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CompletedNCT00401986Updated Feb 1, 2021Results posted

RISA Extension Study - Long Term Safety

An observational study in Asthma, sponsored by Boston Scientific Corporation. Completed at 8 sites in 3 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2021-02-01.

Sponsored by Boston Scientific Corporation · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
14
Ages
18 Years and older
Sex
All
01

Study summary

The primary purpose of this study is to gather additional safety data for the subjects treated with the Alair System (hereinafter, "Alair-Treated Subjects") who previously completed the one-year study entitled: "Multicenter Randomized Clinical Trial of Bronchial Thermoplasty with the Alair System for the Treatment of Severe Asthma" (Protocol #0903-27) sponsored by Asthmatx, Inc. Subjects who elect to participate in this safety study will be followed for an additional four (4) year period beyond the PREDECESSOR STUDY'S one-year endpoint (clinicaltrials.gov number NCT00214539).

Read the detailed description

This will be a multicenter study conducted only at the clinical sites that participated in the PREDECESSOR STUDY (NCT00214539).

Enrollment will be limited to only those subjects who were treated with the Alair System in the PREDECESSOR STUDY.

Written, informed consent will be obtained from all subjects prior to performing any study procedures.

The present study will extend the follow-up evaluation of Alair-Treated Subjects from the PREDECESSOR STUDY to 5 years post-treatment with the Alair System. These evaluations will consist of four study visits corresponding to the two-year, three-year, four-year and five-year time points following completion of Alair treatments in the PREDECESSOR STUDY. For consistency with the PREDECESSOR STUDY, ideally the subject's drug therapy should continue to be consistent with GINA (Global Initiative for Asthma) Guidelines for the severity of the subject's asthma. Any changes in maintenance levels of asthma medications will be documented.

The goal of this follow-on study is to enroll all Alair-Treated Subjects who completed the PREDECESSOR STUDY. Inclusion of subjects from the treatment arm will allow for better assessment of the long-term safety of the Alair procedure.

02

Conditions studied

  • Asthma

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Keywords

  • Refractory Asthma
  • Bronchial Thermoplasty
  • Alair System
  • RISA (Research in Severe Asthma)
03

In context

Asthma

3,921 studies on the registry are indexed under Asthma; 507 are open to participants now.

This study's enrollment of 14 is below the median of 150 across 970 observational studies indexed under Asthma.

Browse Asthma studies →

Lead sponsor

Boston Scientific Corporation is the lead sponsor of 517 studies on the registry; 38 are open to participants now.

Of its 64 completed or terminated interventional studies of FDA-regulated products, 56 (88%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Subjects with severe asthma, previously treated with the Alair System in the PREDECESSOR STUDY (NCT00214539).

Inclusion criteria

  • Subject who participated in the PREDECESSOR STUDY entitled "Multicenter Randomized Clinical Trial of Bronchial Thermoplasty with the Alair™ System for the Treatment of Severe Asthma" (Protocol # 0903-27).
  • Subject was treated with the Alair System ("Alair Group") in the PREDECESSOR STUDY.
  • Subject who is able to read, understand, and provide written Informed Consent.
  • Subject who is able to comply with the study protocol, including requirements for taking and abstaining from medications, and complete all study required visits.

Exclusion criteria

Exclusion Criteria:

  • Subject participating in another clinical trial involving respiratory intervention that could affect the outcome measures of this study, either within 6 weeks of study enrollment, or during the study period.
  • Subject with a newly diagnosed (since exiting from the PREDECESSOR STUDY) psychiatric disorder which in the judgment of the investigator could interfere with provision of informed consent, completion of tests, therapy, or follow-up.
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
14 participants (actual)

Groups and cohorts

  • Alair Treatment

    Alair Treated subjects from PREDECESSOR STUDY (NCT00214539).

    Device: Bronchial thermoplasty with the Alair System

Interventions

  • DeviceBronchial thermoplasty with the Alair System

    Treatment of airways with the Alair System in PREDECESSOR STUDY (NCT00214539).

06

What researchers measure

Primary outcomes

  1. Percentage of Subjects With Respiratory Adverse Events (AEs) in Annual Increments

    The respiratory-related adverse event profile for the Alair group was analyzed on an annual basis in order to highlight trends in adverse occurrence.

    Time frame: 2-year, 3-year, 4-year and 5-year follow up post procedure

  2. Respiratory Adverse Events

    Pull down menu does not have a rate unit. Numbers reported represents Rate of Respiratory Adverse (number of Events/number of Subject/year).

    Time frame: 2-year, 3-year, 4-year and 5-year follow up post procedure

Secondary outcomes

  1. Hospitalizations for Respiratory Symptoms

    Pull down menu does not have a rate unit. Rate of Hospitalizations for Respiratory Symptoms (number of Events/number of Subject/year)

    Time frame: 2-year, 3-year, 4-year and 5-year follow up post procedure

  2. Emergency Room Visits for Respiratory Symptoms

    Pull down menu does not have a rate unit. Rate of Emergency Room Visits for Respiratory Symptoms (number of Events/number of Subjects/year)

    Time frame: 2-year, 3-year, 4-year and 5-year follow up post procedure

07

Results

Posted Feb 1, 2021

Participant flow

Participant flow — Overall Study
MilestoneAlair Group
Started14
Completed12
Not completed2

Outcome measures

PrimaryPercentage of Subjects With Respiratory Adverse Events (AEs) in Annual Increments

The respiratory-related adverse event profile for the Alair group was analyzed on an annual basis in order to highlight trends in adverse occurrence.

Time frame:
2-year, 3-year, 4-year and 5-year follow up post procedure
Reported as:
Number · percentage subjects with respiratory AEs
Percentage of Subjects With Respiratory Adverse Events (AEs) in Annual Increments
percentage subjects with respiratory AEsAlair Group
Year 2, n=1478.6
Year 3, n=1485.7
Year 4, n=1283.3
Year 5, n=12100
PrimaryRespiratory Adverse Events

Pull down menu does not have a rate unit. Numbers reported represents Rate of Respiratory Adverse (number of Events/number of Subject/year).

Time frame:
2-year, 3-year, 4-year and 5-year follow up post procedure
Reported as:
Number · Number of events/number of subject/Year
Respiratory Adverse Events
Number of events/number of subject/YearAlair Group
Year 2, n=141.4
Year 3, n=142.4
Year 4, n=121.7
Year 5, n=122.4
SecondaryHospitalizations for Respiratory Symptoms

Pull down menu does not have a rate unit. Rate of Hospitalizations for Respiratory Symptoms (number of Events/number of Subject/year)

Time frame:
2-year, 3-year, 4-year and 5-year follow up post procedure
Reported as:
Number · Number of events/number of subject/Year
Hospitalizations for Respiratory Symptoms
Number of events/number of subject/YearAlair Group
Year 2, n=140.4
Year 3, n=140.2
Year 4, n=120.1
Year 5, n=120.1
SecondaryEmergency Room Visits for Respiratory Symptoms

Pull down menu does not have a rate unit. Rate of Emergency Room Visits for Respiratory Symptoms (number of Events/number of Subjects/year)

Time frame:
2-year, 3-year, 4-year and 5-year follow up post procedure
Reported as:
Number · Number of events/number of subject/Year
Emergency Room Visits for Respiratory Symptoms
Number of events/number of subject/YearAlair Group
Year 2, n=140.3
Year 3, n=140
Year 4, n=120
Year 5, n=120.1

Adverse events

Collected over Year 2 post procedure out to 5 years (total of 4 years). 14 Alair group subjects from the PREDECESSOR STUDY (NCT00214539) participated in the RISA Extension Study.. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Year 2—5/14 (35.7%)11/14 (78.6%)
Year 3—4/14 (28.6%)12/14 (85.7%)
Year 4—3/12 (25%)11/12 (91.7%)
Year 5—3/12 (25%)12/12 (100%)
Most frequent serious events
Showing 10 of 19
Most frequent serious events
EventYear 2Year 3Year 4Year 5
AsthmaRespiratory, thoracic and mediastinal disorders3/141/140/121/12
ArthralgiaMusculoskeletal and connective tissue disorders0/140/142/120/12
Tibia fractureInjury, poisoning and procedural complications0/140/140/121/12
Chest painRespiratory, thoracic and mediastinal disorders0/140/140/121/12
Asthma exacerbation prophylaxisSurgical and medical procedures0/141/141/120/12
Sinus tachycardiaCardiac disorders0/141/140/120/12
VomitingGastrointestinal disorders0/141/140/120/12
Sudden DeathInjury, poisoning and procedural complications0/141/140/120/12
Renal colicRenal and urinary disorders1/140/140/120/12
Lower respiratory tract infectionRespiratory, thoracic and mediastinal disorders1/140/140/120/12
Most frequent other events
Showing 10 of 48
Most frequent other events
EventYear 2Year 3Year 4Year 5
Lower respiratory tract infectionRespiratory, thoracic and mediastinal disorders5/144/145/127/12
AsthmaRespiratory, thoracic and mediastinal disorders5/147/142/124/12
BronchitisRespiratory, thoracic and mediastinal disorders2/143/141/121/12
Upper respiratory tract infectionRespiratory, thoracic and mediastinal disorders0/142/142/122/12
ArthritisMusculoskeletal and connective tissue disorders0/140/142/120/12
Chest painRespiratory, thoracic and mediastinal disorders0/142/141/121/12
WheezingRespiratory, thoracic and mediastinal disorders1/142/140/121/12
Chest discomfortRespiratory, thoracic and mediastinal disorders0/140/140/121/12
Chronic obstructive airways disease exacerbatedRespiratory, thoracic and mediastinal disorders0/140/140/121/12
DyspnoeaRespiratory, thoracic and mediastinal disorders0/140/141/120/12

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Alair Group
<=18 years0
Between 18 and 65 years14
>=65 years0
Age, Continuous
Age, Continuous(years)Alair Group
Mean38.64 ± 13.31
Sex: Female, Male
Sex: Female, Male(Participants)Alair Group
Female8
Male6
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Alair Group
American Indian or Alaska Native0
Asian0
Native Hawaiian or Other Pacific Islander0
Black or African American0
White14
More than one race0
Unknown or Not Reported0
Region of Enrollment
Region of Enrollment(participants)Alair Group
Canada4
United Kingdom10
amPEF (Peak Expiratory Flow)
amPEF (Peak Expiratory Flow)(L/min (liters per minute))Alair Group
Mean369.95 ± 82.04
Pre-Bronchodilator FEV1 (Forced Expiratory Volume in 1 second)
Pre-Bronchodilator FEV1 (Forced Expiratory Volume in 1 second)(% predicted)Alair Group
Mean63.46 ± 12.49
Post-Bronchodilator FEV1
Post-Bronchodilator FEV1(% predicted)Alair Group
Mean75.19 ± 11.91

11 further baseline measures are reported on the registry.

08

Study locations

8 sites
  • Irmandade Santa Casa de Misericordia de Porto Alegre
    Porto Alegre, RS 90570-080, Brazil
  • St. Joseph's Healthcare
    Hamilton, Ontario L8N 4A6, Canada
  • Hospital Laval, University of Laval
    Sainte-Foy, Quebec G1V 4G5, Canada
  • Gartnavel General Hospital, Univ. Glasgow
    Glasgow, United Kingdom
  • Glenfield General Hospital, Univ. Leicester
    Leicester, LE3 9QP, United Kingdom
  • National Heart and Lung Institute, Imperial College
    London, SW3 6NP, United Kingdom
  • Northwest Lung Research Center, University of Manchester
    Manchester, M23 9LT, United Kingdom
  • William Leech Center, Freeman Hospital
    Newcastle-upon-Tyne, NE7 7DN, United Kingdom
09

References and documents

Publications

  • Pavord ID, Cox G, Thomson NC, Rubin AS, Corris PA, Niven RM, Chung KF, Laviolette M; RISA Trial Study Group. Safety and efficacy of bronchial thermoplasty in symptomatic, severe asthma. Am J Respir Crit Care Med. 2007 Dec 15;176(12):1185-91. doi: 10.1164/rccm.200704-571OC. Epub 2007 Sep 27. PubMed 17901415 ↗
  • Thomson NC, Rubin AS, Niven RM, Corris PA, Siersted HC, Olivenstein R, Pavord ID, McCormack D, Laviolette M, Shargill NS, Cox G; AIR Trial Study Group. Long-term (5 year) safety of bronchial thermoplasty: Asthma Intervention Research (AIR) trial. BMC Pulm Med. 2011 Feb 11;11:8. doi: 10.1186/1471-2466-11-8. PubMed 21314924 ↗
  • 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 ↗

Individual participant data

Plan to share: Undecided

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 1, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT00401986
Lead sponsor
Boston Scientific Corporation
Responsible party
Sponsor
First posted
Nov 22, 2006
Start date
Jan 2007
Primary completion
Dec 2010
Completion
Feb 2011
Results posted
Feb 1, 2021
Last update
Feb 1, 2021

Study contacts

Narinder S Shargill, PhD
study director · Asthmatx, Inc.

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

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