Please select the arm or intervention descriptions that belong to the clinical trial below.
Title: MesoTRAP: A Pilot Clinical Trial and Feasibility Study Comparing Video-assisted Thoracoscopic Partial Pleurectomy/Decortication With Indwelling Pleural Catheter in Patients With Trapped Lung Due to Malignant Pleural Mesothelioma Designed to Address Recruitment and Randomisation Uncertainties and Sample Size Requirements for a Phase III Trial.
Brief Summary: Malignant pleural mesothelioma is a cancer, caused by asbestos, which currently affects 2500 people in the UK each year. The main symptom is breathlessness caused by fluid building up in the space between the lung and the chest wall (pleural effusion). Treatment involves draining the fluid to allow the lung to re-expand (pleurodesis). However, sometimes tumour growth over the surface of the lung can prevent it from re-expanding. This 'trapped' lung results in fluid re-accumulation and repeated drainage which can lead to discomfort and multiple hospital visits.

One approach to dealing with 'trapped' lung in mesothelioma is to insert a thin tube (Indwelling Pleural Catheter - IPC) into the space around the lung. The tube can stay in place for a long time allowing patients to drain off fluid at home.

Another approach is a keyhole surgical operation (video-assisted thoracoscopic partial pleurectomy/decortication - VAT-PD) to remove as much tumour as possible from the lining of the lung to allow it to re-expand.

While both approaches are currently offered in clinical practice, it is not known which of the two is most effective at relieving breathlessness. The only way to find out is to conduct a research trial comparing the two. The Investigators plan to do this, but first of all need to carry out a small pilot study to collect information necessary to help plan the full study.


Options:
A: Arm Label: EDIT Management; Type: EXPERIMENTAL; Interventions: Procedure: EDIT Management | Arm Label: Standard Care; Type: ACTIVE_COMPARATOR; Interventions: Procedure: Chest drain and talc pleurodesis | Intervention Type: PROCEDURE; Name: EDIT Management; Assigned to Arm(s): EDIT Management | Intervention Type: PROCEDURE; Name: Chest drain and talc pleurodesis; Assigned to Arm(s): Standard Care
B: Arm Label: 1. Videothoracoscopic talc poudrage (VT); Type: ACTIVE_COMPARATOR; Interventions: Procedure: Videothoracoscopic talc poudrage (VT). | Arm Label: 2. Talc slurry through a chest tube (DT); Type: ACTIVE_COMPARATOR; Interventions: Procedure: Talc slurry through a chest tube (DT). | Intervention Type: PROCEDURE; Name: Videothoracoscopic talc poudrage (VT).; Assigned to Arm(s): 1. Videothoracoscopic talc poudrage (VT) | Intervention Type: PROCEDURE; Name: Talc slurry through a chest tube (DT).; Assigned to Arm(s): 2. Talc slurry through a chest tube (DT)
C: Arm Label: Arm I; Type: EXPERIMENTAL; Interventions: Procedure: therapeutic videothoracoscopy | Arm Label: Arm II; Type: ACTIVE_COMPARATOR; Interventions: Other: talc, Procedure: therapeutic thoracoscopy | Intervention Type: OTHER; Name: talc; Assigned to Arm(s): Arm II | Intervention Type: PROCEDURE; Name: therapeutic thoracoscopy; Assigned to Arm(s): Arm II | Intervention Type: PROCEDURE; Name: therapeutic videothoracoscopy; Assigned to Arm(s): Arm I
D: Arm Label: pleurectomy/decortication; Type: EXPERIMENTAL; Interventions: Procedure: pleurectomy/decortication | Arm Label: indwelling pleural catheter; Type: EXPERIMENTAL; Interventions: Procedure: indwelling pleural catheter | Intervention Type: PROCEDURE; Name: pleurectomy/decortication; Assigned to Arm(s): pleurectomy/decortication | Intervention Type: PROCEDURE; Name: indwelling pleural catheter; Assigned to Arm(s): indwelling pleural catheter

Answer: D