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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT01719263
Registration number
NCT01719263
Ethics application status
Date submitted
26/10/2012
Date registered
1/11/2012
Date last updated
29/10/2015
Titles & IDs
Public title
Sequential Segmental Treatment of Emphysema With Upper Lobe Predominance (STEP-UP) Study
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Scientific title
Sequential Segmental Treatment of Emphysema With Upper Lobe Predominance (STEP-UP) Study
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Secondary ID [1]
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CSP-1570
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Emphysema
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Condition category
Condition code
Respiratory
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Other respiratory disorders / diseases
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Devices - InterVapor® treatment plus Optimal Medical Therapy
Other interventions - Optimal Medical Therapy
Experimental: Treatment plus Optimal Medical Therapy - Patients will be treated with the InterVapor System and Optimal Medical Therapy
Active comparator: Optimal Medical Therapy - Patients will be treated according to Optimal Medical Therapy
Treatment: Devices: InterVapor® treatment plus Optimal Medical Therapy
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/WHO GOLD workshop summary).
Other interventions: Optimal Medical Therapy
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).
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Intervention code [1]
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Treatment: Devices
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Intervention code [2]
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Other interventions
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Forced expiratory volume in 1-second (FEV1) compared to active comparator
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Assessment method [1]
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Timepoint [1]
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Year 1
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Primary outcome [2]
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Quality of Life (SGRQ)
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Assessment method [2]
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Timepoint [2]
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Year 1
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Secondary outcome [1]
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Responder rate for FEV1 % difference from baseline
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Assessment method [1]
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Timepoint [1]
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Year 1
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Secondary outcome [2]
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Responder rate SGRQ pts difference from baseline
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Assessment method [2]
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Timepoint [2]
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Year 1
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Secondary outcome [3]
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Responder rate 6MWD meter difference from baseline
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Assessment method [3]
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Timepoint [3]
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Year 1
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Secondary outcome [4]
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Lobar Volume Reduction HRCT
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Assessment method [4]
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Timepoint [4]
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Year 1
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Eligibility
Key inclusion criteria
* Heterogeneous emphysema with upper lobe predominance in both lungs
* FEV1 between 20% and 45% predicted
* Residual volume (RV) > 150% predicted
* Post-rehabilitation 6-minute walk test > 140 meters
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Minimum age
40
Years
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Maximum age
75
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* More than 3 COPD related hospitalizations requiring antibiotics in past 12 months
* FEV1 < 20% predicted
* DLCO < 20% predicted or immeasurable DLCO
* Body mass index (BMI) < 18kg/m2 or > 32 kg/m2
* History of any of the following:
* Left ventricular ejection fraction (EF) = 40%
* Stroke
* Myocardial infarction or acute coronary syndrome in previous year
* Hospitalization due to left ventricular failure in previous 3 years
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
NA
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/06/2013
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
1/10/2015
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Sample size
Target
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Accrual to date
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Final
69
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Recruitment in Australia
Recruitment state(s)
QLD,SA,VIC,WA
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Recruitment hospital [1]
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Prince Charles Hospital - Chermside
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Recruitment hospital [2]
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Royal Adelaide Hospital - Adelaide
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Recruitment hospital [3]
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The Alfred Hospital - Melbourne
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Recruitment hospital [4]
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Sir Charles Gairdner Hospital - Nedlands
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Recruitment postcode(s) [1]
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4032 - Chermside
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Recruitment postcode(s) [2]
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5000 - Adelaide
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Recruitment postcode(s) [3]
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3004 - Melbourne
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Recruitment postcode(s) [4]
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6009 - Nedlands
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Recruitment outside Australia
Country [1]
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Austria
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State/province [1]
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Vienna
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Germany
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State/province [2]
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Berlin
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Germany
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Gauting
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Germany
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Gerlingen
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Germany
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Halle
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Germany
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Hamburg
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Germany
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Heidelberg
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Country [8]
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Germany
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State/province [8]
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Hemer
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Germany
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State/province [9]
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Nuernberg
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Ireland
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Dublin
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New Zealand
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State/province [11]
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Auckland
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Country [12]
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United Kingdom
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State/province [12]
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London
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Uptake Medical Corp
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
This study is designed to demonstrate safety and efficacy in patients with severe upper lobe predominant emphysema. For validity of the study, the results will be compared to patients that receive optimal medical therapy.
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Trial website
https://clinicaltrials.gov/study/NCT01719263
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Trial related presentations / publications
Herth FJ, Valipour A, Shah PL, Eberhardt R, Grah C, Egan J, Ficker JH, Wagner M, Witt C, Liebers U, Hopkins P, Gesierich W, Phillips M, Stanzel F, McNulty WH, Petermann C, Snell G, Gompelmann D. Segmental volume reduction using thermal vapour ablation in patients with severe emphysema: 6-month results of the multicentre, parallel-group, open-label, randomised controlled STEP-UP trial. Lancet Respir Med. 2016 Mar;4(3):185-93. doi: 10.1016/S2213-2600(16)00045-X. Epub 2016 Feb 16. Bandyopadhyay S, Henne E, Gupta A, Barry R, Snell G, Strange C, Herth FJ. Segmental approach to lung volume reduction therapy for emphysema patients. Respiration. 2015;89(1):76-81. doi: 10.1159/000369036. Epub 2014 Dec 6. Valipour A, Herth FJ, Eberhardt R, Shah PL, Gupta A, Barry R, Henne E, Bandyopadhyay S, Snell G. Design of the randomized, controlled sequential staged treatment of emphysema with upper lobe predominance (STEP-UP) study. BMC Pulm Med. 2014 Dec 3;14:190. doi: 10.1186/1471-2466-14-190.
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Public notes
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Contacts
Principal investigator
Name
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Felix JF Herth, MD
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Address
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Heidelberg University
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT01719263
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