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Cystic FibrosisPhase 1NCT01116089

Pharmacokinetic Study of Bramitob® Administered for Inhalation by PARI eFlow® vs PARI LC® PLUS Nebulizer

A Phase 1 study testing Bramitob® administered by PARI LC® PLUS nebulizer and Bramitob® administered by PARI eFlow® rapid electronic nebulizer in people with Cystic Fibrosis, run by Chiesi Farmaceutici S.p.A. at 5 sites in 3 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this study is to assess pharmacokinetic and safety comparability of Bramitob® when administered for inhalation by using PARI eFlow® rapid electronic nebulizer vs PARI LC® PLUS nebulizer in Cystic Fibrosis Patients infected with Pseudomonas Aeruginosa Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Cystic Fibrosis
What is being tested?
Bramitob® administered by PARI LC® PLUS nebulizer and Bramitob® administered by PARI eFlow® rapid electronic nebulizer
Could I receive a placebo?
No, everyone receives an active treatment
How many people
25 participants
Where
5 sitesin 3 countries
Study dates
Jul 2010to Oct 2011
Phase
Phase 1
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

Main inclusion Criteria:

  • Patients of either sex aged ≥ 18 years;
  • Clinical diagnosis of cystic fibrosis (patients registered in the National Registry of cystic fibrosis or other documents, if applicable, depending on country legislation);
  • Positive response (sweat chloride concentration ≥ 60 mmol/l) in the standard sweat test documented in the clinical records or sweat chloride concentration ≥ 40 mmol/l and at least two gene mutations consistent with CF documented in the clinical records;
  • Chronic colonization of Pseudomonas aeruginosa
  • FEV1 ≥ 35% of the predicted normal value calculated according to the recommendation of the Official Statement of the European Respiratory Society and American Thoracic Society

Main exclusion Criteria:

  • Evidence of impaired renal function (serum creatinine level ≥ 1.5 mg/dl);
  • Evidence of impaired auditory function (auditory threshold in either ear above 20 dB at frequencies between 250 and 8000Hz);
  • Sputum culture containing Burkholderia cepacia;
  • Received loop diuretics within 7 days before study drug administration;

Trial locations and contacts

5 sites in 3 countries.

5 sites in 3 countries

Slovakia3 sites
  • University hospital with Health Center

    Banská Bystrica, 975 17

  • Fakultná nemocnica s poliklinikou Bratislava (FNsP)

    Brastislava, 826 06

  • University Hospital of L. Pasteur, Pneumonology Department

    Košice, 041 90

Other trials in Slovakia

Czechia1 site
  • University Hospital Brno Bohunice

    Brno, 625 00

Other trials in Czechia

Moldova1 site
  • SMSI Institude of Cardiology

    Chisinau, MD-2025

Other trials in Moldova

About this study

Official title: PHARMACOKINETIC STUDY OF BRAMITOB® ADMINISTERED FOR INHALATION BY PARI eFLOW® RAPID ELECTRONIC NEBULIZER VS PARI LC® PLUS NEBULIZER COUPLED WITH THE PARI TURBO BOY® N COMPRESSOR IN CYSTIC FIBROSIS PATIENTS INFECTED WITH PSEUDOMONAS AERUGINOSA

The purpose of this study is to assess pharmacokinetic and safety comparability of Bramitob® when administered for inhalation by using PARI eFlow® rapid electronic nebulizer vs PARI LC® PLUS nebulizer in Cystic Fibrosis Patients infected with Pseudomonas Aeruginosa

Conditions
Cystic Fibrosis
Being tested
Bramitob® administered by PARI LC® PLUS nebulizer, Bramitob® administered by PARI eFlow® rapid electronic nebulizer
Keywords
Cystic fibrosis, tobramycin,nebulizer, PK
Medical subject headings
Cystic Fibrosis

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Bramitob® administered by PARI LC® PLUS nebulizerDrug

    Also called Bramitob®, Tobrineb®, Actitob®

    (tobramycin 300mg /4mL) solution administered by inhalation twice daily for 28 days

  • Bramitob® administered by PARI eFlow® rapid electronic nebulizerDrug

    Also called Bramitob®, Tobrineb®,Actitob®

    (tobramycin 300mg /4mL) solution administered by inhalation twice daily for 28 days

Study groups in NCT01116089
Study groupRoleWhat they receive
PARI LC® PLUS nebulizerActive comparatorNot described
Receives: Drug: Bramitob® administered by PARI LC® PLUS nebulizer
PARI eFlow® rapid electronic nebulizerActive comparatorNot described
Receives: Drug: Bramitob® administered by PARI eFlow® rapid electronic nebulizer

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Plasma tobramycin pharmacokinetic parameters (Cmax and AUC0-t) after twice daily inhalation of Bramitob® using PARI eFlow® nebulizer vs PARI LC® PLUS nebulizer

    Measured: on day 28

Secondary outcomes (6)
  1. Plasma tobramycin pharmacokinetic parameters (Cmax, tmax and AUC0-t) after inhalation of Bramitob® using PARI eFlow® nebulizer vs PARI LC® PLUS nebulizer

    Measured: on day 1

  2. Sputum tobramycin pharmacokinetic parameters (Cmax, tmax and AUC0-t) after inhalation of Bramitob® using PARI eFlow® nebulizer vs PARI LC® PLUS nebulizer

    Measured: on day 1 and on day 28

  3. Accumulation of tobramycin in plasma and sputum after repeated doses calculated as the ratio: AUC0-t DAY 28 / AUC0-t DAY 1 and Cmax DAY 28 / Cmax DAY 1

    Measured: day 1 - day 28

  4. Safety assessed by adverse events, adverse drug reactions, incidence of bronchospasm, laboratory parameters, physical examination, body weight, vital signs results

    Measured: day1-day28

  5. Number of patients with minimum plasma tobramycin levels Cmin > 2mcg/mL and maximum plasma tobramycin levels Cmax > 12 mcg/mL

    Measured: on day 28

  6. Time necessary for the nebulization of the dose

    Measured: on day 1 and on day 28

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted4 May 2010 (estimated)
  2. Study startJul 2010
  3. Primary completionOct 2011
  4. Study completionOct 2011

Resources

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 1
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Crossover
Masking
None (open label)
Enrolment
25 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01116089
Sponsor's protocol ID
CCD-0908-PR-0029
Other IDs
2009-016780-11, 2009
Status last verified
Jul 2020
First submitted
29 Apr 2010
Last updated
31 Jul 2020
Results posted
No
Data monitoring committee
No

Publications

  • Govoni M, Poli G, Acerbi D, Santoro D, Cicirello H, Annoni O, Ruzicka J. Pharmacokinetic and tolerability profiles of tobramycin nebuliser solution 300 mg/4 ml administered by PARI eFlow((R)) rapid and PARI LC Plus((R)) nebulisers in cystic fibrosis patients. Pulm Pharmacol Ther. 2013 Apr;26(2):249-55. doi: 10.1016/j.pupt.2012.12.002. Epub 2012 Dec 8.

    PubMed 23232039

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Bramitob® administered by PARI LC® PLUS nebulizer and Bramitob® administered by PARI eFlow® rapid electronic nebulizer in people with Cystic Fibrosis, run by Chiesi Farmaceutici S.p.A. at 5 sites in 3 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

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 31 Jul 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 5 sites in Slovakia, Czechia, Moldova. 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. 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 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

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?

Plasma tobramycin pharmacokinetic parameters (Cmax and AUC0-t) after twice daily inhalation of Bramitob® using PARI eFlow® nebulizer vs PARI LC® PLUS nebulizer (time frame: on day 28). 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 NCT01116089, which also lists 1 linked publication.

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 31 Jul 2020.

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