Bronchoscopic Lung Volume Reduction Treatment in Clinical Practice: Introduction and Implementation in The Netherlands and Evaluation of a National Database
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- COPD
- Sponsor
- University Medical Center Groningen
- Enrollment
- 500
- Locations
- 2
- Primary Endpoint
- Quality of treatment
- Status
- Recruiting
- Last Updated
- last year
Overview
Brief Summary
Rationale: New bronchoscopic treatments for emphysema have shown promise in clinical trials, improving lung function, exercise capacity and possibly survival and are now being adopted by a number of centres in the Netherlands. It is important to ensure that the benefits seen in clinical trials are in fact reflected in clinical practice and that the best use of this early 'real world' experience is made to optimise the development and use of these novel therapies.
Overall objective: to develop a national database to record bronchoscopic lung volume reduction procedures for patients with emphysema. This is desirable for audit purposes but will also be an important resource for research both in gathering data and in facilitating collaborations.
Detailed Description
Rationale: New bronchoscopic treatments for emphysema have shown promise in clinical trials, improving lung function, exercise capacity and possibly survival and are now being adopted by a number of centres in the Netherlands. It is important to ensure that the benefits seen in clinical trials are in fact reflected in clinical practice and that the best use of this early 'real world' experience is made to optimise the development and use of these novel therapies. Overall objective: to develop a national database to record bronchoscopic lung volume reduction procedures for patients with emphysema. This is desirable for audit purposes but will also be an important resource for research both in gathering data and in facilitating collaborations. Study design: This study is a nationwide, multicenter, observational post-marketing study with long-term follow up (5 years). Study population: The study population exists of patients with severe emphysema who undergo a bronchoscopic lung volume reduction treatment with one-way endobronchial valves. Main study parameters/endpoints: The main study parameter is the assessment of Target Lung Volume Reduction (TLVR) and correct placement of the valves at CT-scan at 30 days post treatment. This is the most accurate and directly treatment related endpoint which will also be used for quality control.
Investigators
Dirk-Jan Slebos
MD PhD
University Medical Center Groningen
Eligibility Criteria
Inclusion Criteria
- •Patient is scheduled for a bronchoscopic lung volume treatment using one-way valves.
Exclusion Criteria
- •There are no exclusion criteria for this study.
Outcomes
Primary Outcomes
Quality of treatment
Time Frame: Baseline-30 days
Quality will be assessed by a High resolution CT check at 30 day post-treatment of the placement of the valves.
Secondary Outcomes
- Change from baseline in exercise capacity at 5 years follow up after treatment.(Baseline- 5 years)
- Change from baseline in health status at 5 years follow up after treatment.(Baseline- 5 years)
- Change from baseline in lungfunction at 5 years follow up after treatment.(Baseline- 5 years)
- The incidence of a pneumothorax after the treatment until 5 years follow up.(Baseline- 5 year)
- Change from baseline in breathlessness at 5 years follow up after treatment.(Baseline- 5 years)