NCT03518788

Brief Summary

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.

Trial Health

43
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
234

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Jan 2018

Typical duration for not_applicable

Geographic Reach
1 country

1 active site

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

January 25, 2018

Completed
2 months until next milestone

First Submitted

Initial submission to the registry

April 6, 2018

Completed
1 month until next milestone

First Posted

Study publicly available on registry

May 8, 2018

Completed
1.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 31, 2020

Completed
9 months until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2020

Completed
Last Updated

May 8, 2018

Status Verified

April 1, 2018

Enrollment Period

2.2 years

First QC Date

April 6, 2018

Last Update Submit

April 25, 2018

Conditions

Outcome Measures

Primary Outcomes (1)

  • Success rate of the treatment with VPM

    Evaluate the success rate of the treatment with VPM with radiological examination

    4 weeks

Secondary Outcomes (3)

  • Adverse Event

    3 months

  • Quality of live

    3 months

  • Pain scale

    3 months

Study Arms (2)

Pleur-X

EXPERIMENTAL

Placement of a permanent drainage under local anesthesia

Procedure: Pleur-X

pleurodesis

EXPERIMENTAL

Pleurodesis with talc in VATS

Procedure: Pleurodesis

Interventions

Pleur-XPROCEDURE

Permanent drainage

Pleur-X
PleurodesisPROCEDURE

Pleurodesis with talc in permanent VATS

pleurodesis

Eligibility Criteria

Age18 Years - 80 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

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

You may not qualify if:

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

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Ospedale San Giovanni

Bellinzona, 6500, Switzerland

RECRUITING

MeSH Terms

Conditions

Pleural Effusion, Malignant

Interventions

Pleurodesis

Condition Hierarchy (Ancestors)

Pleural NeoplasmsRespiratory Tract NeoplasmsThoracic NeoplasmsNeoplasms by SiteNeoplasmsPleural EffusionPleural DiseasesRespiratory Tract Diseases

Intervention Hierarchy (Ancestors)

Drug TherapyTherapeutics

Study Officials

  • Rolf Inderbitzi, MD

    Ente Ospedaliero Cantonale, Bellinzona

    STUDY DIRECTOR

Central Study Contacts

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR INVESTIGATOR
PI Title
Head of thoracic surgery department

Study Record Dates

First Submitted

April 6, 2018

First Posted

May 8, 2018

Study Start

January 25, 2018

Primary Completion

March 31, 2020

Study Completion

December 31, 2020

Last Updated

May 8, 2018

Record last verified: 2018-04

Locations