ClinicalTrials.gg
Active, not recruitingNCT05087641IAB-1Updated Mar 13, 2026

A Multicenter, Prospective Trial of the IAB in Adults Suffering From COPD/Emphysema

An interventional study of IAB System in Emphysema and Pulmonary Disease, Chronic Obstructive, sponsored by Pulmair Medical, Inc.. Active, not recruiting at 3 sites in 3 countries. Open to participants aged 40 Years to 75 Years. Per ClinicalTrials.gov, last updated 2026-03-13.

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

Phase
Not applicable
Study type
Interventional
Enrollment
20
Allocation
Not applicable
Ages
40 Years to 75 Years
Sex
All
01

Study summary

The Pulmair Implantable Artificial Bronchus (IAB) is a device intended for implantation into the diseased bronchi of emphysema patients. The IAB is indicated for bronchoscopic treatment of adults with Chronic Obstructive Pulmonary Disease (COPD)/emphysema to relieve hyperinflation and allow bidirectional ventilation of the affected lobes.

The objective of this trial is to demonstrate a suitable benefit/risk profile to support a subsequent trial of the safety and effectiveness of the IAB to achieve its intended purpose.

The trial will enroll 24 subjects implanted with IAB(s), at no more than three study centers.

02

Conditions studied

  • Emphysema
  • Pulmonary Disease, Chronic Obstructive

Keywords

  • Bronchoscopic Lung Volume Reduction (BLVR)
03

In context

Emphysema

382 studies on the registry are indexed under Emphysema; 59 are open to participants now.

This study's enrollment of 20 is below the median of 60 across 245 interventional studies indexed under Emphysema.

Browse Emphysema studies →

Lead sponsor

Pulmair Medical, Inc. is the lead sponsor of 3 studies on the registry; 2 are open to participants now.

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

04

Who can participate

Ages eligible
40 Years to 75 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

  1. Signed
  2. Diagnosis of /emphysema
  3. Age 40 to 75 years
  4. (BMI) less than 30 kg/m2
  5. 6-minute walk Distance between 100 meters and 500 meters at baseline exam
  6. Stable disease with less than 10 mg prednisone (or equivalent) daily
  7. Non-smoking for 4 months prior to screening interview
  8. between 15% and 50% of predicted value at baseline exam
  9. FEV1/Forced Vital Capacity (FVC) \< 70%
  10. RV > 175%
  11. mMRC score ≥ 2

Exclusion criteria

Exclusion Criteria:

  1. Currently participating in another clinical study
  2. Women of
  3. More than 2 exacerbation episodes requiring hospitalization in the last year at screening
  4. Any COPD exacerbations within 6 weeks of planned intervention
  5. Two or more instances of pneumonia episodes in the last year at screening
  6. mucus production or chronic bronchitis
  7. Myocardial Infarction or unstable / uncontrolled congestive heart failure within 6 months of screening
  8. Prior lung transplant, Lung Volume Reduction Surgery (LVRS), bullectomy or lobectomy
  9. Clinically significant bronchiectasis
  10. Unable to safely discontinue anti-coagulants or activity inhibitors for 7 days
  11. Uncontrolled pulmonary hypertension (systolic pulmonary arterial pressure > 45 mm Hg) or evidence or history of cor pulmonale as determined by recent echocardiogram (completed within the last 3 months prior to screening visit)
  12. Suspected pulmonary nodule or lung cancer
  13. High Resolution Computed Tomography (HRCT) collected per CT scanning protocol within the last 6 months of screening date and evaluated by clinical site personnel using 3D segmentation software shows:

    1. Large bullae encompassing greater than 30% of either lung
    2. Insufficient landmarks to evaluate the CT study using the software as it is intended
    3. All lobes are less than 25% parenchyma diseased (\< -950 HU)
  14. Any cardiac comorbidity which the PI believes would compromise the safety of the patient after an IAB implant
  15. Total Lung Capacity (TLC) \< 100% predicted at screening
  16. Diffusing Capacity of Carbon Monoxide (DLCO) \< 15% or > 50% of predicted value at screening
  17. Partial pressure of carbon dioxide (PaCO2) > 50 mm Hg or Denver scale greater than 55 mm Hg on room air at screening
  18. Partial pressure of oxygen (PaO2) \< 45 mm Hg or Denver scale less than 30 mm Hg on room air at screening
  19. Plasma cotinine level > 13.7 ng/ml or carboxyhemoglobin (arterial or ear lobe capillary) > 2.5% at screening
  20. Any other conditions, which, in the opinion of the Investigator, would make the patient unsuitable for inclusion, or could interfere with the patient participating in or completing the study
Terms in these criteria, in plain language(7)

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.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

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.

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.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
20 participants (actual)

Study arms

  • Experimental
    IAB System

    Patients will be treated with IAB(s)

    Device: IAB System

Interventions

  • DeviceIAB System

    Bronchoscopic implantation of one or multiple IABs

06

What researchers measure

Primary outcomes

  1. Safety - Incidence of respiratory serious adverse events (SAEs)

    The primary endpoint is the occurrence of respiratory SAEs: * Acute asthma/bronchospasm requiring intensive/critical care unit admission * Acute COPD exacerbation (is acute onset, life-threatening, requires hospitalization) * Airway injury from IAB placement/migration/airway stenosis requiring surgical intervention * Death from procedure/IAB * Massive hemoptysis (est. \>100 ml in 24hr requiring transfusion, surgery, or arterial embolization) from procedure/IAB * Pneumonia in treated lobe requiring hospitaliz., IV antibiotics, IAB removal * Pneumonia NOT in treated lobe (is life-threatening, acute onset, requires hospitaliz. \& IV antibiotics) * Pneumothorax requiring surgery * Tension pneumothorax (is life-threatening, acute onset, requires hospitaliz. \& treatment) * Respiratory failure requiring mechanical ventilatory support \>24hr A thoracic SAE composite, based on number of subjects experiencing a thoracic SAE, will also be calculated and tabulated.

    Time frame: From baseline to 90 days post implant (for endpoint evaluation)

Secondary outcomes

  1. Safety - Incidence of other serious adverse device effects (SADEs)

    All other SADEs are a secondary endpoint, made from the accumulation of adverse events (AEs) to be recorded as they occur regardless of the follow-up schedule.

    Time frame: From baseline to 90 days post implant (for endpoint evaluation)

  2. Efficacy - Residual Volume (RV), absolute change

    Absolute change in Residual Volume (RV)

    Time frame: From baseline to 90 days post implant (for endpoint evaluation)

  3. Efficacy - Residual Volume (RV), percent change

    Percent change in RV (% predicted)

    Time frame: From baseline to 90 days post implant (for endpoint evaluation)

  4. Efficacy - Forced Expiratory Volume in one second (FEV1), absolute change

    Absolute change in FEV1

    Time frame: From baseline to 90 days post implant (for endpoint evaluation)

  5. Efficacy - Forced Expiratory Volume in one second (FEV1), percentage change

    Percentage change in FEV1

    Time frame: From baseline to 90 days post implant (for endpoint evaluation)

  6. Efficacy - Six-Minute Walk Distance (6MWD), absolute change

    Absolute change in 6MWD

    Time frame: From baseline to 90 days post implant (for endpoint evaluation)

  7. Efficacy - Six-Minute Walk Distance (6MWD), percent change

    Percent change in 6MWD

    Time frame: From baseline to 90 days post implant (for endpoint evaluation)

  8. Efficacy - Modified Medical Research Council (mMRC) dyspnea score, absolute change

    Absolute change in mMRC dyspnea score. Scores range from 0-4, with a decrease in score representing improved perception of disability attributable to dyspnea.

    Time frame: From baseline to 90 days post implant (for endpoint evaluation)

  9. Efficacy - St. George's Respiratory Questionnaire (SGRQ) total score, absolute change

    Absolute change in SGRQ total score. Scores range from 0-100, with a decrease in score representing overall improvement in health, daily life, and perceived well-being.

    Time frame: From baseline to 90 days post implant (for endpoint evaluation)

  10. Efficacy - St. George's Respiratory Questionnaire (SGRQ), percent change

    Percent change in SGRQ

    Time frame: From baseline to 90 days post implant (for endpoint evaluation)

  11. Efficacy - COPD Assessment Test (CAT), absolute change

    Absolute changes in CAT. Scores range from 0-40, with a decrease in score representing decreased impact of cough, sputum, dyspnea, and chest tightness on overall health status.

    Time frame: From baseline to 90 days post implant (for endpoint evaluation)

  12. Efficacy - COPD Assessment Test (CAT) Total Score, percent change

    Percent change in CAT Total Score

    Time frame: From baseline to 90 days post implant (for endpoint evaluation)

  13. Efficacy - European Quality of Life, 5-Dimensional Test (EQ-5D) Summary Index, absolute change

    Absolute change in EQ-5D Summary Index. Index values range from 0-1, with a decrease in index value indicating an improvement in health-related quality of life.

    Time frame: From baseline to 90 days post implant (for endpoint evaluation)

  14. Efficacy - European Quality of Life, 5-Dimensional Test (EQ-5D) Summary Index, percent change

    Percent change in EQ-5D Summary Index

    Time frame: From baseline to 90 days post implant (for endpoint evaluation)

07

Study locations

3 sites
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 13, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05087641
Lead sponsor
Pulmair Medical, Inc.
Responsible party
Sponsor
First posted
Oct 21, 2021
Start date
May 3, 2022
Primary completion
Mar 27, 2024
Completion
Jan 2027 (estimated)
Last update
Mar 13, 2026

Study contacts

Hugo Goulart de Oliveira, MD, PhD
principal investigator · Hospital de Clinicas de Porto Alegre

Oversight

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

Not currently enrolling

This study is active, not recruiting, as verified in Mar 2026. You cannot join it, but the record below documents what was studied.

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Discussion

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