ClinicalTrials.gg
TerminatedNCT05118269Updated Feb 27, 2025

A Randomized Controlled Trial of InterVapor® in France - the TARGET Trial

An interventional study of Treatment plus Optimal Medical Therapy and Optimal Medical Therapy in Emphysema, sponsored by Uptake Medical Technology, Inc.. Terminated at 1 site in France. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2025-02-27.

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

Why this study was terminated
The sponsor made the decision not to conduct this study. No subjects were treated in the study and all centers closed.
Phase
Not applicable
Study type
Interventional
Enrollment
3
Allocation
Randomized
Ages
18 Years to 80 Years
Sex
All
01

Study summary

This study is designed to prospectively document changes in FEV1 and health-related quality of life 12 months following sequential segmental treatment with InterVapor® in patients with heterogeneous emphysema with upper lobe predominance. For validity of the study, the results will be compared to patients that receive optimal medical therapy.

Read the detailed description

The primary objectives are to prospectively document changes in FEV1 and health-related quality of life 12 months following sequential segmental treatment with Bronchoscopic Thermal Vapor Ablation (BTVA) using the InterVapor system in patients with heterogeneous emphysema with upper lobe predominance. The French TARGET trial is a prospective, multi-center, single blind, randomized controlled study. 150 participants will be enrolled in the study (1:1 randomization with 75 InterVapor, 75 controls) with a 24-month follow-up period. Subjects randomized to the Control Group may be allowed to cross over to the treatment group and offered the InterVapor treatment once they have completed the protocol defined 12-month follow-up period.

02

Conditions studied

  • Emphysema

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Keywords

  • Heterogeneous
  • Thermal Vapor
  • Ablation
  • Bronchoscopy
  • LVR
  • Lung Volume Reduction
03

In context

Emphysema

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

This study's enrollment of 3 is below the median of 60 across 245 interventional studies indexed under Emphysema.

Browse Emphysema studies →

Lead sponsor

Uptake Medical Technology, Inc. is the lead sponsor of 5 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
18 Years to 80 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. Age > 18 and ≤ 80 years old
  2. Heterogeneous emphysema with upper lobe predominance in at least one lung segment to be treated (defined as a Heterogeneity Index (HI) ≥ 1.2 per CT)
  3. Post-bronchodilator ≥ 15% and ≤ 45% of predicted value
  4. Total lung capacity (TLC) ≥ 100% predicted
  5. Post-bronchodilator Residual volume (RV) ≥ 200% predicted
  6. 6-minute walk distance (6MWD) > 100m and ≤ 450m
  7. (Partial Pressure of Oxygen) PaCO2 ≤ 45 mm Hg; PaO2 > 45 mm Hg on room air
  8. Non-smoking for 4 months prior to study enrollment as confirmed by:

    1. negative urine analysis or serum cotinine level of ≤ 10 ng/mL, or negative CO test OR
    2. If using smoking cessation product(s) containing nicotine at screening, serum cotinine level ≤ 13.7 ng/ml (or arterial carboxyhemoglobin ≤ 2.5%)
  9. Optimized medical management (consistent with GOLD guidelines)

    1. Pharmacological:

1.Long acting bronchodilator (LABA),Long-acting muscarinic antagonists (LAMA), LAMA + LABA, or LABA + ICS > 1 year

b. Evidence of completed Pulmonary Rehabilitation

  1. ≥ 6 weeks out-patient or ≥ 3 weeks in-patient within 12 months of enrollment; or,
  2. Patient has or continues to participate in at home rehabilitation program (i.e. a walking program) within 6 weeks of enrollment under the supervision of a health care professional
  1. Mentally and physically able to provide written to participate in the study. Protected people as defined by the Code de la Sante Publique cannot be included in the study

Exclusion criteria

Exclusion Criteria:

  1. DLCO \< 20% predicted
  2. Uncontrolled pulmonary hypertension (systolic pulmonary arterial pressure >45 mm Hg) or evidence or history of cor pulmonale as determined by recent echocardiogram
  3. bronchiectasis
  4. Clinically significant (greater than 4 tablespoons per day) sputum production.
  5. Two (2) or more exacerbations or pneumonia episodes requiring hospitalization in the last year
  6. Evidence of active infection in the lungs at the time of procedure.
  7. Daily use of systemic , > 10 mg prednisolone (or equivalent) daily.
  8. Lung pathology of nodule not proven stable or benign
  9. Clinically significant pulmonary fibrosis
  10. Prior lung transplant, lung volume reduction surgery (LVRS), bullectomy, or lobectomy
  11. Prior lung volume reduction via endobronchial valves(s), coil(s), and/or polymer. Note: Patients whose endobronchial valves have been removed can be treated if: all valves removed ≥ 3 months prior to InterVapor and baseline bronchoscopy reveals no airway obstruction or obvious tissue granulation
  12. Large bulla (defined as > 1/3 volume of the lobe)
  13. Highly diseased upper and lower lobes in contralateral lung (%-950 HU density >50%)
  14. Paraseptal emphysema in any segment targeted for treatment
  15. Myocardial Infarction or congestive heart failure within 6 months of screening.
  16. Diagnosis of heart failure with (LVEF) \< 45% as determined by recent echocardiogram (completed within 3 months prior to screening).
  17. Unable to safely discontinue anti-coagulants or inhibitors for 6 weeks post procedure.
  18. (BMI) > 32 kg/m2
  19. Patient taking drugs for the treatment of cancer, rheumatic arthritis, disease, or prevention of tissue or organ rejection.
  20. Subject is pregnant or lactating, or plan to become pregnant within the study timeframe
  21. Any disease or condition that is likely to limit survival to less than one year
  22. Concomitant illnesses or medications that may pose a significant increased risk for complications following treatment with InterVapor®
  23. Currently enrolled in another clinical trial studying an experimental treatment.
  24. Any condition that would interfere with completion of the study including study assessments and study procedure including bronchoscopy.
Terms in these criteria, in plain language(11)

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.

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.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

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.

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.

COPD

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

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.

LVEF (left ventricular ejection fraction)

The share of blood the heart’s main pumping chamber (the left ventricle) pushes out with each beat, measured by an echocardiogram (heart ultrasound) or a MUGA scan. About 50–70% is normal.

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.

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.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

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.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Single (Outcomes assessor)
Enrollment
3 participants (actual)

Study arms

  • Experimental
    Treatment plus Optimal Medical Therapy

    Patients will be treated with the InterVapor System and Optimal Medical Therapy

    Device: Treatment plus Optimal Medical Therapy

  • Active comparator
    Optimal Medical Therapy (Control)

    Patients will be treated according to Optimal Medical Therapy

    Other: Optimal Medical Therapy

Interventions

  • DeviceTreatment plus Optimal Medical Therapy

    Patients will be treated with the InterVapor System in 1 to 2 segments in the upper lobes of each lung (2 to 3 segments total). Patients will also receive Optimal Medical Therapy. Guidelines for prescribing medical treatment for emphysema are published by the American Thoracic Society (ATS) and the National Heart Lung and Blood Institute/World Health Organization (NHLBI/World Health Organization , Global Initiative for Chronic Obstructive Lung Disease (GOLD) workshop summary).

    Also known as: InterVapor, BTVA

  • OtherOptimal Medical Therapy

    Patients will receive Optimal Medical Therapy. Guidelines for prescribing medical treatment for emphysema are published by the American Thoracic Society (ATS) and the National Heart Lung and Blood Institute/World Health Organization (NHLBI/WHO GOLD workshop summary).

06

What researchers measure

Primary outcomes

  1. Changes in FEV1 between Treatment vs Control at 12 months

    Percentage change in Forced expiratory volume in 1 second (FEV1) compared to active comparator: Change in FEV1, percent change from baseline to 12 months in FEV1, where FEV1 is expressed in raw units of volume (mL).

    Time frame: 12 months

  2. St. George's Respiratory Questionnaire for patients with Chronic Obstructive Pulmonary Disease (SGRQ-C) changes between Treatment vs Control at 12 months

    Health-related Qualify of Life (SGRQ-C) compared to active comparator. This is calculated as change from baseline to 12 months in SGRQ-C Total Score. SGRQ-C scores range from 0 to 100. A higher score means a worse outcome.

    Time frame: 12 months

Secondary outcomes

  1. Improvement in other measures of pulmonary function- Forced Expiratory Volume, absolute change- at 12, 18 and 24 months

    Change in FEV1, abs: Absolute change from baseline to follow-up in FEV1, where FEV1 is expressed in raw units of volume (mL).

    Time frame: 12 months, 18 months, 24 months

  2. Improvement in other measures of pulmonary function- Forced Expiratory Volume, Percent change- at 12, 18 and 24 months

    Change in FEV1, Percent Predicted value: Percent change from baseline to follow-up in FEV1, where FEV1 is expressed in percent predicted computed by European Respiratory Standard (ERS) standards.

    Time frame: 12 months, 18 months, 24 months

  3. Improvement in other measures of pulmonary function- Forced Expiratory Volume, Abs, PP change- at 12, 18 and 24 months

    Change in FEV1, abs, PP: absolute change from baseline to follow-up in FEV1, where FEV1 is expressed in percent predicted computed by ERS standards.

    Time frame: 12 months, 18 months, 24 months

  4. Improvement in other measures of pulmonary function- Forced Vital Capacity(FVC) change- at 12, 18 and 24 months

    Change in FVC: percent change from baseline to follow-up in Forced Vital Capacity, expressed in raw units of volume(mL)

    Time frame: 12 months, 18 months, 24 months

  5. Improvement in other measures of pulmonary function- Forced Vital Capacity Percent Predicted change- at 12, 18 and 24 months

    Change in FVC PP: percent change from baseline to follow-up in Forced Vital Capacity, expressed in percent predicted computed by ERS standards

    Time frame: 12 months, 18 months, 24 months

  6. Improvement in other measures of pulmonary function- Residual Volume- at 12, 18 and 24 months

    Percent change from baseline to follow-up in Residual Volume

    Time frame: 12 months, 18 months, 24 months

  7. Improvement in other measures of pulmonary function- Residual Volume-Abs at 12, 18 and 24 months

    Percent change from baseline to follow-up in Residual Volume, where RV is expressed in raw units of volume (mL).

    Time frame: 12 months, 18 months, 24 months

  8. Improvement in other measures of pulmonary function- Residual Volume-Percent Predicted value at 12, 18 and 24 months

    Percent change from baseline to follow-up in Residual Volume, where RV is expressed in percent predicted computed by ERS standards.

    Time frame: 12 months, 18 months, 24 months

  9. Improvement in other measures of pulmonary function- Residual Volume-Abs Percent Predicted value at 12, 18 and 24 months

    Absolute change from baseline to follow-up in Residual Volume, where RV is expressed in percent predicted computed by ERS standards

    Time frame: 12 months, 18 months, 24 months

  10. Improvement in other measures of pulmonary function-Diffusing Capacity of Lung (DLCO)- Percent Predicted Value at 12, 18 and 24 months

    Percent change from baseline to follow-up in Diffusing Capacity of the Lungs for Carbon Monoxide, where DLCO is expressed in percent predicted computed by ERS standards.

    Time frame: 12 months, 18 months, 24 months

  11. Improvement in other measures of pulmonary function-Diffusing Capacity of Lung (DLCO)- Absolute Percent Predicted Value at 12, 18 and 24 months

    Absolute change from baseline to follow-up in Diffusing Capacity of the Lungs for Carbon Monoxide, where DLCO is expressed in percent predicted computed by ERS standards.

    Time frame: 12 months, 18 months, 24 months

  12. Changes in segmental lung volumes from as assessed by CT at 12, 18 and 24 months

    Changes in segmental lung volumes from baseline to 12 months as assessed by CT

    Time frame: 12 months, 18 months, 24 months

  13. Changes in pulmonary function tests as assessed by body plethysmography measures at 12, 18 and 24 months

    Changes in pulmonary function tests as assessed by body plethysmography measures at 12 months

    Time frame: 12 months, 18 months, 24 months

  14. Number of serious adverse events and fatal events

    Number of serious adverse events (SAEs) and fatal events

    Time frame: 12 months, 18 months, 24 months

  15. Binary responder analysis to determine minimally clinical important difference for FEV1 at 12, 18 and 24 months

    Binary responder analysis to determine Minimal Clinically Important Difference (MCID) for the following: • FEV1 (\> 12% predicted) in Treatment vs Control at 12 months

    Time frame: 12 months, 18 months, 24 months

  16. Binary responder analysis to determine minimally clinical important difference for SGRQ-C at 12, 18 and 24 months

    Binary responder analysis to determine Minimal Clinically Important Difference (MCID) for the following: • SGRQ (\> 8 points) in Treatment vs Control at 12 months

    Time frame: 12 months, 18 months, 24 months

  17. Binary responder analysis to determine minimally clinical important difference for 6 Minute Walk Distance (6MWD) at 12, 18 and 24 months

    Binary responder analysis to determine Minimal Clinically Important Difference (MCID) for the following: • 6MWD (\> 26m) in Treatment vs Control at 12 months

    Time frame: 12 months, 18 months, 24 months

  18. Binary responder analysis to determine minimally clinical important difference for COPD Assessment Test (CAT) score at 12, 18 and 24 months

    Binary responder analysis to determine Minimal Clinically Important Difference (MCID) for the following: • CAT Score (\> 2 points) in Treatment vs Control at 12 months

    Time frame: 12 months, 18 months, 24 months

  19. Binary responder analysis to determine minimally clinical important difference for Shortness of Breath Questionnaire (SOBQ) score at 12, 18 and 24 months

    Binary responder analysis to determine Minimal Clinically Important Difference (MCID) for the following: • SOBQ Score (\> 5 points) in Treatment vs Control at 12 month

    Time frame: 12 months, 18 months, 24 months

07

Study locations

1 site
  • Centre Hospitalier Universitaire de Toulouse
    Toulouse, 31059, France
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Jul 2023 to primary completion in Jun 2024, 10 months.

How these figures are worked out, and which studies are left out of them.

Registered
Jul 8, 2020
First posted
Nov 11, 2021
StartActual
Jul 21, 2023
Primary completionActual
Jun 4, 2024
CompletionActual
Jun 4, 2024
Last update
Feb 27, 2025
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Feb 27, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05118269
Lead sponsor
Uptake Medical Technology, Inc.
Responsible party
Sponsor
First posted
Nov 11, 2021
Start date
Jul 21, 2023
Primary completion
Jun 4, 2024
Completion
Jun 4, 2024
Last update
Feb 27, 2025

Study contacts

Nicolas Guibert, Prof
principal investigator · CHU Toulouse

Oversight

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

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