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Tobramycin Inhalation Powder (TIP) Administered Once Daily Continuously Versus TIP Administered BID in 28 Day on / 28 Day Off Cycles

Primary Purpose

Cystic Fibrosis

Status
Terminated
Phase
Phase 4
Locations
United States
Study Type
Interventional
Intervention
Tobramycin Inhalation Powder
Sponsored by
Novartis Pharmaceuticals
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

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

Eligibility Criteria

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

Inclusion Criteria:

  1. Provide written informed consent, HIPPA (Health Insurance Portability and Accountability Act) authorization (where applicable), and assent (as appropriate) prior to the performance of any study-related procedure.
  2. Confirmed diagnosis of CF
  3. FEV1 at screening (Visit 1) ≥25% and ≤ 80% of normal predicted values for age, sex, and height
  4. P. aeruginosa must be present within 6 months prior to screening and at screening
  5. Able to comply with all protocol requirements
  6. Clinically stable in the opinion of the investigator

Exclusion Criteria:

  1. History of Burkholderia cenocepacia (Bcc) complex within 2 years prior to screening and/or Bcc complex at screening
  2. Hemoptysis more than 60 cc at any time within 30 days prior to study drug administration
  3. History of hearing loss or chronic tinnitus deemed clinically significant by the investigator
  4. Serum creatinine 2 mg/dL or greater, BUN 40 mg/dL or greater, or an abnormal urinalysis defined as 2+ or greater proteinuria at screening
  5. Known local or systemic hypersensitivity to aminoglycosides or inhaled antibiotics
  6. Patients who are unable to discontinue previously received inhaled antibiotic regimen(s) (inhaled antibiotics are not allowed other than study drug)
  7. Use of inhaled aminoglycosides within 28 days prior to study drug administration (Visit 2)
  8. Use of systemic anti-pseudomonal antibiotics within 28 days prior to study drug administration
  9. Use of loop diuretics within 7 days prior to study drug administration
  10. Administration of any investigational drug within 30 days prior to enrollment or 5 half-lives, whichever is longer
  11. Signs and symptoms of acute pulmonary disease, e.g , pneumonia, pneumothorax
  12. Hospitalization during the baseline visit
  13. History of malignancy
  14. Patients with clinically significant laboratory abnormalities (not associated with the study indication) at screening
  15. Patients with other clinically significant conditions (not associated with the study indication) which might interfere with the assessment of this study
  16. Patients or caregivers with a history of noncompliance to medical regimens and patients or caregivers who are considered potentially unreliable
  17. Pregnant or nursing (lactating) women
  18. Women of child-bearing potential, defined as all women physiologically capable of becoming pregnant, including women whose career, lifestyle, or sexual orientation precludes intercourse with a male partner and women whose partners have been sterilized by vasectomy or other means, UNLESS they are using two birth control methods.

Other protocol-defined inclusion/exclusion criteria may apply.

Sites / Locations

  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

Arm 1

Arm 2

Arm Description

Tobramycin Inhalation Powder (112 mg) once daily during 168 days

Tobramycin Inhalation Powder (112 mg) twice daily on days 1-28, days 57-84 and days 113-140

Outcomes

Primary Outcome Measures

Change From Baseline in Forced Expiratory Volume in 1 Second ( FEV1) Percent Predicted
The Forced Expiratory Volume in 1 second (FEV1) percent predicted expresses FEV1 as a percentage of the "predicted values" for participants of similar characteristics (height, age, sex, and sometimes race and weight). A positive change from baseline in FEV1 percent predicted indicates improvement in lung function.

Secondary Outcome Measures

Percent Change From Baseline in Forced Expiratory Volume in 1 Second (FEV1) Percent Predicted
The Forced Expiratory Volume in 1 second (FEV1) percent predicted expresses FEV1 as a percentage of the "predicted values" for participants of similar characteristics (height, age, sex, and sometimes race and weight). A positive change from baseline in FEV1 percent predicted indicates improvement in lung function.
Percent Change From Baseline in Forced Vital Capacity (FVC) Percent Predicted
Forced Vital Capacity (FVC) is the amount of air which can be forcibly exhaled from the lungs after taking the deepest breath possible. FVC will be assessed via spirometry. A positive change from baseline in FVC indicates improvement in lung function.
Percent Change From Baseline in Forced Expiratory Flow (FEF) 25%-75% Predicted
The Forced Expiratory Flow (FEF) 25%-75% measurement describes the amount of air expelled from the lungs during the middle half (25% - 75%) of the forced vital capacity test and is measured using spirometry. A positive change from baseline in FEF indicates improvement in lung function. The predicted percent will be assessed.
Change From Baseline in Pseudomonas Aeruginosa Sputum Density
Change from baseline in Pseudomonas aeruginosa sputum density will be measured by log10 colony forming units per gram of sputum.
Time to First Hospitalization Due to Respiratory-related Events
Time to the first hospitalization due to respiratory-related events (number of days) per patient.
Percentage of Patients With Hospitalizations Due to Respiratory-related Events
Percentage of patients with hospitalization due to respiratory-related events
Length of Hospital Stay Due to Respiratory-related Events
The number of days in length of hospital stay per patient due to respiratory-related events will be measured.
Time to First Usage of Anti-pseudomonal Antibiotic
Time to first usage of anti-pseudomonal antibiotic per patient will be assessed by number of days
Percentage of Patients Who Use Anti-pseudomonal Antibiotic
Percentage of patients who use anti-pseudomonal antibiotic will be assessed.
Duration of Use of Anti-pseudomonal Antibiotic
Number of days of use of anti-pseudomonal antibiotic per patient will be assessed.
Change From Baseline in Tobramycin Minimal Inhibitory Concentration for Pseudomonas Aeruginosa
Change from baseline in tobramycin minimal inhibitory concentration for Pseudomonas aeruginosa will be measured by laboratory testing.

Full Information

First Posted
December 13, 2013
Last Updated
February 8, 2017
Sponsor
Novartis Pharmaceuticals
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1. Study Identification

Unique Protocol Identification Number
NCT02015663
Brief Title
Tobramycin Inhalation Powder (TIP) Administered Once Daily Continuously Versus TIP Administered BID in 28 Day on / 28 Day Off Cycles
Official Title
A 24-week, Open-label, Parallel-group, Interventional Phase IV Study Comparing Tobramycin Inhalation Powder (TIP) Administered Once Daily Continuously Versus TIP Administered BID in 28 Day on / 28 Day Off Cycles for the Treatment of Pulmonary Pseudomonas Aeruginosa in Patients With Cystic Fibrosis
Study Type
Interventional

2. Study Status

Record Verification Date
February 2017
Overall Recruitment Status
Terminated
Study Start Date
January 2014 (undefined)
Primary Completion Date
December 2014 (Actual)
Study Completion Date
December 2014 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Novartis Pharmaceuticals

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
To provide efficacy and safety data comparing two dosing schedules of Tobramycin Inhalation Powder (TIP) for the treatment of pulmonary Pseudomonas aeruginosa in patients with cystic fibrosis.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 4
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
32 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Arm 1
Arm Type
Experimental
Arm Description
Tobramycin Inhalation Powder (112 mg) once daily during 168 days
Arm Title
Arm 2
Arm Type
Active Comparator
Arm Description
Tobramycin Inhalation Powder (112 mg) twice daily on days 1-28, days 57-84 and days 113-140
Intervention Type
Drug
Intervention Name(s)
Tobramycin Inhalation Powder
Intervention Description
Tobramycin Inhalation Powder 112 mg (four 28-mg capsules) taken via inhaler once or twice a day, depending on study arm
Primary Outcome Measure Information:
Title
Change From Baseline in Forced Expiratory Volume in 1 Second ( FEV1) Percent Predicted
Description
The Forced Expiratory Volume in 1 second (FEV1) percent predicted expresses FEV1 as a percentage of the "predicted values" for participants of similar characteristics (height, age, sex, and sometimes race and weight). A positive change from baseline in FEV1 percent predicted indicates improvement in lung function.
Time Frame
Baseline and Day 168
Secondary Outcome Measure Information:
Title
Percent Change From Baseline in Forced Expiratory Volume in 1 Second (FEV1) Percent Predicted
Description
The Forced Expiratory Volume in 1 second (FEV1) percent predicted expresses FEV1 as a percentage of the "predicted values" for participants of similar characteristics (height, age, sex, and sometimes race and weight). A positive change from baseline in FEV1 percent predicted indicates improvement in lung function.
Time Frame
Baseline and Day 168
Title
Percent Change From Baseline in Forced Vital Capacity (FVC) Percent Predicted
Description
Forced Vital Capacity (FVC) is the amount of air which can be forcibly exhaled from the lungs after taking the deepest breath possible. FVC will be assessed via spirometry. A positive change from baseline in FVC indicates improvement in lung function.
Time Frame
Baseline and Day 168
Title
Percent Change From Baseline in Forced Expiratory Flow (FEF) 25%-75% Predicted
Description
The Forced Expiratory Flow (FEF) 25%-75% measurement describes the amount of air expelled from the lungs during the middle half (25% - 75%) of the forced vital capacity test and is measured using spirometry. A positive change from baseline in FEF indicates improvement in lung function. The predicted percent will be assessed.
Time Frame
Baseline and day 168
Title
Change From Baseline in Pseudomonas Aeruginosa Sputum Density
Description
Change from baseline in Pseudomonas aeruginosa sputum density will be measured by log10 colony forming units per gram of sputum.
Time Frame
Baseline and day 168
Title
Time to First Hospitalization Due to Respiratory-related Events
Description
Time to the first hospitalization due to respiratory-related events (number of days) per patient.
Time Frame
Day 1 to day 168
Title
Percentage of Patients With Hospitalizations Due to Respiratory-related Events
Description
Percentage of patients with hospitalization due to respiratory-related events
Time Frame
Day 1 to day 168
Title
Length of Hospital Stay Due to Respiratory-related Events
Description
The number of days in length of hospital stay per patient due to respiratory-related events will be measured.
Time Frame
Day 1 to day 168
Title
Time to First Usage of Anti-pseudomonal Antibiotic
Description
Time to first usage of anti-pseudomonal antibiotic per patient will be assessed by number of days
Time Frame
Day 1 to day 168
Title
Percentage of Patients Who Use Anti-pseudomonal Antibiotic
Description
Percentage of patients who use anti-pseudomonal antibiotic will be assessed.
Time Frame
Day 1 to day 168
Title
Duration of Use of Anti-pseudomonal Antibiotic
Description
Number of days of use of anti-pseudomonal antibiotic per patient will be assessed.
Time Frame
Day 1 to day 168
Title
Change From Baseline in Tobramycin Minimal Inhibitory Concentration for Pseudomonas Aeruginosa
Description
Change from baseline in tobramycin minimal inhibitory concentration for Pseudomonas aeruginosa will be measured by laboratory testing.
Time Frame
Baseline and day 168

10. Eligibility

Sex
All
Minimum Age & Unit of Time
6 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Provide written informed consent, HIPPA (Health Insurance Portability and Accountability Act) authorization (where applicable), and assent (as appropriate) prior to the performance of any study-related procedure. Confirmed diagnosis of CF FEV1 at screening (Visit 1) ≥25% and ≤ 80% of normal predicted values for age, sex, and height P. aeruginosa must be present within 6 months prior to screening and at screening Able to comply with all protocol requirements Clinically stable in the opinion of the investigator Exclusion Criteria: History of Burkholderia cenocepacia (Bcc) complex within 2 years prior to screening and/or Bcc complex at screening Hemoptysis more than 60 cc at any time within 30 days prior to study drug administration History of hearing loss or chronic tinnitus deemed clinically significant by the investigator Serum creatinine 2 mg/dL or greater, BUN 40 mg/dL or greater, or an abnormal urinalysis defined as 2+ or greater proteinuria at screening Known local or systemic hypersensitivity to aminoglycosides or inhaled antibiotics Patients who are unable to discontinue previously received inhaled antibiotic regimen(s) (inhaled antibiotics are not allowed other than study drug) Use of inhaled aminoglycosides within 28 days prior to study drug administration (Visit 2) Use of systemic anti-pseudomonal antibiotics within 28 days prior to study drug administration Use of loop diuretics within 7 days prior to study drug administration Administration of any investigational drug within 30 days prior to enrollment or 5 half-lives, whichever is longer Signs and symptoms of acute pulmonary disease, e.g , pneumonia, pneumothorax Hospitalization during the baseline visit History of malignancy Patients with clinically significant laboratory abnormalities (not associated with the study indication) at screening Patients with other clinically significant conditions (not associated with the study indication) which might interfere with the assessment of this study Patients or caregivers with a history of noncompliance to medical regimens and patients or caregivers who are considered potentially unreliable Pregnant or nursing (lactating) women Women of child-bearing potential, defined as all women physiologically capable of becoming pregnant, including women whose career, lifestyle, or sexual orientation precludes intercourse with a male partner and women whose partners have been sterilized by vasectomy or other means, UNLESS they are using two birth control methods. Other protocol-defined inclusion/exclusion criteria may apply.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Novartis Pharmaceuticals
Organizational Affiliation
Novartis Pharmaceuticals
Official's Role
Study Director
Facility Information:
Facility Name
Novartis Investigative Site
City
Mobile
State/Province
Alabama
ZIP/Postal Code
36608-1128
Country
United States
Facility Name
Novartis Investigative Site
City
Los Angeles
State/Province
California
ZIP/Postal Code
90027
Country
United States
Facility Name
Novartis Investigative Site
City
Sacramento
State/Province
California
ZIP/Postal Code
95819
Country
United States
Facility Name
Novartis Investigative Site
City
Ventura
State/Province
California
ZIP/Postal Code
93003
Country
United States
Facility Name
Novartis Investigative Site
City
Altamonte Springs
State/Province
Florida
ZIP/Postal Code
32701
Country
United States
Facility Name
Novartis Investigative Site
City
Jacksonville
State/Province
Florida
ZIP/Postal Code
32207
Country
United States
Facility Name
Novartis Investigative Site
City
Miami
State/Province
Florida
ZIP/Postal Code
33136
Country
United States
Facility Name
Novartis Investigative Site
City
Orlando
State/Province
Florida
ZIP/Postal Code
32806
Country
United States
Facility Name
Novartis Investigative Site
City
Pensacola
State/Province
Florida
ZIP/Postal Code
32504
Country
United States
Facility Name
Novartis Investigative Site
City
Glenview
State/Province
Illinois
ZIP/Postal Code
60025
Country
United States
Facility Name
Novartis Investigative Site
City
Indianapolis
State/Province
Indiana
ZIP/Postal Code
46202
Country
United States
Facility Name
Novartis Investigative Site
City
Iowa City
State/Province
Iowa
ZIP/Postal Code
52242
Country
United States
Facility Name
Novartis Investigative Site
City
St. Louis
State/Province
Missouri
ZIP/Postal Code
63104
Country
United States
Facility Name
Novartis Investigative Site
City
New Hyde Park
State/Province
New York
ZIP/Postal Code
11040
Country
United States
Facility Name
Novartis Investigative Site
City
New York
State/Province
New York
ZIP/Postal Code
10595
Country
United States
Facility Name
Novartis Investigative Site
City
Akron
State/Province
Ohio
ZIP/Postal Code
44308
Country
United States
Facility Name
Novartis Investigative Site
City
Oklahoma City
State/Province
Oklahoma
ZIP/Postal Code
73112
Country
United States
Facility Name
Novartis Investigative Site
City
Portland
State/Province
Oregon
ZIP/Postal Code
92772
Country
United States
Facility Name
Novartis Investigative Site
City
Hershey
State/Province
Pennsylvania
ZIP/Postal Code
17033-8050
Country
United States
Facility Name
Novartis Investigative Site
City
Austin
State/Province
Texas
ZIP/Postal Code
78723
Country
United States
Facility Name
Novartis Investigative Site
City
Salt Lake City
State/Province
Utah
ZIP/Postal Code
84132
Country
United States

12. IPD Sharing Statement

Learn more about this trial

Tobramycin Inhalation Powder (TIP) Administered Once Daily Continuously Versus TIP Administered BID in 28 Day on / 28 Day Off Cycles

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