Clinical trial • Not applicable • Respiratory

Ketoprofen for Pneumothorax

Not applicable trial of Ketoprofen for Pneumothorax.

Overview

Trial Therapeutic Area
Respiratory
Trial Disease
Pneumothorax
Trial Stage
Not applicable
Drug Modality
Small molecule

Key dates

Initial CTIS Submission Date
22-04-2024
First CTIS Authorization Date
30-07-2024

Trial design

Randomised, experimental arm: ketoprofen 100 mg 2x/day for 72 hours: a first injection of parenteral ketoprofen 100 mg followed by oral ketoprofen lp 100 mg for the next 5 doses. standard arm (placebo): placebo 2x/day for 72h: an initial injection of placebo (nacl 0.9% 100 ml parenterally) followed by oral placebo capsules for the next 5 doses.-controlled Not applicable trial in France.

Randomised
Yes
Comparator
Experimental Arm: Ketoprofen 100 mg 2x/day for 72 hours: a first injection of parenteral Ketoprofen 100 mg followed by oral Ketoprofen LP 100 mg for the next 5 doses. Standard Arm (placebo): placebo 2x/day for 72H: an initial injection of placebo (NaCl 0.9% 100 mL parenterally) followed by oral placebo capsules for the next 5 doses.
Target Sample Size
358
Trial Duration For Participant
365

Eligibility

Recruits 358 Minors are excluded. Patients under guardianship, curatorship or deprived of liberty are excluded. Written or oral informed consent is required from participants. No assent procedures or age-specific consent documents or languages are specified in the record..

Pregnancy Exclusion
Pregnant, parturient or breastfeeding patient
Vulnerable Population
Minors are excluded. Patients under guardianship, curatorship or deprived of liberty are excluded. Written or oral informed consent is required from participants. No assent procedures or age-specific consent documents or languages are specified in the record.

Inclusion criteria

  • {"criterion_text":"- Pneumothorax for video-exclusive surgical indication With or without minor lung resection (atypical resection)\n- Age > or = 18 years old\n- Written or oral informed consent to participate in the study.\n- Affiliation to a social security scheme\n- 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

  • {"criterion_text":"- Minor\n- Patient under guardianship, curatorship or deprived of liberty\n- patient who refuses to participate in the study\n- Contraindication to the use of NSAIDs\n- Contraindications to the use of NEFOPAM\n- Contraindications to the use of PARACETAMOL\n- Contraindications to the use of SODIUM CHLORIDE\n- Lactose intolerance\n- Hemopneumothorax\n- Purulent pleurisy\n- Polytraumatized\n- Pregnant, parturient or breastfeeding patient\n- Contraindications to the use of TRAMADOL\n- Curative anticoagulation"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Duration of pleural drainage (days).","definition_or_measurement_approach":"Measured as duration of pleural drainage in days."}

Secondary endpoints

  • {"endpoint_text":"- 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","definition_or_measurement_approach":"Analgesia measured using Decimal Numerical Scale (END) at specified timepoints (post-operative H0, on leaving recovery room, H6, Day 1, Day 2)."}
  • {"endpoint_text":"- Consumption of opioids (equivalent in mg of morphine)","definition_or_measurement_approach":"Measured as total opioid consumption expressed in mg morphine-equivalent."}
  • {"endpoint_text":"- Recurrence of ipsilateral pneumothorax at 1 month, 6 months, 1 year","definition_or_measurement_approach":"Occurrence of ipsilateral pneumothorax assessed at 1 month, 6 months and 1 year follow-up."}
  • {"endpoint_text":"- Efficiency of the gesture: - Drain productivity (mL) - Duration of bubbling (days)","definition_or_measurement_approach":"Drain productivity measured in mL; duration of bubbling measured in days."}
  • {"endpoint_text":"- Post-operative medical and surgical complications : - Pneumonia during hospitalization (nominal) - duration of stay (days) - Need for re-intervention during stay (nominal)","definition_or_measurement_approach":"Complications recorded nominally (e.g., pneumonia), length of stay measured in days, and need for re-intervention recorded as nominal outcome."}

Recruitment

Planned Sample Size
358
Recruitment Window Months
48
Consent Approach
Written or oral informed consent is required from participants. Minors are excluded. No specific assent processes, age-specific documents, or languages are specified in the record.

Geography

Total Number Of Sites
4
Total Number Of Participants
358

France

Earliest CTIS Part Ii Submission Date
29-07-2024
Latest Decision Or Authorization Date
07-11-2025
Processing Time Days
466
Number Of Sites
4
Number Of Participants
358

Sites

Site Name
Centre Hospitalier De Valenciennes
Department Name
Anesthesia and Intensive Care Unit
Principal Investigator Name
Fanny DEFRANCQ
Principal Investigator Email
defrancq-f@ch-valenciennes.fr
Contact Person Name
Fanny DEFRANCQ
Contact Person Email
defrancq-f@ch-valenciennes.fr
Site Name
Centre Hospitalier Universitaire Amiens Picardie
Department Name
Anesthesia and Intensive Care Unit
Principal Investigator Name
Florent LEVIEL
Principal Investigator Email
leviel.florent@chu-amiens.fr
Contact Person Name
Florent LEVIEL
Contact Person Email
leviel.florent@chu-amiens.fr
Site Name
Clinique Victor Pauchet de Butler
Department Name
Anesthesia and Intensive Care Unit
Principal Investigator Name
Pierre HUETTE
Principal Investigator Email
huette.pierre@chu-amiens.fr
Contact Person Name
Pierre HUETTE
Contact Person Email
huette.pierre@chu-amiens.fr
Site Name
CHU De Rouen
Department Name
Anesthesia and Intensive Care Unit
Principal Investigator Name
Jean SLIM
Principal Investigator Email
jean.selim@chu-rouen.fr
Contact Person Name
Jean SLIM
Contact Person Email
jean.selim@chu-rouen.fr

Sponsor

Primary sponsor

Full Name
Centre Hospitalier Universitaire Amiens Picardie
Organisation Type
Hospital/Clinic/Other health care facility
Country Of Registered Address
France

Investigational products

Investigational Product Name
KETOPROFEN (injection and oral)
Active Substance
Ketoprofen
Modality
Small molecule
Routes Of Administration
Parenteral injection; Oral (prolonged-release tablet)
Route
Parenteral then oral
Authorisation Status
Authorised/marketed
Starting Dose
Initial parenteral Ketoprofen 100 mg, then oral Ketoprofen LP 100 mg
Dose Levels
100 mg
Frequency
2x/day for 72 hours
Maximum Dose
200 mg/day
Investigational Product Name
SODIUM CHLORIDE (placebo injection)
Active Substance
Sodium chloride (0.9% NaCl)
Modality
Small molecule
Routes Of Administration
IV injection, IV infusion
Route
Parenteral (IV)
Starting Dose
NaCl 0.9% 100 mL parenterally (initial placebo injection)
Frequency
Single initial injection as placebo followed by oral placebo dosing
Investigational Product Name
CELLULOSE, MICROCRYSTALLINE (oral placebo)
Active Substance
Cellulose, microcrystalline
Modality
Other
Routes Of Administration
Oral
Route
Oral
Starting Dose
Oral placebo capsules (details not specified)
Frequency
Following initial injection, oral placebo capsules for next 5 doses
Investigational Product Name
TRAMADOL
Active Substance
Tramadol
Modality
Small molecule
Routes Of Administration
Oral (capsule)
Route
Oral
Maximum Dose
300 mg/day
Investigational Product Name
NEFOPAM
Active Substance
Nefopam
Modality
Small molecule
Routes Of Administration
Infusion (solution for injection)
Route
Parenteral (infusion)
Maximum Dose
60 mg/day
Investigational Product Name
PARACETAMOL
Active Substance
Paracetamol
Modality
Small molecule
Routes Of Administration
Infusion (solution for infusion)
Route
Parenteral (infusion)
Maximum Dose
4000 mg/day

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