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. 2017 Feb 23;2017(2):CD012158. doi: 10.1002/14651858.CD012158.pub2

NCT01989182.

Trial name or title REACH (Research to assess SVS safety and effectiveness for the treatment of severe EmphysemA in CHina)
Methods Randomized open‐label study. Follow‐up: until 6 months. Estimated enrolment: n = 100
Sites: The First Affiliated Hospital of Guangzhou Medical College
Participants Inclusion criteria:
  • Subject with severe and heterogeneous emphysema with severe dyspnea

  • Subject stable on medical management

  • Subject able to demonstrate physical ability to participate in the study by performing a 6‐minute walk distance of ≥ 140 m

  • Subject who has abstained from cigarette smoking for four months and is willing to abstain throughout the study

  • Pulmonary function testing results (PFTs) demonstrating FEV1 ≤ 45% of predicted, RV ≥ 150% of predicted, TLC ≥ 100% of predicted

Interventions Experimental: treatment with Spiration valve system (SVS) + medical management: procedure to have valves placed in the most diseased lobe of the lung to occlude all segments of the lobe.
Control: medical management
Outcomes Primary:
  • Change in forced expiratory volume in one second (FEV1)

  • Incidence of device‐related SAE


Secondary:
  • Difference between responder rates as measured by improvement in FEV1

  • Target lobe volume reduction as measured by QCT

  • Health status as measured by St. George's Respiratory Questionnaire (SGRQ) and COPD Assessment Test (CAT)

  • Dyspnea as measured by modified Medical Research Council Questionnaire (mMRC)

  • Exercise capacity as measured by Six‐Minute Walk Test (6MWT)

  • Hyperinflation as measured by residual volume (RV)

Starting date September 2013
Contact information Contact: Yu Chen, MD. Principal Investigator: Shiyue Li, MD
Notes NCT01989182