak post lung resection.

Group Type ACTIVE_COMPARATOR

Standard of care

Intervention Type OTHER

Standard of care after air leak post lung resection

Interventions

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Polyglycolic acid felt

Neoveil is a polyglycolic acid felt that has been shown to decrease the incidence of prolonged air leak after lung resection in Japan.

Intervention Type DEVICE

Standard of care

Standard of care after air leak post lung resection

Intervention Type OTHER

Other Intervention Names

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Neoveil

Eligibility Criteria

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Inclusion Criteria

* Patients undergoing elective lung resection at BMC
* Intra-operative diagnosis of air leak

Exclusion Criteria

* Patients undergoing emergency lung resection
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Gunze Limited

OTHER

Sponsor Role collaborator

Boston Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Kei Suzuki, MD

Role: PRINCIPAL_INVESTIGATOR

Boston Medical Center

Locations

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Boston Medical Center

Boston, Massachusetts, United States

Site Status

Countries

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United States

Other Identifiers

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H-37652

Identifier Type: -

Identifier Source: org_study_id

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