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Beta Agonist Lung Injury TrIal (BALTI) Prevention Study
Source of recordUK Trials
ISRCTNISRCTN47481946
Date ISRCTN assigned29/02/2008
Local reference number(s)N/A
Public titleBeta Agonist Lung Injury TrIal (BALTI) Prevention Study
Scientific title
AcronymBALTI Prevention Study
Disease/condition/study domainOesophageal cancer
Study hypothesisThose recruited will be suffering from oesophageal cancer. They will be undergoing oesophagectomy and the surgical procedure will involve collapsing one lung. There is a high post operative risk of acute lung injury.

Hypothesis:
Inhaled salmeterol prior to elective oesophagectomy will reduce the incidence of early acute lung injury.
Design/methodologyMulti-centre, double-blind, randomised, placebo-controlled trial.
Research ethics reviewSouth Birmingham Ethics Committee, Osprey House, 1 Albert Street, Redditch, Worcestershire, B97 4DE, UK. Approved on 15 November 2007 (ref: 07/H1207/233)
Countries of trialUnited Kingdom
Participants - inclusion criteria1. Planned elective transthoracic oesophagectomy patients
2. Aged >18 years
3. Male and Female
4. Able to provide informed consent
5. Able to use a spacer device to deliver the drug
Participants - exclusion criteria1. Pregnancy
2. Current treatment with long acting beta agonist
3. Allergy to excipients in salmeterol
4. Current treatment with non-cardioselective beta-blockers
5. Treatment with Investigational Medicinal Product (IMP) in the last 30 days
Patient information materialNot available in web format, please use the contact details below to request a patient information sheet
Anticipated start date01/03/2008
Anticipated end date01/03/2011
Status of trialOngoing
Target number of participants216
InterventionsInhaled salmeterol (100 mcg) via spacer immediately prior to surgery, and then afterwards twice daily for 72 hours, versus placebo inhaler. If the patient is ventilated the drug will be given through the inspiratory limb of the ventilator.
Primary outcome measure(s)The development of clinically significant acute lung injury within 72 hours of oesophagectomy.
Secondary outcome measure(s)1. Global severity of illness at admission to Intensive Therapy Unit (ITU): Acute Physiology And Chronic Health Evaluation (APACHE II)
2. Severity of respiratory illness (PaO2:FiO2 ratio) daily for duration of ITU/High Dependency Unit (HDU) stay
3. Development of acute lung injury/Acute Respiratory Distress Syndrome (ARDS) day 0-28
4. Ventilator free days
5. Organ failure free days
6. 28 and 90 day survival
7. Health related quality of life (EQ-5D) baseline and at 28 and 90 days
Sources of fundingDepartment of Health, the Research Capacity Development (RCD) Programme (PAS/02/06/RDA/010) (UK)
Sponsor nameBirmingham Heartlands Hospital (UK)
Sponsor detailsc/o Dr Liz Adey
Bordesley Green East
Birmingham
United Kingdom
B9 5SS
Sponsor emailLiz.Adey@heartofengland.nhs.uk
Contact nameDr Gavin Perkins
Contact detailsAssociate Clinical Professor
Department of Critical Care
2nd Floor
Lincoln House
Birmingham Heartlands Hospital
Birmingham
United Kingdom
B9 5SS
Contact emailgavin.perkins@virgin.net
More informationFor more up-to-date information please go to the ISRCTN link below.
Link to record in ISRCTN RegisterISRCTN47481946
Date last extracted from ISRCTN register17/04/2008
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