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AsthmaNCT00231114

Asthma Intervention Research 2 (AIR2) Trial

A study testing Alair System in people with Asthma, run by Boston Scientific Corporation at 39 sites in 7 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The objective of this randomized, double blind, sham-controlled study is to demonstrate the safety and effectiveness of the Alair System in a population of subjects with severe asthma who are still symptomatic despite being managed on conventional therapy of high doses of inhaled corticosteroids and long-acting… Read more about this study

Who is it for?
Ages 18 to 65 years
Conditions the study is for
Asthma
What is being tested?
Alair System
Type of treatment
Medical device
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
297 participants
Where
39 sitesin 7 countries
Study dates
Sep 2005to Apr 2013
Phase
Interventional
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Subject is an adult between the ages of 18 to 65 years.
  • Subject has asthma and is taking regular maintenance medication that includes Inhaled corticosteroid (ICS) AND long acting ß2-agonist (LABA).
  • Subject has a Pre-bronchodilator Forced Expiratory Volume in one second (FEV1) of greater than or equal to 60% of predicted after medication stabilization during the Baseline Period.
  • Subject has a PC20 < 8 mg/ml per methacholine inhalation test using standardized methods. PC20 is a provocative concentration of Provocholine® (a brand of methacholine chloride) resulting in a drop of FEV1 of 20% or more from Baseline.
  • Subject has at least two days of asthma symptoms during the 4-weeks of the Baseline Diary Period.
  • Subject is a non-smoker for 1 year or greater (if former smoker, less than 10 pack years total smoking history).

Who cannot join

  • Subject has a Post-bronchodilator FEV1 of less than 65%.
  • Subject has 3 or more hospitalizations for exacerbations of asthma in the previous year; OR a history of life-threatening asthma, defined by past intubations for asthma, or ICU admission for asthma within the prior 24 months.
  • Subject has a history of recurrent lower respiratory tract infections requiring antibiotics (more than 3 in the past 12 months).
  • Subject has a history of recurrent oral steroid use for asthma (4 or more pulses of oral steroids in the past 12 months).
  • Subject has a known sensitivity to medications required to perform bronchoscopy (such as lidocaine, atropine and benzodiazepines).
  • Subject has known systemic hypersensitivity or contraindication to Methacholine chloride or other parasympathomimetic agents.
  • Subject has other medical criteria.

Trial locations and contacts

39 sites in 7 countries.

39 sites in 7 countries

United States22 sites
  • Virginia Hospital Center

    Arlington, Virginia, 22205-3698

  • Johns Hopkins University School of Medicine

    Baltimore, Maryland, 21205

  • Brigham and Womens's Hospital

    Boston, Massachusetts, 02115

  • Beth Israel Deaconess Medical Center

    Boston, Massachusetts, 02215

  • University of Chicago

    Chicago, Illinois, 60637

  • Cleveland Clinic Foundation

    Cleveland, Ohio, 44195

  • National Jewish Medical and Research Center

    Denver, Colorado, 80206

  • Henry Ford Medical Center

    Detroit, Michigan, 48202

  • Duke University Medical Center

    Durham, North Carolina, 27710

  • Baylor College of Medicine

    Houston, Texas, 77030

  • University of Iowa Hospitals and Clinics

    Iowa City, Iowa, 52242

  • Clinical Research Solutions, PC - Baptist Hospitals of East Tennesse

    Knoxville, Tennessee, 37920

  • University of Southern California, Adult Asthma and Allergy Center

    Los Angeles, California, 90033

  • University of Wisconsin Hospital

    Madison, Wisconsin, 53792

  • Saint Vincent Catholic Medical Center

    New York, New York, 10011

  • Peoria Pulmonary Associates, Ltd.

    Peoria, Illinois, 61603

  • Hospital of the University of Pennyslvania

    Philadelphia, Pennsylvania, 19104

  • Pulmonary Associates, PA

    Phoenix, Arizona, 85020

  • HealthPartners Specialty Center, Lung and Sleep Health

    Saint Paul, Minnesota, 55101

  • Swedish Medical Center

    Seattle, Washington, 98104

  • Washington University School of Medicine

    St Louis, Missouri, 63110-1093

  • Veritas Clinical Specialties

    Topeka, Kansas, 66606

Other trials in United States

United Kingdom5 sites
  • Birmingham Heartlands Hospital

    Birmingham, B9 5SS

  • Gartnavel General Hospital, University of Glasgow

    Glasgow, Scotland, G12 0YN

  • Glenfield General Hospital, Univ. Hospitals of Leicester

    Leicester, LE3 9QP

  • Chelsea & Westminster Healthcare NHS Trust

    London, SW10 9NH

  • Northwest Lung Research Center, Univ. of Manchester

    Manchester, M23 9LT

Other trials in United Kingdom

Brazil4 sites
  • Hospital Sao Lucas da PUCRS

    Porto Alegre, Rio Grande do Sul, CEP 90610-00

  • Irmandade Santa Casa de Miscericordia de Porto Alegre

    Porto Alegre, CEP 90035-074

  • Hospital Universitario Clementino Fraga Filho

    Rio de Janeiro

  • Faculdade da Medicina do ABC

    São Paulo, CEP 09060-650

Other trials in Brazil

Australia3 sites
  • Royal Adelaide Hospital

    Adelaide

  • John Hunter Hospital

    New Lambton Heights, New South Wales, 2035

  • Sir Charles Gairdner Hospital

    Perth, Western Australia, 6009

Other trials in Australia

Canada3 sites
  • Firestone Institute of Respiratory Health, St. Joseph's Healthcare

    Hamilton, Ontario, L8N 4A6

  • Montreal Chest Institute, McGill University

    Montreal, Quebec, H2X 2P4

  • Hopital Laval, Centre de Pneumologie

    Sainte-Foy, Quebec, G1V 4GS

Other trials in Canada

Denmark1 site
  • Odense Universitets Hospital, University of Odense

    Odense, 5000 Odense C

Other trials in Denmark

Netherlands1 site
  • Universitair Medisch Centrum

    Groningen, 9700 RB

Other trials in Netherlands

About this study

Official title: Safety and Effectiveness of the Alair® System for the Treatment of Asthma: A Multicenter Randomized Clinical Trial(Asthma Intervention Research (AIR2) Trial)

The objective of this randomized, double blind, sham-controlled study is to demonstrate the safety and effectiveness of the Alair System in a population of subjects with severe asthma who are still symptomatic despite being managed on conventional therapy of high doses of inhaled corticosteroids and long-acting β2-agonists.

The primary efficacy endpoint will be the difference between Study groups in the change in Asthma Quality of Life Questionnaire (AQLQ) score from Baseline and the average score from the 6-, 9-, and 12-month follow-up visits.

Read more

All other outcome measures assessed at 12 months post-treatment.

This will be a multicenter, randomized, double-blind, sham-controlled study comparing the effects of treatment with the Alair System to conventional therapy of inhaled corticosteroids (ICS) and long-acting β2-agonists (LABA).

A Bayesian adaptive approach to sample size selection is used with a randomization scheme of 2:1 (two Alair Group Subjects for every one Control Group Subject).

Conditions
Asthma
Being tested
Alair System
Keywords
Asthma
Medical subject headings
Asthma

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Alair SystemDevice

    Treatment of airways with the Alair System

  • Alair SystemDevice

    Sham treatment of airways with the Alair System

Study groups in NCT00231114
Study groupRoleWhat they receive
AlairExperimentalTreatment of airways with the Alair System
Receives: Device: Alair System
ShamSham comparatorSham treatment of airways
Receives: Device: Alair System

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Integrated Asthma Quality of Life Questionnaire (AQLQ) Score (Change From Baseline)

    Change between Baseline and the average of 6-, 9-, and 12-month Follow-Up Visits. The AQLQ consists of 32 questions (scale from 1 to 7, where 7 reflects a higher quality of life). An increase in the AQLQ score indicates a better quality of life. The average of the 6-, 9-, and 12-month differences in the AQLQ Score are referred to as the "Integrated AQLQ Score."

    Measured: Baseline, 12 Months

Secondary outcomes (8)
  1. Percent Symptom-Free Days (Change From Baseline)

    Change between Baseline and 12-month Follow-Up Visit. Symptom-Free Days were defined as days when Subject reported no cough, wheeze, breathlessness, or sputum during the daytime, and no wheeze, cough, or awakenings due to asthma symptoms during nighttime.

    Measured: Baseline, 12 Months

  2. Total Symptom Score (Change From Baseline)

    Change from Baseline and 12-month Follow-Up Visit. Total Symptom Score comprises the sum of these six asthma symptom measurements: wheeze during the night, cough during the night, wheeze during the day, cough during the day, breathlessness during the day, and sputum production during the day. Each of these symptoms is scored on a scale of 0 to 3 each day by the subject. The sum of the scores for these 6 symptoms comprises the Total Symptom Score, which measures overall asthma symptoms. The maximum score possible is 18. A lower Total Symptom score represents better asthma control.

    Measured: Baseline, 12 Months

  3. Number of Puffs of Rescue Medication Used (Change From Baseline)

    Change between Baseline and 12-Month Follow-up Visit. Average number of puffs per week. Rescue medications for asthma are short-acting beta-agonists that bring quick relief of asthma symptoms.

    Measured: Baseline, 12 Months

  4. Percent Days Rescue Medication Used (Change From Baseline)

    Change between Baseline and 12-Month Follow-up Visit. Rescue medications for asthma are short-acting beta-agonists that bring quick relief of asthma symptoms.

    Measured: Baseline, 12 Months

  5. Asthma Control Questionnaire (ACQ) Score (Change From Baseline)

    Change between Baseline and 12-month Follow-Up Visit. The ACQ is a self-administered patient questionnaire that also includes the patient's FEV1 value (% Predicted) that assesses individual subject asthma control. The ACQ comprises 6 questions that relate to the patient's asthma symptoms, activity limitations, and daily rescue bronchodilator use, and FEV1. Each question is scored from 0 (Better) to 6 (Worse). A decrease in the ACQ score indicates better asthma control.

    Measured: Baseline, 12 Months

  6. Morning Peak Expiratory Flow (amPEF) (Change From Baseline)

    Change between Baseline and 12-month Follow-Up Visit. The peak expiratory flow rate measures the maximal rate at which a person can exhale air.

    Measured: Baseline, 12 Months

  7. Pre-Bronchodilator FEV1 (Percent Predicted) (Change From Baseline)

    Change between Baseline and 12-month Follow-Up Visit. The FEV1 is the volume of air expired during the first second of a maximal effort expiration started at total lung capacity.

    Measured: Baseline, 12 Months

  8. Post-Bronchodilator FEV1 (Percent Predicted) (Change From Baseline)

    Change between Baseline and 12-month Follow-Up Visit. The FEV1 is the volume of air expired during the first second of a maximal effort expiration started at total lung capacity.

    Measured: Baseline, 12 Months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted4 Oct 2005 (estimated)
  2. Study startSep 2005
  3. Primary completionAug 2008
  4. Study completionApr 2013

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Outcomes assessor
Enrolment
297 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00231114
Sponsor's protocol ID
04-02
Status last verified
Mar 2014
First submitted
30 Sep 2005
Last updated
27 Jul 2017
Data monitoring committee
Yes
Individual data sharing
Undecided

Publications

  • Pavord ID, Thomson NC, Niven RM, Corris PA, Chung KF, Cox G, Armstrong B, Shargill NS, Laviolette M; Research in Severe Asthma Trial Study Group. Safety of bronchial thermoplasty in patients with severe refractory asthma. Ann Allergy Asthma Immunol. 2013 Nov;111(5):402-7. doi: 10.1016/j.anai.2013.05.002. Epub 2013 Jun 13.

    PubMed 24125149
  • Wechsler ME, Laviolette M, Rubin AS, Fiterman J, Lapa e Silva JR, Shah PL, Fiss E, Olivenstein R, Thomson NC, Niven RM, Pavord ID, Simoff M, Hales JB, McEvoy C, Slebos DJ, Holmes M, Phillips MJ, Erzurum SC, Hanania NA, Sumino K, Kraft M, Cox G, Sterman DH, Hogarth K, Kline JN, Mansur AH, Louie BE, Leeds WM, Barbers RG, Austin JH, Shargill NS, Quiring J, Armstrong B, Castro M; Asthma Intervention Research 2 Trial Study Group. Bronchial thermoplasty: Long-term safety and effectiveness in patients with severe persistent asthma. J Allergy Clin Immunol. 2013 Dec;132(6):1295-302. doi: 10.1016/j.jaci.2013.08.009. Epub 2013 Aug 30.

    PubMed 23998657
  • Castro M, Rubin AS, Laviolette M, Fiterman J, De Andrade Lima M, Shah PL, Fiss E, Olivenstein R, Thomson NC, Niven RM, Pavord ID, Simoff M, Duhamel DR, McEvoy C, Barbers R, Ten Hacken NH, Wechsler ME, Holmes M, Phillips MJ, Erzurum S, Lunn W, Israel E, Jarjour N, Kraft M, Shargill NS, Quiring J, Berry SM, Cox G; AIR2 Trial Study Group. Effectiveness and safety of bronchial thermoplasty in the treatment of severe asthma: a multicenter, randomized, double-blind, sham-controlled clinical trial. Am J Respir Crit Care Med. 2010 Jan 15;181(2):116-24. doi: 10.1164/rccm.200903-0354OC. Epub 2009 Oct 8.

    PubMed 19815809
  • Castro M, Rubin A, Laviolette M, Hanania NA, Armstrong B, Cox G; AIR2 Trial Study Group. Persistence of effectiveness of bronchial thermoplasty in patients with severe asthma. Ann Allergy Asthma Immunol. 2011 Jul;107(1):65-70. doi: 10.1016/j.anai.2011.03.005. Epub 2011 Apr 14.

    PubMed 21704887

Questions about this trial

What is this clinical trial studying?

A study testing Alair System in people with Asthma, run by Boston Scientific Corporation at 39 sites in 7 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 27 Jul 2017. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 39 sites in United States, United Kingdom, Brazil, Australia, Canada and 2 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Yes. Results are posted in the registry (first posted 29 Nov 2010). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Integrated Asthma Quality of Life Questionnaire (AQLQ) Score (Change From Baseline) (time frame: Baseline, 12 Months). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00231114, which also lists 4 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 27 Jul 2017.

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