NCT05799664招募中不适用
A Multicenter, Randomized, Single-blind, Sham-controlled Clinical Trial to Evaluate the Safety and Effectiveness of Targeted Lung Denervation Radiofrequency Ablation Devices in the Treatment of Chronic Obstructive Pulmonary Disease
适应症
干预措施
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 200
- 试验地点
- 1
- 主要终点
- Change of Forced expiratory volume in first second (FEV1) relative to baseline
研究概览
简要总结
The objective of this trial is to evaluate the safety and effectiveness of Targeted Lung Denervation (TLD) for COPD patients using the lung denervation radiofrequency ablation device.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 40 Years 至 75 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Participants aged ≥40 and ≤ 75 years;
- •Diagnosis of COPD with post-bronchodilator PFT parameters FEV1/FVC<70% and 20% ≤ FEV1 ≤ 60% of predicted; if FEV1<30%pred, PaCO2≤50mmHg;
- •CAT ≥ 10 or mMRC ≥2;
- •Non-smoking for a minimum of 2 months prior to consent and agrees to not smoke for the duration of the clinical investigation;
- •Recent participation in a formal pulmonary rehabilitation program should have occurred ≥3 months prior to consent; if participants are currently enrolled in a maintenance program, they should agree to continue their current program through their 12-month follow-up visit;
- •Documented history of taking standard medication (consistent with GOLD guideline<2022>) for ≥12 months at the time of consent;
- •Received an influenza vaccine within the 12 months prior to consent or agrees to obtain an influenza vaccine during the clinical investigation, and agrees to annual influenza vaccines for the duration of the clinical investigation;
- •Resting SpO2 ≥ 89% at the time of screening;
- •Willing, able, and agrees to complete all protocol required baseline and follow-up testing assessments including finishing the Patient Diary;
- •Able to understand the purpose of the clinical investigation, agree to participate in the trial and able to complete the informed consent signature.
排除标准
- •BMI < 18 or > 35;
- •Asthma as defined by the GINA guideline (2022);
- •Patient has been previously diagnosed with a non-COPD active lung disease (e.g., active tuberculosis);
- •Patient has a medical history of pneumothorax;
- •Known contraindication or allergy to medications required for bronchoscopy or general anesthesia that cannot be medically controlled;
- •Recent respiratory infections or COPD exacerbation in preceding 4 weeks;
- •Malignancy treated with radiation or chemotherapy within 2 years of consent;
- •Daily use of > 10 mg of prednisone or its equivalent at the time of consent;
- •Recent (within 3 months of consent) opioid use;
- •Known gastrointestinal motility disorder or previous abdominal surgical procedure on stomach, esophagus, or pancreas
- •Has an implantable electronic device;
- •Previous or planned pulmonary or thoracic surgery (including but not limited to: pneumonectomy, lung transplantation, pulmonary medical device intervention < e.g. pulmonary valve implantation, bronchial thermal ablation (BT), etc. >) during this trial;
- •Myocardial infarction within last 6 months, EKG with evidence of life-threatening arrhythmias or acute ischemia, pre-existing documented evidence of a LVEF < 45%, stage C or D (ACC/AHA) or Class III or IV (NYHA) congestive heart failure, or any other cardiac findings that make the participant an unacceptable candidate for a bronchoscopic procedure utilizing general anesthesia;
- •High risk of pulmonary hypertension according to clinical assessment, defined as pulmonary artery systolic pressure estimated by echocardiogram to be > 50 mmHg;
- •Pulmonary nodule or other lesions thought to be at high risk of malignancy;
- •Clinically relevant bronchiectasis, defined as severe single lobe or multilobar bronchial wall thickening associated with airway dilation on CT scan leading to cough, intractable expectoration and repeated hemoptysis lasting for several days;
- •In the opinion of the Investigator, use of the TLD devices is not feasible, for example, due to screening chest CT scan reveals severe emphysema or bronchi anatomy cannot be fully treated with available catheter sizes: severe bullous disease (> 1/3 hemithorax) or site discovery of a mass that requires treatment;
- •A GCSI total symptom score ≥ 18.0 prior to treatment;
- •Any disease or condition that might interfere with completion of a procedure or this study (e.g., life expectancy< 1 years);
- •Women of childbearing potential must have a negative pregnancy test (blood or urine) pre-treatment and agree not to become pregnant for the duration of the study
- •Participated in any clinical trial and received experimental treatment within 3 months before the screening visit.
研究组 & 干预措施
Experimental group
Experimental
Patients will be treated with TLD and standard of care (per GOLD guideline).
干预措施: Standard of care (Other)
Control group
Sham Comparator
Patients will undergo sham TLD procedure and be treated with standard of care (per GOLD guideline).
干预措施: Sham TLD procedure (Other)
Control group
Sham Comparator
Patients will undergo sham TLD procedure and be treated with standard of care (per GOLD guideline).
干预措施: Standard of care (Other)
Experimental group
Experimental
Patients will be treated with TLD and standard of care (per GOLD guideline).
干预措施: TLD (Device)
结局指标
主要结局
Change of Forced expiratory volume in first second (FEV1) relative to baseline
时间窗: 6 Months
Defined as change in FEV1 at 6 months relative to baseline in the experimental group, compared to the control group.
次要结局
- Time to first moderate or severe COPD exacerbation, first severe COPD exacerbation and first respiratory-related hospitalization.(12 Months)
- Change in 6-minute walk distance (6MWD)(6 and 12 Months)
- Change in St. George's Respiratory Questionnaire COPD Version (SGRQ-C) Total score(6 and 12 Months)
- Change in Pulmonary Function(6 and 12 Months)
- Change in modified Medical Research Council (mMRC) scale Total score(6 and 12 Months)
- Change in COPD Assessment Test (CAT) Total score(6 and 12 Months)
- Device Success Rate of experimental group(Immediately after the procedure)
- (Serious) Adverse Event Rate related to device or procedure(Through study completion, an average of 1 year)
研究者
研究点 (1)
Loading locations...
相似试验
终止
不适用
Evaluating the Safety and Feasibility of TLD for the Treatment of Severe AsthmaAsthmaNCT02872298Nuvaira, Inc.2
已完成
不适用
Targeted Lung Denervation for Patients With Moderate to Severe COPDChronic Obstructive Pulmonary Disease (COPD)NCT02058459Nuvaira, Inc.128
进行中（未招募）
不适用
Evaluation of the Safety and Efficacy of TLD in Patients with COPDCOPDNCT03639051Nuvaira, Inc.464
已完成
1 期
Innovative Pulmonary Solutions (IPS) System for Targeted Lung DenervationChronic Obstructive Pulmonary Disease (COPD)NCT01483534Nuvaira, Inc.22
撤回
不适用
Discovery of the Impact of Targeted Lung Denervation (TLD) on the Severe and Very Severe COPD PopulationCOPDNCT03213080Nuvaira, Inc.