NoSeal Trial: Comparing Sealants Versus No Sealant for Preventing CSF Leak After Endonasal Skull Base Surgery

Recruiting N/A Interventional Study
CerebroSpinal Fluid (CSF) Leak
No Placebo Group Every participant receives an active treatment — no one gets a placebo.
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At a Glance
Age
18 and older
Sex
Any
Study type
Interventional
Purpose
Prevention
Participants needed
225 (estimated)
Sponsor
Maria Sklodowska-Curie National Research Institute of Oncology · Other
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About This Trial
Postoperative cerebrospinal fluid (CSF) leak is a significant complication of endoscopic endonasal approaches (EEA) to the skull base. The use of tissue sealants such as fibrin glue (Tisseel) or synthetic agents (PEI/PEG) is widespread in surgical practice, however, recent high-quality evidence challenges their clinical benefit and cost-effectiveness. This study aims to investigate whether the rou…
Trial Locations
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Eligibility Criteria
Inclusion Criteria: * Age ≥ 18 years * Scheduled for endoscopic endonasal surgery involving standard skull base reconstruction * Informed written consent obtained prior to enrollment * Hemodynamic and electrolyte stability before surgery * Procedure expected to be completed without use of high-flow…
Contacts

Wojciech Czyzewski, MD PhD, MD PhD

+48788599550

wojciech.w.czyzewski@gmail.com

CONTACT