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| ID | Type | Description | Link |
|---|---|---|---|
| 2008-004764-39 | EudraCT Number |
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This was an open-label, single arm (uncontrolled) study in participants suffering from cystic fibrosis, who had completed their study participation in CTBM100C2303 (all visits) and who were proven infected with Pseudomonas aeruginosa (P. aeruginosa) at enrollment into CTBM100C2303.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Tobramycin Inhalation Powder (TIP) | Experimental | Participants received 112 mg (four 28 mg capsules) of TIP administered by the T-326 Inhaler, twice a day (b.i.d.), given in a cycle of 28 days on treatment followed by 28 days off treatment (one cycle = 56 days) for up to 3 cycles. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Tobramycin inhalation powder | Drug | Tobramycin inhalation powder, 112 mg (4 capsules of 28 mg), inhalation capsules, b.i.d. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of Participants With Adverse Events (AEs) | AE was defined as any untoward medical occurrence in a participant administered a pharmaceutical product; the untoward medical occurrence did not necessarily have a causal relationship with this treatment. An AE could therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal (investigational) product whether or not related to the medicinal product. | From first administration of study drug to study completion (up to approximately 25 weeks) |
| Percentage of Participants With Serious Adverse Events (SAEs) | SAEs included adverse events that resulted in any of the following outcomes: death, a life-threatening adverse event, inpatient hospitalization or prolongation of existing hospitalization, a persistent or significant incapacity or substantial disruption of the ability to conduct normal functions, or a congenital anomaly/birth defect. | From time of consent to 4 weeks after study completion (up to approximately 29 weeks) |
| Percentage of Death Cases | From time of consent to 4 weeks after study completion (up to approximately 29 weeks) | |
| Percentage of Participants With Adverse Events and Serious Adverse Events Leading to Permanent Study Discontinuation | AE was defined as any untoward medical occurrence in a participant administered a pharmaceutical product; the untoward medical occurrence did not necessarily have a causal relationship with this treatment. An AE could therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal (investigational) product whether or not related to the medicinal product. SAEs included adverse events that resulted in any of the following outcomes: death, a life-threatening adverse event, inpatient hospitalization or prolongation of existing hospitalization, a persistent or significant incapacity or substantial disruption of the ability to conduct normal functions, or a congenital anomaly/birth defect. |
| Measure | Description | Time Frame |
|---|---|---|
| Relative Change From Baseline in Forced Expiratory Volume in One Second (FEV1) Percent Predicted to End of Dosing at Each Cycle and Study Completion | FEV1 was defined as the volume of air expired in 1 second. FEV1 % predicted was a normalized value of FEV1 calculated using the Knudsen equation, based upon participant's age, gender and height. Relative change in FEV1 % predicted = 100* (30 minutes post dose - pre dose) / pre dose assessed by number and percentage of participants with a decrease in ≥20% FEV1 percent predicted from pre dose to 30 minutes post dose. Baseline for was defined as the last measurement prior to first dose of study drug in the core study CTBM100C2303. Termination referred to the last available pre dose post-baseline measurement. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Novartis Pharmaceuticals | Novartis Pharmaceuticals | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Novartis Investigative Site | Tallinn | Estonia | ||||
| Novartis Investigative Site |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 26709158 | Result | Konstan MW, Flume PA, Galeva I, Wan R, Debonnett LM, Maykut RJ, Angyalosi G. One-year safety and efficacy of tobramycin powder for inhalation in patients with cystic fibrosis. Pediatr Pulmonol. 2016 Apr;51(4):372-8. doi: 10.1002/ppul.23358. Epub 2015 Dec 27. |
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A total of 55 participants who completed all visits in the core study CTBM100C2303 and received one cycle (Cycle 1) of either Tobramycin Inhalation Powder (TIP) or matching placebo entered into the extension study and received 3 additional TIP cycles (Cycles 2, 3 and 4).
Participants who had completed all visits in the core study CTBM100C2303 took part in this extension study at 16 centers in 8 countries Bulgaria, Egypt, Estonia, Latvia, India, Lithuania, Romania and Russia from 12 August 2009 to 6 October 2011.
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| ID | Title | Description |
|---|---|---|
| FG000 | Tobramycin Inhalation Powder (TIP) | Participants received 112 mg (four 28 mg capsules) of TIP administered by the T-326 Inhaler, twice a day (b.i.d), given in a cycle of 28 days on treatment followed by 28 days off treatment (one cycle = 56 days) for up to 3 cycles. |
| Title | Milestones | Reasons Not Completed | ||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
|
Safety Population included all enrolled participants who completed their participation in the core study (CTBM100C2303) and received at least one dose of study drug in the extension study.
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| ID | Title | Description |
|---|---|---|
| BG000 | Tobramycin Inhalation Powder | Participants received 112 mg (four 28 mg capsules) of TIP administered by the T-326 Inhaler, b.i.d., given in a cycle of 28 days on treatment followed by 28 days off treatment (one cycle = 56 days) for up to 3 cycles. |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Percentage of Participants With Adverse Events (AEs) | AE was defined as any untoward medical occurrence in a participant administered a pharmaceutical product; the untoward medical occurrence did not necessarily have a causal relationship with this treatment. An AE could therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal (investigational) product whether or not related to the medicinal product. | Safety Population included all enrolled participants who completed their participation in the core study (CTBM100C2303) and received at least one dose of study drug in the extension study. | Posted | Number | percentage of participants | From first administration of study drug to study completion (up to approximately 25 weeks) |
|
From first administration of study drug to study completion (up to approximately 25 weeks)
Safety Population included all enrolled participants who completed their participation in the core study (CTBM100C2303) and received at least one dose of study drug in the extension study.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Tobramycin Inhalation Powder | Participants received 112 mg (four 28 mg capsules) of TIP administered by the T-326 Inhaler, b.i.d., given in a cycle of 28 days on treatment followed by 28 days off treatment (one cycle = 56 days) for up to 3 cycles. |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Aspergillosis | Infections and infestations | MedDRA (14.0) | Systematic Assessment |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Hypoacusis | Ear and labyrinth disorders | MedDRA (14.0) | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Study Director | Novartis Pharmaceuticals | 862-778-8300 | Novartis.email@novartis.com |
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| ID | Term |
|---|---|
| D011552 | Pseudomonas Infections |
| D003550 | Cystic Fibrosis |
| D008171 | Lung Diseases |
| ID | Term |
|---|---|
| D016905 | Gram-Negative Bacterial Infections |
| D001424 | Bacterial Infections |
| D001423 | Bacterial Infections and Mycoses |
| D007239 | Infections |
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| From first administration of study drug to study completion (up to approximately 25 weeks) |
| Shift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of Normal | Shift from baseline in hematology and biochemistry values to above upper/below lower limit of normal at any time post-baseline were reported. Baseline for safety analyses was defined as the last measurement prior to first dose of study drug in the core study CTBM100C2303. Change to low referred to number of participants with normal or high values at baseline. Change to high referred to number of participants with normal or low values at baseline. | From baseline to study completion (up to approximately 25 weeks) |
| Acute Relative Change in Airways Reactivity [Forced Expiratory Value in One Second (FEV1) Percent (%) Predicted] From Pre-dose to 30 Minutes After Completion of First Dose of Study Drug | Airway Reactivity was defined as ≥20% FEV1 relative decrease in percent predicted from pre dose to 30 minutes post dose. FEV1 was defined as the volume of air expired in 1 second. FEV1 % predicted was a normalized value of FEV1 calculated using the Knudsen equation, based upon participant's age, gender and height. Relative change in FEV1 % predicted = 100* (30 minutes post dose - pre dose) / pre dose assessed by number and percentage of participants with a decrease in ≥20% FEV1 percent predicted from pre dose to 30 minutes post dose. Baseline for was defined as the last measurement prior to first dose of study drug in the core study CTBM100C2303. | Pre-dose and 30 minutes Post-dose on Day 1 and Day 29 of every Cycle (2, 3, 4) |
| Percentage of Participants With Frequency Decrease From Baseline in the Post-baseline Audiology Tests | Auditory acuity of participants was measured using a standard dual-channel audiometer at frequencies from 250 to 8000 Hertz, and an audiogram (pure-tone air conduction) and tympanogram were performed by an audiologist. The categories reported includes >= 10dB decrease in 3 consecutive frequencies in either ear, >= 15dB decrease in 2 consecutive frequencies in either ear, and >= 20dB decrease in at least one frequency in either ear. | From first dose of study drug to study completion (up to approximately 25 weeks) |
| Number of Participants With Adverse Events (AEs) Associated With the Use of New Antipseudomonal Antibiotic | AE was defined as any untoward medical occurrence in a participant administered a pharmaceutical product; the untoward medical occurrence did not necessarily have a causal relationship with this treatment. An AE could therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal (investigational) product whether or not related to the medicinal product. SAEs included adverse events that resulted in any of the following outcomes: death, a life-threatening adverse event, inpatient hospitalization or prolongation of existing hospitalization, a persistent or significant incapacity or substantial disruption of the ability to conduct normal functions, or a congenital anomaly/birth defect. | From first administration of study drug to study completion (up to approximately 25 weeks) |
| Baseline, Day 29 of Cycle 2, 3, 4, Day 57 of Follow Up and Termination (Study Completion) |
| Change From Baseline in Forced Vital Capacity (FVC) Percent (%) Predicted to End of Dosing at Each Cycle and Study Completion | Relative change from baseline in FVC % predicted to end of dosing in each cycle and study completion were reported. Relative change from baseline was defined as: Relative change = 100* (Post baseline- baseline) / baseline. Baseline was defined as last measurement prior to first dose of study drug in the core study CTBM100C2303. Termination referred to the last available pre dose post-baseline measurement. | Baseline, Day 29 of Cycle 2, 3, 4, Day 57 of Follow Up and Termination (Study Completion) |
| Change From Baseline in Forced Expiratory Flow Rate Over 25 Percent and 75 Percent (FEF25-75%) Predicted to End of Dosing at Each Cycle and Study Completion | Relative change from baseline in FEF25-75% predicted to end of dosing in each cycle and study completion were reported. Relative change from baseline was defined as: Relative change = 100* (Post baseline- baseline) / baseline. Baseline was defined as last measurement prior to first dose of study drug in the core study CTBM100C2303. Termination referred to the last available pre dose post-baseline measurement. | Baseline, Day 29 of Cycle 2, 3, 4, Day 57 of Follow Up and Termination (Study Completion) |
| Absolute Change From Baseline in Sputum Pseudomonas Aeruginosa Density [log10 Colony Forming Units (CFU) Per Gram Sputum] to End of Dosing at Each Cycle and Study Completion | P. aeruginosa sputum density referred to overall density, defined as the sum of biotypes (mucoid, dry and small colony variant). If sub-isolates existed for CFU biotype mucoid or dry, then the sum of sub-isolates was analyzed. Absolute change from baseline was defined as: Absolute change = Post Baseline - Baseline. Baseline was defined as last measurement prior to first dose of study drug in the core study CTBM100C2303. Termination referred to the last available pre dose post-baseline measurement. | Baseline, Day 29 of Cycle 2, 3, 4, Day 57 of Follow Up and Termination (Study Completion) |
| Change From Baseline in Pseudomonas Aeruginosa Minimum Inhibitory Concentration (MIC) to End of Dosing at Each Cycle and Study Completion | Change in tobramycin MIC values for P. aeruginosa were reported for specimens and were used to assess the change in pathogen susceptibility to tobramycin before (baseline) and after (post-baseline) the treatment. Maximum MIC values from all biotypes were used. Change from baseline was defined as: Change = Post-baseline - Baseline. Baseline was defined as last measurement prior to first dose of study drug in the core studyCTBM100C2303.Termination referred to the last available pre dose post-baseline measurement. | Baseline, Day 29 of Cycle 2, 3, 4, Day 57 of Follow Up and Termination (Study Completion) |
| Percentage of Participants With Anti-Pseudomonal Antibiotic Use During The Treatment Period | From first administration of study drug to study completion (up to approximately 25 weeks) |
| Number of Days of Hospitalization Due to Respiratory Serious Adverse Events | SAEs included adverse events that resulted in any of the following outcomes: death, a life-threatening adverse event, inpatient hospitalization or prolongation of existing hospitalization, a persistent or significant incapacity or substantial disruption of the ability to conduct normal functions, or a congenital anomaly/birth defect. For calculation of days in hospitalization due to respiratory events, the end date was defined as the discharge date (if provided and even if after the end of the extension study), and otherwise as the date of last visit. | From first administration of study drug to study completion (up to approximately 25 weeks) |
| Yaroslavl |
| Russia |
| years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Baseline Forced Expiratory Volume in One Second (FEV1) Percent Predicted | Baseline for safety analyses was defined as the last measurement prior to first drug in the core study CTBM100C2303. | Number analyzed were the number of participants with data available for analyses at given time point. | Mean | Standard Deviation | percentage |
|
| Baseline Forced Vital Capacity (FVC) Percent Predicted | Baseline for safety analyses was defined as the last measurement prior to first drug in the core study CTBM100C2303. | Number analyzed were the number of participants with data available for analyses at given time point. | Mean | Standard Deviation | percentage |
|
| Baseline Forced Expiratory Flow Rate Over 25 and 75 Percent (FEF25-75%) Predicted | Baseline for safety analyses was defined as the last measurement prior to first drug in the core study CTBM100C2303. | Number analyzed were the number of participants with data available for analyses at given time point. | Mean | Standard Deviation | percentage |
|
| Baseline P. aeruginosa Sputum Density | Baseline for safety analyses was defined as the last measurement prior to first drug in the core study CTBM100C2303. | Number analyzed were the number of participants with data available for analyses at given time point. | Mean | Standard Deviation | log10 Colony Forming Units (CFU) |
|
| Baseline P. aeruginosa Tobramycin Minimal Inhibitory Concentration (MIC) | Baseline for safety analyses was defined as the last measurement prior to first drug in the core study CTBM100C2303. | Mean | Standard Deviation | microgram/ mL (µg/mL) |
|
|
|
| Primary | Percentage of Participants With Serious Adverse Events (SAEs) | SAEs included adverse events that resulted in any of the following outcomes: death, a life-threatening adverse event, inpatient hospitalization or prolongation of existing hospitalization, a persistent or significant incapacity or substantial disruption of the ability to conduct normal functions, or a congenital anomaly/birth defect. | Safety Population included all enrolled participants who received at least one dose of study drug. | Posted | Number | percentage of participants | From time of consent to 4 weeks after study completion (up to approximately 29 weeks) |
|
|
|
| Primary | Percentage of Death Cases | Safety Population included all enrolled participants who completed their participation in the core study (CTBM100C2303) and received at least one dose of study drug in the extension study. | Posted | Number | percentage of participants | From time of consent to 4 weeks after study completion (up to approximately 29 weeks) |
|
|
|
| Primary | Percentage of Participants With Adverse Events and Serious Adverse Events Leading to Permanent Study Discontinuation | AE was defined as any untoward medical occurrence in a participant administered a pharmaceutical product; the untoward medical occurrence did not necessarily have a causal relationship with this treatment. An AE could therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal (investigational) product whether or not related to the medicinal product. SAEs included adverse events that resulted in any of the following outcomes: death, a life-threatening adverse event, inpatient hospitalization or prolongation of existing hospitalization, a persistent or significant incapacity or substantial disruption of the ability to conduct normal functions, or a congenital anomaly/birth defect. | Safety Population included all enrolled participants who completed their participation in the core study (CTBM100C2303) and received at least one dose of study drug in the extension study. Number analyzed were the number of participants with data available for analyses at given time point. | Posted | Number | percentage of participants | From first administration of study drug to study completion (up to approximately 25 weeks) |
|
|
|
| Primary | Shift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of Normal | Shift from baseline in hematology and biochemistry values to above upper/below lower limit of normal at any time post-baseline were reported. Baseline for safety analyses was defined as the last measurement prior to first dose of study drug in the core study CTBM100C2303. Change to low referred to number of participants with normal or high values at baseline. Change to high referred to number of participants with normal or low values at baseline. | Safety Population included all enrolled participants who completed their participation in the core study (CTBM100C2303) and received at least one dose of study drug in the extension study. Number analyzed were the number of participants with data available for analyses at given time point. | Posted | Number | percentage of participants at risk | From baseline to study completion (up to approximately 25 weeks) |
|
|
|
| Primary | Acute Relative Change in Airways Reactivity [Forced Expiratory Value in One Second (FEV1) Percent (%) Predicted] From Pre-dose to 30 Minutes After Completion of First Dose of Study Drug | Airway Reactivity was defined as ≥20% FEV1 relative decrease in percent predicted from pre dose to 30 minutes post dose. FEV1 was defined as the volume of air expired in 1 second. FEV1 % predicted was a normalized value of FEV1 calculated using the Knudsen equation, based upon participant's age, gender and height. Relative change in FEV1 % predicted = 100* (30 minutes post dose - pre dose) / pre dose assessed by number and percentage of participants with a decrease in ≥20% FEV1 percent predicted from pre dose to 30 minutes post dose. Baseline for was defined as the last measurement prior to first dose of study drug in the core study CTBM100C2303. | Safety Population included all enrolled participants who completed their participation in the core study (CTBM100C2303) and received at least one dose of study drug in the extension study. Number analyzed were the number of participants with data available for analyses at given time point. | Posted | Mean | Standard Deviation | percentage change | Pre-dose and 30 minutes Post-dose on Day 1 and Day 29 of every Cycle (2, 3, 4) |
|
|
|
| Primary | Percentage of Participants With Frequency Decrease From Baseline in the Post-baseline Audiology Tests | Auditory acuity of participants was measured using a standard dual-channel audiometer at frequencies from 250 to 8000 Hertz, and an audiogram (pure-tone air conduction) and tympanogram were performed by an audiologist. The categories reported includes >= 10dB decrease in 3 consecutive frequencies in either ear, >= 15dB decrease in 2 consecutive frequencies in either ear, and >= 20dB decrease in at least one frequency in either ear. | Safety Population (Audiology Subgroup) included all participants in the safety population with at least one audiology testing. Safety Population included all enrolled participants who completed their participation in the core study (CTBM100C2303) and received at least one dose of study drug in the extension study. Number analyzed were the number of participants with normal hearing at baseline with data available for analyses at given time point. | Posted | Number | percentage of participants | From first dose of study drug to study completion (up to approximately 25 weeks) |
|
|
|
| Primary | Number of Participants With Adverse Events (AEs) Associated With the Use of New Antipseudomonal Antibiotic | AE was defined as any untoward medical occurrence in a participant administered a pharmaceutical product; the untoward medical occurrence did not necessarily have a causal relationship with this treatment. An AE could therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal (investigational) product whether or not related to the medicinal product. SAEs included adverse events that resulted in any of the following outcomes: death, a life-threatening adverse event, inpatient hospitalization or prolongation of existing hospitalization, a persistent or significant incapacity or substantial disruption of the ability to conduct normal functions, or a congenital anomaly/birth defect. | Safety Population included all enrolled participants who completed their participation in the core study (CTBM100C2303) and received at least one dose of study drug in the extension study. | Posted | Count of Participants | Participants | From first administration of study drug to study completion (up to approximately 25 weeks) |
|
|
|
| Secondary | Relative Change From Baseline in Forced Expiratory Volume in One Second (FEV1) Percent Predicted to End of Dosing at Each Cycle and Study Completion | FEV1 was defined as the volume of air expired in 1 second. FEV1 % predicted was a normalized value of FEV1 calculated using the Knudsen equation, based upon participant's age, gender and height. Relative change in FEV1 % predicted = 100* (30 minutes post dose - pre dose) / pre dose assessed by number and percentage of participants with a decrease in ≥20% FEV1 percent predicted from pre dose to 30 minutes post dose. Baseline for was defined as the last measurement prior to first dose of study drug in the core study CTBM100C2303. Termination referred to the last available pre dose post-baseline measurement. | Safety Population included all enrolled participants who completed their participation in the core study (CTBM100C2303) and received at least one dose of study drug in the extension study. Number analyzed were the number of participants with data available for analyses at given time point. | Posted | Mean | Standard Deviation | percentage change | Baseline, Day 29 of Cycle 2, 3, 4, Day 57 of Follow Up and Termination (Study Completion) |
|
|
|
| Secondary | Change From Baseline in Forced Vital Capacity (FVC) Percent (%) Predicted to End of Dosing at Each Cycle and Study Completion | Relative change from baseline in FVC % predicted to end of dosing in each cycle and study completion were reported. Relative change from baseline was defined as: Relative change = 100* (Post baseline- baseline) / baseline. Baseline was defined as last measurement prior to first dose of study drug in the core study CTBM100C2303. Termination referred to the last available pre dose post-baseline measurement. | Safety Population included all enrolled participants who completed their participation in the core study (CTBM100C2303) and received at least one dose of study drug in the extension study. Number analyzed were the number of participants with data available for analyses at given time point. | Posted | Mean | Standard Deviation | percentage change | Baseline, Day 29 of Cycle 2, 3, 4, Day 57 of Follow Up and Termination (Study Completion) |
|
|
|
| Secondary | Change From Baseline in Forced Expiratory Flow Rate Over 25 Percent and 75 Percent (FEF25-75%) Predicted to End of Dosing at Each Cycle and Study Completion | Relative change from baseline in FEF25-75% predicted to end of dosing in each cycle and study completion were reported. Relative change from baseline was defined as: Relative change = 100* (Post baseline- baseline) / baseline. Baseline was defined as last measurement prior to first dose of study drug in the core study CTBM100C2303. Termination referred to the last available pre dose post-baseline measurement. | Safety Population included all enrolled participants who completed their participation in the core study (CTBM100C2303) and received at least one dose of study drug in the extension study. Number analyzed were the number of participants with data available for analyses at given time point. | Posted | Mean | Standard Deviation | percentage change | Baseline, Day 29 of Cycle 2, 3, 4, Day 57 of Follow Up and Termination (Study Completion) |
|
|
|
| Secondary | Absolute Change From Baseline in Sputum Pseudomonas Aeruginosa Density [log10 Colony Forming Units (CFU) Per Gram Sputum] to End of Dosing at Each Cycle and Study Completion | P. aeruginosa sputum density referred to overall density, defined as the sum of biotypes (mucoid, dry and small colony variant). If sub-isolates existed for CFU biotype mucoid or dry, then the sum of sub-isolates was analyzed. Absolute change from baseline was defined as: Absolute change = Post Baseline - Baseline. Baseline was defined as last measurement prior to first dose of study drug in the core study CTBM100C2303. Termination referred to the last available pre dose post-baseline measurement. | Safety Population included all enrolled participants who completed their participation in the core study (CTBM100C2303) and received at least one dose of study drug in the extension study. Number analyzed were the number of participants with data available for analyses at given time point. | Posted | Mean | Standard Deviation | log10 Colony Forming Units (CFU) | Baseline, Day 29 of Cycle 2, 3, 4, Day 57 of Follow Up and Termination (Study Completion) |
|
|
|
| Secondary | Change From Baseline in Pseudomonas Aeruginosa Minimum Inhibitory Concentration (MIC) to End of Dosing at Each Cycle and Study Completion | Change in tobramycin MIC values for P. aeruginosa were reported for specimens and were used to assess the change in pathogen susceptibility to tobramycin before (baseline) and after (post-baseline) the treatment. Maximum MIC values from all biotypes were used. Change from baseline was defined as: Change = Post-baseline - Baseline. Baseline was defined as last measurement prior to first dose of study drug in the core studyCTBM100C2303.Termination referred to the last available pre dose post-baseline measurement. | Safety Population included all enrolled participants who completed their participation in the core study (CTBM100C2303) and received at least one dose of study drug in the extension study. Number analyzed were the number of participants with data available for analyses at given time point. | Posted | Mean | Standard Deviation | μg/mL | Baseline, Day 29 of Cycle 2, 3, 4, Day 57 of Follow Up and Termination (Study Completion) |
|
|
|
| Secondary | Percentage of Participants With Anti-Pseudomonal Antibiotic Use During The Treatment Period | Safety Population included all enrolled participants who completed their participation in the core study (CTBM100C2303) and received at least one dose of study drug in the extension study. | Posted | Number | percentage of participants | From first administration of study drug to study completion (up to approximately 25 weeks) |
|
|
|
| Secondary | Number of Days of Hospitalization Due to Respiratory Serious Adverse Events | SAEs included adverse events that resulted in any of the following outcomes: death, a life-threatening adverse event, inpatient hospitalization or prolongation of existing hospitalization, a persistent or significant incapacity or substantial disruption of the ability to conduct normal functions, or a congenital anomaly/birth defect. For calculation of days in hospitalization due to respiratory events, the end date was defined as the discharge date (if provided and even if after the end of the extension study), and otherwise as the date of last visit. | Safety Population included all enrolled participants who completed their participation in the core study (CTBM100C2303) and received at least one dose of study drug in the extension study. | Posted | Median | Full Range | days | From first administration of study drug to study completion (up to approximately 25 weeks) |
|
|
|
| 0 |
| 55 |
| 3 |
| 55 |
| 24 |
| 55 |
| Lung infection | Infections and infestations | MedDRA (14.0) | Systematic Assessment |
|
| Pneumonia | Infections and infestations | MedDRA (14.0) | Systematic Assessment |
|
| Middle ear effusion | Ear and labyrinth disorders | MedDRA (14.0) | Systematic Assessment |
|
| Abdominal pain | Gastrointestinal disorders | MedDRA (14.0) | Systematic Assessment |
|
| Diarrhoea | Gastrointestinal disorders | MedDRA (14.0) | Systematic Assessment |
|
| Pyrexia | General disorders | MedDRA (14.0) | Systematic Assessment |
|
| Ascariasis | Infections and infestations | MedDRA (14.0) | Systematic Assessment |
|
| Bronchitis | Infections and infestations | MedDRA (14.0) | Systematic Assessment |
|
| Bronchopulmonary aspergillosis | Infections and infestations | MedDRA (14.0) | Systematic Assessment |
|
| Gastrointestinal candidiasis | Infections and infestations | MedDRA (14.0) | Systematic Assessment |
|
| Nasopharyngitis | Infections and infestations | MedDRA (14.0) | Systematic Assessment |
|
| Respiratory tract infection | Infections and infestations | MedDRA (14.0) | Systematic Assessment |
|
| Respiratory tract infection viral | Infections and infestations | MedDRA (14.0) | Systematic Assessment |
|
| Sinusitis | Infections and infestations | MedDRA (14.0) | Systematic Assessment |
|
| Stenotrophomonas infection | Infections and infestations | MedDRA (14.0) | Systematic Assessment |
|
| Upper respiratory tract infection | Infections and infestations | MedDRA (14.0) | Systematic Assessment |
|
| Viral rhinitis | Infections and infestations | MedDRA (14.0) | Systematic Assessment |
|
| Vaccination complication | Injury, poisoning and procedural complications | MedDRA (14.0) | Systematic Assessment |
|
| Blood calcium decreased | Investigations | MedDRA (14.0) | Systematic Assessment |
|
| Hepatic enzyme increased | Investigations | MedDRA (14.0) | Systematic Assessment |
|
| Protein urine | Investigations | MedDRA (14.0) | Systematic Assessment |
|
| Protein urine present | Investigations | MedDRA (14.0) | Systematic Assessment |
|
| White blood cell count increased | Investigations | MedDRA (14.0) | Systematic Assessment |
|
| Hypoglycaemia | Metabolism and nutrition disorders | MedDRA (14.0) | Systematic Assessment |
|
| Arthralgia | Musculoskeletal and connective tissue disorders | MedDRA (14.0) | Systematic Assessment |
|
| Headache | Nervous system disorders | MedDRA (14.0) | Systematic Assessment |
|
| Cough | Respiratory, thoracic and mediastinal disorders | MedDRA (14.0) | Systematic Assessment |
|
| Dysphonia | Respiratory, thoracic and mediastinal disorders | MedDRA (14.0) | Systematic Assessment |
|
| Dyspnoea | Respiratory, thoracic and mediastinal disorders | MedDRA (14.0) | Systematic Assessment |
|
| Productive cough | Respiratory, thoracic and mediastinal disorders | MedDRA (14.0) | Systematic Assessment |
|
| Sinus polyp | Respiratory, thoracic and mediastinal disorders | MedDRA (14.0) | Systematic Assessment |
|
| Rash | Skin and subcutaneous tissue disorders | MedDRA (14.0) | Systematic Assessment |
|
The terms and conditions of Novartis' agreements with its investigators may vary. However, Novartis does not prohibit any investigator from publishing. Any publications from a single-site are postponed until the publication of the pooled data (i.e., data from all sites) in the clinical trial.
| D010182 | Pancreatic Diseases |
| D004066 | Digestive System Diseases |
| D012140 | Respiratory Tract Diseases |
| D030342 | Genetic Diseases, Inborn |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
| D007232 | Infant, Newborn, Diseases |
|
| Hem: Absolute Eosinophils - low |
|
|
| Hem: Absolute Eosinophils - high |
|
|
| Hem: Absolute Lymphocytes - low |
|
|
| Hem: Absolute Lymphocytes - high |
|
|
| Hem: Absolute Monocytes - low |
|
|
| Hem: Absolute Monocytes - high |
|
|
| Hem: Absolute Neutrophils (Seg. + Bands) - low |
|
|
| Hem: Absolute Neutrophils (Seg. + Bands) - high |
|
|
| Hem: Basophils - low |
|
|
| Hem: Basophils - high |
|
|
| Hem: Eosinophils - low |
|
|
| Hem: Eosinophils - high |
|
|
| Hem: Hematocrit - low |
|
|
| Hem: Hematocrit - high |
|
|
| Hem: Hemoglobin - low |
|
|
| Hem: Hemoglobin - high |
|
|
| Hem: Lymphocytes - low |
|
|
| Hem: Lymphocytes - high |
|
|
| Hem: Monocytes - low |
|
|
| Hem: Monocytes - high |
|
|
| Hem: Neutrophils (Seg. + Bands) - low |
|
|
| Hem: Neutrophils (Seg. + Bands) - high |
|
|
| Hem: Platelet count (direct) - low |
|
|
| Hem: Platelet count (direct) - high |
|
|
| Hem: RBC- low |
|
|
| Hem: RBC- high |
|
|
| Hem: WBC (total)- low |
|
|
| Hem: WBC (total)- high |
|
|
| Biochemistry (Bio): Albumin - low |
|
|
| Bio: Albumin - high |
|
|
| Bio: Alkaline phosphatase, serum - low |
|
|
| Bio: Alkaline phosphatase, serum - high |
|
|
| Bio: Bilirubin (direct/conjugated) -low |
|
|
| Bio: Bilirubin (direct/conjugated) -high |
|
|
| Bio: Bilirubin (total) - low |
|
|
| Bio: Bilirubin (total) - high |
|
|
| Bio: Blood Urea Nitrogen (BUN) - low |
|
|
| Bio: Blood Urea Nitrogen (BUN) - high |
|
|
| Bio: Calcium -low |
|
|
| Bio: Calcium - high |
|
|
| Bio: Chloride - low |
|
|
| Bio: Chloride - high |
|
|
| Bio: Creatinine - low |
|
|
| Bio: Creatinine - high |
|
|
| Bio: Gamma Glutamyltransferase - low |
|
|
| Bio: Gamma Glutamyltransferase - high |
|
|
| Bio: Glucose - low |
|
|
| Bio: Glucose - high |
|
|
| Bio: Phosphate (Inorganic Phosphorus) - low |
|
|
| Bio: Phosphate (Inorganic Phosphorus) - high |
|
|
| Bio: Potassium - low |
|
|
| Bio: Potassium - high |
|
|
| Bio: SGOT (AST) - low |
|
|
| Bio: SGOT (AST) - high |
|
|
| Bio: SGPT (ALT) - low |
|
|
| Bio: SGPT (ALT) - high |
|
|
| Bio: Serum bicarbonate - low |
|
|
| Bio: Serum bicarbonate - high |
|
|
| Bio: Sodium - low |
|
|
| Bio: Sodium - high |
|
|
| Bio: Total Protein (Serum) - low |
|
|
| Bio: Total Protein (Serum) - high |
|
|
| Bio: Uric Acid - low |
|
|
| Bio: Uric Acid - high |
|
|
|
| Cycle 3: Day 1 |
|
|
| Cycle 3: Day 29 |
|
|
| Cycle 4: Day 1 |
|
|
| Cycle 4: Day 29 |
|
|
|
| Cycle 2: Day 1; >= 20 dB Decrease in at Least One Frequency In Either Ear |
|
|
| Cycle 2: Day 29; ˃= 10 dB decrease in 3 Consecutive Frequencies in Either Ear |
|
|
| Cycle 2: Day 29; >= 15 dB Decrease In 2 Consecutive Frequencies in Either Ear |
|
|
| Cycle 2: Day 29; >= 20 dB Decrease in at Least One Frequency In Either Ear |
|
|
| Cycle 3: Day 29; ˃= 10 dB Decrease in 3 Consecutive Frequencies in Either Ear |
|
|
| Cycle 3: Day 29; >= 15 dB Decrease In 2 Consecutive Frequencies in Either Ear |
|
|
| Cycle 3: Day 29; >= 20 dB Decrease in at Least One Frequency In Either Ear |
|
|
| Cycle 4: Day 29; ˃= 10 dB decrease in 3 Consecutive Frequencies in Either Ear |
|
|
| Cycle 4: Day 29; >= 15 dB Decrease In 2 Consecutive Frequencies in Either Ear |
|
|
| Cycle 4: Day 29; >= 20 dB Decrease in at Least One Frequency In Either Ear |
|
|
| Follow Up: Day 57; ˃= 10 dB decrease in 3 Consecutive Frequencies in Either Ear |
|
|
| Follow Up: Day 57: >= 15 dB Decrease in 2 Consecutive Frequencies in Either Ear |
|
|
| Follow Up: Day 57; >= 20 dB Decrease in at Least One Frequency In Either Ear |
|
|
| Title | Measurements |
|---|---|
|
| Moderate, No |
|
| Severe, Yes |
|
| Severe, No |
|
|
| Cycle 4: Day 29 |
|
|
| Follow Up: Day 57 |
|
|
| Termination |
|
|
|
| Cycle 4: Day 29 |
|
|
| Follow Up: Day 57 |
|
|
| Termination |
|
|
|
| Cycle 4; Day 29 |
|
|
| Follow Up: Day 57 |
|
|
| Termination |
|
|
|
| Cycle 4: Day 29 |
|
|
| Follow Up: Day 57 |
|
|
| Termination |
|
|
|
| Cycle 4: Day 29 |
|
|
| Follow Up: Day 57 |
|
|
| Termination |
|
|