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Paclitaxel-Coated Pulmonary Balloon for the Treatment of Benign Airway Stenosis

Primary Purpose

Central Airway Obstruction

Status
Recruiting
Phase
Early Phase 1
Locations
Georgia
Study Type
Interventional
Intervention
Paclitaxel-Coated Pulmonary Balloon Catheter
Sponsored by
Airiver Medical, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Central Airway Obstruction focused on measuring benign, central airway obstruction

Eligibility Criteria

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

Inclusion Criteria: Provision of signed and dated informed consent form Stated willingness to comply with all study procedures and availability for the duration of the study Male or female, aged ≥18 old Symptomatic, severe (> 50%) benign CAO (by CT or bronchoscopy) Stenosis is distal to cricoid and proximal to segmental bronchi Indicated for balloon dilation only or as an adjunct to standard of care Includes, but not limited to : Post intubation tracheal stenosis (PITS) Post tracheostomy tracheal stenosis (PTTS) Post lung transplantation stenosis Stenosis related to airway stent Subglottic stenosis (SGS) Stenosis due to tuberculosis Exclusion Criteria: Malignant CAO Dynamic etiology of benign stenosis such as excessive dynamic airway collapse, tracheobronchomalacia, or stenosis due to external compression Presence of a known perforation at the site of proposed dilation Presence of a known fistula between the tracheobronchial tree and esophagus, mediastinum to pleural space Obstruction not amenable to bronchoscopic dilation in the opinion of the investigator Allergy to paclitaxel or structurally related compounds Severe coagulation disorders or current use of anticoagulant or antiplatelet medication that cannot be safely managed per recommended guidelines prior to the index procedure Acute stricture condition that requires emergent procedure (e.g., immediate dilation) Vasculitis that is not well controlled Inability to tolerate bronchoscopy or contraindication to bronchoscopy, anesthesia, or deep sedation Any anatomical limitation of the head and neck, oral cavity or laryngopharynx that may preclude bronchoscopic evaluation or treatment Patient with active pulmonary infection, including but not limited to: COVID-19, influenza, etc. Any disease or condition that interferes with safe completion of the study, such as severe COPD or severe asthma or pulmonary fibrosis. Patients actively being treated with immunosuppressive therapy or with an active immunosuppressed state due to other treatment or underlying disease. Pregnancy or planning on pregnant during the first 12 months of enrollment in the study Life expectancy <1 year Patient is currently enrolled in other investigational studies. Participation in studies for products approved in the US are not considered investigational

Sites / Locations

  • Tbilisi State Medical UniversityRecruiting

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Single arm treated by Airiver Pulmonary DCB

Arm Description

subject will be treated by Airiver Pulmonary Drug Coated Balloon (DCB) catheter. The balloon is coated with a paclitaxel drug (3.5ug/mm2).

Outcomes

Primary Outcome Measures

Primary safety: Freedom from major adverse device events (MADE) post index procedure through 30 days.
MADE is defined as: Airway perforation (Pneumothorax) Pneumomediastinum Massive bleeding Mediastinitis requiring the need for IV antibiotics and / or hospitalization Respiratory distress or asphyxia requiring intubation or reintervention Evidence of negative local tissue reaction to paclitaxel Subjects failing any component of the primary safety endpoint will be considered a safety failure, and subjects who remain event free through 30 days will be considered safety successes. Primary safety will be assessed as the proportion of subjects free from the primary safety event.
Primary efficacy: Freedom from symptom-driven target lesion reintervention (TLR) due to recurrence of stenosis through 6 months
The incidence of subjects free from symptom-driven TLR will be assessed via Kaplan-Meier survival analysis.

Secondary Outcome Measures

Incidence of, and time to, symptom-driven target lesion reintervention through 12 months.
assessed via Kaplan-Meier survival analysis.
Bronchoscopic target lesion patency (Myer-Cotton airway grading system) change through 12 months.
Grade 1 - 0-50% obstruction Grade 2 - 51-70% obstruction Grade 3 - 71-99% obstruction Grade 4 - No detectable lumen.
Spirometry (FEV1) change through 12 months
A spirometry will be compared at baseline vs follow-ups. Lower readings indicate more significant obstruction.
mMRC (Modified Medical Research Council) dyspnea scale change through 12 months
The grade range is from 0-4. Higher grades indicate worse respiratory disability.
Quality of life (QOL) change: Patient report outcomes (SF-12) through 12 months
Converting SF-12 Item Responses to Physical and Mental Standardized Values. Higher scores indicate better health
Clinical pharmacokinetics of paclitaxel by 10 days
plasma paclitaxel concentration will be assessed per predesignated time points.

Full Information

First Posted
May 31, 2023
Last Updated
May 31, 2023
Sponsor
Airiver Medical, Inc.
Collaborators
Libra Medical
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1. Study Identification

Unique Protocol Identification Number
NCT05895305
Brief Title
Paclitaxel-Coated Pulmonary Balloon for the Treatment of Benign Airway Stenosis
Official Title
Prospective Trial of Paclitaxel-Coated Pulmonary Balloon for the Treatment of Benign Airway Obstruction (OXYGEN-1 Trial)
Study Type
Interventional

2. Study Status

Record Verification Date
May 2023
Overall Recruitment Status
Recruiting
Study Start Date
May 16, 2023 (Actual)
Primary Completion Date
December 2024 (Anticipated)
Study Completion Date
December 2030 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Airiver Medical, Inc.
Collaborators
Libra Medical

4. Oversight

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

5. Study Description

Brief Summary
The goal of this Prospective Trial of Paclitaxel-Coated Pulmonary Balloon for the Treatment of Benign Airway Obstruction (OXYGEN-1) is to evaluate clinical safety and potential efficacy of the Airiver Pulmonary DCB in the treatment of benign central airway stenosis.
Detailed Description
Benign central airway stenosis/obstruction, including stenosis of the subglottic area, trachea, and bronchi, is related to significant morbidity due to dyspnea and impaired quality of life. It is hypothesized that Airiver pulmonary drug-coated balloon (DCB) will improve patient outcome in the bronchoscopic treatment of benign airway obstruction, and, as an adjunct to standard of care, will prolong airway patency compared to the standard of care alone. This is a prospective, multi-center, single-arm, open-label, safety & feasibility, OUS first in human study for safety and potential efficacy.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Central Airway Obstruction
Keywords
benign, central airway obstruction

7. Study Design

Primary Purpose
Treatment
Study Phase
Early Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
45 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Single arm treated by Airiver Pulmonary DCB
Arm Type
Experimental
Arm Description
subject will be treated by Airiver Pulmonary Drug Coated Balloon (DCB) catheter. The balloon is coated with a paclitaxel drug (3.5ug/mm2).
Intervention Type
Combination Product
Intervention Name(s)
Paclitaxel-Coated Pulmonary Balloon Catheter
Other Intervention Name(s)
DCB
Intervention Description
Subjects with benign airway stenosis will be treated by Airiver pulmonary DCB at index procedure
Primary Outcome Measure Information:
Title
Primary safety: Freedom from major adverse device events (MADE) post index procedure through 30 days.
Description
MADE is defined as: Airway perforation (Pneumothorax) Pneumomediastinum Massive bleeding Mediastinitis requiring the need for IV antibiotics and / or hospitalization Respiratory distress or asphyxia requiring intubation or reintervention Evidence of negative local tissue reaction to paclitaxel Subjects failing any component of the primary safety endpoint will be considered a safety failure, and subjects who remain event free through 30 days will be considered safety successes. Primary safety will be assessed as the proportion of subjects free from the primary safety event.
Time Frame
30 days
Title
Primary efficacy: Freedom from symptom-driven target lesion reintervention (TLR) due to recurrence of stenosis through 6 months
Description
The incidence of subjects free from symptom-driven TLR will be assessed via Kaplan-Meier survival analysis.
Time Frame
6 months
Secondary Outcome Measure Information:
Title
Incidence of, and time to, symptom-driven target lesion reintervention through 12 months.
Description
assessed via Kaplan-Meier survival analysis.
Time Frame
12 months
Title
Bronchoscopic target lesion patency (Myer-Cotton airway grading system) change through 12 months.
Description
Grade 1 - 0-50% obstruction Grade 2 - 51-70% obstruction Grade 3 - 71-99% obstruction Grade 4 - No detectable lumen.
Time Frame
12 months
Title
Spirometry (FEV1) change through 12 months
Description
A spirometry will be compared at baseline vs follow-ups. Lower readings indicate more significant obstruction.
Time Frame
12 months
Title
mMRC (Modified Medical Research Council) dyspnea scale change through 12 months
Description
The grade range is from 0-4. Higher grades indicate worse respiratory disability.
Time Frame
12 months.
Title
Quality of life (QOL) change: Patient report outcomes (SF-12) through 12 months
Description
Converting SF-12 Item Responses to Physical and Mental Standardized Values. Higher scores indicate better health
Time Frame
12 months
Title
Clinical pharmacokinetics of paclitaxel by 10 days
Description
plasma paclitaxel concentration will be assessed per predesignated time points.
Time Frame
10 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Provision of signed and dated informed consent form Stated willingness to comply with all study procedures and availability for the duration of the study Male or female, aged ≥18 old Symptomatic, severe (> 50%) benign CAO (by CT or bronchoscopy) Stenosis is distal to cricoid and proximal to segmental bronchi Indicated for balloon dilation only or as an adjunct to standard of care Includes, but not limited to : Post intubation tracheal stenosis (PITS) Post tracheostomy tracheal stenosis (PTTS) Post lung transplantation stenosis Stenosis related to airway stent Subglottic stenosis (SGS) Stenosis due to tuberculosis Exclusion Criteria: Malignant CAO Dynamic etiology of benign stenosis such as excessive dynamic airway collapse, tracheobronchomalacia, or stenosis due to external compression Presence of a known perforation at the site of proposed dilation Presence of a known fistula between the tracheobronchial tree and esophagus, mediastinum to pleural space Obstruction not amenable to bronchoscopic dilation in the opinion of the investigator Allergy to paclitaxel or structurally related compounds Severe coagulation disorders or current use of anticoagulant or antiplatelet medication that cannot be safely managed per recommended guidelines prior to the index procedure Acute stricture condition that requires emergent procedure (e.g., immediate dilation) Vasculitis that is not well controlled Inability to tolerate bronchoscopy or contraindication to bronchoscopy, anesthesia, or deep sedation Any anatomical limitation of the head and neck, oral cavity or laryngopharynx that may preclude bronchoscopic evaluation or treatment Patient with active pulmonary infection, including but not limited to: COVID-19, influenza, etc. Any disease or condition that interferes with safe completion of the study, such as severe COPD or severe asthma or pulmonary fibrosis. Patients actively being treated with immunosuppressive therapy or with an active immunosuppressed state due to other treatment or underlying disease. Pregnancy or planning on pregnant during the first 12 months of enrollment in the study Life expectancy <1 year Patient is currently enrolled in other investigational studies. Participation in studies for products approved in the US are not considered investigational
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Yan Li, MD
Phone
6513530685
Email
liy@airiver.com
First Name & Middle Initial & Last Name or Official Title & Degree
Mitch Erickson
Phone
6518954399
Email
ericksonm@airiver.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Kakha Vacharadze, MD
Organizational Affiliation
National Center for Tuberculosis and Lung Diseases, Tbilisi State Medical University
Official's Role
Principal Investigator
Facility Information:
Facility Name
Tbilisi State Medical University
City
Tbilisi
ZIP/Postal Code
0101
Country
Georgia
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Kakha Vacharadze, MD
Phone
995-599-557576
Email
kakhavacharadze@yahoo.com
First Name & Middle Initial & Last Name & Degree
Tornike Jashi
Email
jashitornike@gmial.com

12. IPD Sharing Statement

Learn more about this trial

Paclitaxel-Coated Pulmonary Balloon for the Treatment of Benign Airway Stenosis

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