Impact of prescribing nonsteroidal anti-inflammatory drugs in pleurodesis surgery after pneumothorax: a prospective randomized controlled double-blind multicenter noninferiority study

2024-511226-32-00 Therapeutic use (Phase IV) Authorised, recruiting

Start 7 May 2025 · Status Authorised, recruiting · 1 EU/EEA countries · 5 sites

Overview

Sponsor-declared trial summary

Phase Therapeutic use (Phase IV)
Status Authorised, recruiting
Participants planned 358
Countries 1
Sites 5

pleurodesis surgery for cure of pneumothorax

show the non-inferiority, in terms of drainage time, of NSAIDs after pleurodesis surgery for the cure of pneumothorax

Key facts

Sponsor
Centre Hospitalier Universitaire Amiens Picardie
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Respiratory Tract Diseases [C08]
Trial duration
7 May 2025 → ongoing
Decision date (initial)
2024-07-30
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No
Funding sources
PHRC-I 2019 du GIRCI Nord-Ouest

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Efficacy

show the non-inferiority, in terms of drainage time, of NSAIDs after pleurodesis surgery for the cure of pneumothorax

Secondary objectives 4

  1. The efficiency of analgesia and opioid consumption
  2. The risk of recurrence
  3. the efficiency of the gesture
  4. Postoperative medico-surgical complications.

Conditions and MedDRA coding

pleurodesis surgery for cure of pneumothorax

Study design 1 period

#TitleAllocationBlindingRoles blindedArms
1 ketoprofen versus placebo
Patients in the experimental arm receive Ketoprofen 100 mg 2x/d for 72 hours: - A first injection of parenteral Ketoprofen 100 mg - followed by oral Ketoprofen LP 100mg for the next 5 doses Patients in the control arm receive placebo 2x/d for 72H: - an initial injection of placebo: NaCl 0.9% 100mL parenterally - followed by oral placebo capsules for the next 5 doses.
Randomised Controlled Double [{"id":181836,"code":4,"name":"Analyst"},{"id":181840,"code":2,"name":"Investigator"},{"id":181839,"code":3,"name":"Monitor"},{"id":181837,"code":5,"name":"Carer"},{"id":181838,"code":1,"name":"Subject"}] Standard Arm: placebo 2x/d for 72H:
- an initial injection of placebo: NaCl 0.9% 100mL parenterally
- followed by oral placebo capsules for the next 5 doses.
Experimental Arm: Ketoprofen 100 mg 2x/d for 72 hours:
- A first injection of parenteral Ketoprofen 100 mg
- followed by oral Ketoprofen LP 100mg for the next 5 doses

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 5

  1. Pneumothorax for video-exclusive surgical indication With or without minor lung resection (atypical resection)
  2. Age > or = 18 years old
  3. Written or oral informed consent to participate in the study.
  4. Affiliation to a social security scheme
  5. Highly effective contraception for women of childbearing age (combined hormonal contraception (estrogen and progesterone) combined with ovulation inhibition (oral, intra-vaginal, transdermal), hormonal contraception (progesterone only) combined with ovulation inhibition (oral, injectable, implantable), intrauterine device, hormone-releasing intrauterine system, bilateral fallopian tube occlusion, vasectomized partner, sexual abstinence, etc.). )

Exclusion criteria 14

  1. Minor
  2. Contraindications to the use of NEFOPAM
  3. Contraindications to the use of PARACETAMOL
  4. Contraindications to the use of SODIUM CHLORIDE
  5. Lactose intolerance
  6. Hemopneumothorax
  7. Purulent pleurisy
  8. Polytraumatized
  9. Pregnant, parturient or breastfeeding patient
  10. Patient under guardianship, curatorship or deprived of liberty
  11. patient who refuses to participate in the study
  12. Contraindication to the use of NSAIDs
  13. Contraindications to the use of TRAMADOL
  14. Curative anticoagulation

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Duration of pleural drainage (days).

Secondary endpoints 5

  1. Efficiency of analgesia: - Decimal Numerical Scale (END) for cough at post-operative H0 - END at rest at post-operative H0 - END at rest and cough upon leaving the recovery room - END at rest and cough at H6, D1, D2
  2. Consumption of opioids (equivalent in mg of morphine)
  3. Recurrence of ipsilateral pneumothorax at 1 month, 6 months, 1 year
  4. Efficiency of the gesture: - Drain productivity (mL) - Duration of bubbling (days)
  5. Post-operative medical and surgical complications : - Pneumonia during hospitalization (nominal) - duration of stay (days) - Need for re-intervention during stay (nominal)

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 2

Ketoprofen

SUB08374MIG · Substance

Active substance
Ketoprofen
Pharmaceutical form
PROLONGED-RELEASE TABLET
Route of administration
ORAL
Max daily dose
200 mg milligram(s)
Max total dose
400 mg milligram(s)
Max treatment duration
3 Week(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Ketoprofen

SUB08374MIG · Substance

Active substance
Ketoprofen
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
SOLUTION FOR INJECTION
Max daily dose
100 mg milligram(s)
Max total dose
100 mg milligram(s)
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Placebo 2

Sodium Chloride

SUB12581MIG · Substance

Active substance
Sodium Chloride
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
IV INJECTION, IV INFUSION
Max daily dose
200 mg milligram(s)
Max total dose
400 mg milligram(s)
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Cellulose, Microcrystalline

SUB12626MIG · Substance

Active substance
Cellulose, Microcrystalline
Pharmaceutical form
ORAL POWDER
Route of administration
ORAL
Max daily dose
200 mg milligram(s)
Max total dose
500 mg milligram(s)
Max treatment duration
3 Day(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Auxiliary 3

Tramadol

SUB11210MIG · Substance

Active substance
Tramadol
Pharmaceutical form
CAPSULE, HARD
Route of administration
ORAL
Max daily dose
300 mg milligram(s)
Max total dose
600 mg milligram(s)
Max treatment duration
2 Day(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Nefopam

SUB09183MIG · Substance

Active substance
Nefopam
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
INFUSION
Max daily dose
60 mg milligram(s)
Max total dose
120 mg milligram(s)
Max treatment duration
2 Day(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Paracetamol

SUB09611MIG · Substance

Active substance
Paracetamol
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INFUSION
Max daily dose
4000 mg milligram(s)
Max total dose
8000 millilitre(s)/kilogram
Max treatment duration
2 Week(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Centre Hospitalier Universitaire Amiens Picardie

Sponsor organisation
Centre Hospitalier Universitaire Amiens Picardie
Address
1 Rond Point Du Pr Christian Cabrol
City
Amiens Cedex 1
Postcode
80054
Country
France

Scientific contact point

Organisation
Centre Hospitalier Universitaire Amiens Picardie
Contact name
ABOU ARAB Ossama

Public contact point

Organisation
Centre Hospitalier Universitaire Amiens Picardie
Contact name
Marwa Khamari

Locations

1 EU/EEA country · 5 investigational sites

By country

CountryMS statusPlanned subjectsSites
France Authorised, recruiting 358 5
Rest of world 0

Investigational sites

France

5 sites · Authorised, recruiting
Centre Hospitalier De Valenciennes
Anesthesia and Intensive Care Unit, 114 Avenue Desandrouin, 59300, Valenciennes
Hôpital Privé Arras Les Bonnettes
Anesthesia and Intensive Care Unit, 2 rue du Dr Forgeois, 62000, ARRAS
Clinique Victor Pauchet de Butler
Anesthesia and Intensive Care Unit, 2 Avenue D Irlande, 80090, Amiens
CHU De Rouen
Anesthesia and Intensive Care Unit, 147 Avenue Du Marechal Juin, 76230, Bois-Guillaume
Centre Hospitalier Universitaire Amiens Picardie
Anesthesia and Intensive Care Unit, 1 Rond Point Du Pr Christian Cabrol, 80054, Amiens Cedex 1

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
France 2025-05-07

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 7 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) D1_Protocol 2024-511226-32-00 2.0
Recruitment arrangements (for publication) K1_Recruitment arrangements 1
Subject information and informed consent form (for publication) L1_SIS and ICF adults 1.1
Subject information and informed consent form (for publication) L1_SIS and ICF adults TC 1.1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC Ketoprofene 100mg pour perfusion 2
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC Ketoprofene secable a liberation prolongee 2
Synopsis of the protocol (for publication) D1_ Protocol synopsis_2024-511226-32-00 2.0

Application history

2 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-04-22 France Acceptable
2024-07-22
2024-07-30
2 SUBSTANTIAL MODIFICATION SM-1 2026-04-22 France Acceptable
2026-05-05
2026-05-28