Home treatment for collapsed lung could spare patients a hospital stay
NCT ID NCT06471608
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study compares outpatient (home) care to standard hospital care for people having their first large collapsed lung. 386 adults aged 18-50 will be randomly assigned to either go home with a small chest tube and valve or stay in the hospital. The goal is to see if home treatment improves quality of life over 6 months while being safe and effective.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- chest tube drainage with Heimlich valve
- What this could lead to
- If successful, this could allow many patients with a first-time collapsed lung to be treated at home, avoiding a hospital stay and improving their quality of life.
- What could go wrong
- This is a relatively early-stage trial with 386 participants. The outpatient approach may not work for everyone, and some patients may still need hospital admission if complications arise.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 386 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Dec 2025
An estimate. Start dates often move.
- Expected to finish
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Jul 2030
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 50 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Patients aged 18 to 50 years presenting to the emergency department with a 1st episode of right or left primary spontaneous pneumothorax (PSP) of large abundance diagnosed by chest X-ray or CT scan defined according to British Thoracic Society (BTS) recommendations as a detachment greater than 2 cm over the entire height of the axillary line. * Patient living less than an hour from hospital and able to be accompanied for the first 48 hours * Patient able to understand the aims and risks of the research and to give informed, dated and signed consent * Patient with Internet access and able to complete online questionnaires * Patient affiliated to or benefiting from a social health insurance Exclusion Criteria: * Small pneumothorax (≤ 2cm) * Suffocating pneumothorax defined by the presence of signs of respiratory distress or hemodynamic failure with indication for emergency exsufflation * Patient on emergency oxygen or long-term oxygen therapy * Traumatic pneumothorax * Secondary spontaneous pneumothorax * Bilateral pneumothorax * Associated fluid effusion * Risk-benefit balance unfavorable to outpatient treatment (comorbidities, isolated patient, difficulty understanding monitoring instructions) * Patient living more than one hour from hospital * Patients living alone or unable to be accompanied on discharge for the first 48 hours * Patients under legal protection * Pregnant or breast-feeding women * Patient participating in a therapeutic interventional clinical trial or in a period of exclusion linked to previous participation in a clinical trial
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
7 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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CHRU de Besançon - Hôpital Jean Minjoz
Besançon, 25030, France
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CHU de Grenoble - Hôpital Michallon
La Tronche, 38700, France
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Hôpital Pellegrin - CHU de Bordeaux
Bordeaux, 33000, France
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Hôpital Saint Louis - AP-HP
Paris, 75475, France
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Hôpital Universitaire Pitié Salpétrière AP-HP
Paris, 75651, France
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Hôpital de la Milétrie - CHU de Poitiers
Poitiers, 86021, France
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Hôpitaux Universitaires de Strasbourg
Strasbourg, 67091, France
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