NCT02517749
Completed
N/A
Randomised Controlled Trial Comparing Outpatient Management of Malignant Pleural Effusion Via an Indwelling Pleural Catheter and Talc Pleurodesis Versus Standard Inpatient Management in Improving Health Related Quality of Life
ConditionsPleural Effusion, Malignant
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Pleural Effusion, Malignant
- Sponsor
- Guy's and St Thomas' NHS Foundation Trust
- Enrollment
- 142
- Locations
- 1
- Primary Endpoint
- Global health-related quality of life
- Status
- Completed
- Last Updated
- 2 years ago
Overview
Brief Summary
This is a multicentre randomised controlled trial evaluating global health related quality of life outcomes in patients with malignant pleural effusions. Patients will be randomised to receive either chest drain and talc pleurodesis or indwelling pleural catheter and talc pleurodesis. Patients will be followed up for 3 months post intervention
Investigators
Eligibility Criteria
Inclusion Criteria
- •Diagnosis of malignant pleural effusion
- •WHO performance status 2 or less unless performance status is impaired by presence of effusion and likely to significantly improve with drainage
- •Expected survival greater than 3 months
Exclusion Criteria
- •Age less than 18 years old
- •Pregnant or lactating
- •Known allergy to Talc or Lignocaine
- •Lack of symptomatic relief from effusion drainage
- •At least twice weekly drainage cannot be undertaken
- •Lymphoma or small cell carcinoma except\*:
- •Failure of chemotherapy
- •Deemed for palliative management
- •Non malignant effusions
- •Loculated pleural effusion
Outcomes
Primary Outcomes
Global health-related quality of life
Time Frame: 30 days
Global health related quality of life as measured by EORTC QLQ-C30
Secondary Outcomes
- Global health-related quality of life(60 and 90 days)
- Complication rate(Day 7, 14, 30, 60 and 90)
- Pleurodesis failure rate(30, 60 and 90 days)
- Improvement in symptoms of pain and breathlessness(30, 60 and 90 days)
Study Sites (1)
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