Comparison of Progel Sealant to Standard of Care (SOC) for Patients Undergoing Decortication

NCT02511600 — Phase 3, Withdrawn, M.D. Anderson Cancer Center

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A Randomized Phase III Trial to Compare the Progel Sealant to Standard of Care (SOC) for Patients Undergoing Decortication for Mesothelioma or Other Pathologies

RegistryNCT02511600
StatusWithdrawn
PhasePhase 3
Study typeInterventional; randomized, parallel, masking: double, treatment
SponsorM.D. Anderson Cancer Center (Other); collaborators: Bard Incorporated
ConditionsLung Diseases, Mesothelioma
InterventionsProgel Sealant, Talcum Powder, Pain Questionnaire (Other, behavioral)
Datesstart 2015-12-01, primary completion 2018-12-01 (estimated), first posted 2015-07-30, last updated 2015-12-15

Related Papers Related Patents Related Grants Related Experts
All trials for Lung Diseases All trials for Mesothelioma All trials of Progel Sealant All trials of Talcum Powder

-Summary

The goal of this clinical research study is to compare Progel® (a type of surgical sealant that is made from human blood products) to the standard of care (talcum powder) to learn if one method is better than the other for preventing air leaks in patients having a pleurectomy decortication.

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+Detailed description

If participant agrees to take part in this study, they will have their pleurectomy decortication as planned. Participant will sign a separate consent for this procedure that explains the risks.

At the time of participant's surgery, sutures and staples are used to help correct air leaks, which is standard.

Then, participant will be randomly assigned (as in the flip of a coin) to 1 of 2 study groups. This is done because no one knows if one study group is better, the same, or worse than the other group:

* One group will have Progel® added to the surface of the lung before closing the chest.
* The other group will have talcum powder added to the surface of the lung before closing the chest.

Participant will have an equal chance of being in either group.

During the surgery, air leaks will be checked electronically and that information will be recorded.

After surgery, participant will be asked to rate their pain on a pain scale of 0-10. Participant will be asked to complete this pain scale 3 times each day while they are in the hospital.

Length of Study Participation:

After participant's surgery and their air leak is resolved, their participation in this study will be over.

This is an investigational study. The Progel® surgical sealant is FDA approved for the control of air leaks during lung surgery. It is investigational to compare the surgical sealant with the standard-of-care (talcum powder) to learn if it can reduce the number of days in the hospital after surgery.

Up to 48 participants will enrolled in this study. All will take part at MD Anderson.

+Arms and interventions

ArmTypeInterventionsDescription
Progel SealantExperimentalOther: Progel Sealant; Behavioral: Pain QuestionnaireAfter pleurectomy decortication, Progel® sealant added to the surface of the lung prior to closure of the chest. Participants complete pain scale 3 times each day while in the hospital.
Standard of CareActive comparatorOther: Talcum Powder; Behavioral: Pain QuestionnaireAfter pleurectomy decortication, talcum powder added to the surface of the lung prior to closure of the chest. Participants complete pain scale 3 times each day while in the hospital.
  • Progel Sealant (Other): After pleurectomy decortication, Progel® sealant added to the surface of the lung prior to closure of the chest.
  • Talcum Powder (Other): After pleurectomy decortication, talcum powder added to the surface of the lung prior to closure of the chest.
  • Pain Questionnaire (Behavioral), also known as Survey: Participants complete pain scale 3 times each day while in the hospital. Pain is rated on a pain scale of 0 - 10.

+Outcome measures

Primary outcomes

  • Time to Resolve Air Lung Leak After Pleurectomy Decortication [Participants followed for the duration of hospital stay, at least 5 days.]: Primary outcome is T = time to resolve an air leak in the lungs, allowing the possibility that an air leak may not develop, represented by T=0.

+Eligibility

Sex: All, ages: 18 Years to any

Inclusion Criteria:

1. All patients with mesothelioma or other pathologies undergoing a pleurectomy decortication at MD Anderson Cancer Center
2. Adequate preoperative renal function documented by serum creatinine of < 1.5 mg/dl or calculated creatinine clearance > 50 ml/min

Exclusion Criteria:

1. Patients unable to consent for the procedure
2. Patients with a history of allergy to human proteins
3. Patients who may have insufficient renal capacity for clearance of Progel® polyethylene glycol load

+Investigators