The first Therapeutic Interventions in Malignant Effusion trial
ISRCTN | ISRCTN33288337 |
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DOI | https://doi.org/10.1186/ISRCTN33288337 |
EudraCT/CTIS number | 2005-005226-31 |
ClinicalTrials.gov number | NCT00644319 |
Secondary identifying numbers | 1.1 |
- Submission date
- 11/03/2006
- Registration date
- 19/04/2006
- Last edited
- 31/03/2022
- Recruitment status
- No longer recruiting
- Overall study status
- Completed
- Condition category
- Cancer
Plain English summary of protocol
Contact information
Scientific
Oxford Centre for Respiratory Medicine
Churchill Hospital
Old Road
Headington
Oxford
OX3 7LJ
United Kingdom
Study information
Study design | 2 x 2 randomised factorial trial |
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Primary study design | Interventional |
Secondary study design | Randomised controlled trial |
Study setting(s) | Hospital |
Study type | Treatment |
Participant information sheet | Not available in web format, please use the contact details below to request a patient information sheet |
Scientific title | The first Therapeutic Interventions in Malignant Effusion trial |
Study acronym | TIME1 |
Study objectives | The TIME1 study is a 2 x 2 randomised factorial trial to assess whether non-steroidal (ibuprofen) analgesia and the use of small bore chest tubes will reduce pain during pleurodesis for malignant effusion, compared to standard care. The trial will also define whether non-steroidal use decreases pleurodesis efficacy. |
Ethics approval(s) | West Essex Local Research Ethics Committee, 24/04/2006, ref: 05/Q0301/61 |
Health condition(s) or problem(s) studied | Malignant pleural effusion, including mesothelioma |
Intervention | Participants will undergo normal care (thoracoscopy and talc poudrage or talc slurry pleurodesis via drain), using standardised pre-procedure sedation and analgesia as per protocol. The sizes of chest tubes to be used are predefined (large [24F] and small [12F]). The analgesic regimens are: 1. NSAID: ibuprofen 800 mg three times daily (tds) to a maximum of 8-hourly 2. Opiate: diamorphine 2.5 mg, intravenous (IV) administration, four times daily (qds) to a maximum of 10 mg 3. Rescue: patients will always have access to rescue analgesia as required (diamorphine 2.5 mg IV) Treatment continues from pleurodesis (day 0) to tube removal (day 3). Participants will be randomised to one of the following arms: 1. Large bore (24F) chest drain and NSAID-based analgesic regimen 2. Small bore (12F) chest drain and NSAID-based analgesic regimen 3. Large bore chest drain (24F) and opiate-based analgesic regimen 4. Small bore chest drain (12F) and opiate-based analgesic regimen |
Intervention type | Drug |
Pharmaceutical study type(s) | |
Phase | Not Applicable |
Drug / device / biological / vaccine name(s) | Ibuprofen |
Primary outcome measure | Pain score over 72 hours post pleurodesis for malignant pleural effusion, taken by administering 100 mm visual analogue pain score (VAS), to calculate the total pain relief (TOTPAR) score, over 3 days |
Secondary outcome measures | 1. Success of pleurodesis at six weeks and three months post randomisation (time to relapse of pleural effusion, survival analysis) 2. Presence of chronic chest pain on the side of the pleurodesis at six weeks and three months post randomisation |
Overall study start date | 26/03/2007 |
Completion date | 31/12/2009 |
Eligibility
Participant type(s) | Patient |
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Age group | Adult |
Sex | Both |
Target number of participants | 320 (interim analysis after 120 patients) |
Total final enrolment | 320 |
Key inclusion criteria | 1. Clinically confident diagnosis of malignant pleural effusion requiring pleurodesis Definitions: 1.1. Histologically proven pleural malignancy 1.2. Typical features of pleural malignancy seen on direct vision during thoracoscopy 1.3. Pleural effusion in the context of histologically proven cancer elsewhere 2. Written informed consent 3. Expected survival more than one month |
Key exclusion criteria | 1. Age less than 18 years 2. Primary lymphoma or small cell lung carcinoma 3. Patients who are pregnant or lactating 4. Inability to give informed consent 5. History of gastrointestinal (GI) bleeding or of untreated peptic ulceration 6. Known sensitivity to non-steroidal anti-inflammatory drugs (NSAIDs) or opiates 7. Hypercapnic ventilatory failure 8. Known intravenous drug abuse 9. Severe renal or liver disease 10. Known bleeding diathesis 11. Warfarin therapy which must be continued 12. Current or recent (within two weeks) corticosteroid steroid therapy |
Date of first enrolment | 26/03/2007 |
Date of final enrolment | 31/12/2009 |
Locations
Countries of recruitment
- England
- United Kingdom
Study participating centre
OX3 7LJ
United Kingdom
Sponsor information
University/education
c/o Heather House
Head of Clinical Trials Office
University of Oxford
Manor House
John Radcliffe Hospital
Headington
Oxford
OX3 9DZ
England
United Kingdom
https://ror.org/052gg0110 |
Funders
Funder type
University/education
No information available
Results and Publications
Intention to publish date | |
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Individual participant data (IPD) Intention to share | No |
IPD sharing plan summary | Not provided at time of registration |
Publication and dissemination plan | Not provided at time of registration |
IPD sharing plan | Not provided at time of registration |
Study outputs
Output type | Details | Date created | Date added | Peer reviewed? | Patient-facing? |
---|---|---|---|---|---|
Results article | results | 01/12/2015 | Yes | No | |
Plain English results | 31/03/2022 | No | Yes |
Editorial Notes
31/03/2022: Plain English results and total final enrolment added.
On 01/05/2008 the overall trial start and end dates were updated
Previous overall trial start date: 01/09/2006
Previous overall trial end date: 01/09/2008
On 22/02/2011 the overall trial end date was updated
Previous overall trial end date: 31/12/2009