Multidose Safety and Tolerability Study of Dose Escalation of Liposomal Amikacin for Inhalation (ARIKAYCE™) in Cystic Fibrosis Patients With Chronic Infections Due to Pseudomonas Aeruginosa
Sponsor study identifier
interventional
49
7 countries
11
Study Start
January 8, 2009
Actual (reported)Primary Completion
November 2, 2010
Actual (reported)Study Completion
November 2, 2010
Actual (reported)A major factor in the respiratory health of cystic fibrosis (CF) patients is acquisition of chronic Pseudomonas (P.) aeruginosa infections. The infection rate with P. aeruginosa increases with age and by age 18 years, 80% of patients with CF in the U.S. are infected. Liposomal amikacin for inhalation (LAI; Arikayce™) is a sterile aqueous liposomal suspension consisting of amikacin sulfate encapsulated in liposomes. This formulation of amikacin maximizes the achievable dose and delivery to the lungs of infected patients when delivered via a nebulizer. Because liposome particles are small enough to penetrate and diffuse through sputum into the bacterial biofilm, they deposit drug close to the bacterial colonies (Meers, et al., 2008) (Clancy, et al., 2013), thus improving the bioavailability of amikacin at the infection site. The clinically achievable doses of amikacin in the LAI formulation can effectively increase the half-life of the drug in the lungs, and decrease the potential for systemic toxicity. LAI offers several advantages over current therapies in treating patients with CF with chronic infection caused by P. aeruginosa.
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
November 2, 2010
Actual (reported)Click on a node to explore related trials.
Some registry-reported names shown below are not yet linked in this graph.
Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
January 8, 2009
Actual (reported)November 2, 2010
Actual (reported)November 2, 2010
Actual (reported)April 2, 2019
Actual (reported)April 5, 2019
Actual (reported)May 14, 2019
Actual (reported)Adverse Event Profile of 560 mg Once Daily Dose of Arikayce™ Administered for Six Cycles Over Eighteen Months.
Number of Participants with indicated Adverse Events in subjects receiving 560 mg once daily dose of Arikayce™ administered for 6 cycles over 18 months.
18 Months
FEV1 % Predicted
Baseline, Days1, 14, 28, 56, 70, 85, 98, 112, 140, 154, 169, 182,196, 224, 238, 253, 266, 280, 308, 322, 337, 350, 364, 392, 406, 421, 434, 448, 476, 490, and 504
Absolute Change in Sputum Density
Baseline, Days 14, 28, 85, 98, 112, 140, 169, 182,196, 253, 266, 280, 337, 350, 364, 421, 434, and 448
Antipseudomonal Rescue Therapy - Duration of Therapy
18 Months
Antipseudomonal Rescue Therapy - Time to Therapy
18 Months
Analysis of Cystic Fibrosis Questionnaire - Revised (CFQ-R) for Absolute Change in Score
Days 14, 28, 85, 98, 112, 169, 182,196, 253, 266, 280, 337, 350, 364, 421, 434, and 448
Subjects in this cohort will receive 560 mg of Arikayce™
Amikacin (aminoglycoside) in a liposomal formulation.
Registry-reported names are shown in full. Names without a link have not yet been matched to a Syfrah profile.
Leuven, Belgium
Budapest, Hungary
Kaposvár, Hungary
Skopje, North Macedonia
Rabka-Zdrój, Poland
Warsaw, Poland
Belgrade, Serbia
Bratislava, Slovakia
Clancy JP, Dupont L, Konstan MW, Billings J, Fustik S, Goss CH, Lymp J, Minic P, Quittner AL, Rubenstein RC, Young KR, Saiman L, Burns JL, Govan JR, Ramsey B, Gupta R; Arikace Study Group. Phase II studies of nebulised Arikace in CF patients with Pseudomonas aeruginosa infection. Thorax. 2013 Sep;68(9):818-25. doi: 10.1136/thoraxjnl-2012-202230. Epub 2013 Jun 8.
Gina Eagle, MD
Insmed Incorporated
49 participants (actual enrollment reported by the registry).
First Submitted
April 2, 2019
First Posted
April 5, 2019
Study Start
January 8, 2009
Actual (reported)Contact the study team to confirm eligibility.
Košice, Slovakia
Kharkiv, Ukraine
Kiev, Ukraine
Primary Completion
November 2, 2010
Actual (reported)Study Completion
November 2, 2010
Actual (reported)Last Updated
July 30, 2020
Results First Posted
May 14, 2019
Record last verified: 2020-07
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Source: ClinicalTrials.gov.
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