Bronchial Thermoplasty in Severe Asthma With Frequent Exacerbations
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Asthma
- Sponsor
- University Hospital, Strasbourg, France
- Enrollment
- 34
- Locations
- 1
- Primary Endpoint
- Severe exacerbation rate (change from baseline)
- Last Updated
- 6 years ago
Overview
Brief Summary
The purpose of this study is to demonstrate the effectiveness of bronchial thermoplasty in a severe asthmatic population with frequent exacerbations.
This will be a single center randomized and controlled study. Thirty subjects with severe asthma (Gina 4 and 5) with frequent severe exacerbations (four or more bursts of systemic corticosteroids >3 days each in the previous year) will be randomized 1:1 to either the thermoplasty group (bronchial thermoplasty and medical management) or control group (medical management only).
Investigators
Eligibility Criteria
Inclusion Criteria
- Not provided
Exclusion Criteria
- Not provided
Outcomes
Primary Outcomes
Severe exacerbation rate (change from baseline)
Time Frame: Baseline, 6 months and 12 months after the last thermoplasty procedure
A severe exacerbation is defined by a burst of systemic corticosteroids \>3 days
Secondary Outcomes
- Mean oral glucocorticosteroid dose (mg equivalent prednisone)(Baseline, 6 and 12 Months)
- Pre- and post-bronchodilator FEV1(Baseline, 6 and 12 Months)
- Asthma Quality of Life Questionnaire (AQLQ) Score(Baseline, 3, 6, 9 and 12 Months)
- Time to the first severe asthma exacerbation(anytime)
- Mild exacerbation rate(Baseline, 6 and 12 Months)
- Asthma Control Questionnaire (ACQ) Score(Baseline, 3, 6, 9 and 12 Months)
- Structural airway remodeling using CT(Baseline and 12 Months)
- Inflammatory cells and markers in induced sputum(Time Frame: Baseline and 12 Months)