ClinicalTrials.gg
RecruitingNCT07191860OXYGEN-RCTUpdated Jun 18, 2026

Paclitaxel-Coated Pulmonary Balloon for the Treatment of Benign Central Airway Stenosis

An interventional study of The Airiver Pulmonary drug-coated balloon (DCB) dilation and Commercial airway balloon dilation in Adult Subjects With Symptomatic Benign Airway Obstruction, Adult Benign Central Airway Stenosis and Adult Tracheobronchial Stenosis, sponsored by Airiver Medical, Inc.. Recruiting at 1 site in United States. Open to participants aged 22 Years and older. Per ClinicalTrials.gov, last updated 2026-06-18.

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

From the registry’s dates

  • Started Feb 2026; still recruiting 8 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
200
Allocation
Randomized
Ages
22 Years and older
Sex
All
01

Study summary

The OXYGEN-RCT trial is a randomized, controlled, double blinded, prospective, multi-center trial to demonstrate the safety and efficacy in adult benign central airway stenosis. Participates will be in a 1:1 allocation to treatment with the Airiver Pulmonary DCB or standard of care laryngoscopic/bronchoscopic balloon dilation, respectively.

Read the detailed description

Subjects will complete follow-up post-treatment at 30 days, 3 months, 6 months, 12 months, and every 6 months after through the primary endpoint, with a minimum of 2 years at study end.

02

Conditions studied

  • Adult Subjects With Symptomatic Benign Airway Obstruction
  • Adult Benign Central Airway Stenosis
  • Adult Tracheobronchial Stenosis
  • Tracheal Stenosis
  • Central Airway Stenosis
  • Central Airway Obstruction

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03

In context

Tracheal Stenosis

42 studies on the registry are indexed under Tracheal Stenosis; 11 are open to participants now.

This study's planned enrollment of 200 is above the median of 22 across 24 interventional studies indexed under Tracheal Stenosis.

Browse Tracheal Stenosis studies →

Lead sponsor

Airiver Medical, Inc. is the lead sponsor of 4 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
22 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Inclusion Criteria:

  1. Age ≥ 22 years.
  2. Symptomatic de-novo or restenotic benign central airway stenosis in the subglottis, trachea, or mainstem bronchi with at least 50% narrowing, as determined by CT or bronchoscopy.
  3. In the opinion of the investigator, subject can undergo laryngoscopy/bronchoscopy under general anesthesia and has a central airway stenosis amenable to balloon dilation.
  4. For idiopathic subglottic stenoses, either de-novo or a dilation interval equal to or less than 18 months.
  5. Target benign stenosis etiologies including:

    1. Post-intubation stenosis,
    2. Idiopathic subglottic stenosis,
    3. Post-transplantation stenosis,
    4. Non-malignant trachea-bronchial stenosis
  6. Willing and able to complete protocol required follow-up visits.
  7. Willing and able to provide written .

Exclusion Criteria:1. Two or more (e.g. non-traversable) stenoses with total length >5cm or unable to be treated with a single balloon 2. Female subjects who are pregnant or breastfeeding or plan to become pregnant in next 12 months 3. Subject currently has a stent at target stenosis location or has had a stent at the target location within the past 90 days.

4. Subject has existing tracheostomy or had a tracheostomy within past 90 days 5. to laryngoscopy/bronchoscopy, anesthesia, or deep sedation 6. Planned tracheal resection in the next 90 days. 7. Dynamic etiology of benign stenosis such as excessive dynamic airway collapse, tracheobronchomalacia, or stenosis due to external compression, or past tracheostomy which requires stent placement or surgical referral 8. Inclusion of vocal cord in target stenosis 9. Known medically significant unresolved lower respiratory tract infection, such as pneumonia, fungus, tuberculosis, etc.unrelated to stenosis 10. Target stenosis is beyond the mainstem bronchi 11. Signs or suspicion of a malignant airway obstruction NOTE: If obstruction is suspicious for based on clinical or laryngoscopic/bronchoscopic presentation, malignancy must be excluded by prior to randomization 12. Severe coagulation disorders or current use of anticoagulant or antiplatelet medication that cannot be safely managed per recommended guidelines prior to the index procedure 13. Chronic use exceeding more than 10 mg per day for any medical condition including post-lung transplant or associated airway suppression.

14. Received local steroid or chemotherapeutic treatments into target stenosis in the last 12 weeks or planned treatment during index or staged study procedure.

15. Planned serial intralesional steroid injections (SILSIs) post index procedure.

16. Stenosis not amenable to laryngoscopic/bronchoscopic dilation in the opinion of the investigator 17. Acute condition that requires emergent procedure prior to screening assessment 18. Concurrent medical condition that would affect the investigator's ability to evaluate the patient's condition or could compromise patient safety, such as recent myocardial infarction, severe pulmonary disease, bleeding diathesis, large thoracic aneurysm, pharyngeal or cervical deformity, ongoing infection, etc 19. Subject has known fistula between tracheobronchial tree and esophagus, mediastinum to pleural space.

20. Subject has vasculitis that is not well controlled in the opinion of the investigator.

21. Diagnosed with a disease requiring chemotherapy (e.g. cancer). 22. Allergy to paclitaxel or structurally related compounds 23. Target stenosis is within a transplanted lung or transplant anastomosis, or a tracheal resection anastomosis, which has been transplanted or resected within the last 60 days.

24. Target stenosis is related to radiation therapy 25. Subject has a of less than 2 years. 26. Current participation in another pre-market drug or medical device clinical study that has not reached its primary endpoint.

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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.

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.

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.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

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.

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.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Outcomes assessor)
Enrollment
200 participants (estimated)

Study arms

  • Experimental
    treatment with the Airiver Pulmonary DCB

    dilate benign stenoses of the airway tree.

    Combination Product: The Airiver Pulmonary drug-coated balloon (DCB) dilation

  • Active comparator
    treatment of Commercial airway dilation balloon

    dilate benign stenoses of the airway tree.

    Device: Commercial airway balloon dilation

Interventions

  • Combination productThe Airiver Pulmonary drug-coated balloon (DCB) dilation

    drug coated balloon dilation

  • DeviceCommercial airway balloon dilation

    uncoated airway balloon dilation

06

What researchers measure

Primary outcomes

  1. Primary Safety: defined as Incidence of device- and/or procedure-related Major Adverse Events(MAEs)

    including: * Pneumothorax * Pneumomediastinum * Tracheal or bronchial laceration requiring intervention * Airway perforation or rupture * Required tracheostomy * Bleeding from treatment site consistent with massive hemoptysis defined as \> 100mL of blood expectorated in 24 hours or requiring transfusion * Mediastinitis requiring the need for IV antibiotics and / or hospitalization * Respiratory distress or asphyxia requiring intubation or reintervention * Death

    Time frame: 30 days post index procedure

  2. Primary Efficacy: freedom from clinically indicated target lesion re-intervention over time

    defined as a therapeutic reintervention/dilation that occurs due to either a recurrence of patient symptoms due to the stenosis and/or a recurrence seen through imaging of the stenosis (≥ 50%) or is an emergent condition related to the stenosis and treatment is required.

    Time frame: Through the study completion, an average of 1 year

Secondary outcomes

  1. Time to first reintervention, defined as duration in days between the index/staged procedure and the first, subsequent procedure for treatment of the target stenosis.

    Hypothesis-test

    Time frame: From Day 1 until the date of first documented reintervention, assessed through the study completion, an average of 1 year.

  2. Percent change in airway lumen area at 6 months by CT

    Hypothesis-test. The percent change expressed as the airway lumen volume within the treated segment at 6 months (Area 6mo), compared to the personal baseline airway lumen volume (AreaBL) on CT scan. Percent change in airway luminal area = (Area6mo - AreaBL) / AreaBL ×100%

    Time frame: Baseline, 6 months

  3. Change in Peak Expiratory Flow (PEF) from 30 days to 6 months

    Hypothesis-test. PEF in L/min

    Time frame: 1 month, 6 months

  4. Index procedure success, defined as the ability to deliver study device to the targeted stenosis, inflate, deflate, and remove and with a < 25% residual stenosis.

    Non-hypothesis test. NO device malfunction issues. Use visual estimation under bronchoscopy at the end of index procedure, compare post-treated airway diameter (TD, mm) versus airway native diameter (ND, mm), residual stenosis = (ND- TD)/NDx100%

    Time frame: On index procedure day 0

  5. Change in airway lumen volume by CT at follow-up visit

    Non-hypothesis test. Change in lumen volume in percentage (%). The percent change expressed as the airway lumen volume within the treated segment at follow-up (AreaFU) compared to the personal baseline airway lumen volume (AreaBL) on CT scan. Percent change in airway luminal area = (AreaFU - AreaBL) / AreaBL ×100%

    Time frame: Baseline, 30 days, 6 months, 12 months, then every 6 months until the date of the study complete (assessed up to 2 years)

  6. Freedom from reintervention, defined as any reintervention on the target stenosis, whether clinically indicated or not

    Non-hypothesis test

    Time frame: 30 days, 3 months, 6 months, 12 months, then every 6 months until the date of study complete (assessed up to 2 years)

  7. Annualized rate, of reinterventions

    Non-hypothesis test

    Time frame: Assessed annually through the date of the study complete, an average of 1 year.

  8. Secondary patency, defined as freedom from reintervention after a first reintervention, at each follow-up

    Non-hypothesis test

    Time frame: From the date of the first reintervention to the next follow-up visit through the study completion, an average of 1 year.

  9. Change in forced expiratory volume in 1 second (FEV1) at follow-up visit

    Non-hypothesis test. FEV1 in liters

    Time frame: Baseline, 30 days, 3 months, 6 months, 12 months, then every 6 months until the date for the study complete (assessed up to 2 years)

  10. Change in forced vital capacity (FVC) at follow-up visit

    Non-hypnoses test. FVC in liters

    Time frame: Baseline, 30 day, 3 months, 6 months, 12 months, then every 6 months until the date of the study complete (assessed up to 2 years)

  11. Changes in the ratio of FVE1 and FVC at follow-up visit

    Non-hypnoses test. The Ratio =(FVE1/FVC) x100%

    Time frame: Baseline, 30 days, 3 months, 6 months, 12 months, then every 6 months until the date of the study complete (assessed up to 2 years)

  12. Change in peak expiratory flow (PEF)

    Non-hypnoses test. PEF in liters per minute (L/min)

    Time frame: Baseline, 3 months, 12 months, then every 6 months until the date of the study complete (assessed up to 2 years).

  13. Change in expiratory disproportion index (EDI)

    Non-hypnoses test. EDI= (FEV1/PEF) x100%

    Time frame: Baseline, 30 days, 3 months, 6 months, 12 months, then every 6month until the date of the study complete (assessed up to 2 years)

  14. Rate of cannulation, stent, or open surgery due to target lesion stenosis

    Non-hypothesis test

    Time frame: 30 days, 3 months, 6 months, 12 months, then every 6 months until the date of study complete (assessed up to 2 years)

  15. Change in modified Medical Research Council (mMRC) Dyspnea Scale

    Non-hypothesis test. mMRC is a self-assessment tool and rated on a scale from 0 to 4, where a higher score means a worse outcome.

    Time frame: Baseline, 30 days, 3 months, 6 months, 12 months, then every 6 months until the date of study completion (assessed up to 2 years)

  16. Change in Chronic Obstructive Pulmonary Disease (COPD) Questionnaire

    Non-hypnoses test. The questionnaire is rated on 0-6 scale, a higher score indicating a worse health status.

    Time frame: Baseline, 30 days, 3 months, 6 months, 12 months, then every 6 months until the date of study completion (assessed up to 2 years)

  17. Change in 12-Item Short Form (SF-12) Survey Global Quality of Life Score

    Non-hypnosis test. SF-12 is a self-reported outcome and rated on a 0-5 scale, where a higher score indicates better health.

    Time frame: Baseline, 30 days, 3 months, 6 months, 12 months, then every 6 months until the date of the study completion (assessed up to 2 years)

  18. Change in Voice Handicap Index (VHI-10) questionnaire

    Non-hypnosis test. VHI-10 is a self-administered questionnaire and scored from 0 to 4, where a higher score indicates a greater voice -related handicap.

    Time frame: Baseline, 30 days, 3 months, 6 months, 12 months, then every 6 months until the study completion (assessed up to 2 years)

07

Study locations

1 of 1 sites recruiting
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Feb 2026 (actual). Primary completion is estimated for Nov 2027, 20 months after the start.

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

Registered
Aug 11, 2025
First posted
Sep 25, 2025
StartActual
Feb 24, 2026
Primary completionEst.
Nov 1, 2027
CompletionEst.
Nov 1, 2030
Last update
Jun 18, 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.
No changes since tracking began. The registry record was last updated on Jun 18, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT07191860
Lead sponsor
Airiver Medical, Inc.
Responsible party
Sponsor
First posted
Sep 25, 2025
Start date
Feb 24, 2026
Primary completion
Nov 1, 2027 (estimated)
Completion
Nov 1, 2030 (estimated)
Last update
Jun 18, 2026

Study contacts

Robyn Schacherer, RN
Contact
schachererr@airiver.com
6123108755
Mitch Erickson
Contact
ericksonm@airiver.com
6518954399
Alexander Hillel, MD
principal investigator · Johns Hopkins University
Ryan M Kern, MD
principal investigator · Mayo Clinic

Oversight

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

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