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A Trial of Pulmozyme Withdrawal on Exercise Tolerance in Cystic Fibrosis Subjects With Severe Lung Disease (TOPIC)

Primary Purpose

Cystic Fibrosis

Status
Terminated
Phase
Phase 4
Locations
United States
Study Type
Interventional
Intervention
Dornase alfa
placebo
Sponsored by
Genentech, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Cystic Fibrosis focused on measuring Lung disease, CF, Pulmozyme

Eligibility Criteria

14 Years - undefined (Child, Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Signed Informed Consent Form and, if applicable, Assent Form
  • Age ≥ 14 years old at screening
  • Proven diagnosis of CF
  • Ability to perform acceptable and reproducible spirometry maneuvers at screening
  • FVC ≤ 45% predicted for race, height, age, and sex at screening
  • Chronic use of Pulmozyme for at least 3 months in the last year and daily or twice daily use during the 14 days prior to screening
  • Stable regimen of chest physiotherapy (CPT) for at least 14 days prior to screening
  • Ability to complete the 6-minute walk test at screening
  • Ability to complete the 6-minute walk test and spirometry at Visit 2
  • If on routine tobramycin solution for inhalation (i.e., TOBI®) or other cycled antibiotic therapy, intention to either start or stop therapy at the time of Visit 2 (based on routine therapy cycle; no other planned change in this antibiotic regimen for 28 days before or 28 days after Visit 2)
  • Clinically stable with no change in medications during the 14 days prior to screening

Exclusion Criteria:

  • Use of an investigational drug or device within 28 days prior to screening
  • Previous episode of acute respiratory failure requiring assisted ventilation within 2 years prior to screening
  • Previous lung transplant
  • Any cardiac disease that would contraindicate performing the 6-minute walk test
  • Pregnancy or nursing
  • Known hypersensitivity or other contraindication to the use of Pulmozyme
  • Previous completion or premature discontinuation of study drug or withdrawal from this study
  • More than one prior screening failure for this study at any time or any prior screening failure for this study within the last 28 days

Sites / Locations

  • University of Alabama
  • Childrens Hospital of LA
  • USC Adult CF Center
  • CHOC
  • Capital Allergy Resp Dis Ctr
  • Ventura County Medical Ctr
  • Nat'l Jewish Med/Research Ctr
  • Pulm & Critical Care Assoc
  • Univ of Miami
  • Central Florida Pulmonary Grou
  • Brown Univ School of Medicine
  • Medical College of Georgia
  • Rush Medical Center
  • Univ of Kentucky Med Ctr
  • Univ of Michigan Hlth System
  • Wayne State University
  • Spectrum Hospital
  • Michigan State University
  • Univ of Minnesota Dept of Derm
  • University of Mississippi
  • Pulmonary & Critical Care Med
  • Children's Lung Specialist
  • Monmouth Medical Center
  • Morristown Memorial Hospital
  • St. Peters Univ Hospital
  • University of New Mexico
  • Albany Medical College
  • Long Island Jew Adult CF Ctr
  • SUNY Upstate Medical Univ
  • Duke Pediatric Clinical
  • Rainbow Babies & Child Hosp
  • Toledo Childrens Hospital
  • Santiago Reyes MD-Private Prac
  • CF Solutions, Inc
  • University of Pittsburgh
  • Medical Univ of South Carolina
  • Pediatric Pulmonary Assoc
  • Baylor College of Medicine
  • Alamo Clinical Research Assoc
  • W Virginia Univ Health Sci Ctr

Arms of the Study

Arm 1

Arm 2

Arm Type

Placebo Comparator

Experimental

Arm Label

Placebo

Dornase alfa

Arm Description

Outcomes

Primary Outcome Measures

Change in Distance Walked in the 6-minute Walk Test
Change in distance walked was defined as (distance walked in 6 minutes at baseline [Day 0]) - (distance walked in 6 minutes at Day 14) in meters.

Secondary Outcome Measures

Change in Pulmonary Function as Measured by FEV1 and FVC
FEV1 (forced expiratory volume in 1 second) and FVC (forced vital capacity) were recorded at Day 0 (baseline) and Day 14. Change in FEV1 and FVC from baseline to Day 14 was reported as a percentage of values predicted for age, height, and race.

Full Information

First Posted
February 11, 2007
Last Updated
May 12, 2017
Sponsor
Genentech, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT00434278
Brief Title
A Trial of Pulmozyme Withdrawal on Exercise Tolerance in Cystic Fibrosis Subjects With Severe Lung Disease (TOPIC)
Official Title
A Multicenter, Randomized, Double-Blind, Placebo-Controlled Trial of Pulmozyme Withdrawal on Exercise Tolerance in Cystic Fibrosis Subjects With Severe Lung Disease
Study Type
Interventional

2. Study Status

Record Verification Date
May 2017
Overall Recruitment Status
Terminated
Why Stopped
This study was terminated for administrative reasons. There were no safety concerns.
Study Start Date
March 2007 (undefined)
Primary Completion Date
November 2008 (Actual)
Study Completion Date
November 2008 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Genentech, Inc.

4. Oversight

5. Study Description

Brief Summary
This was a multicenter, randomized, double-blind, placebo-controlled study of patients with severe, though stable, cystic fibrosis (CF) whose routine treatment included Pulmozyme. Patients were randomized to either continue Pulmozyme or have therapy withdrawn for 2 weeks (placebo group). Patients must have had stable CF symptoms without any change in therapy for 2 weeks prior to enrollment in order to participate.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Cystic Fibrosis
Keywords
Lung disease, CF, Pulmozyme

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 4
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
27 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Title
Dornase alfa
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
Dornase alfa
Other Intervention Name(s)
Pulmozyme
Intervention Description
2.5 mg inhalation dose twice daily for 14±2 days
Intervention Type
Drug
Intervention Name(s)
placebo
Intervention Description
2.5 mg inhalation dose twice daily for 14±2 days
Primary Outcome Measure Information:
Title
Change in Distance Walked in the 6-minute Walk Test
Description
Change in distance walked was defined as (distance walked in 6 minutes at baseline [Day 0]) - (distance walked in 6 minutes at Day 14) in meters.
Time Frame
From baseline to Day 14
Secondary Outcome Measure Information:
Title
Change in Pulmonary Function as Measured by FEV1 and FVC
Description
FEV1 (forced expiratory volume in 1 second) and FVC (forced vital capacity) were recorded at Day 0 (baseline) and Day 14. Change in FEV1 and FVC from baseline to Day 14 was reported as a percentage of values predicted for age, height, and race.
Time Frame
From baseline to Day 14

10. Eligibility

Sex
All
Minimum Age & Unit of Time
14 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Signed Informed Consent Form and, if applicable, Assent Form Age ≥ 14 years old at screening Proven diagnosis of CF Ability to perform acceptable and reproducible spirometry maneuvers at screening FVC ≤ 45% predicted for race, height, age, and sex at screening Chronic use of Pulmozyme for at least 3 months in the last year and daily or twice daily use during the 14 days prior to screening Stable regimen of chest physiotherapy (CPT) for at least 14 days prior to screening Ability to complete the 6-minute walk test at screening Ability to complete the 6-minute walk test and spirometry at Visit 2 If on routine tobramycin solution for inhalation (i.e., TOBI®) or other cycled antibiotic therapy, intention to either start or stop therapy at the time of Visit 2 (based on routine therapy cycle; no other planned change in this antibiotic regimen for 28 days before or 28 days after Visit 2) Clinically stable with no change in medications during the 14 days prior to screening Exclusion Criteria: Use of an investigational drug or device within 28 days prior to screening Previous episode of acute respiratory failure requiring assisted ventilation within 2 years prior to screening Previous lung transplant Any cardiac disease that would contraindicate performing the 6-minute walk test Pregnancy or nursing Known hypersensitivity or other contraindication to the use of Pulmozyme Previous completion or premature discontinuation of study drug or withdrawal from this study More than one prior screening failure for this study at any time or any prior screening failure for this study within the last 28 days
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Michelle Freemer, M.D.
Organizational Affiliation
Genentech, Inc.
Official's Role
Study Director
Facility Information:
Facility Name
University of Alabama
City
Birmingham
State/Province
Alabama
ZIP/Postal Code
35233
Country
United States
Facility Name
Childrens Hospital of LA
City
Los Angeles
State/Province
California
ZIP/Postal Code
90027
Country
United States
Facility Name
USC Adult CF Center
City
Los Angeles
State/Province
California
ZIP/Postal Code
90033
Country
United States
Facility Name
CHOC
City
Orange
State/Province
California
ZIP/Postal Code
92868
Country
United States
Facility Name
Capital Allergy Resp Dis Ctr
City
Sacramento
State/Province
California
ZIP/Postal Code
95819
Country
United States
Facility Name
Ventura County Medical Ctr
City
Ventura
State/Province
California
ZIP/Postal Code
93003
Country
United States
Facility Name
Nat'l Jewish Med/Research Ctr
City
Denver
State/Province
Colorado
ZIP/Postal Code
80206
Country
United States
Facility Name
Pulm & Critical Care Assoc
City
Jacksonville
State/Province
Florida
ZIP/Postal Code
32204
Country
United States
Facility Name
Univ of Miami
City
Miami
State/Province
Florida
ZIP/Postal Code
33136
Country
United States
Facility Name
Central Florida Pulmonary Grou
City
Orlando
State/Province
Florida
ZIP/Postal Code
32803
Country
United States
Facility Name
Brown Univ School of Medicine
City
Atlanta
State/Province
Georgia
ZIP/Postal Code
30322
Country
United States
Facility Name
Medical College of Georgia
City
Augusta
State/Province
Georgia
ZIP/Postal Code
30912
Country
United States
Facility Name
Rush Medical Center
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60612
Country
United States
Facility Name
Univ of Kentucky Med Ctr
City
Lexington
State/Province
Kentucky
ZIP/Postal Code
40536
Country
United States
Facility Name
Univ of Michigan Hlth System
City
Ann Arbor
State/Province
Michigan
ZIP/Postal Code
48109-5212
Country
United States
Facility Name
Wayne State University
City
Detroit
State/Province
Michigan
ZIP/Postal Code
48201
Country
United States
Facility Name
Spectrum Hospital
City
Grand Rapids
State/Province
Michigan
ZIP/Postal Code
49503
Country
United States
Facility Name
Michigan State University
City
Kalamazoo
State/Province
Michigan
ZIP/Postal Code
49008
Country
United States
Facility Name
Univ of Minnesota Dept of Derm
City
Minneapolis
State/Province
Minnesota
ZIP/Postal Code
55455
Country
United States
Facility Name
University of Mississippi
City
Jackson
State/Province
Mississippi
ZIP/Postal Code
39216-4505
Country
United States
Facility Name
Pulmonary & Critical Care Med
City
Saint Louis
State/Province
Missouri
ZIP/Postal Code
63110
Country
United States
Facility Name
Children's Lung Specialist
City
Las Vegas
State/Province
Nevada
ZIP/Postal Code
89107
Country
United States
Facility Name
Monmouth Medical Center
City
Long Branch
State/Province
New Jersey
ZIP/Postal Code
07740
Country
United States
Facility Name
Morristown Memorial Hospital
City
Morristown
State/Province
New Jersey
ZIP/Postal Code
07962
Country
United States
Facility Name
St. Peters Univ Hospital
City
New Brunswick
State/Province
New Jersey
ZIP/Postal Code
08901
Country
United States
Facility Name
University of New Mexico
City
Albuquerque
State/Province
New Mexico
ZIP/Postal Code
87131-0001
Country
United States
Facility Name
Albany Medical College
City
Albany
State/Province
New York
ZIP/Postal Code
12208
Country
United States
Facility Name
Long Island Jew Adult CF Ctr
City
New Hyde Park
State/Province
New York
ZIP/Postal Code
11040
Country
United States
Facility Name
SUNY Upstate Medical Univ
City
Syracuse
State/Province
New York
ZIP/Postal Code
13210
Country
United States
Facility Name
Duke Pediatric Clinical
City
Durham
State/Province
North Carolina
ZIP/Postal Code
27710
Country
United States
Facility Name
Rainbow Babies & Child Hosp
City
Cleveland
State/Province
Ohio
ZIP/Postal Code
44106
Country
United States
Facility Name
Toledo Childrens Hospital
City
Toledo
State/Province
Ohio
ZIP/Postal Code
43606
Country
United States
Facility Name
Santiago Reyes MD-Private Prac
City
Oklahoma City
State/Province
Oklahoma
ZIP/Postal Code
73112
Country
United States
Facility Name
CF Solutions, Inc
City
Tulsa
State/Province
Oklahoma
ZIP/Postal Code
74145
Country
United States
Facility Name
University of Pittsburgh
City
Pittsburgh
State/Province
Pennsylvania
ZIP/Postal Code
15260
Country
United States
Facility Name
Medical Univ of South Carolina
City
Charleston
State/Province
South Carolina
ZIP/Postal Code
29425
Country
United States
Facility Name
Pediatric Pulmonary Assoc
City
Columbia
State/Province
South Carolina
ZIP/Postal Code
29203
Country
United States
Facility Name
Baylor College of Medicine
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States
Facility Name
Alamo Clinical Research Assoc
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78212
Country
United States
Facility Name
W Virginia Univ Health Sci Ctr
City
Morgantown
State/Province
West Virginia
ZIP/Postal Code
26506
Country
United States

12. IPD Sharing Statement

Learn more about this trial

A Trial of Pulmozyme Withdrawal on Exercise Tolerance in Cystic Fibrosis Subjects With Severe Lung Disease (TOPIC)

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