- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT00880724
European Multi-center Post Market Study of the IBV Valve System (IBV)
5. maj 2017 opdateret af: Spiration, Inc.
European Post Market Study: A Prospective, Randomized, Controlled, Multicenter Study to Evaluate the Performance of the IBV Valve System for the Treatment of Severe Emphysema
The objective of this randomized, blinded, multicenter, controlled study is to compare the performance of the IBV Valve System (treatment group) to a control group receiving a sham bronchoscopy procedure without valve placement.
Studieoversigt
Status
Afsluttet
Betingelser
Intervention / Behandling
Detaljeret beskrivelse
The IBV Valve System (Spiration Inc.
Redmond, WA) has CE Mark approval for the treatment of diseased and damaged lung.
The devices are one-way valves that can be placed in the airways via flexible bronchoscopy limiting airflow distally.
For the treatment of emphysema, valves are placed in airways communicating to the most diseased areas of lung tissue to re-direct airflow to less diseased areas.
A multicenter, blinded and randomized study of these valves is being conducted in 7 centers in 6 European countries.
The study is evaluating the effectiveness of this therapy for the treatment of upper lobe predominant emphysema in patients with severe to very severe emphysema (GOLD classification 3 to 4) that despite best medical management continue having poor quality of life, severe symptoms and physical limitations.
The primary endpoints are to measure and compare responses using the St. George's Respiratory Questionnaire and lung volume changes as measured by CT-scans.
Consented patients that meet the strict inclusion criteria have a bronchoscopic procedure and are randomized into treatment or control (no valves) groups.
After the procedure, all patients stay blinded to their group assignment and have follow-up evaluations at 1 and 3 months.
After the 3-month evaluation, each patient is un-blinded.
The treatment group is then scheduled for an additional follow-up at 6 months and the control group is offered valve treatment (rollover) and evaluated approximately 3 months later.
Undersøgelsestype
Interventionel
Tilmelding (Forventet)
100
Fase
- Ikke anvendelig
Kontakter og lokationer
Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.
Studiesteder
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Bruxelles, Belgien
- CHU Saint Pierre
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Preston, Det Forenede Kongerige
- Royal Preston Hospital/Lancashire Teaching Hospitals
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Brescia, Italien
- Spedali Civili di Brescia
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Barcelona, Spanien
- Bellvitge Hospital
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Pamplona, Spanien
- Clinica Universitaria de Navarra
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Hannover, Tyskland
- Medizinische Hochschule Hannover
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Innsbruck, Østrig
- Landeskrankenhaus
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Deltagelseskriterier
Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.
Berettigelseskriterier
Aldre berettiget til at studere
40 år til 74 år (Voksen, Ældre voksen)
Tager imod sunde frivillige
Ingen
Køn, der er berettiget til at studere
Alle
Beskrivelse
Inclusion Criteria:
- Between 40 and 74 years of age
- Predominantly upper lobe emphysema and severe dyspnea
- Satisfies the criteria of the ATS/ERS Guidelines for Management of Stable COPD
- Physical ability to participate in the study by performing a 6-minute walk distance of > 140m
- No cigarette smoking for 4 months and willing to abstain throughout the study
- Severe airflow obstruction defined by FEV1 45% of predicted
- Severe hyperinflation defined by: TLC > 100% of predicted and RV > 150% of predicted
Exclusion Criteria:
- Between 70 and 74 years of age and an FEV1 or DLCO < 20% of predicted
- Severe gas exchange abnormalities
- Major medical disease that will limit evaluation, participation or follow-up
- Active asthma component to their disease
- Giant bulla (> 1/3 volume of lung)
- Severe pulmonary hypertension
- Requirement for > 6L02 to keep saturation > 90% with exercise
- Evidence of systemic disease or neoplasia expected to compromise survival during the 6-month study period
Studieplan
Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Enkelt
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
|---|---|
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Ingen indgriben: Medical management
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Placement of IBV Valve in the airways of treatment subjects.
Bronchoscopic procedure in control group.
Andre navne:
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Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Tidsramme |
|---|---|
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The difference between the response rates of the treatment and control groups.
Tidsramme: 3-months post randomization
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3-months post randomization
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Samarbejdspartnere og efterforskere
Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.
Sponsor
Publikationer og nyttige links
Den person, der er ansvarlig for at indtaste oplysninger om undersøgelsen, leverer frivilligt disse publikationer. Disse kan handle om alt relateret til undersøgelsen.
Hjælpsomme links
Datoer for undersøgelser
Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.
Studer store datoer
Studiestart
1. marts 2007
Primær færdiggørelse (Faktiske)
1. december 2009
Studieafslutning (Faktiske)
1. juni 2010
Datoer for studieregistrering
Først indsendt
10. april 2009
Først indsendt, der opfyldte QC-kriterier
13. april 2009
Først opslået (Skøn)
14. april 2009
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
9. maj 2017
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
5. maj 2017
Sidst verificeret
1. juni 2009
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
- CPR-01576 AD
Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .
Kliniske forsøg med IBV Valve
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Heidelberg UniversitySpiration, Inc.Ukendt
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Heidelberg UniversityAfsluttet
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Royal Brompton & Harefield NHS Foundation TrustAfsluttetHeterogent emfysemDet Forenede Kongerige
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Heidelberg UniversityAfsluttetArvelig emfysem (alfa 1-antitrypsin mangel)Tyskland
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Spiration, Inc.AfsluttetLangvarig luftlækageForenede Stater
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Ohio State UniversitySpiration, Inc.Trukket tilbageHåndtering af BPF (Bronchopleural Fistel)Forenede Stater
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Spiration, Inc.Afsluttet
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Universitaire Ziekenhuizen KU LeuvenAfsluttet
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Heidelberg UniversityUkendt