Development and Application of a New Balloon Catheter for Intraairway Hemostasis

NCT ID: NCT05554731

Last Updated: 2022-09-26

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

200 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-10-01

Study Completion Date

2023-10-30

Brief Summary

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Massive hemoptysis is a serious disease of respiratory system, which seriously endangers the life of patients.

There are obvious difficulties in the treatment of hemoptysis. In the traditional treatment, patients still have the risk of massive hemoptysis and suffocation, and the risk control in the treatment process cannot be ensured.

Intra - airway interventional therapy, especially the hemostatic technique of intra - airway balloon catheter, is an important means to control the risk of hemoptysis.

However, the current intraairway balloon catheter therapy technology is immature, complicated and difficult to operate, and the cost is high. There is a lack of special balloon for hemostasis, and the balloon borrowed for other purposes cannot meet the needs of hemoptysis treatment.

Therefore, it is urgent to develop a new balloon catheter for airway hemostasis, which has simple technical operation, easy to master and popularize, efficient and safe function and structure.

According to this requirement, this project designed and developed hemostatic balloon catheter with multiple functions such as self-guiding, anti-displacement, anti-leakage and detachable rear end, so as to make the treatment of massive hemoptysis more safe and effective, simpler and faster, so as to be widely applied in clinical practice.

Detailed Description

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This study are aimed to investigate the safety and effectiveness of the new intraairway hemostatic balloon catheter in the treatment of massive hemoptysis, as well as the superior efficacy compared with the traditional treatment strategy of massive hemoptysis.

Conditions

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Hemoptysis

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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New balloon catheter for Endotracheal hemostasis + Traditional Therapy

1. Haemoptysis clinic for regular haemoptysis after treatment and life safety safeguard measures;
2. Balloon closure after informed consent (it can be blocked in emergency);
3. CTA (can be performed as an emergency prior to balloon blockage);
4. Artery interventional therapy (if necessary);
5. Surgery (if needed).

Group Type EXPERIMENTAL

a New Balloon Catheter for Intraairway Hemostasis

Intervention Type DEVICE

In the treatment group, the new balloon catheter was inserted in three steps, that is, the tracheoscope was inserted into the airway to remove the blood in the airway and find the target bronchus.The new airway hemostatic balloon catheter was directly inserted through the tracheoscopy biopsy channel, and then directly inflated and fixed after positioning.Then exit the tracheoscope directly to complete.

Traditional Therapy

Intervention Type DEVICE

A six-step technique was adopted to place the traditional balloon catheter, that is, the tracheoscope was entered to find the target bronchus, the guide wire was inserted through the biopsy channel, the tracheoscope was exchanged to exit the tracheoscope, the catheter was entered through the guide wire exchange, the tracheoscope was re-entered, the catheter was positioned, inflated and fixed, and the tracheoscope was withdrawn.

Traditional Therapy

1. Haemoptysis clinic for regular haemoptysis after treatment and life safety safeguard measures;
2. CTA (can be performed as an emergency prior to balloon blockage);
3. Artery interventional therapy (if necessary);
4. Surgery (if needed).

Group Type ACTIVE_COMPARATOR

a New Balloon Catheter for Intraairway Hemostasis

Intervention Type DEVICE

In the treatment group, the new balloon catheter was inserted in three steps, that is, the tracheoscope was inserted into the airway to remove the blood in the airway and find the target bronchus.The new airway hemostatic balloon catheter was directly inserted through the tracheoscopy biopsy channel, and then directly inflated and fixed after positioning.Then exit the tracheoscope directly to complete.

Traditional Therapy

Intervention Type DEVICE

A six-step technique was adopted to place the traditional balloon catheter, that is, the tracheoscope was entered to find the target bronchus, the guide wire was inserted through the biopsy channel, the tracheoscope was exchanged to exit the tracheoscope, the catheter was entered through the guide wire exchange, the tracheoscope was re-entered, the catheter was positioned, inflated and fixed, and the tracheoscope was withdrawn.

Interventions

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a New Balloon Catheter for Intraairway Hemostasis

In the treatment group, the new balloon catheter was inserted in three steps, that is, the tracheoscope was inserted into the airway to remove the blood in the airway and find the target bronchus.The new airway hemostatic balloon catheter was directly inserted through the tracheoscopy biopsy channel, and then directly inflated and fixed after positioning.Then exit the tracheoscope directly to complete.

Intervention Type DEVICE

Traditional Therapy

A six-step technique was adopted to place the traditional balloon catheter, that is, the tracheoscope was entered to find the target bronchus, the guide wire was inserted through the biopsy channel, the tracheoscope was exchanged to exit the tracheoscope, the catheter was entered through the guide wire exchange, the tracheoscope was re-entered, the catheter was positioned, inflated and fixed, and the tracheoscope was withdrawn.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* The patients were 18-75 years, male or non-pregnant female;
* Meet the clinical definition of massive hemoptysis (blood loss ≥100ml each time or ≥500ml 24h);
* The patient/legal authorized representative understood the purpose and procedure of the test and voluntarily signed the informed consent.

Exclusion Criteria

* Patients and their family members have no subjective treatment intention;Patients fail to cooperate or sign preoperative informed consent;
* The obvious effect of balloon catheter therapy is not ideal;
* Severe arrhythmia, acute myocardial ischemia;
* blood pressure is not effectively controlled (diastolic blood pressure ≥95mmHg or systolic blood pressure ≥150mmHg);
* Severe coagulopathy;
* Severe organ insufficiency (except respiratory insufficiency);
* Allergic to narcotic drugs;
* Pregnant women, those who are breast-feeding or trying to conceive;
* Patients who do not wish to sign informed consent;
* Patients who failed to follow up;
* Other patients deemed unsuitable for the study by the investigator.
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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First Affiliated Hospital of Wenzhou Medical University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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The first affiliated hospital of wenzhou medical university

Wenzhou, Zhejiang, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Chen ChengShui, doctor

Role: CONTACT

86-13806889081 ext. 8613806889081

Li Yuping, doctor

Role: CONTACT

86-13587600968

Facility Contacts

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chengshui Chen

Role: primary

Other Identifiers

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2020C03067

Identifier Type: -

Identifier Source: org_study_id

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