Pleuroscopy First Versus Thoracentesis First in Patients With Suspected Malignant Pleural Effusions

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorIcahn School of Medicine at Mount Sinai

About this trial

This is a randomized control trial of patients with suspected malignant pleural effusions to compare whether patients who have a thoracentesis or pleuroscopy (pleural biopsy) obtain an adequate biopsy, achieve a diagnosis, and begin cancer-directed therapy faster.

Eligibility criteria

Qualifiers

Referral for diagnostic pleural procedure.

Age ≥ 18 years.

Suspected malignant pleural effusion (Suggestive radiologic appearance (based on computed tomography or positron emission tomography) OR suspected cancer with associated effusion.)

Disqualifiers

Inability to provide informed consent.

Needs emergent drainage.

Pleural effusion is known to be malignant.

Suspected transudative, infectious or inflammatory effusion etiology.

Trial design

Treatments tested in this trial

  • Pleuroscopy first
  • Thoracentesis first

Treatment groups

98 Participants
are divided into 2 treatment groups