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Cystic FibrosisPhase 3NCT00630812

Long Term Administration of Inhaled Mannitol in Cystic Fibrosis

A Phase 3 study testing inhaled mannitol in people with Cystic Fibrosis, run by Syntara at 53 sites in 7 countries.

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

The purpose of this study is to examine the efficacy and safety of 26 weeks treatment with inhaled mannitol in subjects with cystic fibrosis. Previous studies have demonstrated improvements in lung function, mucociliary clearance, changes in physical properties of mucus, 24 hour sputum weight and quality of life. 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?
inhaled mannitol
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
318 participants
Where
53 sitesin 7 countries
Study dates
Sep 2008to Nov 2010
Phase
Phase 3
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

  • Have given written informed consent to participate in this study in accordance with local regulations
  • Have a confirmed diagnosis of cystic fibrosis (positive sweat chloride value ≥ 60 mEq/L) and/or genotype with two identifiable mutations consistent with CF, accompanied by one or more clinical features consistent with the CF phenotype)
  • Be aged > 6 years old
  • Have FEV1 >40 % and < 90% predicted
  • Be able to perform all the techniques necessary to measure lung function

Who cannot join

  • Investigators, site personnel directly affiliated with this study, or their immediate families. Immediate family is defined as a spouse, parent, child or sibling, whether biologically or legally adopted.
  • Be considered "terminally ill" or eligible for lung transplantation
  • Have had a lung transplant
  • Be using nebulized hypertonic saline in the 4 weeks prior to visit 1
  • Have had a significant episode of hemoptysis (>60 mL) in the three months prior to enrolment
  • Have had a myocardial infarction in the three months prior to enrolment
Show all 19Show fewer
  • Have had a cerebral vascular accident in the three months prior to enrolment
  • Have had major ocular surgery in the three months prior to enrolment
  • Have had major abdominal, chest or brain surgery in the three months prior to enrolment
  • Have a known cerebral, aortic or abdominal aneurysm
  • Be breast feeding or pregnant, or plan to become pregnant while in the study
  • Be using an unreliable form of contraception (female subjects at risk of pregnancy only)
  • Be participating in another investigative drug study, parallel to, or within 4 weeks of visit 0
  • Have a known allergy to mannitol
  • Be using beta blockers
  • Have uncontrolled hypertension - systolic BP > 190 and / or diastolic BP > 100
  • Have a condition or be in a situation which in the Investigator's opinion may put the subject at significant risk, may confound results or may interfere significantly with the patient's participation in the study
  • Be 'Mannitol Tolerance Test positive'
  • -

Trial locations and contacts

53 sites in 7 countries.

53 sites in 7 countries

United States28 sites
  • Children's Chest Associates of Austin

    Austin, Texas, 78723

  • John Hopkins

    Baltimore, Maryland, 21287

  • Massachusetts General Hospital

    Boston, Massachusetts, 62114

  • Women and Childrens Hospital of Buffalo

    Buffalo, New York, 14222

  • Medical University of SC

    Charleston, South Carolina, 29425

  • Northwestern Memorial Hospital

    Chicago, Illinois, 60611

  • University of Missouri

    Columbia, Missouri, 65212

  • Central Connecticut Cystic Fibrosis Center

    Hartford, Connecticut, 66106

  • Baylor College of Medicine

    Houston, Texas, 77030

  • St Lukes CF Center of Idaho

    Idaho City, Idaho, 83712

  • Nemours Childrens Clinic

    Jacksonville, Florida, 32207

  • University of Wisconsin

    Madison, Wisconsin, 53972

  • Le Bonheur Children's Medical Center

    Memphis, Tennessee, 38105

  • Batchelor Children's Research Institute - University of Miami

    Miami, Florida, 33136

  • University of Oklahoma Health Sciences Center

    Oklahoma City, Oklahoma, 73104

  • Nebraska Medical Center - Nebraska Regional CF Center

    Omaha, Nebraska, 68198-5300

  • Nemours Children's Clinic Orlando

    Orlando, Florida, 32801

  • St Christopher's Hospital for Children

    Philadelphia, Pennsylvania, 19134

  • Maine Pediatric Specialty Group

    Portland, Maine, 4102

  • Pediatric Research, VCU Medical Centre

    Richmond, Virginia, 23298

  • Virginia Commonwealth University

    Richmond, Virginia, 23298

  • Alamo Clinical Research Associates

    San Antonio, Texas, 78212

  • Christus Santa Rosa Children's Hospital Cystic Fibrosis Center

    San Antonio, Texas, 78229-3900

  • University of Washington medical centre

    Seattle, Washington, 58103

  • Louisiana State University Health Sciences Center

    Shreveport, Louisiana, 71130-3932

  • Sanford Children's Specialty Clinic

    Sioux Falls, South Dakota, 57117

  • The Toledo Hospital and Toledo Childrens Hospital

    Toledo, Ohio, 43606

  • University of Arizona

    Tucson, Arizona, 85724

Other trials in United States

Argentina8 sites
  • Hospital Interzonal Dr Jose Penna Bahia Blanca

    Bahía Blanca, Buenos Aires, 8000

  • Atención Integral en Reumatologia (AIR)

    Buenos Aires, C1426AAL

  • Hospital de Ninos Dr Ricardo Gutierrez, Pediatria

    CABA, Buenos Aires, C1425EFD

  • Hospital Gral. de Ninos Pedro de Elizalde

    Ciudad Autonoma, Buenos Aires, C1270AAN

  • Clinica Universitaria Privada Reina Fabiola - Universidad Cotolica de Cordoba

    Córdoba, 5000

  • Hospital de Ninos del la Santisima Trinidad

    Córdoba, 5000

  • Hospital de Ninos Superiora Sor Maria Ludovica de La Plata

    La Plata, Buenos Aires, 1900

  • Hospital Pediatrico Dr Humberto J Notti

    Villa Nueva, Mendoza Province, 5519

Other trials in Argentina

France6 sites
  • Hopital Femme-Mere-Enfents

    Bron, Lyon, 69677

  • Hopital Andre Mignot

    Le Chesnay, Cedix, 78157

  • Hopital Jeanne de Flandre

    Lille, Lille, 59037

  • Hopital Mere-Enfant

    Nantes, Cedex, 44093

  • Hopital Robert Debre

    Paris, 75019

  • Hopital de Hautepierre

    Strasbourg, Strasbourg, 67098

Other trials in France

Belgium4 sites
  • Hopital Universitaire Reine Fabiola

    Brussels, Brussels Capital, 1090

  • UZ Brussel Laarbeeklan 101

    Brussels, 1090

  • Pediatrics Respiratory Medicine

    Edegem, Antwerpen, 2650

  • UZ Gasthuisberg

    Leuven, 3000

Other trials in Belgium

Canada3 sites
  • Foothills medical center

    Calgary, Alberta, T2N4N1

  • QEII Health Sciences Center

    Halifax, Nova Scotia, B3H3A7

  • The Children's Asthma Clinic

    London, Ontario, N6A1V2

Other trials in Canada

Germany3 sites
  • University of Munich Medizinischen Klinik Innenstadt

    München, 80336

  • Universitats Kinderklinik Tubungen Wurzburg

    Tübingen, 72076

  • Universitats Kinderklinik Wurzburg

    Würzburg, 97080

Other trials in Germany

Netherlands1 site
  • Academic Medical Centre

    Amsterdam, 1100DD

Other trials in Netherlands

About this study

Official title: Long Term Administration of Inhaled Mannitol in Cystic Fibrosis- A Safety and Efficacy Study

The purpose of this study is to examine the efficacy and safety of 26 weeks treatment with inhaled mannitol in subjects with cystic fibrosis. Previous studies have demonstrated improvements in lung function, mucociliary clearance, changes in physical properties of mucus, 24 hour sputum weight and quality of life. The results of this study are to further investigate and confirm these findings in addition to examine the effect on antibiotic use and chest infections. It is hypothesised that inhaled mannitol will have beneficial effects compared to a control treatment. An open label phase of 26 weeks duration will follow the blinded 26 week phase. During the open label phase all subjects will receive active treatment.

Conditions
Cystic Fibrosis
Being tested
inhaled mannitol, Placebo comparator
Keywords
cystic fibrosis, mannitol, mucoactive
Medical subject headings
Cystic Fibrosis

What participants receive

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

  • inhaled mannitolDrug

    400 mg BD for 26 + 26 weeks

  • Placebo comparatorDrug

    BD for 26 weeks followed by 26 weeks of inhaled mannitol in the open label phase

Study groups in NCT00630812
Study groupRoleWhat they receive
AExperimentalactive treatment
Receives: Drug: inhaled mannitol
BPlacebo comparatorNot described
Receives: Drug: Placebo comparator

What is being measured

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

  1. Change in Absolute FEV1 From Baseline Over 26 Weeks

    Change from baseline in forced expiratory volume at one second (FEV1) averaged over 26 weeks (measured at 6,14 and 26 weeks) The mean absolute change from baseline FEV1 (mL) over 26 weeks (measured at week 6, 14 and 26) will be compared between the two treatment groups with a REML (restricted maximum likelihood) based repeated measures approach.Least square means presented are for the average change over the 6, 14, and 26 week visits.

    Measured: 26 weeks

Secondary outcomes (8)
  1. Change in FEV1 From Baseline Over 26 Weeks - Dornase Users

    In the subset of dornase users, the mean absolute change from baseline FEV1 (mL) averaged over 26 weeks (measured at week 6, 14 and 26) will be compared between the two treatment groups with a REML (restricted maximum likelihood) based repeated measures approach. Least square means presented are for the average change over the 6, 14, and 26 week visits.

    Change from baseline over 26 weeks (measured at 6,14, 26 weeks) in subset of dornase users

    Measured: 26 weeks

  2. Rate of Protocol Defined Pulmonary Exacerbations (PDPE)

    Exacerbations treated with IV antibiotics and with at least 4 signs and symptoms according to Fuchs criteria (1994). Summary table presents the number with 0, 1,2 and 3 PDPEs during the 26 week treatment period.

    Measured: 26 weeks

  3. Hospitalisations Associated With Protocol Defined Pulmonary Exacerbations (PDPEs)

    The number of hospitalisations is summarised and then the rate per person is analysed.

    Measured: 26 weeks

  4. Antibiotic Use Associated With PDPEs

    Number of courses per person in the 26 week period is summarised and then the rate per person analysed.

    Measured: 26 weeks

  5. Absolute Change in FEV1 Percent Predicted at 26 Weeks

    Change from baseline at 26 weeks in FEV1 percent predicted with BOCF for those with missing values at week 26

    Measured: 26 weeks

  6. Change in FVC (mL) Across 26 Weeks

    Change from baseline in forced vital capacity (FVC) across 26 weeks (measured at 6,14 and 26 weeks)

    Measured: 26 weeks

  7. Change From Baseline FEF25-75 (mL/s) Over 26 Weeks

    Change from baseline in forced expiratory flow at 25-75% of forced vital capacity (FEF25-75) (mL/s) averaged over 26 weeks (measured at 6,14 and 26 weeks) The mean absolute change from baseline over 26 weeks (measured at week 6, 14 and 26) was compared between the two treatment groups with a REML (restricted maximum likelihood) based repeated measures approach. Least square means presented are for the average change over the 6, 14, and 26 week visits.

    Measured: 26 weeks

  8. Sputum Weight at Baseline in Response to First Dose of Treatment

    Sputum was collected during and for 30 minutes following the administration of the first dose of study treatment.

    Measured: up to 30 mins after first dose of trial treatment

Timeline

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

  1. First posted7 Mar 2008 (estimated)
  2. Study startSep 2008
  3. Primary completionApr 2010
  4. Study completionNov 2010

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 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
318 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00630812
Sponsor's protocol ID
DPM-CF-302
Status last verified
Oct 2020
First submitted
27 Feb 2008
Last updated
9 Oct 2020
Data monitoring committee
Yes

Publications

  • Daviskas E, Anderson SD. Hyperosmolar agents and clearance of mucus in the diseased airway. J Aerosol Med. 2006 Spring;19(1):100-9. doi: 10.1089/jam.2006.19.100.

    PubMed 16551221
  • Daviskas E, Anderson SD, Gomes K, Briffa P, Cochrane B, Chan HK, Young IH, Rubin BK. Inhaled mannitol for the treatment of mucociliary dysfunction in patients with bronchiectasis: effect on lung function, health status and sputum. Respirology. 2005 Jan;10(1):46-56. doi: 10.1111/j.1440-1843.2005.00659.x.

    PubMed 15691238
  • Daviskas E, Robinson M, Anderson SD, Bye PT. Osmotic stimuli increase clearance of mucus in patients with mucociliary dysfunction. J Aerosol Med. 2002 Fall;15(3):331-41. doi: 10.1089/089426802760292681.

    PubMed 12396422
  • Robinson M, Bye PT. Mucociliary clearance in cystic fibrosis. Pediatr Pulmonol. 2002 Apr;33(4):293-306. doi: 10.1002/ppul.10079.

    PubMed 11921459
  • Daviskas E, Anderson SD, Eberl S, Chan HK, Young IH. The 24-h effect of mannitol on the clearance of mucus in patients with bronchiectasis. Chest. 2001 Feb;119(2):414-21. doi: 10.1378/chest.119.2.414.

    PubMed 11171717
  • Robinson M, Daviskas E, Eberl S, Baker J, Chan HK, Anderson SD, Bye PT. The effect of inhaled mannitol on bronchial mucus clearance in cystic fibrosis patients: a pilot study. Eur Respir J. 1999 Sep;14(3):678-85. doi: 10.1034/j.1399-3003.1999.14c30.x.

    PubMed 10543292
  • Daviskas E, Anderson SD, Eberl S, Chan HK, Bautovich G. Inhalation of dry powder mannitol improves clearance of mucus in patients with bronchiectasis. Am J Respir Crit Care Med. 1999 Jun;159(6):1843-8. doi: 10.1164/ajrccm.159.6.9809074.

    PubMed 10351929
  • Daviskas E, Anderson SD, Brannan JD, Chan HK, Eberl S, Bautovich G. Inhalation of dry-powder mannitol increases mucociliary clearance. Eur Respir J. 1997 Nov;10(11):2449-54. doi: 10.1183/09031936.97.10112449.

    PubMed 9426077
  • Jaques A, Daviskas E, Turton JA, McKay K, Cooper P, Stirling RG, Robertson CF, Bye PTP, LeSouef PN, Shadbolt B, Anderson SD, Charlton B. Inhaled mannitol improves lung function in cystic fibrosis. Chest. 2008 Jun;133(6):1388-1396. doi: 10.1378/chest.07-2294. Epub 2008 Mar 13.

    PubMed 18339790
  • Nevitt SJ, Thornton J, Murray CS, Dwyer T. Inhaled mannitol for cystic fibrosis. Cochrane Database Syst Rev. 2020 May 1;5(5):CD008649. doi: 10.1002/14651858.CD008649.pub4.

    PubMed 32358807
  • Aitken ML, Bellon G, De Boeck K, Flume PA, Fox HG, Geller DE, Haarman EG, Hebestreit HU, Lapey A, Schou IM, Zuckerman JB, Charlton B; CF302 Investigators. Long-term inhaled dry powder mannitol in cystic fibrosis: an international randomized study. Am J Respir Crit Care Med. 2012 Mar 15;185(6):645-52. doi: 10.1164/rccm.201109-1666OC. Epub 2011 Dec 28.

    PubMed 22198974

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing inhaled mannitol in people with Cystic Fibrosis, run by Syntara at 53 sites in 7 countries.

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 5 inclusion and 19 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 9 Oct 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 53 sites in United States, Argentina, France, Belgium, Canada and 2 more countries. 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 phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

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 9 Oct 2020). 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?

Change in Absolute FEV1 From Baseline Over 26 Weeks (time frame: 26 weeks). 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 NCT00630812, which also lists 11 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 9 Oct 2020.

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