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Anti-Infective Completed with Results
Aztreonam for Inhalation Solution (AZLI) taken in a Continuous Alternating Therapy Regimen for the Treatment of Chronic Pseudomonas aeruginosa lung infections in people with CF (Gilead GS-US-205-0170)
This study evaluated if continuous alternating treatment with two different types of inhaled antibiotics [Aztreonam for Inhalation Solution (Cayston®) and Tobramycin Inhalation Solution (TIS)] , resulted in better outcomes than an intermittent regimen (28 days on/28 days off) of TIS. Participants were randomized to receive either continuous alternating therapy (CAT) or intermittent therapy. Participants in the CAT group received 28 days of Aztreonam for Inhalation Solution followed by 28 days of TIS. The intermittent group received 28 days of placebo followed by 28 days TIS. All participants received 3 cycles of treatment (6 months).
Eligibility
See other primary eligibility criteria for more information.
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Age:
6 Years and Older -
Mutation(s):
No Mutation Requirement -
FEV1% Predicted:
25 to 75%
For more information about the results of this study and where it was conducted, visit ClinicalTrials.gov.
Other Primary Eligibility Criteria
History of at least 1 hospitalization or 1 course of intravenous (IV) antibiotics for an acute respiratory exacerbation within the previous 12 months from Screening
Study Results
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What We Learned:
This study was closed early due to poor enrollment. No significant conclusions could be drawn.
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Primary Findings:
Effectiveness:
This study was conducted between December 2012 and January 2015. Of the 88 participants who received study drug, 42 received CAT and 46 received the intermittent treatment. A total of 72 participants completed the treatment phase (CAT: N=36 and Intermittent: N=36). The study was ultimately closed to enrollment early because a feasibility assessment during the study indicated that the enrollment goal would not be reached. Feasibility issues included competing CF trials, increasing use of CAT as standard of care, and the approval of a dry powder formulation of inhaled tobramycin after this study started. The primary efficacy endpoint was the rate of pulmonary exacerbations during the study. Although the rate of pulmonary exacerbations was lower in the CAT treatment group than the intermittent treatment group, leading to a 25.7% reduction in exacerbation rate for the CAT treatment group, the difference was not statistically significant (p=0.25).
Additional evaluations included average change in lung function (absolute change from baseline FEV1% predicted), percent of participants treated for a pulmonary exacerbation, time to first exacerbation, hospitalization rates and average change in the CFQ-R Respiratory Symptom Scale. No significant differences were seen between the CAT and intermittent groups for these evaluations.
Safety:
CAT was well tolerated and the adverse event profile was similar for both groups.
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Citation:
J Cyst Fibros ;DOI 10.1016/j.jcf.2016.05.001
For current information about the overall development status of this drug, please check the Drug Development Pipeline.
Study Design
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Study Type: ?more info
Interventional -
Randomized Study: ?more info
Yes -
Placebo Controlled: ?more info
No -
Length of Participation:
7 months -
Number of Study Visits:
9
Additional Information
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Phase: ?more info
Phase Four/Post-Approval -
Study Sponsor: ?more info
Gilead -
Study Drugs:
Eligibility
See other primary eligibility criteria for more information.
-
Age:
6 Years and Older -
Mutation(s):
No Mutation Requirement -
FEV1% Predicted:
25 to 75% -
Pseudomonas Status:
Positive Respiratory Cultures Required
For more information about the results of this study and where it was conducted, visit ClinicalTrials.gov.
Other Primary Eligibility Criteria
History of at least 1 hospitalization or 1 course of intravenous (IV) antibiotics for an acute respiratory exacerbation within the previous 12 months from Screening
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