Sequential Segmental Treatment of Emphysema With Upper Lobe Predominance (STEP-UP) Study

NCT ID: NCT01719263

Last Updated: 2015-10-29

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

69 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-06-30

Study Completion Date

2015-10-31

Brief Summary

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This study is designed to demonstrate safety and efficacy in patients with severe upper lobe predominant emphysema. For validity of the study, the results will be compared to patients that receive optimal medical therapy.

Detailed Description

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Conditions

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Emphysema

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Treatment plus Optimal Medical Therapy

Patients will be treated with the InterVapor System and Optimal Medical Therapy

Group Type EXPERIMENTAL

InterVapor® treatment plus Optimal Medical Therapy

Intervention Type DEVICE

Patients will be treated with the InterVapor System in 1 to 2 segments in the upper lobes of each lung (2 to 3 segments total). Patients will also receive Optimal Medical Therapy. Guidelines for prescribing medical treatment for emphysema are published by the American Thoracic Society (ATS) and the National Heart Lung and Blood Institute/World Health Organization (NHLBI/WHO GOLD workshop summary).

Optimal Medical Therapy

Patients will be treated according to Optimal Medical Therapy

Group Type ACTIVE_COMPARATOR

Optimal Medical Therapy

Intervention Type OTHER

Patients will receive Optimal Medical Therapy. Guidelines for prescribing medical treatment for emphysema are published by the American Thoracic Society (ATS) and the National Heart Lung and Blood Institute/World Health Organization (NHLBI/WHO GOLD workshop summary).

Interventions

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InterVapor® treatment plus Optimal Medical Therapy

Patients will be treated with the InterVapor System in 1 to 2 segments in the upper lobes of each lung (2 to 3 segments total). Patients will also receive Optimal Medical Therapy. Guidelines for prescribing medical treatment for emphysema are published by the American Thoracic Society (ATS) and the National Heart Lung and Blood Institute/World Health Organization (NHLBI/WHO GOLD workshop summary).

Intervention Type DEVICE

Optimal Medical Therapy

Patients will receive Optimal Medical Therapy. Guidelines for prescribing medical treatment for emphysema are published by the American Thoracic Society (ATS) and the National Heart Lung and Blood Institute/World Health Organization (NHLBI/WHO GOLD workshop summary).

Intervention Type OTHER

Other Intervention Names

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InterVapor or BTVA

Eligibility Criteria

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Inclusion Criteria

* Heterogeneous emphysema with upper lobe predominance in both lungs
* FEV1 between 20% and 45% predicted
* Residual volume (RV) \> 150% predicted
* Post-rehabilitation 6-minute walk test \> 140 meters

Exclusion Criteria

* More than 3 COPD related hospitalizations requiring antibiotics in past 12 months
* FEV1 \< 20% predicted
* DLCO \< 20% predicted or immeasurable DLCO
* Body mass index (BMI) \< 18kg/m2 or \> 32 kg/m2
* History of any of the following:

* Left ventricular ejection fraction (EF) ≤ 40%
* Stroke
* Myocardial infarction or acute coronary syndrome in previous year
* Hospitalization due to left ventricular failure in previous 3 years
Minimum Eligible Age

40 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Uptake Medical Corp

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Felix JF Herth, MD

Role: PRINCIPAL_INVESTIGATOR

Heidelberg University

Gregory Snell, MD

Role: PRINCIPAL_INVESTIGATOR

The Alfred Hospital, Melbourne, Australia

Locations

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Prince Charles Hospital

Chermside, Queensland, Australia

Site Status

Royal Adelaide Hospital

Adelaide, South Australia, Australia

Site Status

The Alfred Hospital

Melbourne, Victoria, Australia

Site Status

Sir Charles Gairdner Hospital

Nedlands, Western Australia, Australia

Site Status

Otto-Wagner-Spital

Vienna, , Austria

Site Status

Charite Universitätsmedizin Berlin Campus Mitte

Berlin, , Germany

Site Status

Gemeinschaftskrankenhaus Havelhöhe Berlin

Berlin, , Germany

Site Status

Asklepios Fachkliniken Gauting München

Gauting, , Germany

Site Status

Klinik Schillerhohe

Gerlingen, , Germany

Site Status

Universitätsklinik Halle

Halle, , Germany

Site Status

Asklepios Klinik Harburg

Hamburg, , Germany

Site Status

Thoraxklinik Heidelberg

Heidelberg, , Germany

Site Status

Lungenklinik Hemer

Hemer, , Germany

Site Status

Klinikum Nürnberg

Nuremberg, , Germany

Site Status

Mater Misericordiae University Hospital

Dublin, , Ireland

Site Status

Auckland City Hospital

Auckland, , New Zealand

Site Status

Royal Bromptom & Harefield NHS Foundation

London, , United Kingdom

Site Status

Countries

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Australia Austria Germany Ireland New Zealand United Kingdom

References

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Herth FJ, Valipour A, Shah PL, Eberhardt R, Grah C, Egan J, Ficker JH, Wagner M, Witt C, Liebers U, Hopkins P, Gesierich W, Phillips M, Stanzel F, McNulty WH, Petermann C, Snell G, Gompelmann D. Segmental volume reduction using thermal vapour ablation in patients with severe emphysema: 6-month results of the multicentre, parallel-group, open-label, randomised controlled STEP-UP trial. Lancet Respir Med. 2016 Mar;4(3):185-93. doi: 10.1016/S2213-2600(16)00045-X. Epub 2016 Feb 16.

Reference Type DERIVED
PMID: 26899390 (View on PubMed)

Bandyopadhyay S, Henne E, Gupta A, Barry R, Snell G, Strange C, Herth FJ. Segmental approach to lung volume reduction therapy for emphysema patients. Respiration. 2015;89(1):76-81. doi: 10.1159/000369036. Epub 2014 Dec 6.

Reference Type DERIVED
PMID: 25500669 (View on PubMed)

Valipour A, Herth FJ, Eberhardt R, Shah PL, Gupta A, Barry R, Henne E, Bandyopadhyay S, Snell G. Design of the randomized, controlled sequential staged treatment of emphysema with upper lobe predominance (STEP-UP) study. BMC Pulm Med. 2014 Dec 3;14:190. doi: 10.1186/1471-2466-14-190.

Reference Type DERIVED
PMID: 25467378 (View on PubMed)

Other Identifiers

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CSP-1570

Identifier Type: -

Identifier Source: org_study_id

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