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Zephyr® Valves: Most Studied. Most Proven. Most Used Valves for Severe COPD/Emphysema.*

The Zephyr Valve is a clinically-proven bronchoscopic treatment for patients with severe COPD/emphysema who suffer from dypsnea despite optimized medical therapy.

The 2024 GOLD Report summarized the following patient benefits reported in clinical studies on Endobronchial Valve (EBV) Treatment for severe COPD/emphysema:42

  • Improved FEV1, 6MWD, and health status at 6 and 12 months**
  • Improved survival after successful treatment (4 retrospective studies)
  • Decreased exacerbations
  • Decreased respiratory failure episodes
GOLD-Seal-2024-since202

Complications of the Zephyr Valve treatment can include, but are not limited to, pneumothorax, worsening of COPD symptoms, hemoptysis, pneumonia, dyspnea and, in rare cases, death.

*Data on file at Pulmonx
**Quality and quantity of data was rated “Evidence Level A.”

Consistent Clinical Findings
Across Four Randomized Controlled Trials

RCTDesignSample size & follow-up periodProcedural Success (TLVR%)Difference Zephyr Valve vs. Control Groups (ITT)
Lung
function
(fev1%)
MCID = 10%-15%
Excercise capacity
(6mwd)
MCID = 26 m
quality
of life
(sgrq)
MCID = -4 pts
LIBERATE12:1 Randomization
Heterogeneous only
Multicenter
n=190
12 months
84%18.0%
p<0.001
39 m
p=0.002
-7.1 pts
p=0.004
TRANSFORM22:1 Randomization
Heterogeneous only
Multicenter
n=97
6 months
90%29.3%
p<0.001
79 m
p<0.001
-6.5 pts
p=0.031
IMPACT31:1 Randomization
Homogeneous only
Multicenter
n=93
6 months*
89%16.3%
p<0.001
28 m
p=0.016
-7.5 pts
p<0.001
STELVIO4,51:1 Randomization
Heterogeneous & Homogeneous
Single Center
n=68
6 months
88%17.8%
p=0.001
74 m
p<0.001
-14.7 pts**
p<0.001
Pulmonx-Zephyr-Clinical-Study-Summary-Table-v2

Completed cases, all other values listed are ITT population

*Data on file at Pulmonx (not in publication)

**Completed cases, all other values listed are ITT population

Recent Clinical Data

2023 GOLD Report Summary

The 2023 GOLD Report highlights patient benefits resulting from Endobronchial Valve treatment.

 Study on Improved Survival

A single-center, retrospective study that found improved survival of 1.7 years after Zephyr Valve treatment.

Study on Exacerbations

A single-center retrospective study examines the number of exacerbations before and after endobronchial/endoscopic lung volume reduction.

2023 GOLD Report Summary

The 2023 GOLD Report highlights patient benefits resulting from Endobronchial Valve treatment.

 Study on Improved Survival

A single-center, retrospective study that found improved survival of 1.7 years after Zephyr Valve treatment.

Study on Exacerbations

A single-center retrospective study examines the number of exacerbations before and after endobronchial/endoscopic lung volume reduction.

Download Clinical Study Summaries

Click the logo to download the summary

Patient Treatment Preference

Patients with severe emphysema perceive that a procedure with risks and benefits of the Zephyr Valve is desirable over continued medical management or LVRS.

In a study conducted before Zephyr Valves were widely available or well-known, researchers identified a strong preference for a treatment with its clinical benefits and risks.8

  • 76% of respondents said they would select a treatment option similar to Zephyr Valves when compared with their current treatment.
  • 294 severe emphysema patients surveyed.

Patient Treatment Preference

Patients with severe emphysema perceive that a procedure with risks and benefits of the Zephyr Valve is desirable over continued medical management or LVRS.

In a study conducted before Zephyr Valves were widely available or well-known, researchers identified a strong preference for a treatment with its clinical benefits and risks.8

  • 76% of respondents said they would select a treatment option similar to Zephyr Valves when compared with their current treatment.
  • 294 severe emphysema patients surveyed.

International Guidance Documents Include Endobronchial Valve Treatment as an Option for Emphysema Patients

Multiple independent networks have concluded that with proper patient selection, endobronchial valves, such as Zephyr Valves, should be considered in the treatment of severe emphysema.

The quality of evidence for treatment with endobronchial valves has been graded “A” by the Global Initiative for Chronic Obstructive Lung Disease (GOLD).10

The United Kingdom’s National Institute for Health and Care Excellence (NICE) has included this treatment as part of standard measures for COPD and recommended all qualifying patients be evaluated for eligibility.11,34

US-EN-2234-v1
Valve open and closed- 22-1080x1080-px

Identifying Patients for Zephyr Valves

“Thinking about endobronchial valves is just part of the checklist that I go through for every single patient that I see.”

— Dr. MeiLan Han

Valve open and closed- 22-1080x1080-px

Identifying Patients for Zephyr Valves

“Thinking about endobronchial valves is just part of the checklist that I go through for every single patient that I see.”

— Dr. MeiLan Han