Mycobacterium Infections, NontuberculousPhase 3ENCORENCT04677569
Study to Evaluate ALIS (Amikacin Liposome Inhalation Suspension) in Participants With Nontuberculous Mycobacterial Lung Infection Caused by Mycobacterium Avium Complex
A Phase 3 study testing ALIS, Azithromycin and Ethambutol in people with Mycobacterium Infections, Nontuberculous, run by Insmed Incorporated at 258 sites in 23 countries.
Trial summary
The main objective of this study is to evaluate the efficacy of ALIS (amikacin liposome inhalation suspension) + background regimen (azithromycin [AZI] + ethambutol [ETH]) compared to the ELC (empty liposome control) + background regimen on participant-reported respiratory symptoms at Month 13. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Mycobacterium Infections, Nontuberculous
- What is being tested?
- ALIS, Azithromycin and Ethambutol
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 425 participants
- Where
- 258 sitesin 23 countries
- Study dates
- 1 Apr 2021to 15 Jan 2026
- Phase
- Phase 3
- Are there results?
- None posted in the registry
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 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Male or female, ≥ 18 years of age (19 years or older in South Korea, 20 years or older in Japan).
- Current diagnosis of MAC lung infection. MAC or mixed infection with MAC as the dominant species is allowed, with MAC as the intended organism for treatment.
- A chest computerized tomography (CT) scan, read locally, within 6 months prior to Screening to determine presence and size of pulmonary cavities. Participants who do not have a chest CT scan within 6 months prior to Screening will be required to obtain a chest CT scan, read locally, during Screening.
- Willingness and ability to adhere to prescribed study treatment during the study.
- Women of childbearing potential (WOCBP) (ie, fertile following menarche and until becoming postmenopausal unless permanently sterile) and fertile men (ie, all men after puberty unless permanently sterile by bilateral orchidectomy) agree to practice a highly effective method of birth control from Day 1 to at least 90 days after the last dose. Examples of such birth controls are:
- true abstinence (refraining from heterosexual intercourse during the entire study),
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- copper intrauterine device (IUD),
- hormonal methods (levonorgestrel-releasing intrauterine system, progestogen implant, combined oral contraceptive pill [combined with barrier method]),
- exclusive homosexual relationship, or
- sole male partner who has undergone surgical sterilization with confirmation of azoospermia at least 3 months post procedure.
- Provide signed informed consent prior to administration of study drugs or performing any study-related procedure.
- Be able to comply with study drugs use, study visits, and study procedures as defined by the protocol.
- Men with partners who are WOCBP (pregnant or non-pregnant) agree to use condoms and non-pregnant partners should practice a highly effective method of birth control
Who cannot join
- Diagnosis of cystic fibrosis (CF).
- History of more than 3 MAC lung infections (a 4th MAC lung infection is not eligible)
- Received any mycobacterial antibiotic treatment for current MAC lung infection
- Refractory MAC lung infection, defined as having positive MAC cultures while being treated with a multidrug mycobacterial antibiotic treatment regimen for a minimum of 6 consecutive months and no documented successful treatment, defined as negative sputum culture for MAC and cessation of treatment
- Relapse of prior MAC lung infection, defined as positive sputum culture for MAC ≤6 months of cessation of prior successful treatment
- Evidence of any pulmonary cavity ≥ 2 cm in diameter, as determined by chest CT scan, read locally, during Screening or within 6 months prior to Screening
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- Radiographic finding of new lobar consolidation, atelectasis, significant pleural effusion, or pneumothorax during routine clinical care within 2 months prior to Screening
- Active pulmonary malignancy (primary or metastatic) or any malignancy requiring chemotherapy or radiation therapy within 1 year prior to Screening or anticipated during the study
- Acute pulmonary exacerbation (eg, chronic obstructive pulmonary disease (COPD) or bronchiectasis) requiring treatment with antibiotics, or corticosteroids (intravenous [IV] or oral), within 4 weeks prior to and during Screening
- Current smoker
- History of lung transplantation
- Prior exposure to ALIS (including clinical study)
- Known hypersensitivity or contraindications to use to ALIS, aminoglycosides, or any of their excipients
- Disseminated MAC infection
- Administration of any investigational drug within 8 weeks prior to Screening
- Known or suspected acquired immunodeficiency syndromes (Human Immunodeficiency Virus (HIV) -positive, regardless of CD4 counts). Other immunodeficiency syndromes that may interfere with study participation in the opinion of the Investigator
- Current alcohol, medication, or illicit drug abuse
- Known and active COVID-19 infection
- Known hypersensitivity or contraindications to use of ethambutol, azithromycin (including other macrolides or ketolides), or any of their excipients per local labeling guidance.
Trial locations and contacts
258 sites in 23 countries.
258 sites in 23 countries
United States90 sites
USA044
Anderson, South Carolina, 29621
USA038
Atlanta, Georgia, 30342-2147
USA066
Augusta, Georgia, 30912
USA017
Baltimore, Maryland, 21224-3057
USA065
Bayside, New York, 11361
USA008
Birmingham, Alabama, 35233-1711
USA080
Bradenton, Florida, 34209
USA028
Brandon, Florida, 33511-5719
USA024
Charleston, South Carolina, 29414
USA020
Charleston, South Carolina, 29425
USA076
Charlotte, North Carolina, 28204
USA035
Charlotte, North Carolina, 28273
USA033
Charlotte, North Carolina, 28277-8915
USA083
Charlottesville, Virginia, 22903
USA031
Chicago, Illinois, 60611
USA075
Cincinnati, Ohio, 45242-4402
USA064
Cincinnati, Ohio, 45267
USA003
Clearwater, Florida, 33765
USA018
Cleveland, Ohio, 44195
USA079
Coeur d'Alene, Idaho, 83814
USA082
Columbia, Missouri, 65212-1000
USA063
Columbus, Ohio, 43210-1240
USA016
Dallas, Texas, 75246
USA100
Dallas, Texas, 75246
USA091
Denison, Texas, 75020
USA001
Denver, Colorado, 80206
USA015
DuBois, Pennsylvania, 15801
USA051
Durham, North Carolina, 27710-0001
USA088
East Syracuse, New York, 13057
USA022
Franklin, Tennessee, 37067
USA062
Fresno, California, 93701
USA041
Hendersonville, Tennessee, 37075
USA069
Hillsborough, New Jersey, 08844
USA086
Houston, Texas, 77070-1190
USA074
Iowa City, Iowa, 52242-1081
USA043
Jacksonville, Florida, 32204
USA072
Jacksonville, Florida, 32207-8567
USA085
Jacksonville, Florida, 32209-6511
USA047
Jacksonville, Florida, 32224
USA037
Kansas City, Kansas, 66160
USA042
Kissimmee, Florida, 34746
USA004
Lawrenceville, Georgia, 30046-3325
USA019
Leesburg, Florida, 34748
USA099
Lexington, Massachusetts, 02421
USA060
Los Angeles, California, 90033-5313
USA087
Madison, Wisconsin, 53792-0001
USA021
McKinney, Texas, 75069-8085
USA034
Mooresville, North Carolina, 28117
USA039
Naples, Florida, 34102-5444
USA096
Naples, Florida, 34102
USA097
Naples, Florida, 34102
USA078
Nashville, Tennessee, 37232
USA002
New Orleans, Louisiana, 70112
USA046
New Port Richey, Florida, 34652
USA011
New York, New York, 10017
USA090
Newport Beach, California, 92663
USA045
Omaha, Nebraska, 68124
USA009
Omaha, Nebraska, 68198
USA040
Philadelphia, Pennsylvania, 19104
USA093
Philadelphia, Pennsylvania, 19107
USA071
Portland, Oregon, 97213-2982
USA025
Portland, Oregon, 97239
USA092
Providence, Rhode Island, 02906
USA029
Rincon, Georgia, 31326
USA013
Rochester, Minnesota, 55905
USA012
Rock Hill, South Carolina, 29732
USA058
Sacramento, California, 95817
USA006
San Antonio, Texas, 78258
USA048
San Diego, California, 92103
USA081
San Francisco, California, 94143
USA055
Santa Barbara, California, 93105
USA054
Sarasota, Florida, 34239-2913
USA084
Sebastian, Florida, 32958
USA026
Sebring, Florida, 33870
USA073
Springfield, Illinois, 62702-4968
USA030
Springfield, Illinois, 62702
USA077
Springfield, Massachusetts, 01107
USA061
St Louis, Missouri, 63110
USA070
St. Petersburg, Florida, 33704-2733
USA014
St. Petersburg, Florida, 33707
USA050
Stanford, California, 94305
USA067
Tampa, Florida, 33606
USA068
Tampa, Florida, 33614-7101
USA089
Temple, Texas, 76508
USA059
The Bronx, New York, 10461
USA032
Toms River, New Jersey, 08755-8000
USA052
Tyler, Texas, 75708
USA023
Washington D.C., District of Columbia, 20007
USA053
Weston, Florida, 33331
USA007
Winston-Salem, North Carolina, 27103
Japan21 sites
JPN001
Fukui, 910-8526
JPN004
Fukuoka, 819-8555
JPN014
Hamamatsu, Shizuoka, 434-8511
JPN019
Izumo-Shi, Shimane, 693-0021
JPN003
Jonan-ku
JPN020
Kita Kyushu-shi, Hukuoka, 807-8556
JPN010
Kiyose, 204-8522
JPN015
Kiyose-Shi, Tokyo, 204-0023
JPN023
Kurashiki-Shi, Okayama-ken, 710-0052
JPN017
Matsusaka-Shi, Mie-ken, 515-0073
JPN006
Nagano, 380-0928
JPN018
Nagasaki, Nagasaki, 852-8501
JPN011
Nagoya, Aiti, 465-0065
JPN012
Naka-gun, 319-1113
JPN021
Ōta-ku, Tokyo, 143-8541
JPN002
Sakaishi, 591-8555
JPN009
Shimonoseki, 750-8520
JPN008
Shinjuku-ku, Tokyo, 1628655
JPN005
Tokyo
JPN016
Toyonaka-Shi, Ôsaka, 560-0045
JPN022
Yokohama-Shi Tsuzuki-Ku, Kanagawa, 224-0032
Australia16 sites
AUS008
Adelaide, South Australia, 5000
AUS012
Birtinya, Queensland, 4575
AUS010
Chermside, Queensland, 4032
AUS007
Clayton, Victoria, 3168
AUS006
Concord, New South Wales, 2139
AUS013
Douglas, Queensland, 4814
AUS003
Greenslopes, Queensland, 4120
AUS016
Herston, Queensland, 4029
AUS014
Meadowbrook, Queensland, 4131
AUS009
Melbourne, Victoria, 3001
AUS004
New Lambton Heights, New South Wales, 2305
AUS005
Perth, 5000
AUS001
South Brisbane, Queensland, 4101
AUS015
Spearwood, Western Australia, 6163
AUS002
Westmead, New South Wales, 2145
AUS011
Woolloongabba, Queensland, 4102
France16 sites
FRA006
Amiens, 80054
FRA005
Brest, 29609
FRA007
Caen, 14033
FRA002
Créteil, 94000
FRA001
Marseille, 13285
FRA008
Nantes, Loire-Atlantique, 44000
FRA012
Nice, Alpes-Maritimes, 6000
FRA014
Paris, 75013
FRA009
Paris, 75018
FRA013
Paris, 75020
FRA015
Pessac, Gironde, 33064
FRA004
Saint-Denis, 97405
FRA003
Saint-Pierre, 97448
FRA016
Strasbourg, Bas-Rhin, 67091
FRA010
Suresnes, Hauts-de-Seine, 92151
FRA011
Toulouse, 31400
Germany14 sites
GER008
Berlin, 13125
GER003
Borstel, Lower Saxony, 23845
GER014
Cologne, North Rhine-Westphalia, 50678
GER011
Cologne, North Rhine-Westphalia, 51109
GER001
Donaustauf, Bavaria, 93093
GER006
Dresden, 1307
GER009
Essen, 45127
GER002
Frankfurt, 69590
GER004
Freiburg im Breisgau, 79106
GER013
Gauting, Bavaria, 82131
GER007
Hanover, 30625
GER010
Immenhausen, Hesse, 34376
GER005
München, Bavaria, 80335
GER012
Potsdam, Brandenburg, 14467
Spain12 sites
ESP002
Barcelona, 08003
ESP008
Barcelona, 8025
ESP003
Barcelona, 8035
ESP005
Girona, 17007
ESP009
L'Hospitalet de Llobregat, Barcelona, 08907
ESP010
Madrid, 28007
ESP001
Madrid, 28034
ESP004
Madrid, 28046
ESP011
Pamplona, 31008
ESP006
Pontevedra, 36001
ESP012
Seville, 41013
ESP007
Vigo, Pontevedra, 36312
Taiwan12 sites
TWN004
Chiayi City, Chiayi, 613
TWN001
Douliu, 640
TWN012
Hsinchu, 300
TWN005
Kaohsiung City, 807
TWN003
Kaohsiung City, 813
TWN007
New Taipei City, 23561
TWN006
Taipei, 10002
TWN011
Taipei, 10002
TWN010
Taipei, 110
TWN008
Taipei, 11217
TWN009
Taipei, 11490
TWN002
Taipei, 116
Italy11 sites
ITA004
Florence, 50134
ITA010
Genoa, Liguria, 16128
ITA002
Milan, Milano, 20162
ITA001
Milan, 20122
ITA009
Milan, 20123
ITA006
Modena, Emilia-Romagna, 41124
ITA007
Monza, 20900
ITA003
Pavia, 27100
ITA011
Reggio Emilia, Emilia-Romagna, 42123
ITA005
Roma, 00168
ITA008
Siena, Tuscany, 53100
United Kingdom11 sites
GBR005
Aberdeen, AB25 2ZN
GBR008
Birmingham, West Midlands, B9 5SS
GBR001
Cambridge, CB2 OAY
GBR002
Dundee, DD1 9SY
GBR004
Liverpool, L14 3PE
GBR007
London, EC1A 7BE
GBR010
London, NW32QG
GBR003
London, SW3 6NP
GBR009
Plymouth, Devon, PL6 8BQ
GBR012
Salford, Lancashire, M6 8HD
GBR013
Swansea, West Glamorgan, SA6 6NL
South Korea9 sites
KOR008
Ansan-si, Gyeonggido, 15355
KOR006
Incheon, 22332
KOR007
Seongbuk-Gu, Seoul Teugbyeolsi, 02841
KOR005
Seongnam-si, Gyeonggido, 13620
KOR004
Seoul, 03722
KOR002
Seoul, 05505
KOR009
Seoul, 06591
KOR003
Seoul, 06973
KOR001
Seoul
Argentina7 sites
ARG003
CArdoba, CArdoba, X5003DCE
ARG004
Ciudad autAnoma de Buenos Aires, Buenos Aires, C1426ABP
ARG002
Córdoba, CArdoba, 5000
ARG005
Quilmes, Buenos Aires, B1878FNR
ARG001
Rosario, Santa Fe Province, S2000DTC
ARG007
San Miguel de Tucumán, Tucumán Province, 4000
ARG006
Villa Vatteone, Buenos Aires, B1853AIK
Israel7 sites
ISR001
Ashkelon, 78100
ISR002
Beer-Yaakov, 70300
ISR007
Haifa, 34362
ISR005
Jerusalem, 91120
ISR003
Petah Tikva, 4910000
ISR004
Ramat Gan, 52621
ISR008
Tel Aviv, Tel Aviv, 64239
Denmark5 sites
DNK004
Aalborg, 9000
DNK002
Aarhus N, 8200
DNK003
Odensa C, 5000
DNK001
Roskilde, Region Sjælland, 4000
DNK005
Vejle, Region Syddanmark, 7100
Chile4 sites
CHL001
Curicó, Maule Region, 3440000
CHL002
Quillota, 2260000
CHL004
Talca
CHL003
Valparaíso, 2340000
New Zealand4 sites
NZL004
Auckland, 1051
NZL001
Christchurch, 8461
NZL002
Hamilton, Waikato Region, 3204
NZL003
Hastings, Hawkes's Bay, 4122
Belgium3 sites
BEL003
Brussels, Brussels Capital, 1000
BEL002
Ghent, 9000
BEL001
Leuven, 3000
Canada3 sites
CAN002
Toronto, Ontario, M5T 2S8
CAN004
Windsor, Ontario, N8X-5A6
CAN003
Winnepeg, Manitoba, R2H 2A6
Greece3 sites
GRC003
Alexandroupoli, 681 00
GRC002
Athens, Attica, 11527
GRC001
Heraklion, 71110
Turkey (Türkiye)3 sites
TUR003
Izmir, 35110
TUR002
Kocaeli, 41380
TUR004
Maltepe, Istanbul, 34844
Austria2 sites
AUT001
Linz, Upper Austria, 4040
AUT003
Wels, OberAsterreich, 4600
About this study
Official title: ENCORE - A Randomized, Double-Blind, Placebo-Controlled, Active Comparator, Multicenter Study to Evaluate the Efficacy and Safety of an Amikacin Liposome Inhalation Suspension (ALIS)-Based Regimen in Adult Subjects With Newly Diagnosed Nontuberculous Mycobacterial (NTM) Lung Infection Caused by Mycobacterium Avium Complex (MAC)
The main objective of this study is to evaluate the efficacy of ALIS (amikacin liposome inhalation suspension) + background regimen (azithromycin [AZI] + ethambutol [ETH]) compared to the ELC (empty liposome control) + background regimen on participant-reported respiratory symptoms at Month 13.
- Conditions
- Mycobacterium Infections, Nontuberculous
- Being tested
- ALIS, Azithromycin, Ethambutol, ELC (matching placebo for ALIS)
- Keywords
- Nontuberculous Mycobacterial Lung Infection, Mycobacterium avium complex, Arikayce®
- Medical subject headings
- Mycobacterium Infections, Nontuberculous, Mycobacterium avium-intracellulare Infection
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
ALISDrug
Also called Amikacin liposome inhalation suspension, ARIKAYCE®
Inhalation via nebulization over approximately 6 to 15 minutes
AzithromycinDrug
Also called AZI, Zithromax
Oral tablet
EthambutolDrug
Also called ETH, Myambutol
Oral tablet
ELC (matching placebo for ALIS)Drug
Also called Empty liposome control
Inhalation via nebulization over approximately 6 to 15 minutes
| Study group | Role | What they receive |
|---|---|---|
| ALIS + Background Regimen | Experimental | Participants will be administered 590 mg of ALIS (amikacin liposome inhalation suspension) once daily. Participants will also be administered azithromycin 250 mg and ethambutol 15 mg/kg, once daily. Receives: Drug: ALIS; Drug: Azithromycin; Drug: Ethambutol |
| ELC + Background Regimen | Placebo comparator | Participants will be administered ELC (empty liposome control), a visually matching placebo to ALIS (amikacin liposome inhalation suspension), once daily. Participants will also be administered azithromycin 250 mg and ETH (ethambutol) 15 mg/kg, once daily. Receives: Drug: Azithromycin; Drug: Ethambutol; Drug: ELC (matching placebo for ALIS) |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change from Baseline in Respiratory Symptom Score at Month 13
Measured: Baseline to Month 13
Secondary outcomes (13)
Percentage of Participants Achieving Durable Culture Conversion at Month 15
Measured: Month 15
Change from Baseline in Fatigue Symptom Score at Month 13
Measured: Baseline to Month 13
Percentage of Participants Achieving Culture Conversion by Month 6
Measured: Month 6
Percentage of Participants Achieving Culture Conversion by Month 12
Measured: Month 12
Percentage of Participants Achieving Culture Conversion by Month 13
Measured: Month 13
Percentage of Participants Achieving Culture Conversion During Treatment
Measured: Baseline to Month 12
Time to Culture Conversion
Measured: Baseline to Month 12
Time to the First Negative Culture
Measured: Baseline to Month 12
Percentage of Participants Who Develop a Mycobacterium avium Complex (MAC) Isolate with Amikacin Minimum Inhibitory Concentration (MIC) ≥ 128 μg/mL More Than One Time
Measured: Baseline to Month 15
Percentage of Participants Achieving Culture Conversion and a Subsequent at Least one MAC Positive Culture in Agar Media or Broth Media in at Least 2 Consecutive Visits With Matching Species and Genome at Screening/ Baseline
Measured: Baseline to Month 15
Percentage of Participants Achieving Culture Conversion and a Subsequently have at least One MAC Positive Culture in Agar Media or Broth Media in at Least 2 Consecutive Visits With Differing Species and/or Genome at Screening/ Baseline
Measured: Baseline to Month 15
Percentage of Participants Meeting the Within-subject Meaningful Change Threshold as Reflected in the Change in Respiratory Symptom Scores Computed From Baseline to Month 13
Measured: Baseline to Month 13
Number of Participants Who Experience an Adverse Event (AEs)
Measured: Baseline to Month 15
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted21 Dec 2020
- Study start1 Apr 2021
- Primary completion21 Nov 2025
- Study completion15 Jan 2026
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Mycobacterium Infections, NontuberculousStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 425 participants (actual)
Sponsor and investigators
- Lead sponsor
- Insmed Incorporated
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04677569
- Sponsor's protocol ID
- INS-416
- Other IDs
- 2020-003079-16, 2023-505273-33-00, 2023
- Acronym
- ENCORE
- Status last verified
- Feb 2026
- First submitted
- 16 Dec 2020
- Last updated
- 3 Feb 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Daley CL, Morimoto K, Thomson R, Van Braeckel E, Hasegawa N, Griffith DE, Flume PA, Chalmers JD, Winthrop KL, Loebinger MR, Serrano D, van Ingen J, Yuen DW, Hassan M, Wu P, Nevoret ML, Mange K, O'Donnell AE; ENCORE Study Group. Amikacin Liposome Inhalation Suspension in Newly Diagnosed Mycobacterium avium Complex Lung Disease: A Phase 3b, Double-blind, Randomized Clinical Trial (ENCORE). Am J Respir Crit Care Med. 2026 Sep 30:aamag530. doi: 10.1093/ajrccm/aamag530. Online ahead of print.
PubMed 42814876Mange KC, Serrano D, Hassan M, Nevoret ML, Yuen DW, McManus S, Podger L, Barnes B, Daley CL. Psychometric validation of the PROMIS Fatigue-Short Form 7a in adults with newly diagnosed or recurrent Mycobacterium avium complex (MAC) lung disease: the ARISE and ENCORE studies. J Patient Rep Outcomes. 2025 Oct 16;9(1):119. doi: 10.1186/s41687-025-00944-8.
PubMed 41100013
Study at a glance
From the registry record, last updated by the sponsor on 3 Feb 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- ENCORE - A Randomized, Double-Blind, Placebo-Controlled, Active Comparator, Multicenter Study to Evaluate the Efficacy and Safety of an Amikacin Liposome Inhalation Suspension (ALIS)-Based Regimen in Adult Subjects With Newly Diagnosed Nontuberculous Mycobacterial (NTM) Lung Infection Caused by Mycobacterium Avium Complex (MAC)
- ClinicalTrials.gov ID
- NCT04677569
- Acronym / sponsor ID
- ENCORE / INS-416
- Conditions
- Mycobacterium Infections, Nontuberculous
- Keywords
- Nontuberculous Mycobacterial Lung Infection, Mycobacterium avium complex, Arikayce®
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 425 participants (actual)
- Lead sponsor
- Insmed IncorporatedIndustry (pharma, biotech, devices)
- Study start
- 1 Apr 2021 (actual)
- Primary completion
- 21 Nov 2025 (actual)
- Study completion
- 15 Jan 2026 (actual)
- First posted
- 21 Dec 2020 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The main objective of this study is to evaluate the efficacy of ALIS (amikacin liposome inhalation suspension) + background regimen (azithromycin [AZI] + ethambutol [ETH]) compared to the ELC (empty liposome control) + background regimen on participant-reported respiratory symptoms at Month 13.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| ALIS + Background Regimen | Experimental | Drug: ALIS, Drug: Azithromycin, Drug: EthambutolParticipants will be administered 590 mg of ALIS (amikacin liposome inhalation suspension) once daily. Participants will also be administered azithromycin 250 mg and ethambutol 15 mg/kg, once daily. |
| ELC + Background Regimen | Placebo comparator | Drug: Azithromycin, Drug: Ethambutol, Drug: ELC (matching placebo for ALIS)Participants will be administered ELC (empty liposome control), a visually matching placebo to ALIS (amikacin liposome inhalation suspension), once daily. Participants will also be administered azithromycin 250 mg and ETH (ethambutol) 15 mg/kg, once daily. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (13 listed)
- Male or female, ≥ 18 years of age (19 years or older in South Korea, 20 years or older in Japan).
- Current diagnosis of MAC lung infection. MAC or mixed infection with MAC as the dominant species is allowed, with MAC as the intended organism for treatment.
- A chest computerized tomography (CT) scan, read locally, within 6 months prior to Screening to determine presence and size of pulmonary cavities. Participants who do not have a chest CT scan within 6 months prior to Screening will be required to obtain a chest CT scan, read locally, during Screening.
- Willingness and ability to adhere to prescribed study treatment during the study.
- Women of childbearing potential (WOCBP) (ie, fertile following menarche and until becoming postmenopausal unless permanently sterile) and fertile men (ie, all men after puberty unless permanently sterile by bilateral orchidectomy) agree to practice a highly effective method of birth control from Day 1 to at least 90 days after the last dose. Examples of such birth controls are:
Key exclusion criteria (19 listed)
- Diagnosis of cystic fibrosis (CF).
- History of more than 3 MAC lung infections (a 4th MAC lung infection is not eligible)
- Received any mycobacterial antibiotic treatment for current MAC lung infection
- Refractory MAC lung infection, defined as having positive MAC cultures while being treated with a multidrug mycobacterial antibiotic treatment regimen for a minimum of 6 consecutive months and no documented successful treatment, defined as negative sputum culture for MAC and cessation of treatment
- Relapse of prior MAC lung infection, defined as positive sputum culture for MAC ≤6 months of cessation of prior successful treatment
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| ALISAlso: Amikacin liposome inhalation suspension, ARIKAYCE®Inhalation via nebulization over approximately 6 to 15 minutes | Drug | ALIS + Background Regimen |
| AzithromycinAlso: AZI, ZithromaxOral tablet | Drug | ALIS + Background Regimen, ELC + Background Regimen |
| EthambutolAlso: ETH, MyambutolOral tablet | Drug | ALIS + Background Regimen, ELC + Background Regimen |
| ELC (matching placebo for ALIS)Also: Empty liposome controlInhalation via nebulization over approximately 6 to 15 minutes | Drug | ELC + Background Regimen |
Primary outcome
Change from Baseline in Respiratory Symptom Score at Month 13
Time frame: Baseline to Month 13
13 secondary outcomes
Percentage of Participants Achieving Durable Culture Conversion at Month 15
Time frame: Month 15
Change from Baseline in Fatigue Symptom Score at Month 13
Time frame: Baseline to Month 13
Percentage of Participants Achieving Culture Conversion by Month 6
Time frame: Month 6
Percentage of Participants Achieving Culture Conversion by Month 12
Time frame: Month 12
Percentage of Participants Achieving Culture Conversion by Month 13
Time frame: Month 13
Percentage of Participants Achieving Culture Conversion During Treatment
Time frame: Baseline to Month 12
Time to Culture Conversion
Time frame: Baseline to Month 12
Time to the First Negative Culture
Time frame: Baseline to Month 12
Percentage of Participants Who Develop a Mycobacterium avium Complex (MAC) Isolate with Amikacin Minimum Inhibitory Concentration (MIC) ≥ 128 μg/mL More Than One Time
Time frame: Baseline to Month 15
Percentage of Participants Achieving Culture Conversion and a Subsequent at Least one MAC Positive Culture in Agar Media or Broth Media in at Least 2 Consecutive Visits With Matching Species and Genome at Screening/ Baseline
Time frame: Baseline to Month 15
Percentage of Participants Achieving Culture Conversion and a Subsequently have at least One MAC Positive Culture in Agar Media or Broth Media in at Least 2 Consecutive Visits With Differing Species and/or Genome at Screening/ Baseline
Time frame: Baseline to Month 15
Percentage of Participants Meeting the Within-subject Meaningful Change Threshold as Reflected in the Change in Respiratory Symptom Scores Computed From Baseline to Month 13
Time frame: Baseline to Month 13
Number of Participants Who Experience an Adverse Event (AEs)
Time frame: Baseline to Month 15
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 3 Feb 2026.
- Derived from this study: PubMed 42814876Daley CL, Morimoto K, Thomson R, Van Braeckel E, Hasegawa N, Griffith DE, Flume PA, Chalmers JD, Winthrop KL, Loebinger MR, Serrano D, van Ingen J, Yuen DW, Hassan M, Wu P, Nevoret ML, Mange K, O'Donnell AE; ENCORE Study Group. Amikacin Liposome Inhalation Suspension in Newly Diagnosed Mycobacterium avium Complex Lung Disease: A Phase 3b, Double-blind, Randomized Clinical Trial (ENCORE). Am J Respir Crit Care Med. 2026 Sep 30:aamag530. doi: 10.1093/ajrccm/aamag530. Online ahead of print.
- Derived from this study: PubMed 41100013Mange KC, Serrano D, Hassan M, Nevoret ML, Yuen DW, McManus S, Podger L, Barnes B, Daley CL. Psychometric validation of the PROMIS Fatigue-Short Form 7a in adults with newly diagnosed or recurrent Mycobacterium avium complex (MAC) lung disease: the ARISE and ENCORE studies. J Patient Rep Outcomes. 2025 Oct 16;9(1):119. doi: 10.1186/s41687-025-00944-8.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
258 sites in 23 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing ALIS, Azithromycin and Ethambutol in people with Mycobacterium Infections, Nontuberculous, run by Insmed Incorporated at 258 sites in 23 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 13 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 3 Feb 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 258 sites in United States, Japan, Australia, France, Germany and 18 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?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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 from Baseline in Respiratory Symptom Score at Month 13 (time frame: Baseline to Month 13). 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 NCT04677569, 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 3 Feb 2026.