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Octreotide Improves Human Lymphatic Fluid Transport a Translational Trial

Early Phase 1
Completed
Conditions
Lymphatic Diseases
Chylothorax
Interventions
Drug: Saline infusion
Registration Number
NCT05683444
Lead Sponsor
Rigshospitalet, Denmark
Brief Summary

This study aims to investigate whether octreotide, a medication used off-label to treat chylothorax, has a direct effect on human lymphatic drainage. To study the effects of octreotide, the researchers conducted a pre-clinical experiment using human lymphatic vessels mounted in a myograph chamber and a clinical experiment in which a double-blinded, randomized, cross-over trial was conducted in 16 healthy adults. The results of the study will be used to determine the role of octreotide in the treatment of chylothorax and other lymphatic disorders.

Detailed Description

This study aimed to investigate whether octreotide, a medication used off-label to treat chylothorax, has a direct effect on human lymphatic drainage. Chylothorax is a condition in which there is an accumulation of lymphatic fluid in the chest cavity, and the mechanism through which octreotide helps to resolve this condition is not well understood. It has been speculated that the drug may reduce lymph production, but this has not been directly demonstrated. To study the effects of octreotide on human lymphatic vessels, the investigators conducted two experiments: a pre-clinical experiment using human lymphatic vessels mounted in a myograph chamber, and a clinical experiment in which a double-blinded, randomized, cross-over trial was conducted in 16 healthy adults, assessed by using plethysmography and near-infrared fluorescence imaging. The results of the study will be used to determine the role of octreotide in the treatment of chylothorax and to clarify the mechanism through which it acts. It is important to continue researching and developing effective treatments for chylothorax, as it can be a difficult condition to manage and may cause serious complications if left untreated.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
16
Inclusion Criteria

* Healthy

Exclusion Criteria
  • No daily medication (except birth control), or allergies towards contrast agents.

Study & Design

Study Type
INTERVENTIONAL
Study Design
CROSSOVER
Arm && Interventions
GroupInterventionDescription
Healthy participant 1Saline infusion-
Healthy participant 1Octreotide infusion-
Healthy participant 2Octreotide infusion-
Healthy participant 2Saline infusion-
Primary Outcome Measures
NameTimeMethod
Lymph PressureDuring infusion

mmHg assessed by near-infra fluorescence imaging

Isovolumetric pressureDuring infusion

assessed by plethysmography

Capillary filtration rateDuring infusion

assessed by plethysmography

Capillary filtration coefficiencyDuring infusion

assessed by plethysmography

Lymph rateDuring infusion

Propulsions /minute

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Rigshospitalet

🇩🇰

København Ø, Denmark

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