ClinicalTrials.gg
RecruitingNCT05351242THERMA-LUNGUpdated Nov 6, 2026

THERMotherapy Against Persistent Bacterial LUNG Infections

An interventional study of Thermotherapy/sauna bath in Lung Diseases, Obstructive, Bronchiectasis and Asthma, sponsored by Chronic Obstructive Pulmonary Disease Trial Network, Denmark. Recruiting at 1 site in Denmark. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-11-06.

Sponsored by Chronic Obstructive Pulmonary Disease Trial Network, Denmark · Not applicable, Interventional, and Treatment

Updated Nov 6, 2026Now RecruitingSite recruiting status changed+3 moreGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
150
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The aim of this study is to determine whether an intervention with frequent thermotherapy will be able to reduce the amount of colonizing bacteria in the bronchoalveolar lavage sample and eradicate the colonizing bacteria.

Read the detailed description

Normally, bacterial lung infections are acute such as community-acquired pneumonia and typically resolve after antibiotic therapy without leaving much lasting damage on the lungs. However, a great amount of persons with disrupted clearance of mucus and/or lung immune system get persistent lung infections, which can be life-long, usually do not resolve even with antibiotics, and can greatly increase morbidity and mortality. IThese persistent lung infections are thus characterized by stable periods with exacerbations inbetween, akin to chronic lung diseases such as asthma, chronic obstructive pulmonary disease (COPD) and bronchiectasis. In addition, it has not been thoroughly investigated whether antibiotic regimens have an effect on disease control, as biofilm formation prevents antibiotics from killing the bacteria.

This is a randomized, controlled, multi-center, superiority trial evaluating the effect of a thermotherapy intervention, consisting of min. 7 minutes stay in min. 85℃ environment at least 4 times a week for 6 months, in persons with persistent bacterial lung infection, defined as min. 2 positive cultures during the last 24 months for one of the following bacteria: Pseudomonas aeruginosa, Achromobacter xylosoxidans, Stenotrophomonas maltophilia, Klebsiella oxytoca, Klebsiella pneumoniae, Haemophilus influenzae or Staphylococcus aureus, incl. 1 positive culture after attempted eradication therapy. The aim of the study is to investigate whether thermotherapy may offer a valid proposal for treatment of chronic lung infections.

02

Conditions studied

  • Lung Diseases, Obstructive
  • Bronchiectasis
  • Asthma
  • Copd
  • Chronic Obstructive Pulmonary Disease
  • Chronic Lung Infections
03

In context

Lung Diseases, Obstructive

202 studies on the registry are indexed under Lung Diseases, Obstructive; 22 are open to participants now.

This study's planned enrollment of 150 is above the median of 112 across 123 interventional studies indexed under Lung Diseases, Obstructive.

Browse Lung Diseases, Obstructive studies →

Lead sponsor

Chronic Obstructive Pulmonary Disease Trial Network, Denmark is the lead sponsor of 10 studies on the registry; 1 is open to participants now.

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

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

  • Age ≥ 18 years
  • Competent and capable
  • >1,0 L
  • Have had a positive culture from sputum or BAL min. 2 times in the last 24 months for bacteria of the species: Pseudomonas aeruginosa, Stenotrophomonas maltophilia, Staphylococcus aureus, Haemophilus influenzae, Achromobacter xylosoxidans, Klebsiella oxytoca or Klebsiella pneumoniae. In addition, min. 1 positive culture after treatment with antibiotics
  • Willing to go to a sauna (min. temperature of 85℃ for at least 7 minutes) four times weekly for six months or avoid going to a sauna for six months

Exclusion criteria

Exclusion Criteria:

  • Allergy to lidocaine and/or midazolam
  • to bronchoscopy
  • Previous severe laryngospasm (intubation requiring)
  • Pregnancy/breastfeeding
  • Severe linguistic problems or inability to give
  • Severe mental illness that is not controlled with medication. NB: Patients with controlled mental illness can be included and will be asked on an equal footing as others
Terms in these criteria, in plain language(3)

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.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

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.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
150 participants (estimated)

Study arms

  • Experimental
    Thermotherapy/sauna bath

    Must go to a sauna (min. Temperature 85℃) min. 4 times a week for 6 months. Each sauna bath must last at least 7 minutes. The intervention patients receive a subscription card for a sauna during the period. Patients will still receive pre-existing treatment

    Other: Thermotherapy/sauna bath

  • No intervention
    No thermotherapy/sauna bath

    Not allowed to go to a sauna for 6 months. Patients who come to do so, by e.g. an oversight, however, remain in the study, to avoid introducing bias. It will be registered as a "protocol violation", but the patient will be included in Intention To Treat analysis and modified Intention To Treat analysis. Patients will still receive pre-existing treatment.

Interventions

  • OtherThermotherapy/sauna bath

    Thermotherapy/sauna bath

06

What researchers measure

Primary outcomes

  1. Number of days from baseline without antibiotic treatment against pulmonary infection

    This is a measure of infectious exacerbations.

    Time frame: 6 months

Secondary outcomes

  1. Number of hospitalizations for all causes or death within 6 months

    Time frame: 6 months

  2. Changes in antibiotic usage

    Time frame: 6 months

  3. Number of antibiotic treatment regimes within 6 months

    Time frame: 6 months

  4. Eradication of the cultured bacteria at baseline, defined by a) absence of the trial inclusion bacteria or b) the participant cannot expectorate dure to dry airways.

    Absence of bacteria, which lead to inclusion, is measured by a min. of 3 consecutive expectorates with a min. of 24 hours in between.

    Time frame: 6 months

  5. Physical performance measured by distance walked over 6 minutes

    Time frame: 6 months

  6. Changes in FEV1 after 6 months

    Time frame: 6 months

  7. Clinically relevant changes in Chronic Obstructive Pulmonary Disease Assessment Test-score (range from 0-40, higher is worse) after 6 months

    Time frame: 6 months

  8. Changes in status from Medical Research Council-dyspnea score (range from 0-5, higher is worse) from <3 to 3≥, after 6 months

    Time frame: 6 months

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedDate before it movedWhere the date was before it movedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Oct 2026 (actual). Primary completion is estimated for Oct 2032, 72 months after the start.

Of 28 interventional studies with no phase under Lung Diseases, Obstructive, half reached primary completion within 25 months of starting (the median), counting those still running; a quarter within 11 and three quarters within 39. This study's planned 72 months is above that.

Since we started tracking on Sep 25, 2026, the dates moved once, on Nov 6, 2026: primary completion Dec 2029 → Oct 2032 and completion Dec 2029 → Oct 2032.

Earlier changes are on the record history on ClinicalTrials.gov ↗

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

Registered
Apr 19, 2022
First posted
Apr 28, 2022
StartActual
Oct 14, 2026
Primary completionEst.
Oct 31, 2032was Dec 2029
CompletionEst.
Oct 31, 2032was Dec 2029
Last update
Nov 6, 2026
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.
Status
Not yet recruiting→Recruiting
changed Nov 6, 2026
Sites
Herlev and Gentofte University hospital is now Recruiting
Nov 6, 2026
Start date
Oct 1, 2026→Oct 14, 2026 (actual)
Nov 6, 2026
Primary completion
Dec 31, 2029→Oct 31, 2032
Nov 6, 2026
Study completion
Dec 31, 2029→Oct 31, 2032
Nov 6, 2026
Show all 1 update
  1. Nov 6, 2026
    Not yet recruiting→Recruiting
    Herlev and Gentofte University hospital is now Recruiting
    Start date Oct 1, 2026→Oct 14, 2026 (now actual)
    Primary completion Dec 31, 2029→Oct 31, 2032
    Study completion Dec 31, 2029→Oct 31, 2032

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
NCT05351242
Lead sponsor
Chronic Obstructive Pulmonary Disease Trial Network, Denmark
Responsible party
Sponsor
First posted
Apr 28, 2022
Start date
Oct 14, 2026
Primary completion
Oct 31, 2032 (estimated)
Completion
Oct 31, 2032 (estimated)
Last update
Nov 6, 2026

Study contacts

Josefin V Eklöf, MD
Contact
josefin.viktoria.ekloef@regionh.dk
38673555 ext. +45
Jens-Ulrik S Jensen, Professor
Contact
jens.ulrik.jensen@regionh.dk
38673057 ext. +45

Oversight

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

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