Asthma Clinical Trial
Official title:
AIR2 Extension Study to Demonstrate Longer-term (> 1 Year) Durability of Effectiveness
The objective of this study is to evaluate durability of effectiveness (beyond one year) of
the Alair System in patients with severe persistent asthma. The study will consist of
Alair-group subjects who are currently in the follow-up phase (out to 5 years) of the AIR2
Trial (Protocol #04-02).
Durability of the treatment effect will be evaluated by comparing the proportion of subjects
who experience severe exacerbations during the first year after Alair treatment with the
proportion of subjects who experience severe exacerbations during subsequent 12 month
periods out to 5 years.
All Alair group subjects in the AIR2 Trial are being followed out to 5 years as per the AIR2
Trial protocol. The data that are to be used to determine durability of effectiveness as
described in the present protocol (Protocol #10-01) are being collected under the existing
AIR2 Trial protocol (Protocol # 04-02).
Study Hypothesis: An empirical demonstration of the durability of the treatment effect will
be used to show that the proportion of subjects experiencing severe exacerbations for the
first year compared with the proportions of subjects experiencing severe exacerbations in
subsequent years do not get substantially worse.
The primary statistical objective is to demonstrate that the proportion of subjects who
experience severe exacerbations in the subsequent 12-month follow-up (for Year 2, Year 3,
Year 4 and Year 5 [in 12-month periods]) is not statistically worse when compared with the
proportion of first 12-months, which begins 6-weeks after the last Alair treatment. This
objective will be met if the upper 95% confidence limit of the difference in proportions
(i.e., the subsequent 12-month proportion minus the first 12-month proportion) is less than
20%.
This will be an open-label, single arm study designed to demonstrate the durability of
effectiveness (beyond one year) of the Alair System in patients with severe persistent
asthma.
Durability of treatment effect will be evaluated by comparison of the proportion of subjects
experiencing severe exacerbations during the first year after the Alair treatment to
subsequent 12-month periods out to 5 years.
The 12-month periods will begin 6 weeks post-last Alair bronchoscopy.
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Observational Model: Cohort, Time Perspective: Prospective
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