Emphysema Clinical Trial
Official title:
A Randomized, Double-blind Study to Evaluate the Safety and Effectiveness of the Exhale® Drug-Eluting Stent in Homogeneous Emphysema Subjects With Severe Hyperinflation
This is an international clinical research study evaluating the safety and effectiveness of a new procedure called airway bypass. The goal of this research is to see if airway bypass can relieve hyperinflation (overfilling) of the lungs, thereby improving lung function and reducing shortness of breath in patients with severe homogeneous (diffuse) emphysema. "EASE" stands for Exhale Airway Stents for Emphysema.
Over 3 million people in the United States and tens of millions more throughout the world
live with emphysema, a chronic, progressive, irreversible disease of the lungs. The hallmark
of emphysema is hyperinflation of the lungs -- air is trapped in the lungs and cannot
escape, causing the lungs to become larger and larger. This makes it difficult to breathe
and dyspnea (shortness of breath) is the result.
The airway bypass procedure is performed using a bronchoscope with the patient under
anesthesia. Very small passageways are created between the damaged lung tissue and the
larger breathing passages (airways). Small stents are inserted to keep the new pathways from
closing. These pathways could potentially provide a way for the trapped air to escape when
the patient exhales. If the amount of air trapped in the lungs is reduced then it should be
easier for the person to breathe.
The EASE study will compare the effects of Exhale Drug-Eluting Stents in patients to a
sham-control group of patients who do not receive the stents. Two out of three (2/3) of the
participants in the trial will be in the airway bypass group, or "treatment" group.
Participants in the treatment group will undergo the airway bypass procedure with up to six
drug-eluting stents implanted in their lungs, creating the passageways for the trapped air
to escape. A smaller group - one out of three (1/3) participants - will be the "control"
group. The control group will have bronchoscopy, but passages will not be made and stents
will not be implanted.
Participants will need to return to the study center four times during the year for
follow-up visits and tests. All participants will be told which group they were in when they
come back for a follow-up visit one year after the procedure. Participants in the control
group will be finished with the trial after one year. Participants in the treatment group
will have a follow-up visit once a year for the next four years to monitor the longer term
effects of the airway bypass procedure. This is why the end date of the trial is listed as
2012.
;
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Outcomes Assessor), Primary Purpose: Treatment
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