Does intraperitoneal streptokinase enhance the drainage of loculated ascites in patients with ovarian carcinoma?

ISRCTN ISRCTN17262544
DOI https://doi.org/10.1186/ISRCTN17262544
Protocol serial number N0063083910
Sponsor Department of Health (UK)
Funder Christie Hospital NHS Trust (UK)
Submission date
12/09/2003
Registration date
12/09/2003
Last edited
20/04/2016
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Cancer
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr J Lawrance
Scientific

X-Ray Diagnostic
Christie Hospital NHS Trust
Wilmslow Road
Withington
Manchester
M20 4BX
United Kingdom

Phone +44 (0)161 446 3324
Email Jeremy.Lawrance@christie.nhs.uk

Study information

Primary study designInterventional
Study designRandomised controlled trial
Secondary study designRandomised controlled trial
Scientific titleDoes intraperitoneal streptokinase enhance the drainage of loculated ascites in patients with ovarian carcinoma?
Study objectivesTo establish the role of fibrinolytic therapy in the management of loculated ascites in metastatic ovarian carcinoma.

Fibrinolysis has been shown to enhance drainage from the pleural space in empysema and loculated pleural effusion (including malignant pleural effusion). Daily instillation of agents such as Streptokinase via a pleural drain is thought to lyse fibrinous septa and hence open loculi to drainage. This occurs without significant local haemorrhagic complications or activation of systemic fibrinolysis.

Occasionally malignant ascites becomes loculated, possibly due to inflammation or haemorrhage from previous drainage procedures, and this greatly hinders future drainage leaving the patient with the discomfort caused by large volume ascites. If fibrinolytics have the same effect in the peritoneal space as in the pleural space this problem could be overcome.
Ethics approval(s)Not provided at time of registration
Health condition(s) or problem(s) studiedCancer: Ovarian
InterventionArm A: Streptokinase
Arm B: Placebo via the peritoneal drain
Intervention typeOther
Primary outcome measure(s)

Net volume of ascitic fluid drained post Streptokinase/saline

Key secondary outcome measure(s)

1. Change in abdominal girth
2. Ultrasound estimation of residual fluid (largest fluid pocket)
3. Patient symptomatology (subjective change in discomfort)
4. Time interval to reaccumulation of ascites requiring drainage

Completion date25/02/2004

Eligibility

Participant type(s)Patient
Age groupNot Specified
SexFemale
Target sample size at registration20
Key inclusion criteriaNot provided at time of registration
Key exclusion criteriaNot provided at time of registration
Date of first enrolment21/07/2000
Date of final enrolment25/02/2004

Locations

Countries of recruitment

  • United Kingdom
  • England

Study participating centre

X-Ray Diagnostic
Manchester
M20 4BX
United Kingdom

Results and Publications

Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
IPD sharing plan

Editorial Notes

20/04/2016: No publications found, verifying study status with principal investigator.