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临床试验/NCT02657473
NCT02657473已完成2 期

Long-term Inhaled Nebulized Tobramycin in Patients With Non-cystic Fibrosis Bronchiectasis. A Randomized Placebo Controlled Trial. The BATTLE Study Bronchiectasis And Tobramycin SoluTion InhaLation ThErapy.

Medical Center Alkmaar6 个研究点 分布在 1 个国家目标入组 58 人开始时间: 2016年8月13日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
2 期
状态
已完成
发起方
入组人数
58
试验地点
6
主要终点
Number of exacerbations

研究概览

简要总结

The purpose of this study is to evaluate the effect of tobramycin inhalation solution (TIS) once daily compared tot placebo in patients with non-CF bronchiectasis. The primary endpoint is a reduction of exacerbations of the disease during the treatment period. Next to this parameter the investigators expect to show a significant beneficial effect on lung function parameters, QoL, bacterial load of pathogens in sputum and tobramycin resistance.

详细描述

See uploaded study protocol

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
Triple (Participant, Care Provider, Investigator)

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Age ≥ 18 years
  • The presence of chronic respiratory symptoms such as cough, dyspnoea, expectoration of sputum
  • Confirmed non-CF bronchiectasis by (HR)CT
  • Documented history of at least 2 pulmonary exacerbations treated with courses of antibiotics within 12 months before inclusion.
  • No course of antibiotics or maintenance antibiotics (except for macrolides) 1 month prior to the start of the study.
  • Minimal one documented sputum or BAL-fluid culture with gram-negative bacteria or S.aureus within 12 months.
  • Growth of protocol defined pathogens in sputum at screening visit sensitive to tobramycin
  • Tolerance of inhaled tobramycin

排除标准

  • Any exacerbation within the month prior to the start of the study
  • Diagnosis of cystic fibrosis
  • Active allergic bronchopulmonary aspergillosis (ABPA)
  • Any oral, IV or inhaled antibiotics (except for macrolides) within 1 month prior to the start of the study
  • Any IV or IM corticosteroids or change in oral corticosteroids (> 10 mg) within 1 month prior to the start of the study
  • Any change/start treatment regimens macrolides, hypertonic saline, inhaled mannitol or other mucolytics, corticosteroids within 1 month prior to the start of the study
  • Change in physiotherapy technique or schedule within 1 month prior to the start of the study
  • Severe immunosuppression or active malignancy
  • Active tuberculosis
  • Chronic renal insufficiency (eGFR < 30 ml/min), use of loop diuretics
  • Have received an investigational drug or device within 1 month prior to the start of the study
  • Serious or active medical or psychiatric illness
  • Pregnancy and child bearing
  • History of poor cooperation or non-compliance
  • Unable to use nebulizers
  • Allergic for tobramycin

研究组 & 干预措施

TIS 300mg once daily

Active Comparator

Tobramycin inhalation solution (TIS) 300mg once daily for at least 9 months and up to 12 months

干预措施: tobramycin inhalation solution (Drug)

Placebo once daily

Placebo Comparator

Saline 0.9% inhalation solution 300mg once daily for at least 9 months and up to 12 months

干预措施: Saline 0.9% inhalation solution (Drug)

结局指标

主要结局

Number of exacerbations

时间窗: 13 months

次要结局

未报告次要终点

研究者

发起方
Medical Center Alkmaar
申办方类型
Other
责任方
Principal Investigator
主要研究者

W.G.Boersma

Dr.MD.

Medical Center Alkmaar

研究点 (6)

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