Optimal tunneling method for PICC placement
Official title: Effects of Different Tunnel Methods in PICC Catheterization: A Randomized Controlled Trial
Run by Sun Yat-sen University · NCT07594704 · Data updated 2026-11-12
This study tests whether a one-needle or two-needle tunneling technique is safer and more effective for first-time tunneled PICC catheter placements in adults.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years to 75 Years |
| Sex | All |
| Enrollment | 284 (estimated) |
| Sponsor | Sun Yat-sen University Academic / other |
| Locations | 1 site (Guangzhou, Guangdong) |
| Status | Recruiting |
| Started | April 1, 2026 |
| Main results expected | June 30, 2026 |
| Study ends | July 30, 2026 |
| Registry record updated | May 22, 2026 |
| Trial ID | NCT07594704 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults 18–75 years old undergoing first-time tunneled PICC placement with 4Fr single-lumen catheters and able to consent.
✕Probably not a fit
Patients with coagulation dysfunction, BMI below 18.5, pregnancy, lower-extremity access, or catheter allergies may not benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This prospective randomized trial compares one-needle versus two-needle tunneling methods used during tunneled PICC catheter placement. Adults aged 18–75 undergoing their first tunneled PICC with a 4Fr single-lumen catheter are randomized to either technique. The goal is to determine which method minimizes catheter-related complications while maintaining safety. The study is conducted at Sun Yat-sen University Cancer Center in Guangzhou and is led by Sun Yat-sen University with no listed collaborators. Participants must meet specific health and consent criteria and will receive standard PICC care and follow-up.
Why it matters
Potential benefit: If successful, the preferred tunneling method could reduce complications and improve outcomes for patients needing long-term PICCs.
How similar studies have gone: Previous research on tunneling techniques in PICC lines has explored safety and infection, but direct randomized comparisons are limited, making this study relatively novel in its direct head-to-head design.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Aged between 18 and 75 years old; * Educational level of primary school or above, with basic listening, speaking, reading and writing abilities, and capable of completing the questionnaire independently; * Receiving tunneled PICC catheterization for the first time, with 4Fr single-lumen solo PICC catheter indwelling; * Able to attend regular PICC maintenance at our hospital as scheduled after catheterization; * Voluntarily participate in this study and sign the informed consent form for this study as well as the informed consent form for PICC catheterization. Exclusion Criteria: * Patients with coagulation dysfunction (INR \> 1.5 / PLT \< 50×10⁹/L); * Pregnant or lactating women; * Patients with BMI \< 18.5 kg/m²; * Patients receiving PICC catheterization via lower extremity veins; * Patients with known or suspected allergy to components of PICC catheters.
Where it's running
-
Sun Yat-sen University Cancer Center
Guangzhou, Guangdong, China Recruiting
Study contacts
- Study coordinator: Zeyin Hu
- Email: huzy@sysucc.org.cn
- Phone: 15899954190
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.