Clinical Trial: Clinical Study to Evaluate the Exercise Capacity in Patients With Severe Emphysema Treated With Coils

Study Status: Not yet recruiting
Recruit Status: Not yet recruiting
Study Type: Interventional

Official Title: Clinical Study to Evaluate the Exercise Capacity in Patients With Severe Emphysema Treated With Coils

Brief Summary:

The study hypothesis is that patients with homogeneous emphysema behave differently compared to heterogeneous emphysema with respect to exercise capacity. A better understanding of this difference will allow the investigators to choose the best treatment for each type of patient.

The main purpose of this study is to evaluate the change in exercise capacity measured by cycle ergometry in patients with severe emphysema after endoscopic lung volume reduction with coils (eLVR).

As a secondary purpose, the investigators want to perform an exploratory, randomized study to compare the results of two different therapeutic approaches in a small sample of patients with homogeneous emphysema.


Detailed Summary:

The study plans to include patients with severe emphysema candidates to go through eLVR with coils that fulfill all inclusion criteria and none of the exclusion criteria. Patients with both homogeneous and heterogeneous emphysema will be included.

The main study intervention is the performance of a cyclo ergometry (not included in daily clinical practice) before (basal) and 6 months after going through the eLVR with coils.

The subgroup of patients with homogeneous emphysema will be randomly assigned to the following therapeutic approaches:

  • Group A: treatment with 10 coils in upper lobes
  • Group B: treatment with 15 coils spared in upper and lower lobes

Thus, the study includes:

  • for all patients, the performance of two cycloergometries, before and 6 months after the eLVR
  • Also, for the subset of homogeneous emphysema patients, an open label, randomized, parallel, two arm exploratory clinical trial.

Sample size has not been formally calculated as there are no previous available data for the primary endpoint (change inspiratory capacity). Thus, 35 patients will be included according to the expected number of patients. Recruitment period will be 24 months and patient follow up will be 6 months.


Sponsor: Instituto de Investigación Sanitaria de la Fundación Jiménez Díaz

Current Primary Outcome: Change in Inspiratory Capacity (L) [ Time Frame: three months before procedure and six months after first procedure ]

Change in Inspiratory Capacity (L) at 6 months from baseline


Original Primary Outcome: Same as current

Current Secondary Outcome:

  • RV (L) [ Time Frame: three months before procedure and six months after first procedure ]
    Residual Volume (L)
  • 6-MWT (m) [ Time Frame: three months before procedure and six months after first procedure ]
    Six minute walk test (m)
  • SGQLT (measured in points) [ Time Frame: three months before procedure and six months after first procedure ]
    Saint George quality of life test (points)
  • FEV1(measured in liters) [ Time Frame: three months before procedure and six months after first procedure ]
    Forced Expiratory Volume in 1 Second (L)
  • FVC (measured in liters) [ Time Frame: three months before procedure and six months after first procedure ]
    Forced Vital Capacity (L)
  • Endoscopic Volume Reduction-Associated Complications Rate [ Time Frame: 6 months ]
    Endoscopic Volume Reduction Complications Rate
  • Cycloergometry-associated Complications Rate [ Time Frame: 6 months ]
    Cycloergometry-associated Complications Rate


Original Secondary Outcome: Same as current

Information By: Instituto de Investigación Sanitaria de la Fundación Jiménez Díaz

Dates:
Date Received: July 29, 2016
Date Started: September 2016
Date Completion: December 2018
Last Updated: September 9, 2016
Last Verified: August 2016