Efficacy and Security of Intrapleurally Alteplase vs Urokinase for the Treatment of Complicated Parapneumonic Effusion and Empyema
NCT01246453 · Status: COMPLETED · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 204
Last updated 2011-07-18
Summary
1. Objectives:
* Main objective: To evaluate the efficacy and safety of intrapleural alteplase vs urokinase in patients with complex complicated parapneumonic pleural effusion and empyema.
* To evaluate the pleural and plasmatic levels of the fibrinolytic system markers after the treatment with alteplase vs urokinase
* To evaluate the safety of alteplase in the treatment of complex complicated parapneumonic pleural effusion and empyema
2. Design: Multicentric, randomized, parallel, controlled and double blind
3. Main variable: Percentage of curation
4. Study population and number of patients: 204 patients with complex complicated parapneumonic pleural effusions and empyema
5. Duration of the treatment: Three days (main variable), and optional three days (secondary variable)
Conditions
- Empyema, Pleural
- Pleural Effusion
- Pleural Diseases
Interventions
- DRUG
-
Intrapleurally Alteplase vs Intrapleurally Urokinase
Alteplase 10 mg and urokinase 100000 intrapleurally administered, once daily for three days and if necessary 6 days
Sponsors & Collaborators
-
Hospital Universitari Vall d'Hebron Research Institute
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- QUADRUPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2003-12-31
- Primary Completion
- 2010-12-31
- Completion
- 2010-12-31
Countries
- Spain
Study Locations
More Related Trials
-
Alteplase for Treatment of Empyema and Complicated Parapneumonic Effusion
NCT00103766 ·Status: UNKNOWN ·Phase: NA
-
A Study to Evaluate LTI-01 in Patients With Infected, Non-draining Pleural Effusions
NCT04159831 ·Status: COMPLETED ·Phase: PHASE2
-
Trial of Reduced Alteplase Dose for Parapneumonic Effusion (TRAPPE)
NCT05766124 ·Status: RECRUITING ·Phase: PHASE2/PHASE3
-
Urokinase Versus Video-assisted Thoracoscopic to Treat Complicated Parapneumonic Empyema in Childhood
NCT00798278 ·Status: COMPLETED ·Phase: PHASE3
-
Fibrinolytic Therapy Versus Medical Thoracoscopy
NCT03213834 ·Status: COMPLETED ·Phase: PHASE4
-
The Safety and Efficacy of Fibrinolysis in Patients With an Indwelling Pleural Catheter for Multi-loculated Malignant Pleural Effusion.
NCT03678090 ·Status: WITHDRAWN ·Phase: PHASE2
-
Short Duration High Intensity Intrapleural Alteplase With Pulmozyme in Pleural Infection Management
NCT04915586 ·Status: COMPLETED ·Phase: NA
-
Rational Approach to a Unilateral Pleural Effusion2
NCT02834455 ·Status: TERMINATED ·Phase: NA
-
Safety and Effectiveness of a New Pleural Catheter for Symptomatic, Recurrent, MPEs Versus Approved Pleural Catheter
NCT02649894 ·Status: COMPLETED ·Phase: NA
-
Early Medical Thoracoscopy Versus Simple Chest Tube Drainage in Complicated Parapneumonic Effusion and Pleural Empyema
NCT00234208 ·Status: TERMINATED ·Phase: PHASE3
-
A Prospective Randomised Study of Efficacy, Safety and Costs of Talc Pleurodesis Under Medical Thoracoscopy and Pleurodesis Under Video-assisted Thoracoscopy Surgery for Recurrent Primary Spontaneous Pneumothorax
NCT00767962 ·Status: COMPLETED ·Phase: NA
-
Pleural Abrasion Plus Minocycline Versus Apical Pleurectomy for Primary Spontaneous Pneumothorax
NCT00270751 ·Status: UNKNOWN ·Phase: PHASE2/PHASE3
-
Fibrinolysis Compared to Thoracoscopy for Pleural Infection
NCT03468933 ·Status: COMPLETED ·Phase: PHASE4
-
Management of Malignant Pleural Effusion With Indwelling Pleural Catheter Versus Silver Nitrate Pleurodesis
NCT03781908 ·Status: UNKNOWN ·Phase: PHASE1/PHASE2
-
Once Daily Intrapleural Enzyme Therapy in Complicated Parapneumonic Effusion or Empyema
NCT07095361 ·Status: RECRUITING ·Phase: PHASE4
-
Rational Approach to a Unilateral Pleural Effusion
NCT03272087 ·Status: TERMINATED ·Phase: NA
-
Safety and Effectiveness Study for Pleurodesis With Silver Nitrate in Malignant Pleural Effusion
NCT01125124 ·Status: UNKNOWN ·Phase: PHASE2
-
Multicentre Study Comparing Indwelling Pleural Catheter With Talc Pleurodesis for Malignant Pleural Effusion Management
NCT02045121 ·Status: UNKNOWN ·Phase: NA
-
Treatment of Complicated Parapneumonic Effusion With Fibrinolytic Therapy Versus VATs Decortication
NCT03583931 ·Status: COMPLETED ·Phase: NA
-
Evaluating Different Modalities for Pleural Adhesiolysis at Assuit University Hospital
NCT03172052 ·Status: UNKNOWN ·Phase: PHASE4
-
A Prospective, Randomized Controlled Trial for a Rapid Pleurodesis Protocol for the Management of Pleural Effusions
NCT00758316 ·Status: COMPLETED ·Phase: PHASE3
-
Additional Minocycline Pleurodesis After Thoracoscopic Procedures for Primary Spontaneous Pneumothorax
NCT00154895 ·Status: UNKNOWN ·Phase: PHASE3
-
Malignant Pleural Effusion: Pleur-X vs. Chemical Pleurodesis in VATS
NCT03518788 ·Status: UNKNOWN ·Phase: NA
-
Management of Malignant Pleural Effusion - Indwelling Pleural Catheter or Talc Pleurodesis
NCT02825095 ·Status: UNKNOWN ·Phase: EARLY_PHASE1
-
Intrapleural Minocycline After Simple Aspiration for the Prevention of Primary Spontaneous Pneumothorax
NCT00418392 ·Status: UNKNOWN ·Phase: PHASE3