CClinicalTrials.gg
RecruitingNCT06515015Updated Aug 15, 2024

Evaluation of the Feasibility, Safety, and Efficacy of Single-use Endobronchial Silicon Spigots for the Treatment of Refractory Pneumothorax

An interventional study of Endobronchial Silicon Spigots in Pneumothorax, sponsored by Hangzhou Broncus Medical Co., Ltd.. Recruiting at 1 site in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-08-15.

Sponsored by Hangzhou Broncus Medical Co., Ltd. · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
10
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

Study Objective: To evaluate the feasibility and safety of the disposable endobronchial silicon spigots for treating refractory pneumothorax and to preliminarily assess its efficacy, providing domestic experience for the development and clinical application of bronchial occlusion.

Study Population: Patients intended to receive selective bronchial occlusion technology for the treatment of refractory pneumothorax.

Sample Size: This study is a preliminary exploration of the application value of the disposable endobronchial silicon spigots occlusion technology in refractory pneumothorax. The sample size has not been strictly calculated, and it is expected to include 10 patients.

Study Design: This study is an exploratory, single-group, single-center clinical study.

02

Conditions studied

  • Pneumothorax

Browse trials for

Keywords

  • Pneumothorax
  • spigots
  • air leakage
  • bronchial occlusion
03

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Subjects must meet all of the following criteria to be enrolled:

    1. Male or female, aged ≥18 years;
    2. Patients with various types of pneumothorax who still have persistent air leaks after continuous intercostal drainage for 7 days;
    3. After evaluation by the researcher, the subject is feasible for the bronchoscopic procedure of selective bronchial occlusion to treat refractory pneumothorax, and the responsible bronchus can be determined by the balloon detection;
    4. Voluntarily participate in this trial and sign an informed consent form.

Exclusion criteria

Exclusion Criteria:

  • Subjects with any of the following conditions cannot be selected:

    1. Allergic to silicone materials;
    2. Contraindications for bronchoscopy:

      • Myocardial infarction within the past month;
      • Active massive hemoptysis;
      • Platelet count \<20×10\^9/L;
      • Pregnancy;
      • Malignant arrhythmias, unstable angina, severe cardiopulmonary dysfunction, hypertensive crisis, severe pulmonary arterial hypertension, intracranial hypertension, acute cerebrovascular events, aortic dissection, aortic aneurysm, severe mental illness, and extreme systemic exhaustion, etc.
    3. Uncontrolled acute pulmonary infection or severe chronic infection at the intended occlusion lobes or segments;
    4. Obvious hemodynamic instability or unstable respiratory failure;
    5. The responsible bronchus cannot be determined by balloon detection;
    6. The researcher believes that the patient has other conditions that are not suitable for inclusion in this study.
04

Study design

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

Study arms

  • Experimental
    Experimental Group

    All subjects will be assigned to the treatment group to receive the endobronchial silicon spigot treatment.

    Device: Endobronchial Silicon Spigots

Interventions

  • DeviceEndobronchial Silicon Spigots

    The single-use endobronchial silicon spigot is injection-molded from implant-grade silicone and has a solid conical body. The endobronchial silicon spigot is used for the temporary occlusion of the target bronchus. It is delivered to the target bronchus through a bronchoscope using biopsy forceps, and the position of the blocker is adjusted to occlude the responsible bronchus leading to the pleural air leakage.

05

What researchers measure

Primary outcomes

  1. Total Occlusion Success Rate

    The percentage of subjects who are successfully\* occluded after temporary embolization with endobronchial silicon spigots (including second occlusion) out of the total number of subjects receiving bronchial blocker treatment.

    Time frame: 7 days

Secondary outcomes

  1. First Occlusion Success Rate

    The percentage of subjects who are successfully occluded after the first endobronchial silicon spigots treatment out of the total number of subjects receiving endobronchial silicon spigots treatment; if a second occlusion is received within 7 days after surgery, it is not counted as a first occlusion success.

    Time frame: 14 days

  2. First Occlusion Cure Rate

    The percentage of subjects whose chest drainage tube completely stops leaking air within 14 days after the first endobronchial silicon spigots treatment out of the total number of subjects receiving endobronchial silicon spigots treatment; if a second occlusion is received within 14 days after surgery, it is not counted as a first occlusion cure.

    Time frame: 14 days

  3. Total Occlusion Cure Rate

    The percentage of subjects whose chest drainage tube completely stops leaking air within 14 days after endobronchial silicon spigots treatment (including second occlusion) out of the total number of subjects receiving endobronchial silicon spigots treatment.

    Time frame: 42 days

  4. Chest Drainage Tube Removal Rate

    The percentage of subjects who successfully remove the chest drainage tube within 28 days after endobronchial silicon spigots treatment (including second occlusion) out of the total number of subjects receiving endobronchial silicon spigots treatment.

    Time frame: 28 days

  5. Endobronchial spigots Removal Time

    The time (in days) from successful placement of the endobronchial silicon spigots to successful removal of the endobronchial silicon spigots.

    Time frame: 30 days

  6. Technical Success Rate

    The proportion of successful placements of the endobronchial silicon spigots into the responsible drainage bronchus out of the total number of operations.

    Time frame: 30 days

  7. Incidence of Treatment-Emergent Adverse Events

    Record all adverse events during surgery and postoperative follow-up, assess the relatedness to the device itself and treatment, and calculate the incidence of device-related and surgical treatment-related adverse events and serious adverse events.

    Time frame: 30 days

06

Study locations

1 of 1 sites recruiting
  • The Second Affiliated Hospital of Fujian Medical University
    Quanzhou, Fujian 362018, China
    • Yiming Zeng, M.D · Contact · zeng_yi_ming@126.com · +86 13515042402
    • Yiming Zeng, M.D · Principal investigator
    Recruiting
07

Registry details

Key details

Study ID
NCT06515015
Lead sponsor
Hangzhou Broncus Medical Co., Ltd.
Responsible party
Sponsor
First posted
Jul 23, 2024
Start date
Aug 2024 (estimated)
Primary completion
Aug 2026 (estimated)
Completion
Aug 2026 (estimated)
Last update
Aug 15, 2024

Study contacts

Liheng Xie
Contact
medicalaffairs@broncuschina.com
+86-13916444591
Yiming Zeng, M.D
principal investigator · The Second Affiliated Hospital of Fujian Medical University

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Interested in this study?

Eligibility is decided by the study team. Share this record with your doctor or contact the team directly.

Contact study team

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion