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EmphysemaNCT05118269

A Randomized Controlled Trial of InterVapor® in France - The TARGET Trial

A study testing Treatment plus Optimal Medical Therapy and Optimal Medical Therapy in people with Emphysema, run by Uptake Medical Technology, Inc. at 1 site in France.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

This study is designed to prospectively document changes in FEV1 and health-related quality of life 12 months following sequential segmental treatment with InterVapor® in patients with heterogeneous emphysema with upper lobe predominance. Read more about this study

Who is it for?
Ages 18 to 80 years
Conditions the study is for
Emphysema
What is being tested?
Treatment plus Optimal Medical Therapy and Optimal Medical Therapy
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
3 participants
Where
1 siteFrance
Study dates
21 Jul 2023to 4 Jun 2024
Phase
Interventional
Are there results?
None posted in the registry

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 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Age > 18 and ≤ 80 years old
  • Heterogeneous emphysema with upper lobe predominance in at least one lung segment to be treated (defined as a Heterogeneity Index (HI) ≥ 1.2 per CT)
  • Post-bronchodilator FEV1 ≥ 15% and ≤ 45% of predicted value
  • Total lung capacity (TLC) ≥ 100% predicted
  • Post-bronchodilator Residual volume (RV) ≥ 200% predicted
  • 6-minute walk distance (6MWD) > 100m and ≤ 450m
Show all 17Show fewer
  • (Partial Pressure of Oxygen) PaCO2 ≤ 45 mm Hg; PaO2 > 45 mm Hg on room air
  • Non-smoking for 4 months prior to study enrollment as confirmed by:
  • negative urine analysis or serum cotinine level of ≤ 10 ng/mL, or negative CO Hb test OR
  • If using smoking cessation product(s) containing nicotine at screening, serum cotinine level ≤ 13.7 ng/ml (or arterial carboxyhemoglobin ≤ 2.5%)
  • Optimized medical management (consistent with GOLD guidelines)
  • Pharmacological:
  • 1.Long acting bronchodilator (LABA),Long-acting muscarinic antagonists (LAMA), LAMA + LABA, or LABA + ICS > 1 year
  • Evidence of completed Pulmonary Rehabilitation
  • ≥ 6 weeks out-patient or ≥ 3 weeks in-patient within 12 months of enrollment; or,
  • Patient has or continues to participate in at home rehabilitation program (i.e. a walking program) within 6 weeks of enrollment under the supervision of a health care professional
  • 10. Mentally and physically able to provide written informed consent to participate in the study. Protected people as defined by the Code de la Sante Publique cannot be included in the study

Who cannot join

  • DLCO < 20% predicted
  • Uncontrolled pulmonary hypertension (systolic pulmonary arterial pressure >45 mm Hg) or evidence or history of cor pulmonale as determined by recent echocardiogram
  • Clinically significant bronchiectasis
  • Clinically significant (greater than 4 tablespoons per day) sputum production.
  • Two (2) or more COPD exacerbations or pneumonia episodes requiring hospitalization in the last year
  • Evidence of active infection in the lungs at the time of procedure.
Show all 24Show fewer
  • Daily use of systemic steroids, > 10 mg prednisolone (or equivalent) daily.
  • Lung pathology of nodule not proven stable or benign
  • Clinically significant pulmonary fibrosis
  • Prior lung transplant, lung volume reduction surgery (LVRS), bullectomy, or lobectomy
  • Prior lung volume reduction via endobronchial valves(s), coil(s), and/or polymer. Note: Patients whose endobronchial valves have been removed can be treated if: all valves removed ≥ 3 months prior to InterVapor and baseline bronchoscopy reveals no airway obstruction or obvious tissue granulation
  • Large bulla (defined as > 1/3 volume of the lobe)
  • Highly diseased upper and lower lobes in contralateral lung (%-950 HU density >50%)
  • Paraseptal emphysema in any segment targeted for treatment
  • Myocardial Infarction or congestive heart failure within 6 months of screening.
  • Diagnosis of heart failure with Left Ventricular Ejection Fraction (LVEF) < 45% as determined by recent echocardiogram (completed within 3 months prior to screening).
  • Unable to safely discontinue anti-coagulants or platelet inhibitors for 6 weeks post procedure.
  • Body mass index (BMI) > 32 kg/m2
  • Patient taking immunosuppressive drugs for the treatment of cancer, rheumatic arthritis, autoimmune disease, or prevention of tissue or organ rejection.
  • Subject is pregnant or lactating, or plan to become pregnant within the study timeframe
  • Any disease or condition that is likely to limit survival to less than one year
  • Concomitant illnesses or medications that may pose a significant increased risk for complications following treatment with InterVapor®
  • Currently enrolled in another clinical trial studying an experimental treatment.
  • Any condition that would interfere with completion of the study including study assessments and study procedure including bronchoscopy.

Trial locations and contacts

1 site in 1 country.

France1 site
  • Centre Hospitalier Universitaire de Toulouse

    Toulouse, 31059

Other trials in France

About this study

Official title: Targeted Segmental Vapor Ablation Treatment of Emphysema With Upper Lobe Predominance: A Randomized Controlled Trial of InterVapor® in France - The TARGET Trial

This study is designed to prospectively document changes in FEV1 and health-related quality of life 12 months following sequential segmental treatment with InterVapor® in patients with heterogeneous emphysema with upper lobe predominance. For validity of the study, the results will be compared to patients that receive optimal medical therapy.

Read the detailed description

The primary objectives are to prospectively document changes in FEV1 and health-related quality of life 12 months following sequential segmental treatment with Bronchoscopic Thermal Vapor Ablation (BTVA) using the InterVapor system in patients with heterogeneous emphysema with upper lobe predominance. The French TARGET trial is a prospective, multi-center, single blind, randomized controlled study. 150 participants will be enrolled in the study (1:1 randomization with 75 InterVapor, 75 controls) with a 24-month follow-up period. Subjects randomized to the Control Group may be allowed to cross over to the treatment group and offered the InterVapor treatment once they have completed the protocol defined 12-month follow-up period.

Conditions
Emphysema
Being tested
Treatment plus Optimal Medical Therapy, Optimal Medical Therapy
Keywords
Heterogeneous, Thermal Vapor, Ablation, Bronchoscopy, LVR, Lung Volume Reduction
Medical subject headings
Emphysema

What participants receive

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

  • Treatment plus Optimal Medical TherapyDevice

    Also called InterVapor, BTVA

    Patients will be treated with the InterVapor System in 1 to 2 segments in the upper lobes of each lung (2 to 3 segments total). Patients will also receive Optimal Medical Therapy. Guidelines for prescribing medical treatment for emphysema are published by the American Thoracic Society (ATS) and the National Heart Lung and Blood Institute/World Health Organization (NHLBI/World Health Organization , Global Initiative for Chronic Obstructive Lung Disease (GOLD) workshop summary).

  • Optimal Medical TherapyOther

    Patients will receive Optimal Medical Therapy. Guidelines for prescribing medical treatment for emphysema are published by the American Thoracic Society (ATS) and the National Heart Lung and Blood Institute/World Health Organization (NHLBI/WHO GOLD workshop summary).

Study groups in NCT05118269
Study groupRoleWhat they receive
Treatment plus Optimal Medical TherapyExperimentalPatients will be treated with the InterVapor System and Optimal Medical Therapy
Receives: Device: Treatment plus Optimal Medical Therapy
Optimal Medical Therapy (Control)Active comparatorPatients will be treated according to Optimal Medical Therapy
Receives: Other: Optimal Medical Therapy

What is being measured

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

  1. Changes in FEV1 between Treatment vs Control at 12 months

    Percentage change in Forced expiratory volume in 1 second (FEV1) compared to active comparator: Change in FEV1, percent change from baseline to 12 months in FEV1, where FEV1 is expressed in raw units of volume (mL).

    Measured: 12 months

  2. St. George's Respiratory Questionnaire for patients with Chronic Obstructive Pulmonary Disease (SGRQ-C) changes between Treatment vs Control at 12 months

    Health-related Qualify of Life (SGRQ-C) compared to active comparator. This is calculated as change from baseline to 12 months in SGRQ-C Total Score. SGRQ-C scores range from 0 to 100. A higher score means a worse outcome.

    Measured: 12 months

Secondary outcomes (19)
  1. Improvement in other measures of pulmonary function- Forced Expiratory Volume, absolute change- at 12, 18 and 24 months

    Change in FEV1, abs: Absolute change from baseline to follow-up in FEV1, where FEV1 is expressed in raw units of volume (mL).

    Measured: 12 months, 18 months, 24 months

  2. Improvement in other measures of pulmonary function- Forced Expiratory Volume, Percent change- at 12, 18 and 24 months

    Change in FEV1, Percent Predicted value: Percent change from baseline to follow-up in FEV1, where FEV1 is expressed in percent predicted computed by European Respiratory Standard (ERS) standards.

    Measured: 12 months, 18 months, 24 months

  3. Improvement in other measures of pulmonary function- Forced Expiratory Volume, Abs, PP change- at 12, 18 and 24 months

    Change in FEV1, abs, PP: absolute change from baseline to follow-up in FEV1, where FEV1 is expressed in percent predicted computed by ERS standards.

    Measured: 12 months, 18 months, 24 months

  4. Improvement in other measures of pulmonary function- Forced Vital Capacity(FVC) change- at 12, 18 and 24 months

    Change in FVC: percent change from baseline to follow-up in Forced Vital Capacity, expressed in raw units of volume(mL)

    Measured: 12 months, 18 months, 24 months

  5. Improvement in other measures of pulmonary function- Forced Vital Capacity Percent Predicted change- at 12, 18 and 24 months

    Change in FVC PP: percent change from baseline to follow-up in Forced Vital Capacity, expressed in percent predicted computed by ERS standards

    Measured: 12 months, 18 months, 24 months

  6. Improvement in other measures of pulmonary function- Residual Volume- at 12, 18 and 24 months

    Percent change from baseline to follow-up in Residual Volume

    Measured: 12 months, 18 months, 24 months

  7. Improvement in other measures of pulmonary function- Residual Volume-Abs at 12, 18 and 24 months

    Percent change from baseline to follow-up in Residual Volume, where RV is expressed in raw units of volume (mL).

    Measured: 12 months, 18 months, 24 months

  8. Improvement in other measures of pulmonary function- Residual Volume-Percent Predicted value at 12, 18 and 24 months

    Percent change from baseline to follow-up in Residual Volume, where RV is expressed in percent predicted computed by ERS standards.

    Measured: 12 months, 18 months, 24 months

  9. Improvement in other measures of pulmonary function- Residual Volume-Abs Percent Predicted value at 12, 18 and 24 months

    Absolute change from baseline to follow-up in Residual Volume, where RV is expressed in percent predicted computed by ERS standards

    Measured: 12 months, 18 months, 24 months

  10. Improvement in other measures of pulmonary function-Diffusing Capacity of Lung (DLCO)- Percent Predicted Value at 12, 18 and 24 months

    Percent change from baseline to follow-up in Diffusing Capacity of the Lungs for Carbon Monoxide, where DLCO is expressed in percent predicted computed by ERS standards.

    Measured: 12 months, 18 months, 24 months

  11. Improvement in other measures of pulmonary function-Diffusing Capacity of Lung (DLCO)- Absolute Percent Predicted Value at 12, 18 and 24 months

    Absolute change from baseline to follow-up in Diffusing Capacity of the Lungs for Carbon Monoxide, where DLCO is expressed in percent predicted computed by ERS standards.

    Measured: 12 months, 18 months, 24 months

  12. Changes in segmental lung volumes from as assessed by CT at 12, 18 and 24 months

    Changes in segmental lung volumes from baseline to 12 months as assessed by CT

    Measured: 12 months, 18 months, 24 months

  13. Changes in pulmonary function tests as assessed by body plethysmography measures at 12, 18 and 24 months

    Changes in pulmonary function tests as assessed by body plethysmography measures at 12 months

    Measured: 12 months, 18 months, 24 months

  14. Number of serious adverse events and fatal events

    Number of serious adverse events (SAEs) and fatal events

    Measured: 12 months, 18 months, 24 months

  15. Binary responder analysis to determine minimally clinical important difference for FEV1 at 12, 18 and 24 months

    Binary responder analysis to determine Minimal Clinically Important Difference (MCID) for the following:

    • FEV1 (> 12% predicted) in Treatment vs Control at 12 months

    Measured: 12 months, 18 months, 24 months

  16. Binary responder analysis to determine minimally clinical important difference for SGRQ-C at 12, 18 and 24 months

    Binary responder analysis to determine Minimal Clinically Important Difference (MCID) for the following:

    • SGRQ (> 8 points) in Treatment vs Control at 12 months

    Measured: 12 months, 18 months, 24 months

  17. Binary responder analysis to determine minimally clinical important difference for 6 Minute Walk Distance (6MWD) at 12, 18 and 24 months

    Binary responder analysis to determine Minimal Clinically Important Difference (MCID) for the following:

    • 6MWD (> 26m) in Treatment vs Control at 12 months

    Measured: 12 months, 18 months, 24 months

  18. Binary responder analysis to determine minimally clinical important difference for COPD Assessment Test (CAT) score at 12, 18 and 24 months

    Binary responder analysis to determine Minimal Clinically Important Difference (MCID) for the following:

    • CAT Score (> 2 points) in Treatment vs Control at 12 months

    Measured: 12 months, 18 months, 24 months

  19. Binary responder analysis to determine minimally clinical important difference for Shortness of Breath Questionnaire (SOBQ) score at 12, 18 and 24 months

    Binary responder analysis to determine Minimal Clinically Important Difference (MCID) for the following:

    • SOBQ Score (> 5 points) in Treatment vs Control at 12 month

    Measured: 12 months, 18 months, 24 months

Timeline

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

  1. First posted11 Nov 2021
  2. Study start21 Jul 2023
  3. Primary completion4 Jun 2024
  4. Study completion4 Jun 2024

Why it stopped: The sponsor made the decision not to conduct this study. No subjects were treated in the study and all centers closed.

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
Crossover
Model description
Subjects will be randomized in a 1:1 ratio between treatment group and control group. Subjects randomized to the Control Group may be allowed to cross over to the treatment group and offered the InterVapor treatment at 12 months, once they have completed the protocol defined follow-up period.
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
3 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05118269
Sponsor's protocol ID
CSP-2250
Status last verified
Feb 2025
First submitted
8 Jul 2020
Last updated
27 Feb 2025
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing Treatment plus Optimal Medical Therapy and Optimal Medical Therapy in people with Emphysema, run by Uptake Medical Technology, Inc. at 1 site in France.

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 17 inclusion and 24 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: stopped early, as of the sponsor's last update on 27 Feb 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in France. 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. 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?

The study was stopped early (reason given: The sponsor made the decision not to conduct this study. No subjects were treated in the study and all centers closed.). Results are not available in the source record.

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?

Changes in FEV1 between Treatment vs Control at 12 months (time frame: 12 months). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 Feb 2025.

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