Status:

UNKNOWN

Endoscopic Lung Volume Reduction After Catheter-based CV Measurement in Patients With Heterogeneous Emphysema and Complete Interlobar Fissures

Lead Sponsor:

Heidelberg University

Conditions:

Heterogeneous Emphysema

Eligibility:

All Genders

Phase:

PHASE2

PHASE3

Brief Summary

This clinical trial evaluates the impact of catheter-based measurement of interloabr collateral ventilation prior to endoscopic lung volume reduction in patients with hetereogeneous emphysema and comp...

Detailed Description

50 patients (25 per center) with heterogeneous lung emphysema with indication for endoscopic lung volume reduction by valve implantation will be prospectively included in the study. Heterogeneity of e...

Eligibility Criteria

Inclusion

  • written informed consent
  • ability to understand the importance of adherence to study treatment and the study protocol and willing to follow all study requirements
  • severe lung emphysema (FEV1\<45%, RV\>150%, TLC\>100%)
  • pO2\>60 mmHg with 4l O2, pCO2 \< 60 mmHg at rest
  • heterogeneous lung emphysema diagnosed with HRCT and perfusion scintigraphy
  • confirmed heterogeneity by YACTA®
  • disclosure of parallel channels through relevant interlobar fissures
  • age \> 30 years
  • stable COPD without exacerbation 8 weeks prior to screening
  • dose of cortisone\< 20 mg prednisone or equivalent OCS
  • non-smoker or ex-smoker who stopped smoking for at least 4 months prior to the screening visit
  • current CoHb \< 2,5%

Exclusion

  • BMI \< 18 mg/kg2
  • significant bronchiectasis with sputum production of 4 tablespoons/day
  • 6-minute-walk distance \< 150 m
  • myocardial infarction within 6 weeks prior screening visit
  • decompensated heart failure
  • cardiomyopathy with moderate or severe restricted LVF
  • long-term medication with Clopidogrel
  • status after lung resection (Lobectomy/Pneumonectomy)
  • existing pregnancy
  • female subjects of child-bearing potential without acceptable forms of contraception

Key Trial Info

Start Date :

June 1 2013

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

Estimated Enrollment :

50 Patients enrolled

Trial Details

Trial ID

NCT01902732

Start Date

June 1 2013

Last Update

July 18 2013

Active Locations (5)

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Page 1 of 2 (5 locations)

1

LungenClinic Grosshansdorf

Großhansdorf, Germany, 22927

2

LungenClinic Grosshansdorf

Großhansdorf, Germany, 22927

3

Thoraxklinik Heidelberg

Heidelberg, Germany, 69126

4

Thoraxklinik Heidelberg

Heidelberg, Germany, 69126