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Long-term Safety Follow-up Study in the Prevention of Bronchiolitis Obliterans Syndrome (BOS)

Primary Purpose

Bronchiolitis Obliterans

Status
Terminated
Phase
Phase 3
Locations
Germany
Study Type
Interventional
Intervention
Inhalation
Sponsored by
Pari Pharma GmbH
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Bronchiolitis Obliterans focused on measuring Inhalation, Lung Transplantation, Cyclosporine

Eligibility Criteria

18 Years - 80 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Patient has completed the L-CsA clinical trial 12011.201
  2. Patient is capable of understanding the purpose and risks of the follow-up study, has been fully informed and has given written informed consent to participate in the study
  3. Female patients of child bearing potential must test negative on standard urine pregnancy test prior to continuation and must agree to practice effective birth control during the study
  4. Estimated life expectancy > 6 months
  5. Capable of self-administration of medications
  6. Patient has stable creatinine levels

Exclusion Criteria:

  1. Patients with ongoing irreversible L-CsA related serious adverse events
  2. Patients with known hypersensitivity for ciclosporin A
  3. Patient intends to participate in another IMP clinical trial other than listed in the inclusion criteria
  4. Patient receives mechanical ventilation
  5. Patients underwent pulmonary re-transplantation
  6. Patient is a pregnant or breast-feeding woman
  7. Patient is unlikely to comply with visits, inhalation procedures or spirometric measurements scheduled in the protocol
  8. Patient receives any systemic or topical Rosuvastatin
  9. Patient has been previously enrolled in this study
  10. Patient with malignancy diagnosed during study 12011.201 (with the exception of skin cancer)
  11. Documented respiratory infections unless on appropriate antimicrobial therapy with evidence of clinical response
  12. Patient is not eligible to continue IMP inhalation according to the Investigator's discretion

Sites / Locations

  • PARI Pharma GmbH

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

L-CsA

Arm Description

Twice daily inhalation of L-CsA

Outcomes

Primary Outcome Measures

Long-term safety of L-CsA in prevention of bronchiolitis obliterans syndrome (BOS)
Safety will be assesses by the numbers of treatment Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs) and overall rate of mortality.

Secondary Outcome Measures

Long-term efficacy outcome over a maximum of three years of patients previously enrolled in phase II/III L-CsA clinical trial 12011.201
Efficacy will be assessed mainly for the following efficacy endpoints: BOS-free survival Incidence of BOS Pulmonary function

Full Information

First Posted
September 22, 2011
Last Updated
April 13, 2015
Sponsor
Pari Pharma GmbH
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1. Study Identification

Unique Protocol Identification Number
NCT01439958
Brief Title
Long-term Safety Follow-up Study in the Prevention of Bronchiolitis Obliterans Syndrome (BOS)
Official Title
A Long-term Safety Follow-up Study of L-CsA Therapy for Patients Who Participated in Study 12011.201 and Volunteered to Continue or to Cross-over to L-CsA Inhalation Therapy
Study Type
Interventional

2. Study Status

Record Verification Date
April 2015
Overall Recruitment Status
Terminated
Why Stopped
Core study 12011.201 was terminated.
Study Start Date
February 2012 (undefined)
Primary Completion Date
July 2013 (Actual)
Study Completion Date
December 2014 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Pari Pharma GmbH

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to evaluate long-term safety of L-CsA in prevention of bronchiolitis obliterans syndrome (BOS) following lung transplantation (LTx) in patients previously enrolled in phase II/III L-CsA clinical trial 12011.201.
Detailed Description
This is an uncontrolled extension study open only to patients who completed the Phase II/III core study 12011.201 and volunteered to continue or to cross-over to L-CsA inhalation therapy. Determination of long-term safety and efficacy outcome over a maximum of three years will be assessed.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Bronchiolitis Obliterans
Keywords
Inhalation, Lung Transplantation, Cyclosporine

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 3
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
14 (Actual)

8. Arms, Groups, and Interventions

Arm Title
L-CsA
Arm Type
Experimental
Arm Description
Twice daily inhalation of L-CsA
Intervention Type
Drug
Intervention Name(s)
Inhalation
Other Intervention Name(s)
aerosolized liposomal CsA
Intervention Description
Twice daily inhalation for a maximum of three years.
Primary Outcome Measure Information:
Title
Long-term safety of L-CsA in prevention of bronchiolitis obliterans syndrome (BOS)
Description
Safety will be assesses by the numbers of treatment Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs) and overall rate of mortality.
Time Frame
3 years
Secondary Outcome Measure Information:
Title
Long-term efficacy outcome over a maximum of three years of patients previously enrolled in phase II/III L-CsA clinical trial 12011.201
Description
Efficacy will be assessed mainly for the following efficacy endpoints: BOS-free survival Incidence of BOS Pulmonary function
Time Frame
3 years

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patient has completed the L-CsA clinical trial 12011.201 Patient is capable of understanding the purpose and risks of the follow-up study, has been fully informed and has given written informed consent to participate in the study Female patients of child bearing potential must test negative on standard urine pregnancy test prior to continuation and must agree to practice effective birth control during the study Estimated life expectancy > 6 months Capable of self-administration of medications Patient has stable creatinine levels Exclusion Criteria: Patients with ongoing irreversible L-CsA related serious adverse events Patients with known hypersensitivity for ciclosporin A Patient intends to participate in another IMP clinical trial other than listed in the inclusion criteria Patient receives mechanical ventilation Patients underwent pulmonary re-transplantation Patient is a pregnant or breast-feeding woman Patient is unlikely to comply with visits, inhalation procedures or spirometric measurements scheduled in the protocol Patient receives any systemic or topical Rosuvastatin Patient has been previously enrolled in this study Patient with malignancy diagnosed during study 12011.201 (with the exception of skin cancer) Documented respiratory infections unless on appropriate antimicrobial therapy with evidence of clinical response Patient is not eligible to continue IMP inhalation according to the Investigator's discretion
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Claus Neurohr, MD
Organizational Affiliation
Ludwig-Maximilians - University of Munich
Official's Role
Principal Investigator
Facility Information:
Facility Name
PARI Pharma GmbH
City
Graefelfing
ZIP/Postal Code
82166
Country
Germany

12. IPD Sharing Statement

Learn more about this trial

Long-term Safety Follow-up Study in the Prevention of Bronchiolitis Obliterans Syndrome (BOS)

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