Management of the Lack of Blood Return on a Central Venous Catheter (CVC) Before Chemotherapy

NCT ID: NCT05100355

Last Updated: 2025-12-02

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

92 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-03-09

Study Completion Date

2025-06-26

Brief Summary

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Compare two methods of managing the lack of CVC blood return : opacification using contrast media injection or radio-clinical method with a simple chest X-ray followed by a rapid infusion of physiological serum

Detailed Description

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The use of CVC is part of daily life in onco-hematology, particularly for chemotherapy treatments in the Day Unit (DU). Among the possible complications and dysfunctions, the most frequent is the lack of CVC blood return, which can be responsible for a disorganization of the patient's management in the Day Unit (delay in patient management).

In this study, the 2 most commonly used schemes are compared in a randomised multicentre study.

The first scheme is a radiological circuit with opacification using contrast media injection.

The second scheme is radio-clinical with a chest X-ray to check the correct functioning of the CVC followed by a rapid infusion of physiological serum.

The patient management is compared for the two schemes in term of delay (delay from start to end time of patient management). The safety and the cost of both schemes is compared.

Conditions

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Catheter Dysfunction

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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Opacification

Contrast agent injection

Group Type ACTIVE_COMPARATOR

Contrast agent injection

Intervention Type PROCEDURE

In case of lack of CVC blood return, Contrast agent is injected in the CVC after Chest X-Ray

Physiological serum injection

Physiological serum injection

Group Type EXPERIMENTAL

Physiological serum injection

Intervention Type PROCEDURE

In case of lack of CVC blood return, Physiological serum is injected in the CVC after Chest X-Ray

Interventions

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Physiological serum injection

In case of lack of CVC blood return, Physiological serum is injected in the CVC after Chest X-Ray

Intervention Type PROCEDURE

Contrast agent injection

In case of lack of CVC blood return, Contrast agent is injected in the CVC after Chest X-Ray

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Female or male, Age ≥ 18 years at time of study entry.
* Undergoing systemic chemotherapy on a CVC. Immunotherapy and targeted therapies are among the systemic therapies that are authorised
* Having already received at least one administration of treatment without difficulty.
* Coming for a new administration of treatment authorised by the usual biological assessment.
* First episode of lack of CVC blood return despite the usual positioning and injection- aspiration manoeuvres
* No abnormality on inspection or palpation (turning) of the CVC.
* Patient has valid health insurance.
* Patient information and signature of informed consent.

Exclusion Criteria

* Previous episode of lack of CVC blood return whether explored or not.
* Patient currently treated in an interventional therapeutic trial.
* Patient with a Picc-line implantable device.
* Suspected CVC infection or thrombosis.
* Planned chemotherapy with vesicant agent (anthracyclines).
* Possible CVC disjunction.
* Allergy to X-ray contrast agent or creatinine clearance below 30ml/min prohibiting an iodine injection.
* Pregnant, likely to be pregnant or breastfeeding woman.
* Persons deprived of their liberty, under a measure of safeguard of justice, under guardianship or placed under the authority of a guardian.
* Impossibility of undergoing medical monitoring of the trial for geographical, social or psychological reasons, social or psychological reasons.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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PHRC-I

UNKNOWN

Sponsor Role collaborator

Institut Cancerologie de l'Ouest

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Institut de Cancérologie de l'Ouest

Angers, , France

Site Status

Institut du Cancer Sainte Catherine Avignon Provence

Avignon, , France

Site Status

Ch Cholet

Cholet, , France

Site Status

CHD La Roche Sur yon

La Roche-sur-Yon, , France

Site Status

Centre Eugène Marquis

Rennes, , France

Site Status

CH Yves Le Foll

Saint-Brieuc, , France

Site Status

Audrey ROLLOT

Saint-Herblain, , France

Site Status

Centre Hospitalier de St Malo

St-Malo, , France

Site Status

CHBA Vannes

Vannes, , France

Site Status

Countries

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France

Other Identifiers

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ICO-2021-07

Identifier Type: -

Identifier Source: org_study_id

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