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Pneumostasis With Use of Bio-absorbable Mesh and Fibrin Sealant in Lung Resection

Use of Polyglycolic Acid Felt for Air-leak Prevention After Lung Resection

Status
Withdrawn
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04317924
Enrollment
0
Registered
2020-03-23
Start date
2020-10-31
Completion date
2022-06-30
Last updated
2020-08-26

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

Conditions

Air Leak From Lung

Keywords

Pneumostasis, Bio-absorbable mesh, Lung resection, Neoveil

Brief summary

Prolonged air leak, defined as air leak present 5 days after lung resection, is one of the most common complications after lung resection. This leads to patient discomfort (as the chest tube has to stay in place while air leak is present), prolonged stay, and increased cost. NeoVeil is a bioabsorbable glycolic acid which has been used in Japan and other Asian countries for air leak prevention after lung resections. NeoVeil is impregnated with fibrin sealant materials and is placed on the lung surface at the time of operation. It then acts as a scaffold on resected area which is prone to air leak. This randomized clinical trial will be the first in the United States to test its efficacy for air leak prevention.

Interventions

DEVICEPolyglycolic acid felt

Neoveil is a polyglycolic acid felt that has been shown to decrease the incidence of prolonged air leak after lung resection in Japan.

OTHERStandard of care

Standard of care after air leak post lung resection

Sponsors

Gunze Limited
CollaboratorOTHER
Boston Medical Center
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE

Intervention model description

Stratified block randomization will be done using known predictors of prolonged air leak: 1) surgical procedure (wedge vs lobectomy) and 2) presence of pulmonary comorbidities (chronic obstructive pulmonary disease and emphysema).

Eligibility

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

Inclusion criteria

* Patients undergoing elective lung resection at BMC * Intra-operative diagnosis of air leak

Exclusion criteria

* Patients undergoing emergency lung resection

Design outcomes

Primary

MeasureTime frameDescription
Time to removal of chest tubes2 yearsThe time in hours to removal of chest tubes post lung resection will be abstracted from the electronic medical record of each participant.

Secondary

MeasureTime frameDescription
Length of hospital stay2 yearsThe length of hospital stay in days will be abstracted from the electronic medical record of each participant.
Number of participants with additional interventions for air leak2 yearsThe number of participants requiring additional interventions post lung resection will be abstracted from the electronic medical record of each participant.

Countries

United States

Outcome results

None listed

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