ClinicalTrials.gg
RecruitingNCT06180603SPEEDTAPUpdated Dec 5, 2024

Strategy for Prompt and Effective Thoracentesis in the Emergency Department

An interventional study of Gravity fluid drainage in the radiology department and Manual drainage in the emergency department in Pleural Effusion, Pleural Diseases and Heart Failure, sponsored by University of Aarhus. Recruiting at 6 sites in Denmark. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-12-05.

Sponsored by University of Aarhus · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Nov 2025, 11 months ago, but the record still lists the study as recruiting.
  • Started Jan 2024; still recruiting 2 years 9 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
188
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The SPEEDTAP-trial is a prospective, randomised, investigator-initiated, multicenter, clinical superior trial investigating two thoracentesis methods in four emergency departments (ED) in Central Denmark Region. Patients are randomised to either manual fluid removal in the ED or passively fluid drainage using gravity in the radiology department (standard of care). Primary outcome: time from clinical indication to complete drainage and 188 patients will be included. Key secondary outcomes include length of stay, ED admission to ED discharge and safety end-points.

02

Conditions studied

  • Pleural Effusion
  • Pleural Diseases
  • Heart Failure

Keywords

  • Thoracentesis
  • Emergency department
  • Treatment methods
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 188 is above the median of 80 across 142 interventional studies indexed under Pleural Effusion.

Browse Pleural Effusion studies →

Lead sponsor

University of Aarhus is the lead sponsor of 1,300 studies on the registry; 189 are open to participants now.

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

04

Who can participate

Ages eligible
18 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

  • Patients ≥ 18 years admitted to the ED
  • Pleural effusion detected by any imaging modality (e.g., bedside ultrasound, chest x-ray, computed tomography)
  • Clinically justified need for thoracentesis ( symptomatic relief and/or define the etiology of the effusion
  • Without for thoracentesis in the emergency department (e.g., anticoagulant treatment)

Exclusion criteria

Exclusion Criteria:

  • Life-threatening respiratory distress
  • Not able to give consent
  • Previous pleurodesis
  • Effusion does not appear free-flowing due to septations or loculations / suspected empyema
  • Prior enrollment in the trial
  • If randomization is not possible because decision to insert a pigtail catheter is made in the radiology department
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

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

Study arms

  • Active comparator
    Control group

    Standard of care thoracentesis in the radiology department ( passively drainage using gravity)

    Procedure: Gravity fluid drainage in the radiology department

  • Experimental
    Intervention group

    Thoracentesis in the emergency department (manual fluid drainage using a syringe connected to a three-way stopcock)

    Procedure: Manual drainage in the emergency department

Interventions

  • ProcedureGravity fluid drainage in the radiology department

    Patients will be referred to the radiology department. Thoracentesis will be performed according to local guidelines.

  • ProcedureManual drainage in the emergency department

    Thoracentesis will be performed according to current guidelines in the emergency department. Fluid will manually be drained using a syringe connected to a three-way stopcock. Thoracentesis will be stopped early if:

06

What researchers measure

Primary outcomes

  1. Time from identification of the clinical indication for thoracentesis to complete drainage

    Time from identification of the clinical indication for thoracentesis is defined as the time patient is randomized. The time of complete drainage is defined by removal of pigtail catheter

    Time frame: From date and time for randomization until the date and time removal of catheter, assessed up to 3 month

Secondary outcomes

  1. Hospital length of stay (days)

    Defined as from date of admission until the date of hospital discharge

    Time frame: Date of admission until date of hospital discharge, assessed up until 3 month

  2. Duration of procedure (time)

    Defined as from date and time for insertion of catheter until date and time for removal of catheter

    Time frame: from date and time for insertion until date and time for removal, assessed up until 3 month

  3. Patients degree of chest discomfort (score)

    Chest discomfort will be assessed using an appropiate scale before insertion of the catheter, during the procedure and after removal of catheter

    Time frame: from date of indication until removal of catheter, assessed up until 3 month

  4. Patients degree of breathlessnesss (score)

    Breathlessness will be assessed using an appropiate scale before insertion of the catheter, during the procedure and after removal of catheter

    Time frame: from date of indication until removal of catheter, assessed up until 3 month

  5. Patients satisfaction

    After removal of catheter patients will be given a questionnaire

    Time frame: On the date of removal, assessed up until 1 month

  6. 72- hour revisit from discharged (count)

    Defined as any unplanned hospital stay within 72 hours from previous hospital discharge

    Time frame: from date of discharge and up until 72 hours

  7. 30 days re-admission (count)

    defined as any admission during 30 day follow-up

    Time frame: from date of discharge and up assessed until 30 days

  8. Complications to thoracentesis (count)

    Number of complications to thoracentesis

    Time frame: from insertion of catheter and assessed up until 1 week after removal of catheter

  9. Total ED admission time (days)

    Date and time for admission until date and time for ED discharge

    Time frame: From date and time for admission until date and time for ED discharge, assessed up until 1 month

  10. Total volume drained ( ml)

    the total amount of fluid drained from insertion of catether until removal of cathether

    Time frame: from date of insertion of catheter until removal of catheter, assessed up until 3 month

07

Study locations

4 of 6 sites recruiting
08

References and documents

Individual participant data

Plan to share: Yes — De-identified data necessary to reproduce published results will be made available on reasonable requests.

Time frame: Six months after the publication of the last results, all de-identified individual patient data will be made available upon request. There will be no predetermined end date for the data sharing.

No publications or documents are linked to this record.

09

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 Jan 2024 (actual). Primary completion is estimated for Nov 2025, 22 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 22 months is below 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
Nov 9, 2023
First posted
Dec 22, 2023
StartActual
Jan 15, 2024
Primary completionEst.
Nov 30, 2025
CompletionEst.
Dec 31, 2025
Last update
Dec 5, 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 Dec 5, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06180603
Collaborators
Central Denmark Region
Responsible party
Sponsor
First posted
Dec 22, 2023
Start date
Jan 15, 2024
Primary completion
Nov 30, 2025 (estimated)
Completion
Dec 31, 2025 (estimated)
Last update
Dec 5, 2024

Study contacts

Sandra T Langsted
Contact
sandra.langsted@clin.au.dk
+45 20 27 65 12
Bo Løfgren
Contact
bl@clin.au.dk
Sandra T Langsted
principal investigator · Aarhus University Hospital

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Interested in this study?

Eligibility is decided by the study team. Share this record with your doctor or contact the team directly.

Contact study team

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion