Extracorporeal CO2 Removal With the Hemolung RAS for Mechanical Ventilation Avoidance During Acute Exacerbation of COPD
NCT03255057 · Status: TERMINATED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 113
Last updated 2022-10-14
Summary
This study evaluates the safety and efficacy of using the Hemolung RAS to provide low-flow extracorporeal carbon dioxide removal (ECCO2R) as an alternative or adjunct to invasive mechanical ventilation for patients who require respiratory support due to an acute exacerbation of Chronic Obstructive Pulmonary Disease (COPD). It is hypothesized that the Hemolung RAS can be safely used to avoid or reduce time on invasive mechanical ventilation compared to COPD patients treated with standard-of-care mechanical ventilation alone. Eligible patients will be randomized to receive lung support with either the Hemolung RAS plus standard-of-care mechanical ventilation, or standard-of-care mechanical ventilation alone.
Conditions
- Acute Exacerbation of COPD
Interventions
- DEVICE
-
Hemolung Respiratory Assist System
Treatment with a medical device called the Hemolung RAS. The Hemolung RAS includes three components: the Hemolung Controller, the Hemolung Cartridge, and the Hemolung Catheter. The intervention is use of the Hemolung RAS to provide partial lung support for acute hypercapnic lung failure by filtering carbon dioxide from venous blood using a central venous catheter through which venous blood is pumped at flows of 350-550 milliliters per minute to and from an external circuit containing a hollow fiber membrane blood gas exchanger (with heparin-coated fibers) integrated with a centrifugal pump.
- DEVICE
-
Invasive mechanical ventilation
Lung support for acute lung failure applied with a mechanical ventilation device that uses positive pressure to mechanically inflate the lungs and facilitate exhalation via an endotracheal tube or tracheotomy.
Sponsors & Collaborators
-
Alung Technologies
lead INDUSTRY
Principal Investigators
-
Nicholas Hill, MD · Tufts University Medical Center
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 40 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2018-02-18
- Primary Completion
- 2022-08-10
- Completion
- 2022-08-17
- FDA Device
- Yes
Countries
- United States
Study Locations
More Related Trials
-
ECCO2R as an Adjunct to NIV in AECOPD
NCT02086084 ·Status: COMPLETED ·Phase: NA
-
Respiratory Strategies in COPD Patients With Persistent Hypercapnia Following Exacerbation
NCT07065799 ·Status: RECRUITING ·Phase: NA
-
Home Non-Invasive Ventilation Targeting Expiratory Flow Limitation in Severe Hypercapnic COPD.
NCT05109754 ·Status: SUSPENDED ·Phase: NA
-
Evaluation of The MetaNeb® System to Reduce Postoperative Pulmonary Complications
NCT02627742 ·Status: COMPLETED ·Phase: NA
-
Benefits of Lightweight Ambulatory Oxygen Systems for Individuals With Chronic Obstructive Pulmonary Disease
NCT00325754 ·Status: TERMINATED ·Phase: NA
-
Use of Autologous, Adult Adipose-Derived Stem/Stromal Cells In Chronic Lung Disorders
NCT02946658 ·Status: SUSPENDED ·Phase: PHASE1/PHASE2
-
Discharge Coordinator Intervention in Patients With Chronic Obstructive Pulmonary Disease (COPD)
NCT01225627 ·Status: COMPLETED ·Phase: NA
-
Pre-Discharge Bundle for Patients With Acute Exacerbations of Chronic Obstructive Pulmonary Disease to Reduce Readmissions
NCT02135744 ·Status: COMPLETED ·Phase: NA
-
A Study of Expiratory Pressure Modulation in Moderate to Severe COPD Patients - Phase 1b
NCT02585752 ·Status: TERMINATED ·Phase: NA
-
Assessing Exercise Capacity After PulseHaler™ Treatment in GOLD II-IV COPD Patients
NCT04236076 ·Status: UNKNOWN ·Phase: NA
-
Efficacy of Helium/Oxygen Compared to Air/Oxygen in Severe Exacerbation of Chronic Obstructive Pulmonary Disease (COPD)
NCT01155310 ·Status: TERMINATED ·Phase: PHASE3
-
Utility of Remote Lung Auscultation in Transitions of Care After Pulmonary Exacerbations of COPD
NCT05661435 ·Status: WITHDRAWN
-
Bronchoscopic RElease of Air Trapped in Hyperinflated Emphysematous Lung - Study 3
NCT06891755 ·Status: RECRUITING ·Phase: NA
-
The PALP™-COPD Trial (Low-Flow CO2-Removal (ECCO2-R) in Exacerbated COPD)
NCT02107222 ·Status: WITHDRAWN ·Phase: NA
-
Effects of Nasal High-flow Oxygen in Patients With an Exacerbation of Chronic Obstructive Pulmonary Disease (COPD)
NCT03214458 ·Status: COMPLETED ·Phase: NA
-
Airway Clearance for Prevention of Chronic Obstructive Pulmonary Disease (COPD) Exacerbation
NCT00181207 ·Status: COMPLETED ·Phase: PHASE4
-
Chronic Obstructive Pulmonary Disease (COPD) in Patients Hospitalized for Acute Decompensated Heart Failure.
NCT02340702 ·Status: WITHDRAWN
-
Does Positive Expiratory Pressure Mask Therapy Improve Recovery From Acute Exacerbations of Chronic Obstructive Pulmonary Disease?
NCT01101282 ·Status: COMPLETED ·Phase: NA
-
Nasal High Flow Therapy 30 Day Readmission Study
NCT02552732 ·Status: TERMINATED ·Phase: NA
-
Assessment of Physical Functioning and Handling of Spiolto Respimat in Patients With COPD (OTIVACTO)
NCT02720757 ·Status: TERMINATED
-
High-Flow in Hypercapnic Stable COPD Patients
NCT04281316 ·Status: TERMINATED ·Phase: NA
-
Comparing Mortality for Low vs High Peripheral Oxygen Saturation in COPD-patients With Acute Exacerbation
NCT04223050 ·Status: TERMINATED ·Phase: PHASE4
-
Timing of Dilation Tracheostomy in Mechanically Ventilated Chronic Obstructive Pulmonary Disease (COPD) Patients
NCT01021202 ·Status: TERMINATED ·Phase: NA
-
ECCO2R in the Treatment of Acute Exacerbation of COPD With Severe Hypercapnia
NCT04842344 ·Status: UNKNOWN ·Phase: NA
-
Abdominal Functional Electrical Stimulation to Reduce Hyperinflation in Chronic Obstructive Pulmonary Disease Patients
NCT02035228 ·Status: COMPLETED ·Phase: NA