Progel® Pleural Air Leak Sealant (PALS) in Video and Robotic Assisted Thoracoscopic Surgery

Not Applicable

Completed

Brief Summary: The objective of this clinical study is to evaluate the safety of the Progel® PALS, including the Progel® Extended Applicator Spray Tips, in sealing or reducing intraoperative air leaks in patients undergoing video assisted or robotic assisted thoracoscopic (VATS/Robotic) surgeries.

The data collected in this clinical study will supplement the Approved PMA P010047 Progel® PALS product.

Detailed Description: This is a prospective, open label, multi-center clinical study designed to assess the safety of the Progel® PALS product, including the Extended Applicator Spray Tip, when used in Video Assisted and Robotic Assisted Thoracoscopic Surgery. The study will treat approximately 105 evaluable subjects at up to 15 U.S. sites. All subjects will provide informed consent prior to enrollment in the study.

Patients who have met the initial screening criteria and who have a visible pleural air leak which requires treatment with a sealant, after standard closure techniques are used (standard sutures, staples or devices supplied by the hospital for thoracoscopic surgery) will be eligible for study participation. If the subject is treated, the surgeon will utilize Progel® PALS to the same sites originally treated with standard technique.

Recruitment & Eligibility

Inclusion Criteria

Subject is willing and able to provide written informed consent.
Subject is scheduled for video assisted or robotic assisted thoracoscopic surgery for lung resection (i.e. lobectomy, bilobectomy, segmentectomy, and wedge resection/lung volume reduction), decortications or biopsy within 45 days of the screening evaluation.
Subject is ≥18 years of age.
Subject has a life expectancy ≥6 months.
Following lung resection, subject has at least one or more visible intraoperative air leaks, after standard closure techniques are applied, that requires treatment with pleural sealant.
Subject is willing and able to comply with the study procedures and complete the entire study as specified in the protocol, including the follow-up visits.

Exclusion Criteria

Subject has undergone previous lung resection or previous use of a sealant for air leaks.
Subject has a serum creatinine ≥2.5 mg/dl at baseline or is currently on dialysis.
Following lung resection, subject has intraoperative air leaks that require non-standard, visceral pleural closure (e.g. leak is too small or tissue is too fragile to use sutures/staples).
Subject has any condition that, in the opinion of the Investigator, would preclude the use of the study device, or preclude the subject from completing the follow-up requirements.
Subject has known allergy to human albumin or any component in the Progel® PALS product.
Subject has an active or latent infection which is systemic or at the intended surgery site.
Subject has necrotic or friable borders of the defect that will not support secure suture fixation if use of sutures is required.
Subject is participating in another investigational drug or device trial.
Subject is pregnant or has plans to become pregnant during the study period or is currently breastfeeding.
Subject is part of the site personnel directly involved with this study.
Subject is a family member of the investigational study staff.

Arm && Interventions

Group	Intervention	Description
Progel® Pleural Air Leak Sealant	Progel® Pleural Air Leak Sealant	-

Primary Outcome Measures

Name	Time	Method
Rate of Device and/or Procedure-related Adverse Events	One (1) month follow-up	The primary outcome of the study is the rate of device- and/or procedure-related adverse events at one month after surgery in subjects using Progel® PALS in a VATS/Robotic procedure. Endpoint analysis of the rate of device- and/or procedure-related adverse events will be based on the Clinical Events Committee (CEC) adjudication of adverse events.

Secondary Outcome Measures

Name	Time	Method
Number of Subjects Who Are Free From Air Leaks Immediately Following Surgery	Day 0
Duration of Hospitalization (Length of Stay)	Days 0-20
Duration of Postoperative Air Leaks From the Time of Surgery Until the Air Leak Seals	Day 0-46
Duration of Chest Tube Drainage	Day 0-46
Percentage of Subjects Without Postoperative Air Leaks Following Lung Surgery up to One (1) Month Follow-up	One (1) month
Percentage of Air Leaks That Are Sealed or Reduced	Day 0
Patient Reported Quality of Life as Measured by the SF-36 at Change From Baseline at One(1) Month Follow up	Baseline and One (1) Month Follow-up	The scale ranges from 0 (minimum score) to 100 (maximum) score. A higher the score represents a more favorable health rating. The SF-36 was completed at baseline before surgery and one month post index procedure; the change calculation for both mental and physical components is based on the difference in scores between these two time points.

Locations (15): Greenville Hospital System
🇺🇸
Greenville, South Carolina, United States
Jupiter Medical Center, Inc.
🇺🇸
Jupiter, Florida, United States
North Shore University Health System
🇺🇸
Evanston, Illinois, United States
Washington University
🇺🇸
St. Louis, Missouri, United States
Integrated Cardiology Group, LLC
🇺🇸
Lincoln, Nebraska, United States
Hackensack University Medical Center
🇺🇸
Hackensack, New Jersey, United States
Cardiothoracic & Vascular Surgical Associates, PA
🇺🇸
Jacksonville, Florida, United States
Dean Foundation for Health, Research, and Eduation, Inc
🇺🇸
Madison, Wisconsin, United States
INOVA Health Care Services
🇺🇸
Falls Church, Virginia, United States
Baylor Research Institute
🇺🇸
Dallas, Texas, United States
Trustees of Columbia University, NY - Presbyterian Hospital
🇺🇸
New York City, New York, United States
University of Texas Southwestern Medical Center
🇺🇸
Dallas, Texas, United States
Baptist Hospital of Miami
🇺🇸
Miami, Florida, United States
H. Lee Moffitt Cancer Center and Research Institute Hospital, Inc.
🇺🇸
Tampa, Florida, United States
Mayo Clinic
🇺🇸
Rochester, Minnesota, United States