ClinicalTrials.gg
CompletedNCT03892694Updated Sep 30, 2026

Metered Cryospray for the Treatment of Patients With Chronic Obstructive Pulmonary Disease With Chronic Bronchitis

An interventional study of RejuvenAir System and Sham in COPD and Chronic Bronchitis, sponsored by CSA Medical, Inc.. Completed at 2 sites in 2 countries. Open to participants aged 40 Years to 79 Years. Per ClinicalTrials.gov, last updated 2026-09-30.

Primary conditionBronchitis, ChronicRegistry: Pulmonary Disease, Chronic ObstructiveReclassifiedWhy we changed it
Registry
Pulmonary Disease, Chronic Obstructive — the first condition term the registry derived for this study.
ClinicalTrials.gg
Bronchitis, Chronic
Why
  1. The study's listed conditions name Bronchitis, Chronic, a narrower term within Pulmonary Disease, Chronic Obstructive.
Confidence
High: the new condition is named in the study's own listed conditions. Of 351 hand-checked studies reclassified this way, 68% were exactly right and 84% in the right disease family; the registry's first term was right for 5% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by CSA Medical, Inc. · Not applicable, Interventional, and Treatment

Updated Sep 30, 2026Now CompletedStudy completion moved+1 moreGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
32
Allocation
Randomized
Ages
40 Years to 79 Years
Sex
All
01

Study summary

To evaluate the relationship between airway structure and function in patients with chronic bronchitis treated with metered cryospray (MCS).

Read the detailed description

To identify the molecular and cellular targets of MCS treatment and determine the mechanistic relationship to airways remodelling in patients with chronic bronchitis. Phenotype, characterise and correlate clinical, physiological, histological and molecular parameters in patients with chronic bronchitis.

02

Conditions studied

  • COPD
  • Chronic Bronchitis

Browse trials for

03

In context

Bronchitis, Chronic Reclassified

209 studies on the registry are indexed under Bronchitis, Chronic; 14 are open to participants now.

This study's enrollment of 32 is below the median of 101 across 154 interventional studies indexed under Bronchitis, Chronic.

Browse Bronchitis, Chronic studies →

Lead sponsor

CSA Medical, Inc. is the lead sponsor of 17 studies on the registry; 1 is open to participants now.

Compared within Bronchitis, Chronic, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Pulmonary Disease, Chronic Obstructive. The counts are of registry records indexed under each term, refreshed daily. How we classify →

04

Who can participate

Ages eligible
40 Years to 79 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

Each Subject must meet the following criteria to be enrolled in the study:

  1. Males and females ≥40 to \<80 years of age.
  2. Subject is able to read, understand, and sign a written in order to participate in the study.
  3. Subject has a diagnosis of CB and and has been symptomatic for a minimum of two years. (Chronic Bronchitis is defined clinically as chronic productive cough for 3 months in each of 2 successive years in a patient in whom other causes of productive cough have been excluded).
  4. Subject is classified as having moderate or severe (GOLD stage 2-3) airflow obstruction defined by a post-bronchodilator of =>30% to \<80% predicted with a baseline FEV1/FVC of \<0.70.
  5. Subject has a COPD assessment tool (CAT) score of ≥10.
  6. Subject is being treated according to current medically accepted treatment guidelines without successful resolution of chronic bronchitis and agrees to continue maintenance pulmonary/COPD medications (as defined per GOLD Standard for medications) for the duration of the study (subject must be on a regime of pulmonary medications for a minimum of 2 weeks prior to enrolment into the study).
  7. Smoking history of at least 10 pack years.
  8. Non-smoking for a minimum of 2 months prior to consent and agrees to continue not smoking for the duration of the study.
  9. Subject is able to adhere to and undergo 4 bronchoscopic procedures (5 for control subjects accepting cross over option), in the opinion of the investigator or per hospital guidelines.
  10. For women of : non-pregnant, non-lactating, and agree to practice an adequate method (abstinence, combination barrier and spermicide, or hormonal) for the duration of the study.

Exclusion criteria

Exclusion Criteria:

A potential subject who meets any of the following criteria will be excluded from participation in this study:

  1. Subject has had an acute pulmonary infection, exacerbation or pneumonia requiring medical treatment (with antibiotics and/or ) within 6 weeks of initially planned study bronchoscopy.
  2. Diagnosis of asthma with an onset before 30 years of age.
  3. Subject has Alpha-1 antitrypsin deficiency.
  4. Subject has other origins of respiratory disease aside from chronic bronchitis and .
  5. Subject is using e-cigarettes, vaping or taking any oral or inhaled substances not prescribed by a physician.
  6. Subject has untreatable or life-threatening arrhythmias, or history of inability to adequately oxygenate during a bronchoscopy, or has acute respiratory failure with hypercapnia.
  7. Subject has bullous emphysema characterized as large bullae >30 millimetres on HRCT; or subject has stenosis in the tracheobronchial system, tracheobronchomegaly, trachea-bronchomalacia, amyloidosis or cystic fibrosis.
  8. Subject has bronchiectasis
  9. Subject has had a transplant procedure (any).
  10. Subject has a known mucosal tear, has undergone prior lung surgery such as pneumonectomy, lobectomy, bullectomy, or lung volume reduction surgery, bronchial thermoplasty, rheoplasty or cryotherapy.
  11. Subject has had a prior lung device procedure, including emphysema stent(s) implanted, lung coils, valves, lung denervation or other devices for emphysema.
  12. Subject is unable to temporarily discontinue use of anticoagulant therapy: warfarin, Coumadin, LMWH, heparin, clopidrogel (or equal).
  13. Subject has a serious medical condition, such as: uncontrolled coagulopathy or bleeding disorder, congestive heart failure, uncontrolled angina, myocardial infarction in the past year, renal failure, liver disease, cerebrovascular accident within the past 6 months, uncontrolled diabetes, uncontrolled hypertension, disease or uncontrolled gastric reflux.
  14. Subject has or is receiving chemotherapy or active radiation therapy within the past 6 months or is expected to receive chemotherapy during participation in this study.
  15. Subject is or has been in another clinical study within 6 weeks of enrolment.
  16. Subject has known sensitivity to medication required to perform bronchoscopy (such as lidocaine, atropine, and benzodiazepines).
Terms in these criteria, in plain language(9)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

COPD

Chronic obstructive pulmonary disease: long-term lung disease that makes it hard to breathe out, including emphysema and chronic bronchitis.

FEV1

From a breathing test (spirometry): how much air you can blow out in the first second. Often given as a percentage of what is expected for your age, height and sex.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Triple (Participant, Care provider, Outcomes assessor)
Enrollment
32 participants (actual)

Study arms

  • Active comparator
    Treatment

    MCS

    Device: RejuvenAir System

  • Sham comparator
    Sham Control

    Sham

    Other: Sham

Interventions

  • DeviceRejuvenAir System

    Bronchial metered cryospray using RejuvenAir® System.

  • OtherSham

    Sham control procedure

06

What researchers measure

Primary outcomes

  1. Goblet cell density

    Difference in change relative to baseline in goblet cell density per mm of basement membrane in endobronchial cryobiopsies at 6-months between treatment and sham-control groups

    Time frame: 6-months post treatment

Secondary outcomes

  1. Histopathological examination of endobronchial cryobiopsies to determine Inflammatory cells and subtype density per mm of basement membrane

    Proportion of inflammatory cells per mm of basement membrane for Neutrophil and Lymphocyte sequencing (RNA-seq)

    Time frame: 6-months post treatment

  2. Histopathological examination of endobronchial cryobiopsies to determine epithelial cell density and area (including respiratory epithelial, goblet and basal cells) per mm of basement membrane

    Proportion of epithelial cells per mm of basement membrane for Ciliary and Goblet cells

    Time frame: 6-months post treatment

  3. Transcriptomics: Epithelial gene expression as measured by global gene expression sequencing (RNA-seq)

    Transcriptomics: Epithelial gene expression as measured by global gene expression sequencing (RNA-seq)

    Time frame: 6-months post treatment

  4. Pulmonary function tests including spirometry, body plethysmography and transfer factors KCO and TLCO

    Pulmonary function tests including spirometry, body plethysmography and transfer factors KCO and TLCO

    Time frame: 6-months post treatment

  5. Patient reported outcome measures including SGRQ, mMRC, CAT and Cough Questionnaires

    Patient reported outcome measures including SGRQ, mMRC, CAT and Cough Questionnaires

    Time frame: 6-months post treatment

  6. Health care utilisation assessments including number of respiratory exacerbations, emergency room visits, hospital and intensive care unit admissions related to respiratory adverse events

    Health care utilisation assessments including number of respiratory exacerbations, emergency room visits, hospital and intensive care unit admissions related to respiratory adverse events

    Time frame: 6-months post treatment

  7. The 6-minute walk tests

    The 6-minute walk tests

    Time frame: 6-months post treatment

Other outcomes

  1. Microvesicle quantification

    Microvesicle quantification

    Time frame: 6-months post treatment

  2. Lobar volumes and gas trapping as determined by quantitative CT and parametric response mapping

    Lobar volumes and gas trapping as determined by quantitative CT and parametric response mapping

    Time frame: 6-months post treatment

  3. Small airways function as assessed by Impulse Oscillometry (IOS)

    Small airways function as assessed by Impulse Oscillometry (IOS)

    Time frame: 6-months post treatment

  4. Composition of epithelial ultrastructure as assessed by transmission electron microscopy

    Composition of epithelial ultrastructure as assessed by transmission electron microscopy

    Time frame: 6-months post treatment

07

Study locations

2 sites
  • University Medical Center Groningen
    Groningen, Netherlands
  • The Royal Brompton Hospital
    London, SW3 6NP, United Kingdom
08

References and documents

Publications

  • Orton CM, Tonkin J, Chan LT, Tana A, Marc ST, Conway F, Baikov AN, Wawman R, Eastwood M, Vijayakumar B, Thornton J, D'Sa L, Hartman JE, Klooster K, Slebos DJ, Robertus JL, Bhavsar PK, Shah PL. Metered cryospray in patients with chronic bronchitis: a mechanistic randomised controlled study. Thorax. 2026 Jul 14:thorax-2026-224822. doi: 10.1136/thorax-2026-224822. Online ahead of print. PubMed 42448469 ↗

Individual participant data

Plan to share: Undecided

09

Updates

1 registry update since Sep 25, 2026
Status
Active, not recruiting→Completed
changed Sep 30, 2026
Study completion
Jun 1, 2024→Dec 12, 2022 (actual)
Sep 30, 2026
Publications
1 publication citing this study linked from PubMed, e.g. PubMed 42448469 ↗
Sep 30, 2026
Show all 1 update
  1. Sep 30, 2026
    Active, not recruiting→Completed
    Publications 1 publication citing this study linked from PubMed, e.g. PubMed 42448469 ↗
    Study completion Jun 1, 2024→Dec 12, 2022 (now actual)
    + 3 other changes: verification date, data sharing statement and index terms

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT03892694
Lead sponsor
CSA Medical, Inc.
Responsible party
Sponsor
First posted
Mar 27, 2019
Start date
Feb 14, 2020
Primary completion
Jul 11, 2022
Completion
Dec 12, 2022
Last update
Sep 30, 2026

Study contacts

Pallav Shah, MD
principal investigator · The Royal Brompton Hospital

Oversight

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

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This study is completed, as verified in Sep 2026. You cannot join it, but the record below documents what was studied.

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