Clinical trial Recruiting at 1 site Observational Ages 18 and up

Investigating how draining fluid from the lungs affects breathing in patients with pleural effusion

Official title: Continuation Of a Study to Investigate the Effect of Thoracocentesis on Neural Respiratory Drive in Pleural Effusion (COSINE)

Run by Guy's and St Thomas' NHS Foundation Trust · NCT05945043 · Data updated 2026-11-12

This study is trying to see how draining fluid from the lungs affects breathing and breathlessness in adults with pleural effusion.

More Pleural Effusion trials

Quick facts

Study typeObservational
Ages18 Years and up
SexAll
Enrollment124 (estimated)
SponsorGuy's and St Thomas' NHS Foundation Trust
Academic / other
Locations1 site (London, London)
StatusRecruiting
StartedNovember 15, 2023
Main results expectedJune 30, 2027
Study endsJune 30, 2027
Registry record updatedJune 4, 2026
Trial IDNCT05945043 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults aged 18 and older with unilateral pleural effusions who require thoracocentesis or related procedures.

Probably not a fit

Patients who are unable to consent or have contraindications to pleural procedures may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This observational study aims to explore the relationship between pleural effusions and breathlessness in patients requiring fluid removal. It will involve 124 adult patients with unilateral pleural effusions, recruited from a single center in the UK over 18 months. Participants will undergo baseline assessments, including measurements of breathlessness, breathing muscle activity, and electrical signals from the brain to these muscles, at various time points around the drainage procedure. The goal is to identify links between pleural effusion removal and changes in breathing dynamics and patient-reported breathlessness.

Why it matters

Potential benefit: If successful, this study could enhance understanding of breathlessness management in patients with pleural effusions, potentially leading to improved treatment strategies.

How similar studies have gone: While similar studies have explored aspects of pleural effusions and breathlessness, this specific approach to measuring neural respiratory drive is relatively novel.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Age 18 years or above
* Has a unilateral pleural effusion AND

  1. require thoracocentesis OR
  2. chest drain insertion (main study only) OR
  3. has an IPC in situ (main study only)

Exclusion Criteria:

* Inability to consent
* Any contraindications to the proposed pleural procedure
* Haemodynamic or clinical instability that precludes from the safe completion of required pre-procedural measurements
* Inability to identify surface landmarks for surface EMG electrode placement
* Past medical history of diaphragmatic paralysis (diaphragm sub study only)

Where it's running

  • Guy's & St Thomas' NHS Foundation Trust
    London, London, United Kingdom
    Recruiting

Study contacts

  • Principal investigator: Patrick Murphy, MBBS BSc — Guy's and St Thomas' NHS Foundation Trust
  • Study coordinator: Junyi Zhang, MBBChir
  • Email: junyi.zhang@gstt.nhs.uk
  • Phone: 02071887188

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.