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Modulation of Lung Injury Complicating Lung Resection

This study is currently recruiting participants.
Verified by Imperial College London, April 2008

Sponsors and Collaborators: Imperial College London
Royal College of Physicians
Royal Brompton Hospital NHS Trust
Information provided by: Imperial College London
ClinicalTrials.gov Identifier: NCT00655928
  Purpose

The purpose of this study is to determine whether N-acetylcysteine given intravenously 1 day pre-operatively is effective in preventing inflammation in the lungs, as measured by tests on blood, breath and lung specimens, in patients undergoing surgery to remove a portion of lung.


Condition Intervention Phase
Acute Lung Injury
Drug: N-acetylcysteine
Drug: 0.9% saline
Phase II

ChemIDplus related topics:   Sodium chloride    Acetylcysteine   

U.S. FDA Resources

Study Type:   Interventional
Study Design:   Prevention, Randomized, Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Parallel Assignment, Efficacy Study
Official Title:   Modulation of Lung Injury Complicating Lung Resection

Further study details as provided by Imperial College London:

Primary Outcome Measures:
  • Leukotriene B4 level in exhaled breath condensate [ Time Frame: Post operative ] [ Designated as safety issue: No ]

Estimated Enrollment:   108
Study Start Date:   August 2007
Estimated Study Completion Date:   July 2009
Estimated Primary Completion Date:   July 2009 (Final data collection date for primary outcome measure)

Arms Assigned Interventions
1: Experimental Drug: N-acetylcysteine
N-acetylcysteine 240mg/kg in 1 litre 0.9% saline intravenous over 12 hours pre-operatively
2: Placebo Comparator Drug: 0.9% saline
0.9% saline 1 litre intravenous over 12 hours pre-operatively

Detailed Description:

Acute lung injury occurs following lung resection in about 5% cases, and has a high mortality of around 50%. Management of these patients is largely supportive. Even in patients who do not develop clinical evidence of acute lung injury, markers of inflammation and oxidative stress are present in blood and exhaled breath condensate after lung resection. The purpose of this randomised double-blind placebo-controlled study is to determine whether lung injury can be prevented by pre-administration of N-acetylcysteine.

  Eligibility
Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No

Criteria

Inclusion Criteria:

  • Elective lung resection for cancer

Exclusion Criteria:

  • Age less than 18 years
  • Women of child-bearing age or potential
  • Known allergy to N-acetylcysteine
  • Oral steroid in the preceding 1 month
  • N-acetylcysteine in the preceding 1 month
  • Unable to receive standardised anaesthetic approach
  Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00655928

Contacts
Contact: Mark J Griffiths     +44 (0)20 7351 8523     m.griffiths@imperial.ac.uk    
Contact: Anthony J Bastin     +44 (0)20 7351 8523     a.bastin@imperial.ac.uk    

Locations
United Kingdom
Royal Brompton Hospital     Recruiting
      London, United Kingdom, SW3 6NP
      Contact: Mark J Griffiths     +44 (0)20 7351 8523     m.griffiths@imperial.ac.uk    
      Contact: Anthony J Bastin     +44 (0)20 7351 8523     a.bastin@imperial.ac.uk    
      Principal Investigator: Mark J Griffiths            
      Sub-Investigator: Anthony J Bastin            

Sponsors and Collaborators
Imperial College London
Royal College of Physicians
Royal Brompton Hospital NHS Trust

Investigators
Principal Investigator:     Mark J Griffiths     Imperial College London    
  More Information


Responsible Party:   Imperial College London ( Dr Mark Griffiths )
Study ID Numbers:   cro524
First Received:   April 4, 2008
Last Updated:   April 4, 2008
ClinicalTrials.gov Identifier:   NCT00655928
Health Authority:   United Kingdom: Medicines and Healthcare Products Regulatory Agency;   United Kingdom: National Health Service;   United Kingdom: Research Ethics Committee

Keywords provided by Imperial College London:
Acute lung injury  
Lung resection  

Study placed in the following topic categories:
Respiratory Tract Diseases
Lung Diseases
Respiration Disorders
Respiratory Distress Syndrome, Adult
Acetylcysteine
Acute respiratory distress syndrome
N-monoacetylcystine

Additional relevant MeSH terms:
Anti-Infective Agents
Respiratory System Agents
Antioxidants
Molecular Mechanisms of Pharmacological Action
Therapeutic Uses
Expectorants
Physiological Effects of Drugs
Free Radical Scavengers
Protective Agents
Antiviral Agents
Pharmacologic Actions
Antidotes

ClinicalTrials.gov processed this record on October 10, 2008




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