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Endoscopic Lung Volume Reduction in Patients With Advanced Emphysema Due to alpha1 Antitrypsin Deficiency

Not Applicable
Terminated
Conditions
Hereditary Emphysema (Alpha 1-antitrypsin Deficiency)
Registration Number
NCT01357460
Lead Sponsor
Heidelberg University
Brief Summary

Patients with advanced heterogeneous emphysema due to alpha1 antitrypsin deficiency might benefit from endoscopic implantation of intrabronchial valves.

Detailed Description

Patient enrollment and data acquisition is to be carried out on a prospective basis. It is planned to enroll a total of 25 patients with advanced heterogeneous emphysema due to alpha1 antitrypsin deficiency. All patients will undergo treatment at one study centre in Heidelberg. Therapy of all patients consists of implantation of intrabronchial valves (IBV, Spiration, Olympus) in the most emphysematous destroyed lobe.

Recruitment & Eligibility

Status
TERMINATED
Sex
All
Target Recruitment
18
Inclusion Criteria
  • pulmonary function: FEV1 < 45 %, RV > 150 %, TLC > 100 %
  • alpha1 antitrypsin deficiency (< 80 mg/dl), genotype: PiZS, PiZZ, Pi0/0
  • heterogenous emphysema
Exclusion Criteria
  • homogenous emphysema
  • significant bronchiectasis
  • severe concomitant diseases
  • pregnancy

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Primary Outcome Measures
NameTimeMethod
Improvement in pulmonary function (FEV1 (forced expiratory volume in 1 second) and RV/TLC (residual volume/total lung capacity)3 months
Secondary Outcome Measures
NameTimeMethod
Number of major complications3 months
Evaluation of IBV migration rate3 months
Average changes in pulmonary function (FEV1, VC (vital capacity), RV, TLC, RV/TLC)3 months
Average changes in 6-minute-walk-distance3 months

Trial Locations

Locations (1)

Thoraxklinik

🇩🇪

Heidelberg, Germany

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