AzTrials
AzTrials

Cystic FibrosisPhase 1/2NCT00558844

Safety/Tolerability Study of Arikayce™ in Cystic Fibrosis Patients With Chronic Infection Due to Pseudomonas Aeruginosa

A Phase 1/2 study testing Arikayce™ 560 mg, Arikayce™ 70 mg and Arikayce™ 140 mg in people with Cystic Fibrosis, run by Insmed Incorporated at 19 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

This is a study to determine the safety and tolerability of 28 days of daily dosing of 560 mg of Arikayce™ versus placebo and daily dosing of 70 mg and 140 mg of Arikayce™ versus placebo in patients who have Cystic fibrosis (CF) and chronic infection due to pseudomonas aeruginosa. Read more about this study

Who is it for?
Ages 6 years and older
Conditions the study is for
Cystic Fibrosis
What is being tested?
Arikayce™ 560 mg, Arikayce™ 70 mg and Arikayce™ 140 mg
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
41 participants
Where
19 sitesUnited States
Study dates
Jan 2008to Jun 2009
Phase
Phase 1/2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 6 years and older
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Male or female study subjects must be adults (≥ 6 years of age)
  • Confirmed diagnosis of CF
  • History of chronic infection with P.aeruginosa
  • FEV1 ≥40% of predicted at Screening
  • Ability to comply with study medication use, study visits and procedures
  • Ability to produce 0.5 grams of sputum

Who cannot join

  • Administration of any investigational drug within 8 weeks to Study Day 1
  • Emergency room visit or hospitalization for CF or respiratory-related illness within 4 weeks prior to screening
  • History of alcohol, medication or illicit drug abuse within 1 yr. to screening
  • History of lung transplantation
  • Female of childbearing potential who are not practicing an acceptable method of birth control or who are lactating
  • Positive Pregnancy test
Show all 11Show fewer
  • Use of any anti-pseudomonal antibiotics within 28 days prior to Study Day 1
  • Initiation of chronic therapy within 28 days prior to Study Day 1
  • History of sputum or throat swab culture yielding Burkholderia cepacia within 2 years prior to screening
  • History of mycobacterial and/or Aspergillus infection requiring treatment within 2 years prior to screening
  • History of biliary cirrhosis with portal hypertension, or splenomegaly

Trial locations and contacts

19 sites in 1 country.

19 sites in 1 country

United States19 sites
  • Study site

    Albuquerque, New Mexico

  • Study site

    Ann Arbor, Michigan

  • Study site

    Baltimore, Maryland

  • Study site

    Birmingham, Alabama

  • Study site

    Boston, Massachusetts

  • Study site

    Indianapolis, Indiana

  • Study site

    Iowa City, Iowa

  • Study site

    Jackson, Mississippi

  • Study site

    Los Angeles, California

  • Study site

    Miami, Florida

  • Study site

    Minneapolis, Minnesota

  • Study site

    Morristown, New Jersey

  • Study site

    New Brunswick, New Jersey

  • Study site

    Orlando, Florida

  • Study site

    Philadelphia, Pennsylvania

  • Study site

    Rochester, New York

  • Study site

    Seattle, Washington

  • Study site

    Sioux Falls, South Dakota

  • Study site

    St Louis, Missouri

Other trials in United States

About this study

Official title: Phase 1b/2a Multidose Safety and Tolerability Study of Liposomal Amikacin for Inhalation (Arikayce™) in Cystic Fibrosis Patient With Chronic Infections Due to Pseudomonas Aeruginosa.

This is a study to determine the safety and tolerability of 28 days of daily dosing of 560 mg of Arikayce™ versus placebo and daily dosing of 70 mg and 140 mg of Arikayce™ versus placebo in patients who have Cystic fibrosis (CF) and chronic infection due to pseudomonas aeruginosa.

Read the detailed description

CF is a gentic disease resulting from mutations in a 230 kb gene on chromosome 7 known as the cystic fibrosis transmembrane conductance regulator (CFTR). Study subjects with CF manifest pathological changes in a variety or organs that express CFTR. The lungs are frequently affected, the sequelae being chronic infections and airway inflammation. The principal goal of both treatment of subjects with CF is to slow the chronic deterioration of lung function.

Study subjects will be randomized to receive either study drug or placebo (1.5% NaCl) by inhalation via a PARI eFlow nebulizer. Each subject will complete 28 days of daily dosing. All study patients will be followed for safety, pharmacokinetics, clinical and microbiologic activity for 56 days post completion of study treatment. For the two lower doses (70 mg and 140 mg): patients received drug for 28 days, followed by a 28 day safety evaluation. For 560 mg: patients received drug for 28 days, followed by a 56 day safety evaluation. The total study period will be up to 84 days, with screening visit occurring within the preceding 14 days prior to study day 1. Patients will be clinically evaluated during the first 48 hours post first study dose and weekly for the 28 day treatment period and during the follow up visits at study days 35, 42, 49, 56, 70 and 85 days to determine safety and tolerability, pharmacokinetics (PK) and clinical and microbiologic activity.

Clinical laboratory parameters, audiology testing, clinical adverse events and pulmonary function will be evaluated for all study subjects in order to determine the qualitative and quantitative safety and tolerability of Arikayce™ compared to placebo. Serum, urine and sputum specimens will be collected at periodic intervals to assess PK. Additionally, sputum samples will be collected to determine changes in bacterial density. Pulmonary function testing and CFQ-R measurements will be assessed at selected time points throughout the study. An exploratory evaluation of a Cystic Fibrosis Symptom Diary (CFSD) will also be implemented. Arikace™,Arikayce™, Liposomal Amikacin for Inhalation (LAI), and Amikacin Liposome Inhalation Suspension (ALIS) may be used interchangeably throughout this study and other studies evaluating amikacin liposomal inhalation suspension.

Conditions
Cystic Fibrosis
Being tested
Arikayce™ 560 mg, Placebo for 560 mg, Arikayce™ 70 mg, Arikayce™ 140 mg, Placebo for 70 mg / 140 mg
Keywords
Cystic Fibrosis, Respiratory Infections, Pulmonary Cystic Fibrosis, CFTR
Medical subject headings
Cystic Fibrosis, Respiratory Tract Infections

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Arikayce™ 560 mgDrug

    Arikayce™ at 560 mg

    Subjects will be randomly assigned to study drug dose of of Arikayce™ or placebo in accordance with a code provided by the Sponsor/CRO. Randomization will be made in a 2:1 allocation between Arikayce™ and placebo. They will be blinded whether they receive Arikayce™ or Placebo Study subjects will receive Arikayce™ or placebo on Days 1 through Day 28. Drug is administered once a day via a nebulizer.

  • Placebo for 560 mgDrug

    Matching placebo

    Subjects will be randomly assigned to study drug dose of of Arikayce™ or placebo in accordance with a code provided by the Sponsor/CRO. Randomization will be made in a 2:1 allocation between Arikayce™ and placebo. They will be blinded whether they receive Arikayce™ or Placebo Study subjects will receive Arikayce™ or placebo on Days 1 through Day 28. Drug is administered once a day via a nebulizer.

  • Arikayce™ 70 mgDrug

    Subjects will be randomly assigned to study drug dose of of Arikayce™ or placebo in accordance with a code provided by the Sponsor/CRO. Randomization will be made in a 1:1:1 allocation between Arikayce™ and placebo. They will be blinded whether they receive Arikayce™ or Placebo Study subjects will receive Arikayce™ or placebo on Days 1 through Day 28. Drug is administered once a day via a nebulizer.

  • Arikayce™ 140 mgDrug

    Subjects will be randomly assigned to study drug dose of of Arikayce™ or placebo in accordance with a code provided by the Sponsor/CRO. Randomization will be made in a 1:1:1 allocation between Arikayce™ and placebo. They will be blinded whether they receive Arikayce™ or Placebo Study subjects will receive Arikayce™ or placebo on Days 1 through Day 28. Drug is administered once a day via a nebulizer.

  • Placebo for 70 mg / 140 mgDrug

    Matching placebo

    Subjects will be randomly assigned to study drug dose of of Arikayce™ or placebo in accordance with a code provided by the Sponsor/CRO. Randomization will be made in a 1:1:1 allocation between Arikayce™ and placebo. They will be blinded whether they receive Arikayce™ or Placebo Study subjects will receive Arikayce™ or placebo on Days 1 through Day 28. Drug is administered once a day via a nebulizer.

Study groups in NCT00558844
Study groupRoleWhat they receive
AActive comparatorArikayce™ at 560 mg Subjects randomized 2:1 to receive Arikayce 560 mg or Placebo.
Receives: Drug: Arikayce™ 560 mg
BPlacebo comparatorMatching placebo for 560 mg Subjects randomized 2:1 to receive Arikayce 560 mg or Placebo.
Receives: Drug: Placebo for 560 mg
CActive comparatorArikayce™ at 70 mg Subjects randomized 1:1:1 to receive Arikayce 70 mg, Arikayce 140 mg or Placebo.
Receives: Drug: Arikayce™ 70 mg
DActive comparatorArikayce™ at 140 mg Subjects randomized 1:1:1 to receive Arikayce 70 mg, Arikayce 140 mg or Placebo.
Receives: Drug: Arikayce™ 140 mg
EPlacebo comparatorMatching placebo for 70 mg/140 mg Subjects randomized 1:1:1 to receive Arikayce 70 mg, Arikayce 140 mg or Placebo.
Receives: Drug: Placebo for 70 mg / 140 mg

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of Participants With Treatment-Emergent Adverse Events

    To evaluate the safety and tolerability of 28 days of daily dosing of nebulized Arikayce™, liposomal amikacin for inhalation.

    Measured: 56 days

Secondary outcomes (8)
  1. Pharmacokinetics of Arikayce™ in Serum

    Measure PK parameter (Cmax) of Arikayce in serum

    Measured: Day 1, Day 14 and Day 28

  2. Pharmacokinetics (PK) of Arikayce™ in Sputum

    Measure PK parameters (sputum concentration) of Arikayce in sputum, pre- and post-dose

    Measured: Day 1 post-dose, Day 14 pre- and post-dose, Day 28 pre- and post-dose

  3. Pharmacokinetics (PK) of Arikayce™ in Urine

    Measure PK parameter (Ae0-24) of Arikayce in urine

    Measured: Day 1, Day 14 and Day 28

  4. Pharmacokinetics (PK) of Arikayce™ in Serum

    Measure PK parameter (AUC) of Arikayce in Serum

    Measured: Day 1, Day 14 and Day 28

  5. Pulmonary Function: Pre-Dose FEV1 (%-Predicted)

    Relative Change (%) from Baseline to Day 28, Day 56, Day 70, and Day 84 in Pulmonary Function

    Measured: Baseline, Day 28, Day 56, Day 70 and Day 84

  6. Density of Pseudomonas Aeruginosa in Sputum

    Change (log10 CFU) from Baseline by Study Day and Treatment Arm

    Measured: Day 7, Day 14, Day 21, Day 28 and Day 35

  7. Duration of Systemic Anti-Pseudomonal Rescue Therapy

    Measured: Through study duration, approximately 84 days

  8. CFQ-R Respiratory Scale (Relative Change % From Baseline)

    Quality of Life was measured by the absolute change from baseline in the Cystic Fibrosis Questionnaire-Revised (CFQ-R) respiratory scale. Disease specific instrument designed to measure impact on overall health, daily life, perceived well-being and symptoms in patients with a diagnosis of cystic fibrosis. Scores range from 0 to 100, with higher scores indicating better health. Scores for each Health Related Quality of Life (HRQoL) domain; after recoding, each item is summed to generate a domain score and standardized.

    Measured: Day 15, Day 28 and Day 42

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted15 Nov 2007 (estimated)
  2. Study startJan 2008
  3. Primary completionJun 2009
  4. Study completionJun 2009

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1/2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
41 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00558844
Sponsor's protocol ID
TR02-106
Status last verified
May 2019
First submitted
13 Nov 2007
Last updated
4 Jun 2019
Data monitoring committee
Yes

Publications

  • Okusanya OO, Bhavnani SM, Hammel JP, Forrest A, Bulik CC, Ambrose PG, Gupta R. Evaluation of the pharmacokinetics and pharmacodynamics of liposomal amikacin for inhalation in cystic fibrosis patients with chronic pseudomonal infections using data from two phase 2 clinical studies. Antimicrob Agents Chemother. 2014 Sep;58(9):5005-15. doi: 10.1128/AAC.02421-13. Epub 2014 Mar 31.

    PubMed 24687506
  • Clancy JP, Dupont L, Konstan MW, Billings J, Fustik S, Goss CH, Lymp J, Minic P, Quittner AL, Rubenstein RC, Young KR, Saiman L, Burns JL, Govan JR, Ramsey B, Gupta R; Arikace Study Group. Phase II studies of nebulised Arikace in CF patients with Pseudomonas aeruginosa infection. Thorax. 2013 Sep;68(9):818-25. doi: 10.1136/thoraxjnl-2012-202230. Epub 2013 Jun 8.

    PubMed 23749840

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing Arikayce™ 560 mg, Arikayce™ 70 mg and Arikayce™ 140 mg in people with Cystic Fibrosis, run by Insmed Incorporated at 19 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 11 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 4 Jun 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 19 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this combined phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 4 Jun 2019). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of Participants With Treatment-Emergent Adverse Events (time frame: 56 days). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00558844, which also lists 2 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 4 Jun 2019.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in