NCT02382614

Brief Summary

VAST is a multicenter, prospective, randomized, controlled study designed to evaluate treatment of persistent air leak with the SVS as compared to standard chest tube drainage management and other standard-of-care interventions in the control group. Eligible subjects will be randomized to receive either Spiration Valves (investigational arm) or continue standard-of-care treatment (control arm). Once the air leak has resolved, Spiration Valves should be removed.

Trial Health

57
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
75

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started May 2015

Longer than P75 for not_applicable

Geographic Reach
1 country

20 active sites

Status
terminated

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

March 3, 2015

Completed
6 days until next milestone

First Posted

Study publicly available on registry

March 9, 2015

Completed
2 months until next milestone

Study Start

First participant enrolled

May 1, 2015

Completed
6.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 1, 2022

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

February 1, 2022

Completed
Last Updated

April 4, 2024

Status Verified

March 1, 2023

Enrollment Period

6.8 years

First QC Date

March 3, 2015

Last Update Submit

April 2, 2024

Conditions

Keywords

Endobronchial ValveMinimally InvasiveIntrabronchial ValvesDigital Thoracic Drainage SystemSpiration Valve SystemProlonged Air LeakPersistent Air Leak

Outcome Measures

Primary Outcomes (1)

  • Time to Air Leak Cessation

    Two weeks

Other Outcomes (1)

  • Incidence of SAE

    Six weeks

Study Arms (2)

Spiration Valve System

EXPERIMENTAL

The treatment group will have valves deployed to achieve leak isolation.

Device: Spiration Valve System

Medical Management

NO INTERVENTION

The control group for this study will receive standard chest tube drainage management and standard-of-care interventions. This group will be evaluated and followed in the same manner as the treatment group, but without having valves placed.

Interventions

Spiration Valve System

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Subject has an air leak ≥ 100 mL/min, as measured by a digital thoracic drainage system (DTDS)
  • Subject has air leak present on at least the 5th day following origination.

You may not qualify if:

  • Subject has air leak only on forced exhalation or cough
  • Subject has sepsis
  • Subject has pneumonia
  • Subject has Acute Respiratory Distress Syndrome (ARDS)
  • Subject is not an appropriate candidate for, or unable to tolerate, flexible bronchoscopy procedures
  • Subject has undergone a bone marrow transplant
  • Subject has a primary pneumothorax
  • Subject has undergone a prior intervention (including pleurodesis, surgery, blood patch, and pneumoperitoneum) or valve placement.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (20)

Sparks Regional Medical Center

Fort Smith, Arkansas, 72901, United States

Location

El Camino Hospital

Mountain View, California, 94040, United States

Location

California Pacific Medical Center

San Francisco, California, 94115, United States

Location

Washington Hospital Center

Washington D.C., District of Columbia, 20010, United States

Location

Southern Illinois University

Springfield, Illinois, 62794, United States

Location

Olathe Medical Center

Olathe, Kansas, 66061, United States

Location

University of Maryland

Baltimore, Maryland, 21201, United States

Location

Beth Israel Deaconess Medical Center

Boston, Massachusetts, 02215, United States

Location

Lahey Hospital & Medical Center

Burlington, Massachusetts, 01805, United States

Location

Mayo Clinic Rochester

Rochester, Minnesota, 55902, United States

Location

Dartmouth Mary Hitchcock Memorial Hospital

Hanover, New Hampshire, 03755, United States

Location

Cooper University Hospital

Camden, New Jersey, 08103, United States

Location

The Christ Hospital

Cincinnati, Ohio, 45219, United States

Location

University of Cincinnati

Cincinnati, Ohio, 45219, United States

Location

Penn State Hershey Medical Center

Hershey, Pennsylvania, 17033, United States

Location

Temple University Hospital

Philadelphia, Pennsylvania, 19140, United States

Location

Vanderbilt University Medical Center

Nashville, Tennessee, 37212, United States

Location

University of Texas Southwestern

Dallas, Texas, 75390, United States

Location

Inova Fairfax Hospital

Falls Church, Virginia, 22042, United States

Location

Swedish Medical Center

Seattle, Washington, Jed Gorden, United States

Location

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

March 3, 2015

First Posted

March 9, 2015

Study Start

May 1, 2015

Primary Completion

February 1, 2022

Study Completion

February 1, 2022

Last Updated

April 4, 2024

Record last verified: 2023-03

Locations