Lung valves could starve Drug-Resistant TB cavities
NCT ID NCT07296055
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests whether placing one-way valves in the lungs can shrink cavities caused by drug-resistant tuberculosis (TB) or nontuberculous mycobacteria (NTM) infections. The valves block airflow into the cavity, creating a low-oxygen environment that may slow or stop bacterial growth. Thirty adults with cavities that cannot be surgically removed will be randomly assigned to receive either standard medical therapy alone or standard therapy plus the valve. The goal is to see if the valve helps reduce cavity size and clear bacteria from sputum after 9 months.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 30 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Jan 2026
An estimate. Start dates often move.
- Expected to finish
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Dec 2028
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 80 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Age between 18 and 80 years AND 2. Patient with cavities deemed unsuitable for surgery (when an extensive pulmonary parenchymal damage due to TB, is present, making patients inappropriate for open thoracic surgery) AND 3. To have signed the informed consent AND one of the following conditions: 4. Pulmonary MDR/XDR -TB or NTM (difficult to treat or resistant to treatment) confirmed by smear samples and antibiogram or with persistence of positivity for Mycobacterium of the smear after standard pharmacotherapy and severe destruction of the lungs with 1 or more persistent cavities. 5. Pulmonary TB or NTM with cavities and associated systemic diseases such as pancreatic diabetes, stomach and duodenum ulcer, liver and kidney diseases, HIV or another such disease that compromises pharmacological treatment. 6. Recurrent haemoptysis attributable to TB or NTM Exclusion Criteria: 1. Contraindication to performance of bronchoscopy 2. Severe cardiac comorbidities 3. Severe psychiatric disorders 4. Functional or anatomical pneumonectomy 5. Asthma 6. Pregnancy 7. Patients for whom bronchoscopic procedures are contraindicated 8. Patients with known allergies to Nitinol (nickel-titanium) or its constituent metals (nickel or titanium) 9. Patients with known allergies to silicone 10. Patients who have not quit smoking 11. Patients with large bullae encompassing greater than 30% of either lung 12. Patients with active pulmonary infection
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
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Contacts and locations
Locations
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Azienda Ospedaliera Universitaria Careggi
Florence, FI, 50134, Italy