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Status unknownNCT03827070DPTAUpdated Apr 25, 2023

Dry Pleurodesis With Talcum and Afatinib is Used to Treat Patients With Non-Small Cell Lung Carcinoma

A Phase 1 interventional study of Afatinib and Talcum powder in Non Small Cell Lung Cancer, sponsored by Center Trials & Treatment Europe. Status unknown at 1 site in Georgia. Open to male participants aged 21 Years to 40 Years. Per ClinicalTrials.gov, last updated 2023-04-25.

Sponsored by Center Trials & Treatment Europe · Phase 1, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Apr 2023), so the status shown — last known as Active, not recruiting — may be out of date.
Phase
Phase 1
Study type
Interventional
Enrollment
12
Allocation
Not applicable
Ages
21 Years to 40 Years
Sex
Male
01

Study summary

In non-small cell lung cancer and metastases in the pleural cavity, pathological effusion is formed.

Currently, the most common and effective method of obliteration of the pleural cavity is pleurodesis with talcum powder.

Talc, when it surface of the pleura, causes chemical inflammation that leads to the soldering of the lungs and chest wall. As a result, the liquid ceases to accumulate.

The addition of a therapeutic dose of afatinib to talc not only blocks effusion into the pleural cavity, but also reduces tumor and metastatic processes.

Read the detailed description

The proposed procedure for dry pleurodesis consists of one stage.

Talc is introduced into the pleural cavity in several ways:

  • Drainage - a tube is inserted into the pleural cavity through a puncture in the chest, and then a pasty talcum is delivered into the cavity, which spreads through the cavity during the change of the patient's body position.
  • Talcum powder - under the control of thoracoscopy, dry talc is blown into the pleural cavity of the patient, which allows him to evenly distribute and significantly increases the effectiveness of the procedure.

In this Clinical Trial investigators will use the method of thoracoscopy - the blow in of talcum powder and therapeutic dose of Afatinib. Before injection, a suspension of talc and afatinib is subjected to the procedure of pharmaceutical mixing.

The operation is well tolerated by participants and lasts no more than 30 minutes. The effectiveness of the method is 90%.

02

Conditions studied

  • Non Small Cell Lung Cancer

Keywords

  • Afatinib
  • Talcum powder
  • Thoracoscopy
  • Pleurodesis
  • BIBW2992
03

In context

Carcinoma, Non-Small-Cell Lung

6,488 studies on the registry are indexed under Carcinoma, Non-Small-Cell Lung; 1,632 are open to participants now.

This study's enrollment of 12 is below the median of 62 across 5,213 interventional studies indexed under Carcinoma, Non-Small-Cell Lung.

Browse Carcinoma, Non-Small-Cell Lung studies →

Lead sponsor

Center Trials & Treatment Europe is the lead sponsor of 2 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
21 Years to 40 Years
Sexes eligible
Male
Accepts healthy volunteers
No

Inclusion criteria

  • Non-small cell lung cancer with positive mutation of EGFR verified
  • Malignant pleural effusion
  • Recurrent pleural effusion
  • Complete lung expansion (> 80%) after puncture emptying confirmed by chest radiography.
  • Karnofsky index > 50
  • Agreed to participate in the study and sign an Informed Consent

Exclusion criteria

Exclusion Criteria:

  • Radiotherapy not earlier than 3 months before the pleurodesis procedure
  • Previous surgeries on the same hemitorace
  • Thrombocytopenia or coagulation disorders
  • Trapped lung syndrome
  • Patients with estimated life expectancy \< 4-8 weeks
  • Pleural or active systemic infection
05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
12 participants (actual)

Study arms

  • Experimental
    Talcum powder & Afatinib

    Talcum powder 4 g + Afatinib 0,4 g. Is entered once

    Drug: Afatinib · Drug: Talcum powder

Interventions

  • DrugAfatinib

    Used Afatinib particles of which had an average size of 22 μm and a volume concentration of small particles (\<5 μm) - only 19%

    Also known as: BIBW2992

  • DrugTalcum powder

    Used Talcum powder particles of which had an average size of 24.5 μm and a volume concentration of small particles (\<5 μm) - only 11%

    Also known as: Talc

06

What researchers measure

Primary outcomes

  1. The effectiveness of the procedure of dry pleurodesis through a thoracoscope

    Evaluation of the effectiveness of the dry pleurodesis procedure in combination with talc and afatinib with the introduction of a powder suspension through a thoracoscope. The assessment is performed by CT (computed tomography) of each participant twice: 30 days from the day of the procedure and 90 days later.

    Time frame: up to 90 days

07

Study locations

1 site
  • Central Contact
    Tbilisi, 0008, Georgia
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 25, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT03827070
Lead sponsor
Center Trials & Treatment Europe
Collaborators
Center Trials & Treatment
Responsible party
Sponsor
First posted
Feb 1, 2019
Start date
Mar 5, 2019
Primary completion
Feb 21, 2023
Completion
Jul 21, 2023 (estimated)
Last update
Apr 25, 2023

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Apr 2023. You cannot join it, but the record below documents what was studied.

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