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Clinical Trials/NCT00434278
NCT00434278TerminatedPhase 4

A Multicenter, Randomized, Double-Blind, Placebo-Controlled Trial of Pulmozyme Withdrawal on Exercise Tolerance in Cystic Fibrosis Subjects With Severe Lung Disease

Genentech, Inc.40 sites in 1 country27 target enrollmentStarted: March 2007Last updated:
Conditions
Interventions
Drugs

Trial Snapshot

Phase
Phase 4
Status
Terminated
Enrollment
27
Locations
40
Primary Endpoint
Change in Distance Walked in the 6-minute Walk Test

Study Overview

Brief Summary

This was a multicenter, randomized, double-blind, placebo-controlled study of patients with severe, though stable, cystic fibrosis (CF) whose routine treatment included Pulmozyme. Patients were randomized to either continue Pulmozyme or have therapy withdrawn for 2 weeks (placebo group). Patients must have had stable CF symptoms without any change in therapy for 2 weeks prior to enrollment in order to participate.

Study Design

Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel
Primary Purpose
Treatment
Masking
Double (Participant, Investigator)

Eligibility Criteria

Ages
14 Years to — (Child, Adult, Older Adult)
Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • Signed Informed Consent Form and, if applicable, Assent Form
  • Age ≥ 14 years old at screening
  • Proven diagnosis of CF
  • Ability to perform acceptable and reproducible spirometry maneuvers at screening
  • FVC ≤ 45% predicted for race, height, age, and sex at screening
  • Chronic use of Pulmozyme for at least 3 months in the last year and daily or twice daily use during the 14 days prior to screening
  • Stable regimen of chest physiotherapy (CPT) for at least 14 days prior to screening
  • Ability to complete the 6-minute walk test at screening
  • Ability to complete the 6-minute walk test and spirometry at Visit 2
  • If on routine tobramycin solution for inhalation (i.e., TOBI®) or other cycled antibiotic therapy, intention to either start or stop therapy at the time of Visit 2 (based on routine therapy cycle; no other planned change in this antibiotic regimen for 28 days before or 28 days after Visit 2)
  • Clinically stable with no change in medications during the 14 days prior to screening

Exclusion Criteria

  • Use of an investigational drug or device within 28 days prior to screening
  • Previous episode of acute respiratory failure requiring assisted ventilation within 2 years prior to screening
  • Previous lung transplant
  • Any cardiac disease that would contraindicate performing the 6-minute walk test
  • Pregnancy or nursing
  • Known hypersensitivity or other contraindication to the use of Pulmozyme
  • Previous completion or premature discontinuation of study drug or withdrawal from this study
  • More than one prior screening failure for this study at any time or any prior screening failure for this study within the last 28 days

Arms & Interventions

Placebo

Placebo Comparator

Intervention: placebo (Drug)

Dornase alfa

Experimental

Intervention: Dornase alfa (Drug)

Outcomes

Primary Outcomes

Change in Distance Walked in the 6-minute Walk Test

Time Frame: From baseline to Day 14

Change in distance walked was defined as (distance walked in 6 minutes at baseline \[Day 0\]) - (distance walked in 6 minutes at Day 14) in meters.

Secondary Outcomes

  • Change in Pulmonary Function as Measured by FEV1 and FVC(From baseline to Day 14)

Investigators

Sponsor Class
Industry
Responsible Party
Sponsor

Study Sites (40)

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