ISRCTN ISRCTN47481946
DOI https://doi.org/10.1186/ISRCTN47481946
Protocol serial number N/A
Sponsor Birmingham Heartlands Hospital (UK)
Funder Department of Health (UK) - the Research Capacity Development (RCD) Programme (ref: PAS/02/06/RDA/010)
Submission date
02/01/2008
Registration date
29/02/2008
Last edited
09/01/2014
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Cancer
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Gavin Perkins
Scientific

Associate Clinical Professor
Department of Critical Care
2nd Floor
Lincoln House
Birmingham Heartlands Hospital
Birmingham
B9 5SS
United Kingdom

Email G.D.Perkins@warwick.ac.uk

Study information

Primary study designInterventional
Study designMulticentre double-blind randomised placebo-controlled trial
Secondary study designRandomised controlled trial
Study type Participant information sheet
Scientific titleBeta Agonist Lung Injury TrIal (BALTI) Prevention Study: a multicentre, double-blind, randomised, placebo-controlled trial
Study acronymBALTI Prevention Study
Study objectivesThose recruited will be suffering from oesophageal cancer. They will be undergoing oesophagectomy and the surgical procedure will involve collapsing one lung. There is a high post-operative risk of acute lung injury.

Hypothesis:
Inhaled salmeterol prior to elective oesophagectomy will reduce the incidence of early acute lung injury.
Ethics approval(s)South Birmingham Ethics Committee approved on the 15th November 2007 (ref: 07/H1207/233)
Health condition(s) or problem(s) studiedOesophageal cancer
InterventionInhaled salmeterol (100 µg) via spacer immediately prior to surgery, and then afterwards twice daily for 72 hours, versus placebo inhaler. If the patient is ventilated the drug will be given through the inspiratory limb of the ventilator.
Intervention typeDrug
PhaseNot Applicable
Drug / device / biological / vaccine name(s)Salmeterol
Primary outcome measure(s)

The development of clinically significant acute lung injury within 72 hours of oesophagectomy.

Key secondary outcome measure(s)

1. Global severity of illness at admission to Intensive Therapy Unit (ITU): Acute Physiology And Chronic Health Evaluation (APACHE II)
2. Severity of respiratory illness (partial pressure of oxygen in arterial blood [PaO2]:Fraction of inspired Oxygen [FiO2] ratio) daily for duration of intensive care unit (ITU)/high dependency unit (HDU) stay
3. Development of acute lung injury/acute respiratory distress syndrome (ARDS) at day 0 - 28
4. Ventilator free days
5. Organ failure free days
6. 28 and 90 day survival
7. Health related quality of life (EQ-5D) at baseline and at 28 and 90 days

Completion date01/03/2011

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexAll
Target sample size at registration360
Key inclusion criteria1. Planned elective transthoracic oesophagectomy patients
2. Aged greater than 18 years
3. Male and female
4. Able to provide informed consent
5. Able to use a spacer device to deliver the drug
Key exclusion criteria1. Pregnancy
2. Current treatment with long acting beta agonist
3. Allergy to excipients in salmeterol
4. Current treatment with non-cardioselective beta-blockers
5. Treatment with investigational medicinal product (IMP) in the last 30 days
Date of first enrolment01/03/2008
Date of final enrolment01/03/2011

Locations

Countries of recruitment

  • United Kingdom
  • England

Study participating centre

Associate Clinical Professor
Birmingham
B9 5SS
United Kingdom

Results and Publications

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

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 15/03/2014 Yes No
Protocol article protocol 15/03/2011 Yes No
Participant information sheet Participant information sheet 11/11/2025 11/11/2025 No Yes