Why does lung surgery leave some patients breathless? glasgow team probes the right heart
NCT ID NCT07812207
First seen Sep 10, 2026 · Last updated Sep 11, 2026 · Updated 1 time
Summary
Some people who have keyhole lung cancer surgery develop lasting breathlessness and struggle with gentle exercise, even if their breathing was fine before. Researchers suspect the right side of the heart, which pumps blood to the lungs, may be weakened by the extra pressure it faces during surgery. This study at the University of Glasgow will follow 15 patients having keyhole lobectomy, using a temporary heart catheter, MRI scans, and blood tests before and after surgery to see how the right heart copes. The goal is to learn whether these measurements are practical and reliable enough to support a future trial of drugs that might protect the heart during lung surgery.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- What this could lead to
- If the measurements work, this could lay the groundwork for a future drug trial testing whether existing heart drugs given around surgery prevent right heart weakening and post-surgery breathlessness.
- What could go wrong
- This is a small feasibility study of 15 people, so it cannot prove that preventing right heart strain improves recovery. The invasive heart catheter and MRI scans carry small risks, and the results may not apply to all lung surgery patients.
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Study facts
What this study's own registry entry says, in plain language.
- Participants
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About 15 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Oct 2026
An estimate. Start dates often move.
- Expected to finish
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Oct 2027
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.
Who is studied
The study population will be comprised of elective (planned) adult patients listed for minimally invasive (robotic- or video-assisted thoracoscopic surgery: RATS, VATS) lobectomy for lung cancer under general anaesthesia with one-lung ventilation at GJNH, a large national tertiary cardiothoracic centre located in Clydebank, Glasgow, UK.
- Ages
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18 years and older
- 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: * Age ≥18 * Presumed or confirmed non-small cell lung cancer * Planned (elective) minimally invasive (VATS/RATS) lobectomy using OLV * Able to provide informed consent Exclusion Criteria: * Pulmonary / RV physiological: Severe right sided valvular (tricuspid, pulmonary) disease, Preoperative atrial fibrillation / flutter / non-controlled tachydysrhythmia, Severe RA/RV dilatation, Severe PH (mPAP \>55mmHg). * Awake RHC contraindicated: Severe coagulopathy (PTr \>1.5, PTTr \>1.5), Thrombocytopenia (\<50x109/L), Abnormal vasculature, Unable to lie supine and head down, Endocarditis or intra-cardiac tumour or thrombus, Right-sided valve prosthesis or other implanted cardiac device (e.g. pacing wire), Skin/soft tissue infection overlying insertion point. * CMR contraindicated: Severe claustrophobia/unable to lie supine, Class III obesity (BMI \>40), Presence of non-MRI compatible foreign body or implanted device. * Gadolinium contrast contraindicated: CMR contraindicated (as above) and/or: Intravenous (IV) contrast (Gadolinium) allergy, Acute or chronic renal failure (eGFR \<59ml/min). * Surgical / medical: Planned sub-lobar resection / wedge resection / isolated middle lobectomy / segmentectomy / pneumonectomy, Planned secondary procedure (e.g. mediastinal/cardiac), Pregnancy. * Research: Ongoing participation in other investigational research which would undermine the scientific basis of this study.
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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
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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
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