BREATHE-NL: Bronchoscopic EmphysemA Treatment in THE NetherLands
Study Details
Study Description
Brief Summary
Rationale: New bronchoscopic treatments for emphysema have shown promise in clinical trials, improving lung function, exercise capacity and possibly survival and are now being adopted by a number of centres in the Netherlands. It is important to ensure that the benefits seen in clinical trials are in fact reflected in clinical practice and that the best use of this early 'real world' experience is made to optimise the development and use of these novel therapies.
Overall objective: to develop a national database to record bronchoscopic lung volume reduction procedures for patients with emphysema. This is desirable for audit purposes but will also be an important resource for research both in gathering data and in facilitating collaborations.
Condition or Disease | Intervention/Treatment | Phase |
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Detailed Description
Rationale: New bronchoscopic treatments for emphysema have shown promise in clinical trials, improving lung function, exercise capacity and possibly survival and are now being adopted by a number of centres in the Netherlands. It is important to ensure that the benefits seen in clinical trials are in fact reflected in clinical practice and that the best use of this early 'real world' experience is made to optimise the development and use of these novel therapies.
Overall objective: to develop a national database to record bronchoscopic lung volume reduction procedures for patients with emphysema. This is desirable for audit purposes but will also be an important resource for research both in gathering data and in facilitating collaborations.
Study design: This study is a nationwide, multicenter, observational post-marketing study with long-term follow up (5 years).
Study population: The study population exists of patients with severe emphysema who undergo a bronchoscopic lung volume reduction treatment with one-way endobronchial valves.
Main study parameters/endpoints:
The main study parameter is the assessment of Target Lung Volume Reduction (TLVR) and correct placement of the valves at CT-scan at 30 days post treatment. This is the most accurate and directly treatment related endpoint which will also be used for quality control.
Study Design
Outcome Measures
Primary Outcome Measures
- Quality of treatment [Baseline-30 days]
Quality will be assessed by a High resolution CT check at 30 day post-treatment of the placement of the valves.
Secondary Outcome Measures
- Change from baseline in lungfunction at 5 years follow up after treatment. [Baseline- 5 years]
-Change from baseline in lungfunction measured by the bodybox at 5 years follow up.
- Change from baseline in exercise capacity at 5 years follow up after treatment. [Baseline- 5 years]
-Change from baseline in exercise capacity measured by the 6-minute walk distance test at 5 years follow up.
- Change from baseline in breathlessness at 5 years follow up after treatment. [Baseline- 5 years]
-Change from baseline in breathlessness measured by the mMRC-scale at 5 years follow up.
- Change from baseline in health status at 5 years follow up after treatment. [Baseline- 5 years]
-Change from baseline in health status measured by the CAT score at 5 years follow up.
- The incidence of a pneumothorax after the treatment until 5 years follow up. [Baseline- 5 year]
The number of pneumothoraxes will be recorded between treatment and 5 years follow up.
Eligibility Criteria
Criteria
Inclusion Criteria:
- Patient is scheduled for a bronchoscopic lung volume treatment using one-way valves.
Exclusion Criteria:
- There are no exclusion criteria for this study.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | University Medical Center Groningen | Groningen | Netherlands | ||
2 | Maastricht University Medical Center | Maastricht | Netherlands |
Sponsors and Collaborators
- University Medical Center Groningen
Investigators
- Principal Investigator: Dirk-Jan Slebos, MD PhD, UMCG
Study Documents (Full-Text)
None provided.More Information
Additional Information:
Publications
None provided.- BREATHE-NL