Talc in Treating Patients With Malignant Pleural Effusion
Metastatic Cancer
About this trial
This is an interventional supportive care trial for Metastatic Cancer focused on measuring malignant pleural effusion
Eligibility Criteria
DISEASE CHARACTERISTICS: Unilateral malignant pleural effusion requiring sclerosis (as judged by the attending surgeon) At least 3 months since treatment of contralateral effusion No chylous effusion PATIENT CHARACTERISTICS: Age: 18 and over Performance status: ECOG 0-2 Life expectancy: More than 2 months Hematopoietic: Not specified Hepatic: Not specified Renal: Not specified Other: Able to undergo thoracoscopy under general or local anesthesia (as determined by the attending surgeon) Not pregnant Tests and observations must be completed within 1 week prior to randomization (chest x-ray within 1 week prior to procedure) PRIOR CONCURRENT THERAPY: No prior intrapleural therapy No systemic therapy within 2 weeks prior to randomization or 2 weeks post pleurodesis Biologic therapy: Not specified Chemotherapy: No new systemic chemotherapy for 2 weeks prior to and at least 2 weeks after pleurodesis Endocrine therapy: No new hormonal therapy for 2 weeks prior to and at least 2 weeks after pleurodesis No concurrent steroids used as antiemetics Radiotherapy: Prior radiotherapy allowed No radiotherapy to entire hemithorax Palliative irradiation of symptomatic bone lesions allowed on the affected side if field does not include a significant portion of pleura Surgery: See Disease Characteristics
Sites / Locations
- Veterans Affairs Medical Center - Birmingham
- University of Alabama Comprehensive Cancer Center
- Huntsville Hospital System
- Urology Associates - Mobile AL
- MBCCOP - University of South Alabama
- Alabama Oncology, LLC
- Radiation Oncology Associates of West Alabama
- Providence Cancer Therapy Center
- CCOP - Scottsdale Oncology Program
- Arizona Cancer Center
- Providence Saint Joseph Medical Center - Burbank
- Mount Diablo Medical Center
- Beckman Research Institute, City of Hope
- California Cancer Center
- Saint Agnes Cancer Center
- Glendale Memorial Hospital and Health Center
- Sutter Health Western Division Cancer Research Group
- Loma Linda University Medical Center
- Veterans Affairs Medical Center - Long Beach
- Kaiser Permanente Medical Center - Los Angeles
- USC/Norris Comprehensive Cancer Center
- Jonsson Comprehensive Cancer Center, UCLA
- Veterans Affairs Outpatient Clinic - Martinez
- CCOP - Bay Area Tumor Institute
- Cancer Care Center
- Mercy Medical Center - Redding
- Radiation Oncology Center - Sacramento
- UCSF Cancer Center and Cancer Research Institute
- Santa Cruz Radiation Oncology Medical Group, Inc.
- CCOP - Santa Rosa Memorial Hospital
- Stanford University
- David Grant Medical Center
- Radiation Oncology Center - Walnut Creek
- Memorial Hospital Cancer Center
- University of Colorado Cancer Center
- Bridgeport Hospital
- Whittingham Cancer Center
- CCOP - Christiana Care Health Services
- Walter Reed Army Medical Center
- Lykes Center for Radiation Therapy
- Halifax Medical Center
- Radiation Therapy Associates - Fort Myers
- University of Florida Health Science Center
- Health First Holmes Regional Medical Center
- CCOP - Mount Sinai Medical Center
- Sylvester Cancer Center, University of Miami
- Baptist Hospital of Miami
- Florida Radiation Oncology Group
- MD Anderson Cancer Center Orlando
- Gulf Coast Cancer Treatment Center
- West Florida Cancer Institute - Pensacola
- Bayfront Medical Center
- H. Lee Moffitt Cancer Center and Research Institute
- Emory University Hospital - Atlanta
- CCOP - Atlanta Regional
- InterCommunity Cancer Center at Rome
- South Georgia Medical Center
- Northwestern Memorial Hospital
- University of Chicago Cancer Research Center
- Ingalls Memorial Hospital
- Loyola University Medical Center
- Lutheran General Cancer Care Center
- Methodist Medical Center of Illinois
- CCOP - Central Illinois
- CCOP - Carle Cancer Center
- St. John's Medical Center
- Clarion Health Partners Inc.
- Community Hospitals of Indianapolis - Regional Cancer Center
- Ball Memorial Hospital
- Memorial Hospital of South Bend
- St. Joseph's Radiation Oncology Center
- CCOP - Iowa Oncology Research Association
- Wendt Regional Cancer Center of Finley Hospital
- University of Iowa Hospitals and Clinics
- Siouxland Hematology-Oncology
- CCOP - Wichita
- Medical Center at Bowling Green
- Veterans Affairs Medical Center - Lexington
- Albert B. Chandler Medical Center, University of Kentucky
- James Graham Brown Cancer Center
- Louisville Radiation Oncology
- Merle M. Mahr Cancer Center
- Western Baptist Hospital
- Mary Bird Perkins Cancer Center
- Romagosa Radiation Oncology Center
- East Jefferson General Hospital
- MBCCOP - LSU Medical Center
- CCOP - Ochsner
- Maine Medical Center
- Anne Arundel Oncology Center
- Marlene & Stewart Greenebaum Cancer Center, University of Maryland
- Greater Baltimore Medical Center and Cancer Center
- Harbor Hospital Center
- Radiation Oncology Affiliates of Maryland, P.A.
- Johns Hopkins Oncology Center
- Massachusetts General Hospital Cancer Center
- Beth Israel Deaconess Medical Center
- Joint Center for Radiation Therapy
- Cape Cod Hospital
- Veterans Affairs Medical Center - Ann Arbor
- CCOP - Ann Arbor Regional
- University of Michigan Comprehensive Cancer Center
- Barbara Ann Karmanos Cancer Institute
- Henry Ford Hospital
- Hurley Medical Center
- CCOP - Kalamazoo
- Marquette General Hospital
- St. Mary's Medical Center
- CCOP - Duluth
- Mayo Clinic Cancer Center
- CCOP - Metro-Minnesota
- Ellis Fischel Cancer Center - Columbia
- CCOP - Kansas City
- Veterans Affairs Medical Center - Saint Louis
- St. Louis University Health Sciences Center
- Mallinckrodt Institute of Radiology
- Cancer Research for the Ozarks
- CCOP - Montana Cancer Consortium
- Methodist Cancer Center - Omaha
- CCOP - Missouri Valley Cancer Consortium
- CCOP - Southern Nevada Cancer Research Foundation
- Norris Cotton Cancer Center
- Elliot Regional Cancer Center
- Veterans Affairs Medical Center - East Orange
- John F. Kennedy Medical Center
- Elizabeth General Medical Center - West
- CCOP - Northern New Jersey
- South Jersey Hospital - Millville
- Fox Chase Cancer Center at Virtua-Memorial Hospital Burlington County
- Community Medical Center
- St. Francis Medical Center
- Saint Joseph Medical Center
- Cancer Center of Albany Medical Center
- Veterans Affairs Medical Center - Albany
- Albert Einstein Comprehensive Cancer Center
- State University of New York Health Science Center at Brooklyn
- New York Methodist Hospital
- Roswell Park Cancer Institute
- CCOP - North Shore University Hospital
- Kaplan Cancer Center
- Memorial Sloan-Kettering Cancer Center
- Champlain Valley Physicians Hospital Medical Center
- Vassar Brothers Hospital
- Genesee Hospital - Rochester
- University of Rochester Cancer Center
- New York Medical College
- Lineberger Comprehensive Cancer Center, UNC
- East Carolina University School of Medicine
- CCOP - Southeast Cancer Control Consortium
- Comprehensive Cancer Center of Wake Forest University Baptist Medical Center
- Quain & Ramstad Clinic, P.C.
- Meritcare Roger Maris Cancer Center
- UNI-MED Medical Center
- Akron General Medical Center
- Akron City Hospital
- Christ Hospital
- Ireland Cancer Center
- CCOP - Columbus
- Arthur G. James Cancer Hospital - Ohio State University
- Veterans Affairs Medical Center - Dayton
- CCOP - Dayton
- CCOP - Toledo Community Hospital Oncology Program
- St. John Medical Center
- Samaritan Regional Cancer Center
- CCOP - Columbia River Program
- Penn State Geisinger Medical Center
- Mercy Catholic Medical Center, Mercy Fitzgerald Divison
- Delaware County Memorial Hospital
- Penn State Geisinger Cancer Center
- Allegheny University Hospitals- Hahnemann
- University of Pennsylvania Cancer Center
- Veterans Affairs Medical Center - Philadelphia
- Kimmel Cancer Center of Thomas Jefferson University - Philadelphia
- Fox Chase Cancer Center
- Albert Einstein Cancer Center
- University of Pittsburgh Cancer Institute
- Western Pennsylvania Hospital
- Reading Hospital and Medical Center
- Mercy Hospital Cancer Center - Scranton
- Grand View Hospital
- Wilkes Barre General Hospital
- CCOP - MainLine Health
- York Hospital
- Medical University of South Carolina
- CCOP - Greenville
- CCOP - Upstate Carolina
- Rapid City Regional Hospital
- Jackson-Madison County General Hospital
- Baptist Regional Cancer Center - Knoxville
- CCOP - Baptist Cancer Institute
- University of Tennessee, Memphis Cancer Center
- Vanderbilt Cancer Center
- Julie and Ben Rogers Cancer Institute
- University of Texas Medical Branch
- University of Texas - MD Anderson Cancer Center
- Wilford Hall - 59th Medical Wing
- Bayshore Medical Center
- Dixie Regional Medical Center
- LDS Hospital
- Green Mountain Oncology Group
- Veterans Affairs Medical Center - White River Junction
- Martha Jefferson Hospital
- Cancer Center, University of Virginia HSC
- Virginia Baptist Hospital
- Naval Medical Center, Portsmouth
- Massey Cancer Center
- Swedish Hospital Tumor Institute
- Virginia Mason Medical Center
- Deaconess Medical Center
- Yakima Valley Memorial Hospital
- Schiffler Oncology Center
- St. Vincent Hospital
- Gundersen Lutheran Medical Foundation
- Veterans Affairs Medical Center - Madison
- Southern Wisconsin Radiotherapy Center
- University of Wisconsin Comprehensive Cancer Center
- Marshfield Clinic
- Community Memorial Hospital
- St. Joseph's Hospital
- Columbia Hospital
- St. Luke's Medical Center
- Medical College of Wisconsin
- Veterans Affairs Medical Center - Milwaukee (Zablocki)
- Southeastern Wisconsin Regional Cancer Center
- Tom Baker Cancer Center - Calgary
- Cross Cancer Institute
- British Columbia Cancer Agency - Vancouver Island Cancer Centre
- Doctor Leon Richard Oncology Centre
- Saint John Regional Hospital
- Nova Scotia Cancer Centre
- Cancer Care Ontario-Hamilton Regional Cancer Centre
- Kingston Regional Cancer Centre
- Cancer Care Ontario-London Regional Cancer Centre
- Ottawa Regional Cancer Centre - Civic Campus
- Northeastern Ontario Regional Cancer Centre, Sudbury
- Northwestern Ontario Regional Cancer Centre, Thunder Bay
- Princess Margaret Hospital
- McGill University Department of Oncology
- Centre Hospitalier de l'Universite de Montreal
- Saskatchewan Cancer Agency
- Saskatoon Cancer Centre
Arms of the Study
Arm 1
Arm 2
Active Comparator
Active Comparator
Talc slurry via chest tube
Talc via insufflation
talc slurry via chest tube
4 to 5 grams talc via insufflation through direct or videoscopic thoracoscopy, one time