Table 1.
Key Eligibility Criteria For Bronchial Thermoplasty Used In Clinical Trials And In Clinical Practice
Criteria | Key Inclusion And Exclusion Criteria For Bronchial Thermoplasty Used In AIR216 And RISA Trials15a | Eligibility Criteria For Bronchial Thermoplasty Used In Clinical Practice From Selected Case Reports And Case Series |
---|---|---|
Age | Inclusion criteria: Adult; age 18–65 years. | Adult; age >65 years53,60,63 |
Current treatment | Inclusion criteria: Asthma requiring regular maintenance medications that includes inhaled corticosteroids (>1000 μg beclometasone per day or equivalent (AIR2 trial); >750 μg fluticasone propionate per day or equivalent (RISA trial)); and long-acting β2-agonist (≥100 μg salmeterol per day or equivalent), with or without other asthma medications. Oral corticosteroids at a dosage ≤ 10 mg per day (AIR2 trial) or ≤ 30 mg per day (RISA trial). |
Oral corticosteroids at a dosage >10 mg per day33,42,57,63,71 |
Asthma Quality of Life Questionnaire (AQLQ) score | Inclusion criteria: Baseline AQLQ score 6.25 or lower. | |
Medical history | Exclusion criteria: chronic sinus disease (AIR2 trial), uncontrolled sinus disease (RISA trial); anticoagulants; use of immunosuppressants other than corticosteroids | Chronic sinus disease (PAS2 study)33 |
Smoking status | Inclusion criteria: Nonsmoker for 1 year or greater with a less than 10 pack-years smoking history. | Former smokers >10 pack-years total smoking history54 Current smoker, n=160 |
Lung function | Inclusion criteria: pre-bronchodilator FEV1 ≥60% predicted (AIR2); FEV1 ≥50% predicted (RISA trial); Exclusion criteria: post-bronchodilator FEV1 <55% predicted (RISA trial); diffusing capacity (DLCO) <70% predicted (RISA trial) |
Prebronchodilator FEV1 <60% predicted31,35,53,58,60–63,110 |
None of the following within the past 12 months | Exclusion criteria i. Three or more lower respiratory tract infections (AIR2 trial); in the last 3 months (RISA trial) ii. Four or more oral corticosteroid pulses for asthma exacerbation iii. Three or more hospitalizations for asthma |
|
None of the following within the past 24 months | Exclusion criteria History of life-threatening asthma (history of intubation for asthma or intensive care unit admission for asthma) |
History of life-threatening asthma63 |
Suitability to undergo bronchoscopy | Inclusion criteria Patient considered suitable for bronchoscopy |
Note: aSimilar key exclusion criteria were used in the PAS2 study33 and AIR2 trial16, except for chronic sinus disease, which was an exclusion criterion in AIR2.
Abbreviations: AIR, Asthma Intervention Research; DLCO, diffusing capacity of lung for carbon monoxide; PAS2, Post-FDA Approval Clinical Trial Evaluating Bronchial Thermoplasty in Severe Persistent Asthma; RISA, Research in Severe Asthma.