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Functional CT Assessment for Emphysema

Phase 4
Recruiting
Led By Eric A Hoffman, PhD
Research Sponsored by Eric A. Hoffman
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Be older than 18 years old
Timeline
Screening 3 weeks
Treatment Varies
Follow Up pre hypoxic breathing and 15 minutes post hypoxic breathing
Awards & highlights

Study Summary

This trial will use DECT to see if there is a relationship between different types of perfusion, hypoxia, and the widening of pulmonary arteries in smokers to emphysema.

Who is the study for?
This trial is for current smokers aged 25-65 with specific lung function test results, indicating either normal or mildly impaired lungs. It's not for pregnant/breastfeeding women, those overweight (BMI>32), with heart/kidney/diabetes issues, asthma, severe kidney dysfunction, allergies to certain substances like shellfish or iodine, and those on heart/lung-affecting meds.Check my eligibility
What is being tested?
The study tests how low oxygen (hypoxia) and high oxygen (hyperoxia) conditions affect blood flow in the lungs using special CT scans. It also looks at whether a drug called Sildenafil can improve signs of lung damage in smokers prone to emphysema by dilating pulmonary arteries.See study design
What are the potential side effects?
Potential side effects may include reactions related to hypoxia or hyperoxia exposure such as dizziness or shortness of breath. Sildenafil could cause headaches, flushing, indigestion, visual disturbances, and in rare cases serious cardiovascular events.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~pre sildenafil adminstration and one hour after sildenafil adminstration.
This trial's timeline: 3 weeks for screening, Varies for treatment, and pre sildenafil adminstration and one hour after sildenafil adminstration. for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Perfused blood volume assessed pre and post hyperoxic breathing
Perfused blood volume assessed pre and post hypoxic breathing
Blood Volume

Trial Design

3Treatment groups
Experimental Treatment
Group I: SildenafilExperimental Treatment1 Intervention
40 subjects (20M and 20F) will be recruited to study non-contrast imaging at TLC and 20%VC and with contrast using DECT scans to assess perfused blood volume. For the intervention, the subject will be administered 20 mg of sildenafil and then the same scanning will be repeated one hour after sildenafil administration.
Group II: Hypoxia Administration study groupExperimental Treatment1 Intervention
40 subjects will be recruited to study normoxia oxygen compared to hypoxia oxygen. 20M and 20F subjects will be evaluated under normoxia oxygen with low dose non-contrast CT scans at total lung capacity (TLC) and 20% vital capacity (VC) and then with contrast using dual energy CT scans to evaluate heterogeneity of perfused blood volume (PBV). For the intervention, following the normixia scans, hypoxia administration will be administered by breathing an inspired FIO2 of 15% oxygen and the non-contrast and contrast using DECT scans to evaluate heterogeneity of perfused blood volumen will be completed.
Group III: Hyperoxia Administration study groupExperimental Treatment1 Intervention
40 subjects will recruited to study normoxia oxygen scans compared to hyperoxia scans. 20M and 20F subjects will be evaluated under normoxia with low dose non-contrast CT scans at TLC and 20% vital capacity (VC) and then with contrast scans using DECT to evaluate heterogeneity of perfused blood volume (PBV). For the intervention, following the normoxia scans, hyperoxia administration will be administered by breathing an inspired FIO2 of 100% oxygen and the non-contrast and contrast using DECT to evaluate heterogeneity of perfused blood volumen will be completed.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Sildenafil
FDA approved

Find a Location

Who is running the clinical trial?

Eric A. HoffmanLead Sponsor
4 Previous Clinical Trials
661 Total Patients Enrolled
2 Trials studying Emphysema
302 Patients Enrolled for Emphysema
National Institutes of Health (NIH)NIH
2,701 Previous Clinical Trials
7,506,796 Total Patients Enrolled
8 Trials studying Emphysema
1,259 Patients Enrolled for Emphysema
National Heart, Lung, and Blood Institute (NHLBI)NIH
3,837 Previous Clinical Trials
47,851,514 Total Patients Enrolled
24 Trials studying Emphysema
20,877 Patients Enrolled for Emphysema

Media Library

Hypoxia administration study group Clinical Trial Eligibility Overview. Trial Name: NCT02682147 — Phase 4
Emphysema Research Study Groups: Hyperoxia Administration study group, Hypoxia Administration study group, Sildenafil
Emphysema Clinical Trial 2023: Hypoxia administration study group Highlights & Side Effects. Trial Name: NCT02682147 — Phase 4
Hypoxia administration study group 2023 Treatment Timeline for Medical Study. Trial Name: NCT02682147 — Phase 4

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

What is the aggregate number of participants in this experiment?

"Affirmative. The clinicaltrials.gov database exhibits that this medical trial is presently enrolling participants, which was first advertised on July 10th 2017 and recently updated on August 29th 2022. 80 patients need to be recruited from a single research site participating in the study."

Answered by AI

Are there any opportunities for new participants to join this clinical experiment?

"Affirmative. Clinicaltrials.gov's records indicate that this clinical investigation, initially listed on July 10th 2017, is still actively recruiting participants. Eighty individuals are sought after from a single research location."

Answered by AI

Do I meet the requirements for enrolling in this research project?

"This clinical trial is accepting applications from individuals aged 25 to 65 who suffer from emphysema. Approximately 80 patient slots are available for participation."

Answered by AI

Is the cohort receiving Hyperoxia treatments at risk of any adverse effects?

"With the Hyperoxia administration study group having already been approved, there is obviously a great deal of supporting evidence for its safety; as such it was awarded a score of 3."

Answered by AI

To what condition is the Hyperoxia administration study group typically prescribed?

"Hyperoxia administration research group is most commonly applied to treat hypoxemia but can be efficient at diminishing symptoms of erectile dysfunction, anemia, and malignant diseases."

Answered by AI

Does this medical research accept applicants aged 75 and below?

"According to the prerequisites for this trial, individuals aged 25-65 are eligible to enrol."

Answered by AI

Who else is applying?

What state do they live in?
Michigan
What site did they apply to?
University of Iowa
What portion of applicants met pre-screening criteria?
Met criteria
How many prior treatments have patients received?
0
~6 spots leftby Dec 2024