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TerminatedNo phase

Comparing Different Sizes of Small-bore Chest Drains in Malignant Pleural Effusion

Key facts

Who runs it
The University of Hong Kong
Where
Hong Kong1 site in 1 countryChoose a country to see its sites
Trial code
Status
Terminated
People taking part
52 people enrolled
Started
1 Dec 2020
Ended
30 Oct 2024
Type of study
Interventional, 2 groupsOne group gets an existing treatment, for comparison.
Treatments tested
  • Seldinger chest drain insertion
Record updated
28 March 2025
Why it stopped
difficult recruitment encountered during pandemic

Who can take part

Age
18 years and older
Sex
Women and men
Healthy volunteers
Can take part

The registry criteria, word for word

Show all 11 criteriaShow less

Who can take part

  • Patients who have cytologically/histologically proven pleural malignancy, or who have pleural effusion in the context of malignancy elsewhere
  • The pleural effusion is at least moderate to massive and causes symptoms
  • Ability to give informed written consent to the study

Who cannot take part

  • Allergy to local anesthesia agents
  • History of pleurodesis on the same side of malignant pleural effusion requiring drainage
  • Bleeding tendency not readily correctable (platelet < 100 x 10\^9, INR ≥1.5 after transfusion)
  • Age <18 years old
  • Hydropneumothorax before drain insertion
  • Moderate-heavy septations in the pleural effusion (defined as a collection with more than 4 septations visible at the maximally septated area)
  • Clinical emergency that an urgent chest drain is required
  • Blindness

This trial has no sites in United States.

It has sites in one country. Choose a country to see its sites.

About the trial

What the trial wants to find out

Malignant pleural effusion (MPE) is a very common medical condition, especially among patients with disseminated cancers. Chest drain insertion aims to drain the pleural fluid collection and relieve dyspnea. Small bore chest tubes are recommended as the first line therapy for draining pleural effusions. However, there is no clinical data available to inform on the size of drains for better drainage. This is a randomized study comparing the two common bores of small bore chest drains in Hong Kong, and assess for its clinical efficacy and complication risks.

The 2 groups in the trial

  • Seldinger chest drain 14FOther group

    Patients with seldinger chest drain 14F inserted

    Treatment: Seldinger chest drain insertion

  • Seldinger chest drain 8FExisting treatment, for comparison

    Patients with seldinger chest drain 8F inserted

    Treatment: Seldinger chest drain insertion

Data and sources

Registry record
Listed on ClinicalTrials.gov.
Official title
Clinical Efficacy and Complications of Small-bore Versus Ultra-small Bore Chest Drain in Malignant Pleural Effusion: a Randomized Clinical Trial
Record updated
28 March 2025