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Relief of Acute Bronchoconstriction/Asthma Using the Non-Invasive AlphaCore Device

Primary Purpose

Asthma

Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
AlphaCore
Sponsored by
ElectroCore INC
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Asthma

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

INCLUSION CRITERIA: VISIT 1

  1. Is able to give written Informed Consent.
  2. Is between the ages of 18 and 65 years, male or female.
  3. Has a known history of mild to moderate asthma for at least 1 year as defined by GINA Guidelines.
  4. Is using a short acting beta-agonist for relief/rescue of asthma..
  5. At Visit 1, demonstrates current or historical (within 1 year) FEV1 reversibility of at least 12% (and 200ml) or greater within 15-30 minutes following administration of 4 inhalations of albuterol.

EXCLUSION CRITERIA: VISIT 1

  1. Has a history of lung cancer, chronic obstructive pulmonary disease (COPD), or other co-morbidity associated with irreversible narrowing of the airways.
  2. Has an abscess or other infection or lesion (including lymphadenopathy) at the AlphaCore™ treatment site.
  3. Has known or suspected moderate to severe atherosclerotic cardiovascular disease, carotid artery disease (e.g. bruits or history of TIA or CVA) or congestive heart failure (CHF).
  4. Has suspected or confirmed sepsis.
  5. Has a clinically significant irregular heart rate or rhythm.
  6. Has experienced recent clinically significant changes in blood pressure, has uncontrolled high blood pressure, or is presently receiving pressors to maintain blood pressure.
  7. Is currently implanted with an electrical and/or neurostimulator device, including but not limited to cardiac pacemaker, defibrillator, vagal neurostimulator, deep brain stimulator, spinal stimulator, bone growth stimulator, or cochlear implant.
  8. Has a history of carotid endarterectomy or vascular neck surgery on the right side.
  9. Has been implanted with metal cervical spine hardware.
  10. Has a recent or repeated history of syncope.
  11. Has a recent or repeated history of seizures.
  12. Is pregnant or nursing, or of childbearing years and is unwilling to use an accepted form of birth control.
  13. Is participating in any other therapeutic clinical investigation or has participated in a clinical trial in the preceding 30 days.
  14. Belongs to a vulnerable population or has any condition such that his or her ability to provide informed consent, comply with follow-up requirements, or provide self-assessments is compromised (e.g., homeless, developmentally disabled, prisoner).
  15. Is a relative of or an employee of the Investigator or the clinical study site.

INCLUSION CRITERIA: VISIT 2

  1. No changes have occurred in the patient's health or status relative to the original inclusion and exclusion criteria and the patient continues to be eligible for participation in the study.
  2. Either (i) develops subjective symptoms of asthma (wheezing, shortness of breath, cough) for which the patient would normally self-medicate with a short acting beta agonist, and/or (ii) documents a drop of 20% from screening PEF scores as recorded in their patient diary.
  3. At Visit 2, FEV1 is the same or lower than the screening FEV1 previously measured at visit 1 or the PEF is the same or lower than the screening previously measured at Visit 1.

EXCLUSION CRITERIA: VISIT 2

  1. The patient self-administered a short-acting beta agonist within 6 hours prior to onset of asthma symptoms.
  2. The patient induced an asthma exacerbation by withholding their pre-treatment medication used for exercise-induced bronchoconstriction (EIB).
  3. Has signs and symptoms of asthma instability at Visit 2:

    • Lung Function: FEV1 < 50 % predicted.
    • Signs and symptoms of extreme respiratory distress at rest.
    • Rapid deterioration in respiratory status (sudden change in respiratory rate, decrease in oxygen saturation, change in consciousness, etc.).

Sites / Locations

  • Allergy and Asthma
  • CRI
  • Vital Prospects Clinical Research Institute

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

alphacore

Arm Description

noninvasive neurostimulation of the vagus nerve

Outcomes

Primary Outcome Measures

Safety- Number of Participants With Adverse Events
Safety- number of participants with adverse events, including device-related, serious or unanticipated

Secondary Outcome Measures

Full Information

First Posted
February 10, 2012
Last Updated
April 6, 2018
Sponsor
ElectroCore INC
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1. Study Identification

Unique Protocol Identification Number
NCT01532817
Brief Title
Relief of Acute Bronchoconstriction/Asthma Using the Non-Invasive AlphaCore Device
Official Title
Non-Invasive Neurostimulation of the Vagus Nerve With the AlphaCore™ Device, for the Relief of Acute Bronchoconstriction Due to Asthma
Study Type
Interventional

2. Study Status

Record Verification Date
April 2018
Overall Recruitment Status
Completed
Study Start Date
January 2012 (undefined)
Primary Completion Date
May 2012 (Actual)
Study Completion Date
May 2012 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
ElectroCore INC

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this pilot study is to collect preliminary clinical data related to the safety and preliminary clinical benefits of non-invasive vagal nerve stimulation with the AlphaCore™ device for the relief of acute bronchoconstriction due to asthma. Up to 30 subjects who meet all inclusion/exclusion criteria and consent to participate in the study may be enrolled at up to 5 investigational (study) sites. The study sites are clinic settings capable of treating any potential complications of bronchoconstriction, an acute exacerbation of asthma, and any emergencies associated with use of the investigational device.
Detailed Description
Subjects will be screened, consented and enrolled at the first visit. Subjects will return to the second visit where they are experiencing shortness of breath and will be treated with the alphacore. Breathing and vital signs will be measured before, during and after the stimulation. The study is concluded on the third visit, 7 days later.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Asthma

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
30 (Actual)

8. Arms, Groups, and Interventions

Arm Title
alphacore
Arm Type
Experimental
Arm Description
noninvasive neurostimulation of the vagus nerve
Intervention Type
Device
Intervention Name(s)
AlphaCore
Intervention Description
A single 90 second stimulation to the vagus nerve on the right side of the neck
Primary Outcome Measure Information:
Title
Safety- Number of Participants With Adverse Events
Description
Safety- number of participants with adverse events, including device-related, serious or unanticipated
Time Frame
From time subject signs the consent through the 1-week follow-up visit

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
INCLUSION CRITERIA: VISIT 1 Is able to give written Informed Consent. Is between the ages of 18 and 65 years, male or female. Has a known history of mild to moderate asthma for at least 1 year as defined by GINA Guidelines. Is using a short acting beta-agonist for relief/rescue of asthma.. At Visit 1, demonstrates current or historical (within 1 year) FEV1 reversibility of at least 12% (and 200ml) or greater within 15-30 minutes following administration of 4 inhalations of albuterol. EXCLUSION CRITERIA: VISIT 1 Has a history of lung cancer, chronic obstructive pulmonary disease (COPD), or other co-morbidity associated with irreversible narrowing of the airways. Has an abscess or other infection or lesion (including lymphadenopathy) at the AlphaCore™ treatment site. Has known or suspected moderate to severe atherosclerotic cardiovascular disease, carotid artery disease (e.g. bruits or history of TIA or CVA) or congestive heart failure (CHF). Has suspected or confirmed sepsis. Has a clinically significant irregular heart rate or rhythm. Has experienced recent clinically significant changes in blood pressure, has uncontrolled high blood pressure, or is presently receiving pressors to maintain blood pressure. Is currently implanted with an electrical and/or neurostimulator device, including but not limited to cardiac pacemaker, defibrillator, vagal neurostimulator, deep brain stimulator, spinal stimulator, bone growth stimulator, or cochlear implant. Has a history of carotid endarterectomy or vascular neck surgery on the right side. Has been implanted with metal cervical spine hardware. Has a recent or repeated history of syncope. Has a recent or repeated history of seizures. Is pregnant or nursing, or of childbearing years and is unwilling to use an accepted form of birth control. Is participating in any other therapeutic clinical investigation or has participated in a clinical trial in the preceding 30 days. Belongs to a vulnerable population or has any condition such that his or her ability to provide informed consent, comply with follow-up requirements, or provide self-assessments is compromised (e.g., homeless, developmentally disabled, prisoner). Is a relative of or an employee of the Investigator or the clinical study site. INCLUSION CRITERIA: VISIT 2 No changes have occurred in the patient's health or status relative to the original inclusion and exclusion criteria and the patient continues to be eligible for participation in the study. Either (i) develops subjective symptoms of asthma (wheezing, shortness of breath, cough) for which the patient would normally self-medicate with a short acting beta agonist, and/or (ii) documents a drop of 20% from screening PEF scores as recorded in their patient diary. At Visit 2, FEV1 is the same or lower than the screening FEV1 previously measured at visit 1 or the PEF is the same or lower than the screening previously measured at Visit 1. EXCLUSION CRITERIA: VISIT 2 The patient self-administered a short-acting beta agonist within 6 hours prior to onset of asthma symptoms. The patient induced an asthma exacerbation by withholding their pre-treatment medication used for exercise-induced bronchoconstriction (EIB). Has signs and symptoms of asthma instability at Visit 2: Lung Function: FEV1 < 50 % predicted. Signs and symptoms of extreme respiratory distress at rest. Rapid deterioration in respiratory status (sudden change in respiratory rate, decrease in oxygen saturation, change in consciousness, etc.).
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
John Erico
Organizational Affiliation
ElectroCore INC
Official's Role
Study Chair
Facility Information:
Facility Name
Allergy and Asthma
City
San Diego
State/Province
California
ZIP/Postal Code
92123
Country
United States
Facility Name
CRI
City
Minneapolis
State/Province
Minnesota
ZIP/Postal Code
55402
Country
United States
Facility Name
Vital Prospects Clinical Research Institute
City
Tulsa
State/Province
Oklahoma
ZIP/Postal Code
74136
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No

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Relief of Acute Bronchoconstriction/Asthma Using the Non-Invasive AlphaCore Device

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