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RecruitingNCT05734729Updated Jan 3, 2024

Clinical Validation of Programmable Drain Fluid Regulator to Reduce Morbidity, Care Requirements, and Improve Outcomes

An interventional study of EFFIDRAIN and Manual drainage system in Pleural Effusion and Ascites, sponsored by Changi General Hospital. Recruiting at 1 site in Singapore. Open to participants aged 21 Years and older. Per ClinicalTrials.gov, last updated 2024-01-03.

Sponsored by Changi General Hospital · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Sep 2025, 1 year 2 months ago, but the record still lists the study as recruiting.
  • Started Feb 2023; still recruiting 3 years 8 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
120
Allocation
Randomized
Ages
21 Years and older
Sex
All
01

Study summary

The goal of this Effidrain first-in-human medical device trial is to improve the outcomes of patients with pleural effusions and ascites.

The main aims are:

  • The primary aim of this first-in-man device pivotal study (n=120) is to demonstrate that the body fluid drain regulator can perform the function of pleural or ascites drainage, accurately and precisely.
  • The secondary aims are related to explore the effects of Effidrain on health-related outcomes:

    1. The investigators hypothesize that Effidrain can reduce the time that the subject requires a pleural or abdominal drain in-situ, compared to conventional care.
    2. The investigators hypothesize that the time required for healthcare workers to perform post-procedure monitoring for subjects that require pleural or abdominal drainage using Effidrain, would be reduced compared to conventional care. The effect of technology on physician and nursing hours required for drain care, and cost-effectiveness of the intervention will be studied

Participants will be randomized to control and intervention group. Control group will be receiving treatment using manual drainage system while intervention group will be using Effidrain machine.

Participants and Nurses from both control and intervention group will be asked to fill participant/nurses questionnaire form respectively.

Read the detailed description

The mission of the Effidrain first-in-human medical device trial is to improve the outcomes of patients with pleural effusions and ascites.

The primary aim of this first-in-man device pivotal study (n=120) is to demonstrate that the body fluid drain regulator can perform the function of pleural or ascites drainage, accurately and precisely.

The primary hypothesis is that the group of patients with device drainage intervention would be able to demonstrate actual fluid drainage not more than 110% of the physician-prescribed drainage volume and time.

The secondary aims are related to explore the effects of Effidrain on health-related outcomes:

  1. The investigators hypothesize that Effidrain can reduce the time that the subject requires a pleural or abdominal drain in-situ, compared to conventional care.
  2. The investigators hypothesize that the time required for healthcare workers to perform post-procedure monitoring for subjects that require pleural or abdominal drainage using Effidrain, would be reduced compared to conventional care. The effect of technology on physician and nursing hours required for drain care, and cost-effectiveness of the intervention will be studied.
02

Conditions studied

  • Pleural Effusion
  • Ascites

Keywords

  • Medical device
  • Pleural effusion
  • Ascites
  • Drainage
  • Novel
03

In context

Pleural Effusion

241 studies on the registry are indexed under Pleural Effusion; 50 are open to participants now.

This study's planned enrollment of 120 is above the median of 80 across 142 interventional studies indexed under Pleural Effusion.

Browse Pleural Effusion studies →

Lead sponsor

Changi General Hospital is the lead sponsor of 101 studies on the registry; 18 are open to participants now.

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

04

Who can participate

Ages eligible
21 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Pleural effusion or ascites as the primary indication for chest or abdominal drain insertion
  • Expected ascites drainage volume more than 1 Litre or at least moderate sized pleural effusion (occupying more than one-third hemi-thorax)
  • uncomplicated chest or abdominal drain insertion
  • Adults aged 21 years, able to provide (or surrogate able to provide) consent.

Exclusion criteria

Exclusion Criteria:

  • Vulnerable persons, including but not limited to, pregnant women and prisoners
  • Hemodynamic instability, defined by heart rate more than 120 beats per minutes and blood pressure less than systolic 90mmHg
  • Haemothorax or Haemoperitoneum
  • pneumothorax or pneumoperitoneum
  • chest or abdominal drain insertion => 48 hours with more than estimated 50% of total body cavity fluid drained
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
120 participants (estimated)

Study arms

  • Experimental
    Pleural Arm

    Patient's maximum volume is 1 litre per hour, not to exceed total 4 litres over 4 hours

    Device: EFFIDRAIN · Device: Manual drainage system

  • Experimental
    Ascites arm

    Patient's maximum volume is 3 litre per hour, not to exceed total 15 litres over 5 hours

    Device: EFFIDRAIN · Device: Manual drainage system

Interventions

  • DeviceEFFIDRAIN

    . Effidrain is a progammable, light-weight, portable drain regulator that can control the rate and volume of body fluid being drained, while empowering the user with information on dynamic changes of pressure within the body cavity being drainged. It is able to adapt to existing drainage systems via a standard medical luer taper connector, and comes with a failsafe system to alert users of drainage irregularities.

  • DeviceManual drainage system

    drainage systems required manual control and are unautomated; consequent unintended rapid intravascular and extravascular fluid shifts may result in clinical instability.

06

What researchers measure

Primary outcomes

  1. demonstrate that the Effidrain can perform the function of pleural and ascites drainage in human subjects accurately and precisely

    A session completed by the medical device not exceeding 10% volume of the physican precribed drainage volume is considered a success and scored as completely meeting device efficacy criteria. A session completed by the medical device not exceeding 25% volume of the physican precribed drainage volume is considered a success and scored as partially meeting device efficacy criteria. A session completed by the medical device exceeding 25% volume of the physican precribed drainage volume is considered a failure and scored as not meeting device efficacy criteria.

    Time frame: after 72 hours of usage per patient

Secondary outcomes

  1. Reduction in time that a subject requires a chest or abdominal drain in-situ

    Mean difference between of physician-planned drainage volume and time required, vs actual drainage volume and time, in both intervention and control arms will be analysed using T-tests.

    Time frame: Total of 4 hours for Pleural arm and 5 hours for Ascites arm

  2. Reduction in time required for post-procedure monitoring by healthcare workers

    Further analysis involve quantifying the effect of Effidrain on health-related outcomes such as: 1. Reduction in time that a subject requires a chest or abdominal drain in-situ 2. Reduction in time required for post-procedure monitoring by healthcare workers 3. Inpatient hospitalisation days The median times for the variables above would be compared between interventional and control groups using Mann Whitney U tests

    Time frame: after 72 hours of usage per patient

  3. Improvement in cost-effectiveness of care for each inpatient episode of pleural effusion or ascites that requires drainage.

    To estimate the costs, the following cost and probabilities data will be extracted from the different databases, including the hospital's electronic database: 1. Number of patients requiring pleural and abdominal drainage in Changi General Hospital per year 2. Costs of developing the Effidrain from hospital perspective 3. Costs of maintaining the Effidrain from hospital perspective (including man-hours and actual expenditure incurred by the hospital) 4. Man-hours and unit cost of man-hours in conducting pleural and abdominal drainage using the Effidrain 5. Man-hours and unit cost of man-hours in conducting pleural and abdominal drainage using manual drainage 6. Length of stay of patients using the Effidrain and the manual drainage

    Time frame: after 72 hours of usage per patient

07

Study locations

1 of 1 sites recruiting
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Feb 2023 (actual). Primary completion is estimated for Sep 2025, 31 months after the start.

Of 61 non-industry interventional studies with no phase under Pleural Effusion, half reached primary completion within 29 months of starting (the median), counting those still running; a quarter within 17 and three quarters within 52. This study's planned 31 months is close to that.

Counting every sponsor, half of 63 studies reached it within 26 months; a quarter within 16 and three quarters within 52.

How these figures are worked out, and which studies are left out of them.

Registered
Feb 9, 2023
First posted
Feb 21, 2023
StartActual
Feb 27, 2023
Primary completionEst.
Sep 2025
CompletionEst.
Sep 2025
Last update
Jan 3, 2024
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jan 3, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT05734729
Responsible party
Jessica Quah Li Shan (Consultant, Changi General Hospital) — Principal investigator
First posted
Feb 21, 2023
Start date
Feb 27, 2023
Primary completion
Sep 2025 (estimated)
Completion
Sep 2025 (estimated)
Last update
Jan 3, 2024

Study contacts

Jessica Quah Lishan
Contact
jessica.quah.l.s@singhealth.com.sg
9679 7074 ext. 6620
CTRU Mainline
Contact
CTRU@cgh.com.sg
64267818 ext. 7818

Oversight

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

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