- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03973957
Talc Outpatient Pleurodesis With Indwelling Catheter (TOPIC)
Talc Outpatient Pleurodesis With Indwelling Catheter: A Randomized Controlled Trial
Study Overview
Status
Detailed Description
Study Type
Enrollment (Anticipated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Wissam Abouzgheib, MD
- Phone Number: 856-342-2406
- Email: abouzgheib-wissam@cooperhealth.edu
Study Locations
-
-
New Jersey
-
Camden, New Jersey, United States, 08103
- Recruiting
- Cooper University Hospital
-
Contact:
- Wissam Abouzgheib
- Phone Number: 856-342-2406
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Age greater than or equal to 18 years old
- Diagnosis of a paramalignant pleural effusion (defined as a recurrent pleural effusion directly caused by malignancy with known thoracic involvement)
- Estimated life expectancy greater than 3 months
- Full lung re-expansion on chest x-ray after thoracentesis
Exclusion Criteria:
- Age less than 18 years old
- Pregnant or lactating subject
- Any history of prior pleural talc administration
- History of an indwelling pleural catheter placed on the side of the active paramalignant pleural effusion
- Estimated life expectancy less than 3 months
- Active clinical heart failure
- Inability to return for frequent follow up appointments
- Current incarceration
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: Control Arm
If undergoing talc slurry in the control arm, the patient will undergo IPC placement in the pulmonary procedure unit on day one of admission.
The IPC will then be connected to a pleur-evac as standard of care protocol for chest tube drainage.
At 1-2 hours post-IPC placement a chest x-ray will be obtained to assess for full lung re-expansion.
If the lung does not fully expand the patient will be excluded from the study.
Once full lung re-expansion has occurred, talc slurry will be ordered and the patient will be given 25 mcg of IV fentanyl.
Talc slurry (5 g sterile talc, brand name Steritalc, mixed with 50 cc or sterile normal saline in a syringe, per Cooper University Pharmacy protocol) will be administered via the IPC.
The patient will remain in the hospital, with continuous drainage measured daily for 2-5 days, depending on drainage of the effusion.
|
Indwelling pleural catheter placement by interventional pulmonologist
Other Names:
Administration of intravenous fentanyl prior to talc slurry instillation in order to avoid pain associated with talc slurry application
Other Names:
Administration of 5 grams of medical grade sterile talc mixed in 50 milliliters of normal saline solution via indwelling pleural catheter for purposes of talc slurry pleurodesis
|
Active Comparator: Intervention Arm
An indwelling pleural catheter (IPC) will be placed during this visit. After complete drainage of the effusion, a chest x-ray will be done to determine if full lung reexpansion occurs. If there is lack of full lung re-expansion the patient will be excluded from the study at this time. If full lung re-expansion is present, the patient will receive an intravenous line (IV) by our nursing staff for analgesia prior to talc administration and will be pre-treated with 25 mcg of IV fentanyl. Talc slurry (5 g sterile talc, brand name Steritalc, mixed with 50 cc or sterile normal saline in a syringe, per Cooper University Pharmacy protocol) will then be administered through the IPC. The IPC will then be connected to a circuit that will consist of the IPC connected to a 4-liter fluid drainage collection bag via a one-way Heimlich valve (picture of set up included in additional documents). |
Indwelling pleural catheter placement by interventional pulmonologist
Other Names:
Administration of intravenous fentanyl prior to talc slurry instillation in order to avoid pain associated with talc slurry application
Other Names:
Administration of 5 grams of medical grade sterile talc mixed in 50 milliliters of normal saline solution via indwelling pleural catheter for purposes of talc slurry pleurodesis
Attachment of one-way Heimlich valve with drainage collection bag circuit to indwelling pleural catheter after talc slurry application for purposes of drainage and pleurodesis in the outpatient setting rather than the inpatient setting.
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Time to pleurodesis
Time Frame: Up to one month from placement of indwelling pleural catheter
|
Will measure the time to pleurodesis in the individual arms
|
Up to one month from placement of indwelling pleural catheter
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Wissam Abouzgheib, Cooper Health System
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Respiratory Tract Diseases
- Neoplasms
- Neoplasms by Site
- Respiratory Tract Neoplasms
- Thoracic Neoplasms
- Pleural Neoplasms
- Pleural Effusion, Malignant
- Pleural Effusion
- Pleural Diseases
- Physiological Effects of Drugs
- Central Nervous System Depressants
- Peripheral Nervous System Agents
- Analgesics
- Sensory System Agents
- Anesthetics, Intravenous
- Anesthetics, General
- Anesthetics
- Analgesics, Opioid
- Narcotics
- Adjuvants, Anesthesia
- Fentanyl
Other Study ID Numbers
- 19-020
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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