Chest infection showdown: drugs or surgery for empyema?

NCT ID NCT04095676

First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 1 time

Summary

This study tests whether treating pleural empyema (a serious lung infection with pus in the chest cavity) with a drain and medication works as well as surgery. 184 adults with advanced-stage empyema will be randomly assigned to either video-assisted surgery or a less invasive approach using a small tube and drugs that break down pus. The main goal is to see which method leads to a shorter hospital stay.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance

alteplase and dornase alfa (Pulmozyme) given into the chest cavity

What this could lead to

If it works, this could show that a less invasive drainage-and-medication approach is as good as or better than surgery for treating pleural empyema, potentially reducing recovery time and healthcare costs.

What could go wrong

This is a mid-stage trial with 184 participants, so results may not apply to all patients. Both treatments have risks, such as bleeding or infection, and the study may not find a clear winner.

Disclaimer Read more

This is a summary of the original study . Summaries may miss details or leave out important information. Before applying or accepting participation, make sure you have read and understood the full study. Curemydisease.com takes no responsibility whatsoever for anything missed, misunderstood, or acted upon as a result of our summary — we know it does not capture everything.

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Conditions

The condition(s) this trial relates to.

pleural empyema

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Study contacts

  • Contact

    Phone: •••-•••-•••• Email: •••••@•••••

  • Contact

    Phone: •••-•••-•••• Email: •••••@•••••

Locations

  • Aarhus University Hospital

    RECRUITING

    Aarhus, Aarhus, 8200, Denmark

    Contact Phone: •••-•••-•••• Email: •••••@•••••

    Contact

    Contact Phone: •••-•••-•••• Email: •••••@•••••

    Contact

  • Odense University Hospital

    RECRUITING

    Odense, Denmark

    Contact Phone: •••-•••-•••• Email: •••••@•••••

    Contact Email: •••••@•••••

    Contact

  • Rigshospitalet

    NOT_YET_RECRUITING

    Copenhagen, Denmark

    Contact Email: •••••@•••••

    Contact