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Phase 3 Study of the Biologic Lung Volume Reduction (BLVR) System in Advanced Upper Lobe Predominant (ULP) Emphysema
This study is not yet open for participant recruitment.
Verified by Aeris Therapeutics, December 2008
Sponsored by: Aeris Therapeutics
Information provided by: Aeris Therapeutics
ClinicalTrials.gov Identifier: NCT00716053
  Purpose

The purpose of the study is to evaluate the efficacy and safety of the 20 mL BLVR System in treating patients with advanced upper lobe predominant emphysema.


Condition Intervention Phase
Advanced Upper Lobe Predominant Emphysema
Drug: Biologic Lung Volume Reduction (Hydrogel)
Drug: Biologic Lung Volume Reduction Sham
Phase III

MedlinePlus related topics: Emphysema
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Randomized, Double Blind (Subject, Outcomes Assessor), Placebo Control, Parallel Assignment, Safety/Efficacy Study
Official Title: Phase 3 Study of the Biologic Lung Volume Reduction (BLVR) System in Patients With Advanced Upper Lobe Predominant Emphysema

Further study details as provided by Aeris Therapeutics:

Primary Outcome Measures:
  • Improvement in forced expiratory volume (FEV1) and respiratory quality of life (SGRQ) [ Time Frame: 6 months (24 weeks) ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • improvement in vital capacity [ Time Frame: 6 months (24 weeks) ] [ Designated as safety issue: No ]
  • reduction in gas trapping [ Time Frame: 6 months (24 weeks) ] [ Designated as safety issue: No ]
  • improvement in dyspnea symptoms [ Time Frame: 6 months (24 weeks) ] [ Designated as safety issue: No ]
  • assessment of treatment-emergent adverse events and serious adverse events [ Time Frame: 6 months (24 weeks) ] [ Designated as safety issue: Yes ]

Estimated Enrollment: 225
Study Start Date: October 2008
Estimated Study Completion Date: September 2011
Estimated Primary Completion Date: May 2010 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
treatment: Experimental
BLVR treatment
Drug: Biologic Lung Volume Reduction (Hydrogel)
20 mL BLVR Hydrogel
control: Sham Comparator
sham BLVR
Drug: Biologic Lung Volume Reduction Sham
20 mL Saline

Detailed Description:

Patients with emphysema currently have limited treatment choices. Many patients are treated with steroids and inhaled medications,which often provide little or no benefit.

In recent years, lung volume reduction surgery has become an accepted therapy for advanced emphysema. Lung volume reduction surgery involves the removal of diseased portions of the lung in order to enable the remaining, healthier portions of the lung to function better. This procedure, although effective for many patients, is complicated and is accompanied by substantial morbidity and mortality risk.

Aeris Therapeutics has developed the Biologic Lung Volume Reduction (BLVR) System to achieve lung volume reduction without surgery and its attendant risks. With BLVR, a physician uses a bronchoscope to direct treatment to the most damaged areas of the patient's lungs. The treatment delivers a precisely proportioned proprietary mixture of drugs and biologics which, when combined at the treatment site, form a bioabsorbable gel. The gel is comprised of clotting proteins that deliver the treatment, an antibiotic to prevent infection and drugs designed to remodel damaged areas of the lungs—actually using the body's natural scar formation response to permanently collapse the diseased areas. This reduction in lung volume creates more space for adjacent healthier parts of the lungs to function more effectively.

  Eligibility

Ages Eligible for Study:   40 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • clinical diagnosis of advanced upper lobe predominant emphysema demonstrated by CT scan
  • age >/= 40 years
  • clinically significant dyspnea
  • failure of standard medical therapy (typically inhaled beta agonist & inhaled anticholinergic) to relieve symptoms
  • pulmonary function tests within protocol-specified ranges (post bronchodilator FEV1 < 50% predicted & experiencing < 30% or 300 mL improvement using bronchodilator; total lung capacity > 100% predicted; residual volume > 135% predicted)
  • 6 Minute Walk Distance >/= 150 m

Exclusion Criteria:

  • tobacco use within 4 months of initial visit or during study
  • body mass index < 15 kg/m2 or > 35 kg/m2
  • clinically significant asthma, chronic bronchitis or bronchiectasis
  • allergy or sensitivity to procedural components
  • pregnant, lactating or unwilling to use birth control if required
  • prior lung volume reduction surgery, lobectomy, pneumonectomy, lung transplant, endotracheal valve placement (unless removed), airway stent placement or pleurodesis
  • comorbid condition that could adversely influence outcomes
  • inability to tolerate bronchoscopy under conscious sedation (or anesthesia)
  • history of renal infarction or renal failure
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00716053

Contacts
Contact: Whitney Kent, MBA, CCRP 781-904-2350 whitney.kent@aerist.com

Locations
United States, Alabama
University of Alabama
Birmingham, Alabama, United States
United States, Arizona
Pulmonary Associates
Phoenix, Arizona, United States
United States, Iowa
Internal Med, Univ of Iowa Hospitals & Clinics
Iowa City, Iowa, United States
United States, Kansas
Veritas Clinical Specialties
Topeka, Kansas, United States
United States, Massachusetts
Caritas St Elizabeth's Medical Center
Boston, Massachusetts, United States
United States, Ohio
Pulmonary Allergy & Crit Care Med, Cleveland Clinic Foundation
Cleveland, Ohio, United States
United States, Pennsylvania
Temple University Lung Center
Philadelphia, Pennsylvania, United States
United States, South Carolina
Div Pulmonary Med, Med Univ of South Carolina
Charleston, South Carolina, United States
Israel
Rabin Medical Center
Petach Tikva, Israel
Sponsors and Collaborators
Aeris Therapeutics
Investigators
Study Chair: Edward P Ingenito, MD, PhD Aeris Therapeutics, Inc
  More Information

Publications:
Responsible Party: Aeris Therapeutics, Inc ( Edward Ingenito, MD, PhD )
Study ID Numbers: 01-C08-001
Study First Received: July 15, 2008
Last Updated: December 1, 2008
ClinicalTrials.gov Identifier: NCT00716053  
Health Authority: United States: Food and Drug Administration

Keywords provided by Aeris Therapeutics:
emphysema
chronic obstructive pulmonary disease
COPD
lung volume reduction
LVRS
BLVR
Aeris

Study placed in the following topic categories:
Pulmonary Emphysema
Emphysema
Lung Diseases, Obstructive
Respiratory Tract Diseases
Lung Diseases
Pulmonary Disease, Chronic Obstructive

Additional relevant MeSH terms:
Pathologic Processes

ClinicalTrials.gov processed this record on January 16, 2009