REACTION

  • Research type

    Research Study

  • Full title

    Identifying responders and exploring mechanisms of action of the endobronchial coil treatment for emphysema

  • IRAS ID

    179313

  • Contact name

    Pallav Shah

  • Contact email

    pallav.shah@ic.ac.uk

  • Sponsor organisation

    Royal Brompton & Harefield NHS Foundation Trust

  • Clinicaltrials.gov Identifier

    NCT02179125

  • Duration of Study in the UK

    1 years, 6 months, 0 days

  • Research summary

    Emphysema is a chronic disease of the lungs affecting nearly 2% of the population. It is usually caused by smoking. In this disease the lungs lose their normal elasticity and become baggy, trapping too much air in them. This is known as hyperinflation and is one of the main causes of breathlessness in the disease.

    Lung volume reduction coils have been shown in previous trials to improve symptoms, quality of life, exercise capacity and lung function in patients with emphsyema. However we still don't know exactly how coils work, who is likely to benefit the most or how many coils we should put in a patient's lungs. This study is designed to address these questions by making in depth measurements of lung function, exercise capacity both inside and outside of the hospital and imaging the lungs.

    Patients with emphysema, who have had maximal medical treatment will be invited to join the study. They will undergo baseline measurements of lung function, physical acitivity, exercise capacity and a medical review. It will include radiological (X-ray) scans of their lungs. Should they meet the criteria they will undergo two treatments (one for each lung) separated by three months. This will be performed under general anaesthetic and they will have further measurements of lung elasticity during the procedure. Assessments will be repeated three months after the second treatment as well as monitoring of adverse events during the study.

  • REC name

    London - London Bridge Research Ethics Committee

  • REC reference

    16/LO/0933

  • Date of REC Opinion

    8 Jul 2016

  • REC opinion

    Further Information Favourable Opinion