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Non Cystic Fibrosis BronchiectasisPhase 3PROMIS-IINCT03460704

Trial in Non-cystic Fibrosis Bronchiectasis Patients With Chronic Lung Infections Treated With Colistimethate Sodium.

A Phase 3 study testing CMS in people with Non Cystic Fibrosis Bronchiectasis, run by Zambon SpA at 89 sites in 12 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

The primary objective of the trial was to investigate the effect of the use of inhaled colistimethate sodium (CMS), administered twice a day (b.i.d.) via a specific nebulizer for 12 months, compared to placebo in subjects with non-cystic fibrosis bronchiectasis (NCFB) chronically infected with P. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Non Cystic Fibrosis Bronchiectasis
What is being tested?
CMS
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
287 participants
Where
89 sitesin 12 countries
Study dates
29 Jan 2018to 15 Mar 2022
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

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

Who may be able to join

  • are able and willing to give informed consent, following a detailed explanation of partecipation in the protocol and signed consent obtained;
  • aged 18 years or older of either gender;
  • diagnosed with NCFB by computerised tomography (CT) or high-resolution CT(HRCT) as recorded in the subject's notes and this is their predominant condition being treated;
  • had at least 2 NCFB pulmonary exacerbations requiring oral or inhaled antibiotics or 1 NCFB pulmonary exacerbation requiring intravenous antibiotics in the 12 months preceding the Screening Visit (Visit 1) and had no pulmonary exacerbation with or without treatment during the period between Visit 1 and Visit 2;
  • have a documented history of P. aeruginosa infection;
  • are clinically stable and have not required a change in pulmonary treatment for at least 30 days before the Screening Visit (Visit 1);
  • have pre-bronchodilator FEV1 ≥25% of predicted;
  • had a positive sputum culture for P. aeruginosa from an adequate sample taken at the Screening Visit (Visit 1) or during the screening period.

Who cannot join

  • known bronchiectasis as a consequence of cystic fibrosis (CF);
  • known history of hypogammaglobulinaemia requiring treatment with immunoglobulin, unless fully replaced and considered immuno-competent by the Investigator;
  • myasthenia gravis or porphyria;
  • severe cardiovascular disease such as severe uncontrolled hypertension, ischaemic heart disease or cardiac arrhythmia and any other conditions that would confound the evaluation of safety, in the opinion of the Investigator;
  • had major surgery in the 3 months prior to the Screening Visit (Visit 1) or planned inpatient major surgery during the study period;
  • receiving treatment for allergic bronchopulmonary aspergillosis (ABPA);
Show all 20Show fewer
  • massive haemoptysis (greater than or equal to 300 mL or requiring blood transfusion) in the preceding 4 weeks before Screening Visit (Visit 1) or between Visit 1 and Visit 2;
  • respiratory failure that would compromise patient safety or confound the evaluation of safety or efficacy of the study in the opinion of the Investigator;
  • current active malignancy, except for basal cell carcinoma or squamous cell carcinoma of the skin without metastases;
  • taking immunosuppressive medications (such as azathioprine, cyclosporine, tacrolimus, sirolimus, mycophenolate, rituximab), and/or anti cytokine medications (such as anti-IL-6 and anti-tumour alpha necrosis factor products) in the preceding year before the Screening Visit (Visit 1);
  • known history of human immunodeficiency virus (HIV);
  • current treatment for non-tuberculous mycobacterial (NTM) lung disease or tuberculosis;
  • known or suspected to be allergic or unable to tolerate colistimethate sodium (intravenous or inhaled) or other polymixins, including evidence of bronchial hyper-reactivity following inhaled colistimethate sodium;
  • treatment with long term (≥ 30 days) prednisone at a dose of greater than 15 mg a day (or equivalent dose of any other corticosteroid) started within six months of the Screening Visit (Visit 1);
  • new maintenance treatment with any oral macrolides ( (e.g. azithromycin/erythromycin/clarithromycin) within 30 days of the Screening Visit (Visit 1) or started between Visit 1 and Visit 2;
  • use of any intravenous or intramuscular or oral or inhaled anti-pseudomonal antibiotic (except chronic macrolides with a stable dose) within 30 days prior to the Screening Visit (Visit 1) and between Visit 1 and Visit 2;
  • pregnant or breast feeding or plan to become pregnant over the next two years or of child- bearing potential and unwilling to use a reliable method of contraception for at least one month before randomisation and throughout their involvement in the trial;
  • significant abnormality in clinical evaluations and/or laboratory tests (physical examination, vital signs, haematology, clinical chemistry, clinically relevant impaired renal function, defined as serum creatinine levels ≥2.0x upper limit of normal, ECG) endangering the safe participation of the patient in the study at the Screening Visit (Visit 1) and during the study;
  • participated in another investigational, interventional trial within 30 days prior to the Screening Visit (Visit 1);
  • in the opinion of the Investigator not suitable for inclusion for whatever reason.

Trial locations and contacts

89 sites in 12 countries.

89 sites in 12 countries

United States27 sites
  • ZambonInvestigative Site

    Abingdon, Virginia, 24210

  • Zambon Investigative Site

    Centennial, Colorado, 80112

  • Zambon investigative site

    Chapel Hill, North Carolina, 27514

  • Zambon Investigative Site

    Chesterfield, Missouri, 63017-3625

  • Zambon Investigative Site

    Chicago, Illinois, 60637

  • Zambon Investigative Site

    Durham, North Carolina, 27705

  • Zambon Investigative Site

    Jacksonville, Florida, 32204

  • Zambon Investigative Site

    Kissimmee, Florida, 34741

  • Zambon Investigative Site

    Lebanon, New Hampshire, 03756-1000

  • Zambon Investigative Site

    Louisville, Kentucky, 40202

  • Zambon Investigative Site

    Michigan City, Indiana, 46360

  • Zambon Investigative Site

    New York, New York, 10016

  • Zambon Investigative Site

    Newport Beach, California, 92663

  • Zambon Investigative Site

    Northwest, Washington, 20007

  • Zambon Investigative Site

    Orlando, Florida, 32803

  • Zambon Investigative Site

    Palm Springs, California, 92262

  • Zambon Investigative Site

    Portland, Oregon, 97239

  • Zambon Investigative Site

    Reseda, California, 91324

  • Zambon investigative site

    Richmond, Virginia, 23219

  • Zambon Investigative Site

    Rochester, Minnesota, 55905

  • Zambon investigative site

    San Diego, California, 92103

  • Zambon Investgative Site

    San Diego, California, 92120-5241

  • Zambon investigative Site

    St. Petersburg, Florida, 33704

  • Zambon Investigative Site

    St. Petersburg, Florida, 33707

  • Zambon Investigative Site

    Tyler, Texas, 75708

  • Zambon Investigative Site

    Weston, Florida, 33331

  • Zambon investigative site

    Winston-Salem, North Carolina, 27265

Other trials in United States

Poland14 sites
  • Zambon Investigative Site

    Bialystok, 15-044

  • Zambon Investigative Site

    Bielsko-Biala, 43-300

  • Zambon Investigative Site

    Grudziądz, 86300

  • Zambon Investigative Site

    Krakow, 31-066

  • Zambon Investigative Site

    Legnica, 59220

  • Zambon Investigative Site

    Lodz, 94-048

  • Zambon Investigative Site

    Lublin, 20-089

  • Zambon Investigative Site

    Ostrowiec Świętokrzyski, 27-400

  • Zambon Investigative Site

    Piaseczno, 05-500

  • Zambon Investigative Site

    Proszowice, 32-100

  • Zambon Investigative Site

    Rzeszów, 35-205

  • Zambon Investigative Site

    Sosnowiec, 41-200

  • Zambon Investigative Site

    Warsaw, 01-456

  • Zambon Investigative Site

    Wroclaw, 51-162

Other trials in Poland

Argentina11 sites
  • Zambon Investigative Site

    Buenos Aires, 1425

  • Zambon Investigative Site

    Buenos Aires, 1426

  • Zambon Investigative Site

    Buenos Aires, 1704

  • Zambon Investigative Site

    Buenos Aires, 1842

  • Zambon Investigative Site

    Buenos Aires, 1888

  • Zambon Investigative Site

    Buenos Aires, B1602DQD

  • Zambon Investigative Site

    Buenos Aires, B1900BNJ

  • Zambon investigative site

    Buenos Aires, C1425AZB

  • Zambon Investigative Site

    Quilmes, B1878FNR

  • Zambon Investigative Site

    San Miguel de Tucumán, 4000

  • Zambon Investigative Site

    Santa Fe, S3000ASF

Other trials in Argentina

France10 sites
  • Zambon Investigative Site

    Amiens, 80054

  • Zambon investigative site

    Brest, 29200

  • Zambon Investigative Site

    Créteil, 94010

  • Zambon investigative site

    La Tronche, 38700

  • Zambon investigative site

    Lyon, 69004

  • Zambon Investigative Site

    Montpellier, 34295

  • Zambon investigative site

    Nice, 51069

  • Zambon Investigative Site

    Pessac, 33604

  • Zambon investigative site

    Reims, 51092

  • Zambon Investigative Site

    Toulouse, 31059

Other trials in France

Canada7 sites
  • Zambon investigative Site

    Burlington, L7N 3V2

  • Zambon investigative site

    Kelowna, VIY 3H2

  • Zambon Investigative Site

    London, N6A 5W9

  • Zambon Investigative Site

    Montreal, H2X03E4

  • Zambon Investigative Site

    Ottawa, K1H8L6

  • Zambon Investigative Site

    Québec, G1V 4G5

  • Zambon Investigative Site

    Winnipeg, R2H 2A6

Other trials in Canada

Australia6 sites
  • Zambon Investigative Site

    Adelaide, 5000

  • Zambon investigative site

    Concord, 2139

  • Zambon investigative site

    Greenslopes, 4120

  • Zambon Investigative Site

    Kent Town, 5067

  • Zambon Investigative Site

    South Brisbane, 4101

  • Zambon investigative site

    Spearwood, 6163

Other trials in Australia

New Zealand4 sites
  • Zambon Investigative Site

    Christchurch, 8011

  • Zambon Investigative Site

    Havelock North, 4130

  • Zambon Investigative Site

    Mount Cook, 6021

  • Zambon Investigative Site

    Tauranga, 3110

Other trials in New Zealand

Israel3 sites
  • Zambon Investigative Site

    Haifa, 34362

  • Zambon Investigative Site

    Jerusalem, 9703102

  • Zambon Investigative Site

    Kfar Saba, 4428164

Other trials in Israel

Germany2 sites
  • Zambon Investigative Site

    Frankfurt, 60596

  • Zambon Investigative Site

    Hanover, 30625

Other trials in Germany

Italy2 sites
  • Zambon Investigative Site

    Milan, 20122

  • Zambon Investigative Site

    Monza, 20900

Other trials in Italy

Portugal2 sites
  • Zambon Investigative Site

    Guimarães, 4835-044

  • Zambon Investigative Site

    Lisbon, 1649035

Other trials in Portugal

Greece1 site
  • Zambon Investigative Site

    Athens, 11527

Other trials in Greece

About this study

Official title: Efficacy and Safety of 12 Months of Therapy With Inhaled Colistimethate Sodium in Subjects With Non-cystic Fibrosis Bronchiectasis Chronically Infected With P. Aeruginosa

The primary objective of the trial was to investigate the effect of the use of inhaled colistimethate sodium (CMS), administered twice a day (b.i.d.) via a specific nebulizer for 12 months, compared to placebo in subjects with non-cystic fibrosis bronchiectasis (NCFB) chronically infected with P. aeruginosa on the annualised frequency of pulmonary exacerbations.

Read the detailed description

This was a randomised, multi-centre, double-blind, placebo-controlled, parallel-group interventional trial in subjects with NCFB chronic P. aeruginosa infection. Subjects were randomised to CMS or placebo in a 1:1 ratio. The study consisted of 7 clinic visits with a follow-up phone call 12.5 month after randomisation or 2 weeks after discontinuation of treatment. Additional clinic visits, where feasible, and weekly phone calls were conducted during or after pulmonary exacerbations (or any episodes of pneumonia) until resolution.

Every effort was made to have all planned and unscheduled visits at the study site. Mandatory on-site visits were Screening Visit (Visit 1) and Randomisation (Visit 2). However, if one of the visits after Visit 2 could not be performed at site due to COVID-19, remote visits (e.g., by telephone) were permitted. If the final visit (Visit 7) had to be conducted remotely, the subjects were asked to return to the clinic for on-site assessments at the earliest opportunity.

After consulting with the US Food and Drug Administration, the study was brought to an early close primarily due to the difficulty of recruiting subjects in the context of the COVID pandemic, but also due to the potential for loss of scientific equipoise and the ethical implications of continuing to expose subjects to placebo given the positive results from PROMIS I. Recruitment to PROMIS II was stopped as of 27 October 2021, with the study terminated as of 15 March 2022. The study was not stopped prematurely due to any safety or futility concerns and the accrued data were fully analysed and are presented.

Being tested
CMS, Placebo
Keywords
NCFB, NCFB pulmonary exacerbation, Bronchiectasis
Medical subject headings
Bronchiectasis

What participants receive

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

  • CMSDrug

    Also called Promixin

    1 MIU equivalent to 80 mg colistimethate sodium diluted in 1 mL saline solution 0.45%. Investigational Medicinal Product (IMP) glass vials were shrink wrapped in opaque white plastic and provided in boxes of 30 vials (two weeks of b.i.d. dosing).

    The 1 MIU/ml CMS/0.45% saline solution was transferred from the glass vial into a specific nebuliser system fitted with a 0.3 mL medication chamber, for administration by inhalation. This delivered a nominal dose of 0.3 MIU/24 mg CMS (11 mg CBA) from the device.

    The first dose of the IMP was administered at the site under the supervision of the site staff and subjects were instructed how to prepare and self-administer the IMP at home via a specific nebuliser system, b.i.d. (morning and evening) over aperiod of 12 month.

    At least 10 minutes (min) before each administration, an inhaled short-acting bronchodilator (e.g. salbutamol/albuterol), supplied by the Sponsor, could be taken to improve tolerability.

  • PlaceboOther

    Also called Saline Solution

    1 mL saline solution 0.45%. The placebo was made up of identical empty glass vials to which the same saline solution diluent was added in exactly the same way as the reconstitution of the active treatment by injecting the diluent through the rubber stopper. The glass vials were shrink wrapped with opaque white plastic to mantain the blind.

Study groups in NCT03460704
Study groupRoleWhat they receive
CMS (Colistimethate Sodium)ExperimentalInhaled colistimethate sodium twice daily. The active pharmaceutical ingredient consisting of pure CMS one million international units (MIU) / 80 mg of CMS / 33 mg colistin base activity (CBA) was provided as a powder for nebuliser solution in 10R Internation Organization for Standardization (ISO) glass vials.
Receives: Drug: CMS
PlaceboPlacebo comparatorSaline solution inhaled twice daily, provided and administered at the same way of the IMP.
Receives: Other: Placebo

What is being measured

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

  1. Mean Annual Non-cystic Fibrosis Bronchiectasis (NCFB) Pulmonary Exacerbation Rate

    The primary efficacy assessment for an individual subject was the frequency of pulmonary exacerbations (exacerbation rate). A pulmonary exacerbation was defined as the presence concurrently of at least three of the following eight symptoms/signs for at least 24 hours:

    • increased cough;
    • increased sputum volume and/or consistency;
    • increased sputum purulence;
    • new or increased haemoptysis;
    • increased wheezing;
    • increased dyspnoea;
    • increased fatigue/malaise and
    • episodes of fever (temperature ≥38°C). AND It was clinically determined that the subject required and was prescribed systemic antibiotic therapy. AND The episode of exacerbation lasted for at least 24 hours. The overall episode of exacerbation needs to last at least 24 hours, but individual symptoms/signs can last less than 24 hours (e.g, a temperature)

    Measured: 12 months

Secondary outcomes (19)
  1. Time to First NCFB Pulmonary Exacerbation

    Time to First NCFB Pulmonary Exacerbation (PE) (days) = start date of first NCFB PE - date of randomization.

    Subjects who completed or discontinued the trial with no NCFB PE are censored at the date of treatment completion/discontinuation.

    Measured: 12 months

  2. Change From Baseline in St. George's Respiratory Questionnaire (SGRQ) Total Score

    The Saint George's Respiratory Questionnaire (SGRQ) is a validated 50-item symptom questionnaire developed to measure health status and Quality of Life (QoL) in subjects with obstructive airway diseases.

    The scores range from 0 (best possible health status) to 100 (worst possible health status).

    The total score is calculated as: (sum of the weights of the positive items of all domains / sum of the weights of all items of all domains)*100.

    Change from Baseline was calculated as the SGRQ total score at the visit minus Baseline.

    Change from baseline in SGRQ total score at Visit 3, Visit 4, Visit 5, Visit 6 and Visit 7 were analysed using a linear mixed model for repeated measures including treatment, visit, treatment-by-visit interaction, use of stable concomitant therapy with oral macrolides and pooled site, i.e. country, as fixed effects and baseline value as covariate. An unstructured covariance matrix was assumed and the Kenward-Roger adjustment was used for the degrees of freedom.

    Measured: Up to Visit 7 (12 months) / EoT

  3. P. Aeruginosa Density: Change From Baseline at Visit 3 and at Visit 7

    The P. aeruginosa density as determined by the change in log10 CFU/mL sputum from baseline (Visit 2) to Day 28 (Visit 3) was compared between the treatment groups by an ANCOVA model including treatment, pooled site, i.e. country and use of stable concomitant therapy with oral macrolides as fixed effects and baseline value as covariate. Least square means in each treatment group, least square mean difference between treatments, their 95% CIs and associated p-value were estimated.

    Measured: Visit 3 (28 days) and Visit 7 (12 months) / EoT

  4. P. Aeruginosa Density: Change From Baseline

    Summary statistics of the P. aeruginosa density (i.e. quantification, log10 CFU/mL sputum) and absolute change from baseline were provided by treatment group for each trial visit.

    Measured: Up to Visit 7 (12 months) / EoT

  5. Mean Annual Severe Non-cystic Fibrosis Bronchiectasis (NCFB) Pulmonary Exacerbation Rate

    A severe pulmonary exacerbation was defined as requiring intravenous antibiotics and/or hospitalisation.

    Measured: 12 months

  6. Time to First Severe NCFB Pulmonary Exacerbation

    Time to First severe NCFB Pulmonary Exacerbation (PE) (days) = start date of first severe NCFB PE - date of randomization.

    Subjects who completed or discontinued the trial with no severe NCFB PE are censored at the date of treatment completion/discontinuation.

    Severe exacerbations are defined as those requiring IV antibiotics and/or hospitalisation.

    Measured: 12 months

  7. NCFB Pulmonary Exacerbation Free Days

    Annualised number of exacerbation-free days = (follow-up time [days] - sum of durations of NCFB pulmonary exacerbations [days]) / follow-up time (years).

    For NCFB pulmonary exacerbations with a resolution date after the treatment completion/discontinuation, the number of days of duration after the treatment completion/discontinuation will be subtracted from the sum of durations of NCFB pulmonary exacerbations.

    Non-parametric ANCOVA model with a randomisation-based methodology was used. The model included treatment group, country, and use of stable concomitant therapy with oral macrolides as covariates.

    Measured: 12 months

  8. Days of Work Absence

    Number of Days Work Absence is computed for each subject by summing all days of work absence.

    Measured: 12 months

  9. Days of Work Absence Per Employment Month

    Number of Days Work Absence per Employment Month = Number of Days of Work Absence / Overall Employment Time (months).

    Number of Days Work Absence is computed for each subject by summing all days of work absence.

    Measured: 12 months

  10. Subjects With Hospitalisations Due to NCFB Pulmonary Exacerbations

    The number and percentage of subjects with at least one hospitalisation for a NCFB pulmonary exacerbation are provided. Percentages were computed on the total number of subjects with at least one pulmonary exacerbation.

    Measured: 12 months

  11. Mean Annual Hospitalisation for NCFB Pulmonary Exacerbation Rate

    The annual rate of hospitalisation for NCFB pulmonary exacerbation

    Measured: 12 months

  12. Change From Baseline in QoL-B Physical Functioning Domain Score

    The Quality of Life Bronchiectasis (QoL-B) is a validated self-administered, patient reported outcome measure assessing symptoms, functioning and health-related QoL for subjects with NCFB.

    It contains 37 items in 8 scales (Respiratory Symptoms, Physical, Role, Emotional and Social Functioning, Vitality, Health Perceptions and Treatment Burden).

    Each QoL-B domain is assessed on a scale of 0 to 100, higher scores indicate better health status.

    For the Physical Functioning Domain, the items 1, 2, 3, 4, 16 are considered. Change from baseline in QoL-B domain score at Visit 3, Visit 4, Visit 5, Visit 6 and Visit 7 were analysed using a linear mixed model for repeated measures including treatment, visit, treatment-by-visit interaction, use of stable concomitant therapy with oral macrolides and pooled site, i.e. country, as fixed effects and baseline value as covariate.

    An unstructured covariance matrix was assumed and the Kenward-Roger adjustment was used for the degrees of freedom.

    Measured: Up to Visit 7 (12 months) / EoT

  13. Change From Baseline in QoL-B Role Functioning Domain Score

    The Quality of Life Bronchiectasis (QoL-B) is a validated self-administered, patient reported outcome measure assessing symptoms, functioning and health-related QoL for subjects with NCFB.

    It contains 37 items in 8 scales (Respiratory Symptoms, Physical, Role, Emotional and Social Functioning, Vitality, Health Perceptions and Treatment Burden).

    Each QoL-B domain is assessed on a scale of 0 to 100, higher scores indicate better health status.

    For the Role Functioning Domain, the items 17, 20, 25, 27, 28 are considered. Change from baseline in QoL-B domain score at Visit 3, Visit 4, Visit 5, Visit 6 and Visit 7 were analysed using a linear mixed model for repeated measures including treatment, visit, treatment-by-visit interaction, use of stable concomitant therapy with oral macrolides and pooled site, i.e. country, as fixed effects and baseline value as covariate.

    An unstructured covariance matrix was assumed and the Kenward-Roger adjustment was used for the degrees of freedom.

    Measured: Up to Visit 7 (12 months) / EoT

  14. Change From Baseline in QoL-B Vitality Domain Score

    The Quality of Life Bronchiectasis (QoL-B) is a validated self-administered, patient reported outcome measure assessing symptoms, functioning and health-related QoL for subjects with NCFB.

    It contains 37 items in 8 scales (Respiratory Symptoms, Physical, Role, Emotional and Social Functioning, Vitality, Health Perceptions and Treatment Burden).

    Each QoL-B domain is assessed on a scale of 0 to 100, higher scores indicate better health status.

    For the Vitality Domain the items 6, 8, 9 are considered. Change from baseline in QoL-B domain score at Visit 3, Visit 4, Visit 5, Visit 6 and Visit 7 were analysed using a linear mixed model for repeated measures including treatment, visit, treatment-by-visit interaction, use of stable concomitant therapy with oral macrolides and pooled site, i.e. country, as fixed effects and baseline value as covariate.

    An unstructured covariance matrix was assumed and the Kenward-Roger adjustment was used for the degrees of freedom.

    Measured: Up to Visit 7 (12 months) / EoT

  15. Change From Baseline in QoL-B Emotional Functioning Domain Score

    The Quality of Life Bronchiectasis (QoL-B) is a validated self-administered, patient reported outcome measure assessing symptoms, functioning and health-related QoL for subjects with NCFB.

    It contains 37 items in 8 scales (Respiratory Symptoms, Physical, Role, Emotional and Social Functioning, Vitality, Health Perceptions and Treatment Burden).

    Each QoL-B domain is assessed on a scale of 0 to 100, higher scores indicate better health status.

    For the Emotional Functioning Domain the items 7, 10, 11, 23 are considered. Change from baseline in QoL-B domain score at Visit 3, Visit 4, Visit 5, Visit 6 and Visit 7 were analysed using a linear mixed model for repeated measures including treatment, visit, treatment-by-visit interaction, use of stable concomitant therapy with oral macrolides and pooled site, i.e. country, as fixed effects and baseline value as covariate.

    An unstructured covariance matrix was assumed and the Kenward-Roger adjustment was used for the degrees of freedom.

    Measured: Up to Visit 7 (12 months) / EoT

  16. Change From Baseline in QoL-B Social Functioning Domain Score

    The Quality of Life Bronchiectasis (QoL-B) is a validated self-administered, patient reported outcome measure assessing symptoms, functioning and health-related QoL for subjects with NCFB.

    It contains 37 items in 8 scales (Respiratory Symptoms, Physical, Role, Emotional and Social Functioning, Vitality, Health Perceptions and Treatment Burden).

    Each QoL-B domain is assessed on a scale of 0 to 100, higher scores indicate better health status.

    For the Social Functioning Domain the items 18, 19, 22, 26 are considered. Change from baseline in QoL-B domain score at Visit 3, Visit 4, Visit 5, Visit 6 and Visit 7 were analysed using a linear mixed model for repeated measures including treatment, visit, treatment-by-visit interaction, use of stable concomitant therapy with oral macrolides and pooled site, i.e. country, as fixed effects and baseline value as covariate.

    An unstructured covariance matrix was assumed and the Kenward-Roger adjustment was used for the degrees of freedom.

    Measured: Up to Visit 7 (12 months) / EoT

  17. Change From Baseline in QoL-B Treatment Burden Domain Score

    The Quality of Life Bronchiectasis (QoL-B) is a validated self-administered, patient reported outcome measure assessing symptoms, functioning and health-related QoL for subjects with NCFB.

    It contains 37 items in 8 scales (Respiratory Symptoms, Physical, Role, Emotional and Social Functioning, Vitality, Health Perceptions and Treatment Burden).

    Each QoL-B domain is assessed on a scale of 0 to 100, higher scores indicate better health status.

    For the Treatment Burden Domain the items 12, 13, 14 are considered. Change from baseline in QoL-B domain score at Visit 3, Visit 4, Visit 5, Visit 6 and Visit 7 were analysed using a linear mixed model for repeated measures including treatment, visit, treatment-by-visit interaction, use of stable concomitant therapy with oral macrolides and pooled site, i.e. country, as fixed effects and baseline value as covariate.

    An unstructured covariance matrix was assumed and the Kenward-Roger adjustment was used for the degrees of freedom.

    Measured: Up to Visit 7 (12 months) / EoT

  18. Change From Baseline in QoL-B Health Perceptions Domain Score

    The Quality of Life Bronchiectasis (QoL-B) is a validated self-administered, patient reported outcome measure assessing symptoms, functioning and health-related QoL for subjects with NCFB.

    It contains 37 items in 8 scales (Respiratory Symptoms, Physical, Role, Emotional and Social Functioning, Vitality, Health Perceptions and Treatment Burden).

    Each QoL-B domain is assessed on a scale of 0 to 100, higher scores indicate better health status.

    For the Health Perceptions Domain the items 5, 15, 21, 24 are considered. Change from baseline in QoL-B domain score at Visit 3, Visit 4, Visit 5, Visit 6 and Visit 7 were analysed using a linear mixed model for repeated measures including treatment, visit, treatment-by-visit interaction, use of stable concomitant therapy with oral macrolides and pooled site, i.e. country, as fixed effects and baseline value as covariate.

    An unstructured covariance matrix was assumed and the Kenward-Roger adjustment was used for the degrees of freedom.

    Measured: Up to Visit 7 (12 months) / EoT

  19. Change From Baseline in QoL-B Respiratory Symptoms Domain Score

    The Quality of Life Bronchiectasis (QoL-B) is a validated self-administered, patient reported outcome measure assessing symptoms, functioning and health-related QoL for subjects with NCFB.

    It contains 37 items in 8 scales (Respiratory Symptoms, Physical, Role, Emotional and Social Functioning, Vitality, Health Perceptions and Treatment Burden).

    Each QoL-B domain is assessed on a scale of 0 to 100, higher scores indicate better health status.

    For the Respiratory Symptoms Domain the items from 29 to 37 are considered. Change from baseline in QoL-B domain score at Visit 3, Visit 4, Visit 5, Visit 6 and Visit 7 were analysed using a linear mixed model for repeated measures including treatment, visit, treatment-by-visit interaction, use of stable concomitant therapy with oral macrolides and pooled site, i.e. country, as fixed effects and baseline value as covariate.

    An unstructured covariance matrix was assumed and the Kenward-Roger adjustment was used for the degrees of freedom.

    Measured: Up to Visit 7 (12 months) / EoT

Timeline

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

  1. First posted9 Mar 2018
  2. Study start29 Jan 2018
  3. Primary completion15 Mar 2022
  4. Study completion15 Mar 2022

Why it stopped: The study was brought to an early close in March 2022 due to major ongoing recruitment issues primarily related to the COVID-19 pandemic and concerns regarding the continued randomization and exposure of subjects to placebo in the study.

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 3
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
287 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03460704
Sponsor's protocol ID
Z7224L02
Other IDs
2016-004558-13, 2016
Acronym
PROMIS-II
Status last verified
Sep 2026
First submitted
14 Feb 2018
Last updated
15 Oct 2026
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing CMS in people with Non Cystic Fibrosis Bronchiectasis, run by Zambon SpA at 89 sites in 12 countries.

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

Who may be eligible to take part?

The sponsor lists 8 inclusion and 20 exclusion criteria. 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: stopped early, as of the sponsor's last update on 15 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 89 sites in United States, Poland, Argentina, France, Canada and 7 more countries. 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. Some participants in this study may receive a placebo. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 29 Dec 2023). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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?

Mean Annual Non-cystic Fibrosis Bronchiectasis (NCFB) Pulmonary Exacerbation Rate (time frame: 12 months). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 15 Oct 2026.

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