An interventional study of Bronchial thermoplasty with the Alair System and Conventional therapy with ICS+LABA in Asthma, sponsored by Asthmatx, Inc.. Completed. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2015-08-28.
Sponsored by Asthmatx, Inc. · Not applicable, Interventional, and Treatment
The purpose of this study is to demonstrate the effectiveness and safety of the Alair System for the treatment of asthma.
This will be a multicenter, randomized controlled study comparing the effects of treatment with the Alair System to standard drug therapy. One-hundred and ten subjects will be randomized 1:1 to either the Alair Group (Medical management + Alair treatment),or Control Group (Medical management only).
Multicenter, randomized, controlled clinical trial conducted at 11 Investigational Sites in 4 countries (Canada, United Kingdom, Denmark, and Brazil).
Subjects underwent Baseline evaluations, Alair treatments or Control Visits, and follow-up evaluations at 12-Weeks, 6-Months, and 12-Months after the last Treatment or Control Visit. In order to maximize the power of the study, Baseline and Follow-up testing was conducted in 2 parts. In the first part subjects continued to take their asthma maintenance medications (inhaled corticosteroids (ICS) and long acting β2-agonists (LABA) during the test period. This is designated as the "ON-LABA" Phase. Following ON-LABA testing subjects were asked to abstain from LABA for the second part of the testing, and these results are designated as the "OFF-LABA" Phase.
3,921 studies on the registry are indexed under Asthma; 507 are open to participants now.
This study's enrollment of 112 is above the median of 83 across 2,752 interventional studies indexed under Asthma.
Browse Asthma studies →This is the only study on the registry with Asthmatx, Inc. as lead sponsor.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
Conventional therapy with ICS+LABA plus bronchial thermoplasty with the Alair System.
Procedure: Bronchial thermoplasty with the Alair System
Conventional therapy with ICS+LABA.
Drug: Conventional therapy with ICS+LABA
Conventional therapy with ICS+LABA plus bronchial thermoplasty with the Alair System.
Conventional therapy with ICS+LABA.
Mild Exacerbation Rate (OFF-LABA) (Change From Baseline)
Average change from Baseline across 12-Week, 6-Month, and 12-Month (OFF-LABA) Follow-up visits. A mild exacerbation was defined as 2 consecutive days when at least one of the following occurs: 1. Morning peak expiratory flow falls at least 20% below the average morning peak flow recorded during the 7 days immediately prior to Enrollment testing; 2. More than 3 more puffs of rescue short acting bronchodilator are required than the average usage during the 7 days immediately prior to Enrollment testing; 3. Awakening at night with asthma symptoms.
Time frame: Baseline, 12 Months
Pre-Bronchodilator FEV1 (Percent Predicted) (Change From Baseline)
Percent change from Baseline at 12-Weeks (ON-LABA) and 12-Weeks, 6-Months, and 12-Months (OFF-LABA) Follow-up Visits in pre-bronchodilator forced expiratory volume in 1 second (FEV1) (percent predicted).
Time frame: Baseline, 12 Months
Post-Bronchodilator FEV1 (Percent Predicted) (Change From Baseline)
Percent change from Baseline at 12-Weeks (ON-LABA) and 12-Weeks, 6-Months, and 12-Months (OFF-LABA) Follow-up Visits in post-bronchodilator forced expiratory volume in 1 second (FEV1) (percent predicted).
Time frame: Baseline, 12 Months
Methacholine PC20 (Change From Baseline)
Change from Baseline at 12-Weeks, 6-Months, and 12-Months (OFF-LABA) Follow-up Visits in "PC20" - provocative concentration of Provocholine (a brand of methacholine chloride) resulting in a drop of FEV1 of 20% or more from baseline. The patient inhales an aerosol of one or more concentrations of methacholine. The lower the concentration of methacholine that provokes a 20% (or greater) fall in FEV1, the more "responsive" or "hyperresponsive" the airways are. Conversely, a rise in methacholine PC20 indicates airways that have become less reactive.
Time frame: Baseline, 12 Months
Peak Expiratory Flow (Morning and Evening) (Change From Baseline)
Change from Baseline at 12-Weeks (ON-LABA) and 12-Weeks, 6-Months, and 12-Months (OFF-LABA) Follow-up Visits in morning and evening Peak Expiratory Flow (PEF). The peak expiratory flow rate measures the maximal rate at which a person can exhale air.
Time frame: Baseline, 12 Months
Asthma Control Questionnaire (ACQ) Score (Change From Baseline)
Change from Baseline at 12-Weeks (ON-LABA) and 12-Weeks, 6-Months, and 12-Months (OFF-LABA) Follow-up Visits in Asthma Control Questionnaire (ACQ) Score. The ACQ is a self-administered patient questionnaire 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 (best) to 6 (worst) and averaged, resulting in a total score from 0 to 6. A decrease in the ACQ score indicates better asthma control.
Time frame: Baseline, 12 Months
Use of Rescue Medications (Change From Baseline)
Change from Baseline at 12-Weeks (ON-LABA) and 12-Weeks, 6-Months, and 12-Months (OFF-LABA) Follow-up Visits in use of rescue medications (short acting bronchodilators) measured in puffs per week. Subjects recorded their use of rescue medication for asthma symptoms in their Daily Diary throughout the study.
Time frame: Baseline, 12 Months
Use of Maintenance Medications (Change From Baseline)
Change from Baseline at 12-Months (OFF-LABA) Follow-up Visit in use of maintenance medications (inhaled corticosteroids and/or long-acting beta-agonists).
Time frame: Baseline, 12 Months
Asthma Quality of Life Questionnaire (AQLQ) Score (Change From Baseline)
Change from Baseline at 12-Weeks (ON-LABA) and 12-Weeks, 6-Months, and 12-Months (OFF-LABA) Follow-up Visits in AQLQ score. The AQLQ consists of 32 questions (scale from 1 to 7, where 7 reflects a higher quality of life). The AQLQ score is the mean of the scores from the 32 individual questions. An increase in the AQLQ score indicates a better quality of life. A within-subject change in score of 0.5 represents the minimal important difference (MID).
Time frame: Baseline, 12 Months
Total Symptom Score (Change From Baseline)
Change from Baseline at 12-Weeks (ON-LABA) and 12-Weeks, 6-Months, and 12-Months (OFF-LABA) Follow-up Visits in Total Symptom Score. Total Symptom Score comprises the sum of six asthma symptom measurements. Each symptom 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.
Time frame: Baseline, 12 Months
| Milestone | Alair Group | Control Group |
|---|---|---|
| Started | 56 | 56 |
| Completed | 55 | 54 |
| Not completed | 1 | 2 |
| Milestone | Alair Group | Control Group |
|---|---|---|
| Started | 55 | 54 |
| Completed | 53 | 49 |
| Not completed | 2 | 5 |
| Milestone | Alair Group | Control Group |
|---|---|---|
| Started | 53 | 49 |
| Completed | 52 | 49 |
| Not completed | 1 | 0 |
Average change from Baseline across 12-Week, 6-Month, and 12-Month (OFF-LABA) Follow-up visits. A mild exacerbation was defined as 2 consecutive days when at least one of the following occurs: 1. Morning peak expiratory flow falls at least 20% below the average morning peak flow recorded during the 7 days immediately prior to Enrollment testing; 2. More than 3 more puffs of rescue short acting bronchodilator are required than the average usage during the 7 days immediately prior to Enrollment testing; 3. Awakening at night with asthma symptoms.
| Exacerbations/Subject/Week | Alair Group | Control Group |
|---|---|---|
| Mild Exacerbation Rate (OFF-LABA) (Change From Baseline) | -0.16 ± 0.37 | 0.04 ± 0.29 |
Percent change from Baseline at 12-Weeks (ON-LABA) and 12-Weeks, 6-Months, and 12-Months (OFF-LABA) Follow-up Visits in pre-bronchodilator forced expiratory volume in 1 second (FEV1) (percent predicted).
| Percent Change | Alair Group | Control Group |
|---|---|---|
| ON-LABA at 12 Weeks | 3.65 ± 17.54 | 0.32 ± 12.37 |
| OFF-LABA at 12 Weeks | 5.28 ± 12.00 | 4.00 ± 24.22 |
| OFF-LABA at 6 Months | 7.29 ± 15.58 | 5.17 ± 17.67 |
| OFF-LABA at 12 Months | 8.33 ± 20.73 | 3.94 ± 20.49 |
Percent change from Baseline at 12-Weeks (ON-LABA) and 12-Weeks, 6-Months, and 12-Months (OFF-LABA) Follow-up Visits in post-bronchodilator forced expiratory volume in 1 second (FEV1) (percent predicted).
| Percent Change | Alair Group | Control Group |
|---|---|---|
| ON-LABA at 12 Weeks | -0.13 ± 12.03 | -0.13 ± 8.63 |
| OFF-LABA at 12 Weeks | 0.76 ± 12.65 | 0.80 ± 16.01 |
| OFF-LABA at 6 Months | 0.82 ± 11.67 | 0.13 ± 11.55 |
| OFF-LABA at 12 Months | 0.89 ± 13.91 | 1.33 ± 13.08 |
Change from Baseline at 12-Weeks, 6-Months, and 12-Months (OFF-LABA) Follow-up Visits in "PC20" - provocative concentration of Provocholine (a brand of methacholine chloride) resulting in a drop of FEV1 of 20% or more from baseline. The patient inhales an aerosol of one or more concentrations of methacholine. The lower the concentration of methacholine that provokes a 20% (or greater) fall in FEV1, the more "responsive" or "hyperresponsive" the airways are. Conversely, a rise in methacholine PC20 indicates airways that have become less reactive.
| mg/mL | Alair Group | Control Group |
|---|---|---|
| OFF-LABA at 12 Weeks | 0.64 (0.37 to 1.09) | 0.37 (0.24 to 0.58) |
| OFF-LABA at 6 Months | 0.50 (0.30 to 0.85) | 0.42 (0.25 to 0.70) |
| OFF-LABA at 12 Months | 0.61 (0.36 to 1.03) | 0.50 (0.31 to 0.80) |
Change from Baseline at 12-Weeks (ON-LABA) and 12-Weeks, 6-Months, and 12-Months (OFF-LABA) Follow-up Visits in morning and evening Peak Expiratory Flow (PEF). The peak expiratory flow rate measures the maximal rate at which a person can exhale air.
| L/min | Alair Group | Control Group |
|---|---|---|
| Morning PEF: ON-LABA at 12 Weeks | 27.96 ± 48.98 | 1.37 ± 32.26 |
| Morning PEF: OFF-LABA at 12 Weeks | 42.59 ± 41.77 | 12.98 ± 37.08 |
| Morning PEF: OFF-LABA at 6 Months | 31.49 ± 42.48 | 7.39 ± 45.03 |
| Morning PEF: OFF-LABA at 12 Months | 39.31 ± 48.74 | 8.52 ± 44.18 |
| Evening PEF: ON-LABA at 12 Weeks | 29.85 ± 49.11 | 0.57 ± 32.51 |
| Evening PEF: OFF-LABA at 12 Weeks | 38.23 ± 48.97 | 12.58 ± 32.69 |
| Evening PEF: OFF-LABA at 6 Months | 29.38 ± 46.35 | 9.53 ± 41.39 |
| Evening PEF: OFF-LABA at 12 Months | 37.70 ± 50.53 | 9.88 ± 40.95 |
Change from Baseline at 12-Weeks (ON-LABA) and 12-Weeks, 6-Months, and 12-Months (OFF-LABA) Follow-up Visits in Asthma Control Questionnaire (ACQ) Score. The ACQ is a self-administered patient questionnaire 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 (best) to 6 (worst) and averaged, resulting in a total score from 0 to 6. A decrease in the ACQ score indicates better asthma control.
| Units on a scale | Alair Group | Control Group |
|---|---|---|
| ON-LABA at 12 Weeks | -0.30 ± 0.77 | -0.01 ± 0.68 |
| OFF-LABA at 12 Weeks | -1.15 ± 1.01 | -0.30 ± 1.02 |
| OFF-LABA at 6 Months | -1.23 ± 0.98 | -0.51 ± 0.97 |
| OFF-LABA at 12 Months | -1.18 ± 1.02 | -0.47 ± 1.00 |
Change from Baseline at 12-Weeks (ON-LABA) and 12-Weeks, 6-Months, and 12-Months (OFF-LABA) Follow-up Visits in use of rescue medications (short acting bronchodilators) measured in puffs per week. Subjects recorded their use of rescue medication for asthma symptoms in their Daily Diary throughout the study.
| Puffs/7 Days | Alair Group | Control Group |
|---|---|---|
| ON-LABA at 12 Weeks | -3.62 ± 11.97 | 0.94 ± 12.10 |
| OFF-LABA at 12 Weeks | -9.08 ± 15.59 | -2.56 ± 12.75 |
| OFF-LABA at 6 Months | -5.84 ± 15.59 | -1.26 ± 14.10 |
| OFF-LABA at 12 Months | -8.93 ± 17.21 | -1.17 ± 16.71 |
Change from Baseline at 12-Months (OFF-LABA) Follow-up Visit in use of maintenance medications (inhaled corticosteroids and/or long-acting beta-agonists).
| Subjects | Alair Group | Control Group |
|---|---|---|
| No Change in ICS Dosage | 52 | 52 |
| Increase in ICS Dosage | 1 | 1 |
| Decrease in ICS Dosage | 2 | 1 |
Change from Baseline at 12-Weeks (ON-LABA) and 12-Weeks, 6-Months, and 12-Months (OFF-LABA) Follow-up Visits in AQLQ score. The AQLQ consists of 32 questions (scale from 1 to 7, where 7 reflects a higher quality of life). The AQLQ score is the mean of the scores from the 32 individual questions. An increase in the AQLQ score indicates a better quality of life. A within-subject change in score of 0.5 represents the minimal important difference (MID).
| Units on a scale | Alair Group | Control Group |
|---|---|---|
| ON-LABA at 12 Weeks | 0.48 ± 0.94 | 0.01 ± 0.90 |
| OFF-LABA at 12 Weeks | 1.25 ± 1.18 | 0.29 ± 1.06 |
| OFF-LABA at 6 Months | 1.23 ± 1.10 | 0.54 ± 1.06 |
| OFF-LABA at 12 Months | 1.27 ± 1.01 | 0.58 ± 1.09 |
Change from Baseline at 12-Weeks (ON-LABA) and 12-Weeks, 6-Months, and 12-Months (OFF-LABA) Follow-up Visits in Total Symptom Score. Total Symptom Score comprises the sum of six asthma symptom measurements. Each symptom 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.
| Units on a scale | Alair Group | Control Group |
|---|---|---|
| ON-LABA at 12 Weeks | -1.18 ± 2.16 | -0.33 ± 1.89 |
| OFF-LABA at 12 Weeks | -1.73 ± 2.13 | -0.37 ± 2.24 |
| OFF-LABA at 6 Months | -1.60 ± 2.13 | -0.66 ± 2.28 |
| OFF-LABA at 12 Months | -1.91 ± 2.11 | -0.65 ± 2.48 |
Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Alair (Treatment Period) | — | 4/55 (7.3%) | 53/55 (96.4%) |
| Control (Treatment Period) | — | 4/54 (7.4%) | 43/54 (79.6%) |
| Alair (Post-Treatment Period) | — | 5/55 (9.1%) | 52/55 (94.5%) |
| Control (Post-Treatment Period) | — | 4/54 (7.4%) | 46/54 (85.2%) |
| Event | Alair (Treatment Period) | Control (Treatment Period) | Alair (Post-Treatment Period) | Control (Post-Treatment Period) |
|---|---|---|---|---|
| AsthmaRespiratory, thoracic and mediastinal disorders | 3/55 | 0/54 | 2/55 | 1/54 |
| Abdominal Pain UpperGastrointestinal disorders | 0/55 | 1/54 | 0/55 | 0/54 |
| Atrial FibrillationCardiac disorders | 0/55 | 0/54 | 0/55 | 1/54 |
| Calculus UrinaryRenal and urinary disorders | 0/55 | 0/54 | 0/55 | 1/54 |
| Chest PainRespiratory, thoracic and mediastinal disorders | 0/55 | 1/54 | 0/55 | 0/54 |
| DyspnoeaRespiratory, thoracic and mediastinal disorders | 1/55 | 1/54 | 0/55 | 1/54 |
| GastritisGastrointestinal disorders | 0/55 | 1/54 | 0/55 | 0/54 |
| Spinal FractureInjury, poisoning and procedural complications | 0/55 | 1/54 | 0/55 | 0/54 |
| Collapse Of Lung (Partial Collapse Of Left Upper Lobe)Respiratory, thoracic and mediastinal disorders | 1/55 | 0/54 | 0/55 | 0/54 |
| HeadacheNervous system disorders | 0/55 | 0/54 | 1/55 | 0/54 |
| Event | Alair (Treatment Period) | Control (Treatment Period) | Alair (Post-Treatment Period) | Control (Post-Treatment Period) |
|---|---|---|---|---|
| DyspnoeaRespiratory, thoracic and mediastinal disorders | 38/55 | 17/54 | 26/55 | 28/54 |
| WheezingRespiratory, thoracic and mediastinal disorders | 34/55 | 7/54 | 16/55 | 12/54 |
| CoughRespiratory, thoracic and mediastinal disorders | 29/55 | 10/54 | 21/55 | 19/54 |
| Nocturnal DyspnoeaRespiratory, thoracic and mediastinal disorders | 22/55 | 5/54 | 7/55 | 5/54 |
| Productive CoughRespiratory, thoracic and mediastinal disorders | 20/55 | 5/54 | 11/55 | 11/54 |
| Chest DiscomfortRespiratory, thoracic and mediastinal disorders | 16/55 | 10/54 | 11/55 | 7/54 |
| HeadacheNervous system disorders | 15/55 | 10/54 | 15/55 | 14/54 |
| Nasal CongestionRespiratory, thoracic and mediastinal disorders | 7/55 | 6/54 | 15/55 | 14/54 |
| Chest PainRespiratory, thoracic and mediastinal disorders | 14/55 | 3/54 | 1/55 | 1/54 |
| Upper Respiratory Tract InfectionRespiratory, thoracic and mediastinal disorders | 7/55 | 2/54 | 10/55 | 3/54 |
| Age, Continuous(years) | Alair Group | Control Group | Total |
|---|---|---|---|
| Mean | 39.36 ± 11.18 | 41.65 ± 11.35 | 40.50 ± 11.27 |
| Sex: Female, Male(Participants) | Alair Group | Control Group | Total |
|---|---|---|---|
| Female | 31 | 31 | 62 |
| Male | 24 | 23 | 47 |
| Region of Enrollment(participants) | Alair Group | Control Group | Total |
|---|---|---|---|
| Canada | 21 | 21 | 42 |
| United Kingdom | 19 | 17 | 36 |
| Denmark | 3 | 4 | 7 |
| Brazil | 12 | 12 | 24 |
No study locations are listed for this record.
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