Hi,
I have been using the ASI178MM-cooled for narrowband imaging for over a month now. I find it works extremely well with my Astronomik 12nm H-alpha filter, as well as the OIII and SII filters. So sensitivity to H-alpha will not be a problem. It works particularly great with a fast lens. I am using the Samyang 135mm F2.0 EOS mount lens wide open, with the Geoptik EOS-T2 adapter to mount to the ASI178MM-cooled set at -25 degrees C. With the right gain and exposure, it can be capable of impressive results when guided.
BW,
Boon