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A Phase II Prospective, Single Blinded, Randomized Trial of Hemopatch Compared to Standard Techniques to Achieve Air Leak Control After Complex Thoracic Surgical Procedures

A Phase II Prospective, Single Blinded, Randomized Trial of Hemopatch Compared to Standard Techniques to Achieve Air Leak Control After Complex Thoracic Surgical Procedures on High Risk Population for Prolonged Air Leak (> 5 Days - PAL).

Status
UNKNOWN
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02364791
Acronym
Hemopatch
Enrollment
120
Registered
2015-02-18
Start date
2015-02-28
Completion date
2024-12-31
Last updated
2023-03-24

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Thoracic Surgery Lung, Post-operative Thoracic Air Leak

Keywords

pulmonary resection, chest tube, segmentectomy, lobectomy

Brief summary

The purpose of this study is to explore whether the addition of Hemopatch to standard care can reduce prolonged air leaks and shorten the use of air drainage tube after surgery in thoracic lung surgery patients at high risk for prolonged air leaks.

Interventions

DEVICEstandard techniques used to achieve air leak control
DEVICEHemopatch

Sponsors

Fondazione IRCCS Istituto Nazionale dei Tumori, Milano
CollaboratorOTHER
Istituto Clinico Humanitas
CollaboratorOTHER
European Institute of Oncology
CollaboratorOTHER
Regina Elena Cancer Institute
CollaboratorOTHER
Baxter Healthcare Corporation
CollaboratorINDUSTRY
National Cancer Institute, Naples
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Age ≥18 years * High risk of prolonged air leak due to at least one of the following reasons: * Preoperative FEV1\<80% * DLco \< 80% * LVRS (lung volume reduction surgery o pneumoplastica riduttiva) * Anticipation of intraoperative adhesions (ie, redo surgery) * Previous induction chemotherapy for locally advanced NSCLC * Chronic steroid use * Pleural mesothelioma * Candidate to one of the following major thoracic surgical intervention: * Decortication * Reintervention on the same side of the previous intervention * Segmentectomy * Lobectomy with incomplete fissures on CT scan * Written informed consent.

Exclusion criteria

* Pregnancy or breast-feeding * Evidence of confusion or disorientation, or history of major psychiatric illness that may impair the patient's understanding of the Informed Consent Form or their ability to comply with study requirements * Any unstable systemic disease (including active infections, any significant hepatic, renal or cardiovascular disease), metabolic dysfunction, physical examination finding, or clinical laboratory finding that contraindicates or prevents or the execution of surgery * Known hypersensitivity to bovine proteins or brilliant blue (FD&C Blue No.1)

Design outcomes

Primary

MeasureTime frame
number of days from time of extubation to time of drainage tube removalup to 7 days

Secondary

MeasureTime frameDescription
number of days to end of air leakup to 7 daysair leak measure are recorded every 6 hours
worst grade toxicity per patientup to 6 weeksaccording to Common Terminology Criteria for Adverse Events version 4.0
change in quality of lifebaseline, one week, one month
number of days from surgical intervention to patient dischargeup to 2 weeks

Countries

Italy

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026