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Long-term Effects of Endobronchial Valve Implantation on Cardiac Function and Skeletal Muscle Function

Primary Purpose

Chronic Obstructive Pulmonary Disease

Status
Not yet recruiting
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
Lung volume reduction surgery with endobronchial valve implantation
Sponsored by
China-Japan Friendship Hospital
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Chronic Obstructive Pulmonary Disease

Eligibility Criteria

18 Years - 90 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Patients with Chronic Obstructive Pulmonary Disease FEV1 ≤ 45% pred and FEV1/FVC<70% TLC>100% pred and RV>175% pred CAT score≥18 Emphysema damage>50% Complete interlobar fissure >95% based on quantitative analysis of CT measurement No smoking>6 months Sign the informed consent form Exclusion Criteria: PaCO2>8.0 kPa, or PaO2<6.0 kPa 6-minute walk test<160m Obvious chronic bronchitis, bronchiectasis or other infectious pulmonary diseases More than 3 hospitalizations for pulmonary infection in the past 12 months before baseline assessment Previous lobectomy, LVRS or lung transplantation LVEF<45% and or RVSP>50mmHg Anticoagulant therapy that cannot be stopped before surgery Patients with obvious immune deficiency Participated in other lung drug studies within the first 30 days of this study Pulmonary nodules requiring intervention Any disease or condition that interferes with the completion of the initial or subsequent assessment

Sites / Locations

    Arms of the Study

    Arm 1

    Arm Type

    Experimental

    Arm Label

    Lung volume reduction surgery group

    Arm Description

    Outcomes

    Primary Outcome Measures

    Baseline ventricular volume
    cardiac magnetic resonance imaging
    Ventricular volume (6 months after surgery)
    cardiac magnetic resonance imaging
    Ventricular volume(12 months after surgery)
    cardiac magnetic resonance imaging
    Baseline FEV1
    Pulmonary function tests
    FEV1 (6 months after surgery)
    Pulmonary function tests
    FEV1(12 months after surgery)
    Pulmonary function tests
    Baseline left Ventricular Ejection Fractions
    Echocardiography
    Left Ventricular Ejection Fractions (6 months after surgery)
    Echocardiography
    Left Ventricular Ejection Fractions (12 months after surgery)
    Echocardiography
    Baseline exercise tolerance
    6-minute walk test
    Exercise tolerance (6 months after surgery)
    6-minute walk test
    Exercise tolerance (12 months after surgery)
    6-minute walk test
    Baseline health impairment and quality of life of patients Baseline health impairment and quality of life of patients
    St. George's Respiratory Questionnaire
    Health impairment and quality of life of patients (6 months after surgery)
    St. George's Respiratory Questionnaire
    Health impairment and quality of life of patients (12 months after surgery)
    St. George's Respiratory Questionnaire
    Baseline cross sectional area of rectus femoris
    Rectus femoris ultrasound
    Cross sectional area of rectus femoris (6 months after surgery)
    Rectus femoris ultrasound
    Cross sectional area of rectus femoris (12 months after surgery)
    Rectus femoris ultrasound
    Baseline mmuscle strength of lower limb
    Myometer
    Mmuscle strength of lower limb (6 months after surgery)
    Myometer
    Mmuscle strength of lower limb (12 months after surgery)
    Myometer

    Secondary Outcome Measures

    Full Information

    First Posted
    February 23, 2023
    Last Updated
    March 16, 2023
    Sponsor
    China-Japan Friendship Hospital
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    1. Study Identification

    Unique Protocol Identification Number
    NCT05775588
    Brief Title
    Long-term Effects of Endobronchial Valve Implantation on Cardiac Function and Skeletal Muscle Function
    Official Title
    Long-term Effects of Endobronchial Valve Implantation on Cardiac Function and Skeletal Muscle Function in Patients With Lung Volume Reduction Surgery
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    March 2023
    Overall Recruitment Status
    Not yet recruiting
    Study Start Date
    March 27, 2023 (Anticipated)
    Primary Completion Date
    December 31, 2024 (Anticipated)
    Study Completion Date
    December 31, 2024 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Principal Investigator
    Name of the Sponsor
    China-Japan Friendship Hospital

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    No
    Studies a U.S. FDA-regulated Device Product
    No

    5. Study Description

    Brief Summary
    The goal of this type of study: clinical trial is to evaluate the effect of bronchial valve implantation on cardiac function and skeletal muscle function in Chronic Obstructive Pulmonary Disease. The main question it aims to answer are:evaluate the effect of bronchial valve implantation on cardiac function and skeletal muscle function. Participants will undergo Lung volume reduction surgery with endobronchial valve implantation.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Chronic Obstructive Pulmonary Disease

    7. Study Design

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

    8. Arms, Groups, and Interventions

    Arm Title
    Lung volume reduction surgery group
    Arm Type
    Experimental
    Intervention Type
    Procedure
    Intervention Name(s)
    Lung volume reduction surgery with endobronchial valve implantation
    Intervention Description
    the patient would undergo Lung volume reduction surgery with endobronchial valve implantation
    Primary Outcome Measure Information:
    Title
    Baseline ventricular volume
    Description
    cardiac magnetic resonance imaging
    Time Frame
    Baseline
    Title
    Ventricular volume (6 months after surgery)
    Description
    cardiac magnetic resonance imaging
    Time Frame
    6 months after surgery
    Title
    Ventricular volume(12 months after surgery)
    Description
    cardiac magnetic resonance imaging
    Time Frame
    12 months after surgery
    Title
    Baseline FEV1
    Description
    Pulmonary function tests
    Time Frame
    Baseline
    Title
    FEV1 (6 months after surgery)
    Description
    Pulmonary function tests
    Time Frame
    6 months after surgery
    Title
    FEV1(12 months after surgery)
    Description
    Pulmonary function tests
    Time Frame
    12 months after surgery
    Title
    Baseline left Ventricular Ejection Fractions
    Description
    Echocardiography
    Time Frame
    Baseline
    Title
    Left Ventricular Ejection Fractions (6 months after surgery)
    Description
    Echocardiography
    Time Frame
    6 months after surgery
    Title
    Left Ventricular Ejection Fractions (12 months after surgery)
    Description
    Echocardiography
    Time Frame
    12 months after surgery
    Title
    Baseline exercise tolerance
    Description
    6-minute walk test
    Time Frame
    Baseline
    Title
    Exercise tolerance (6 months after surgery)
    Description
    6-minute walk test
    Time Frame
    6 months after surgery
    Title
    Exercise tolerance (12 months after surgery)
    Description
    6-minute walk test
    Time Frame
    12 months after surgery
    Title
    Baseline health impairment and quality of life of patients Baseline health impairment and quality of life of patients
    Description
    St. George's Respiratory Questionnaire
    Time Frame
    Baseline
    Title
    Health impairment and quality of life of patients (6 months after surgery)
    Description
    St. George's Respiratory Questionnaire
    Time Frame
    6 months after surgery
    Title
    Health impairment and quality of life of patients (12 months after surgery)
    Description
    St. George's Respiratory Questionnaire
    Time Frame
    12 months after surgery
    Title
    Baseline cross sectional area of rectus femoris
    Description
    Rectus femoris ultrasound
    Time Frame
    Baseline
    Title
    Cross sectional area of rectus femoris (6 months after surgery)
    Description
    Rectus femoris ultrasound
    Time Frame
    6 months after surgery
    Title
    Cross sectional area of rectus femoris (12 months after surgery)
    Description
    Rectus femoris ultrasound
    Time Frame
    12 months after surgery
    Title
    Baseline mmuscle strength of lower limb
    Description
    Myometer
    Time Frame
    Baseline
    Title
    Mmuscle strength of lower limb (6 months after surgery)
    Description
    Myometer
    Time Frame
    6 months after surgery
    Title
    Mmuscle strength of lower limb (12 months after surgery)
    Description
    Myometer
    Time Frame
    12 months after surgery

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    90 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Patients with Chronic Obstructive Pulmonary Disease FEV1 ≤ 45% pred and FEV1/FVC<70% TLC>100% pred and RV>175% pred CAT score≥18 Emphysema damage>50% Complete interlobar fissure >95% based on quantitative analysis of CT measurement No smoking>6 months Sign the informed consent form Exclusion Criteria: PaCO2>8.0 kPa, or PaO2<6.0 kPa 6-minute walk test<160m Obvious chronic bronchitis, bronchiectasis or other infectious pulmonary diseases More than 3 hospitalizations for pulmonary infection in the past 12 months before baseline assessment Previous lobectomy, LVRS or lung transplantation LVEF<45% and or RVSP>50mmHg Anticoagulant therapy that cannot be stopped before surgery Patients with obvious immune deficiency Participated in other lung drug studies within the first 30 days of this study Pulmonary nodules requiring intervention Any disease or condition that interferes with the completion of the initial or subsequent assessment
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    Mingming Deng, MD
    Phone
    86 18801336854
    Email
    isdeng1017@163.com
    First Name & Middle Initial & Last Name or Official Title & Degree
    Qin Zhang, MD
    Phone
    86 18990236167
    Email
    zhangqincmu@163.com

    12. IPD Sharing Statement

    Learn more about this trial

    Long-term Effects of Endobronchial Valve Implantation on Cardiac Function and Skeletal Muscle Function

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