{ "data": { "asOf": "2026-10-30T22:24:24.805Z", "dedupMethod": "exact cross-registry identifier matching; probabilistic = review only", "byRegistry": { "clinicaltrials_gov": 1 }, "canonicalTrial": { "canonicalId": "NCT03460704", "title": "Trial in Non-cystic Fibrosis Bronchiectasis Patients With Chronic Lung Infections Treated With Colistimethate Sodium.", "scientificTitle": "Efficacy and Safety of 12 Months of Therapy With Inhaled Colistimethate Sodium in Subjects With Non-cystic Fibrosis Bronchiectasis Chronically Infected With P. Aeruginosa", "status": "terminated", "studyType": "interventional", "phase": [ "PHASE3" ], "conditions": [ "Non Cystic Fibrosis Bronchiectasis" ], "interventions": [ { "name": "CMS", "type": "DRUG", "description": "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).\n\nThe 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.\n\nThe 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.\n\nAt 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." }, { "name": "Placebo", "type": "OTHER", "description": "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." } ], "sponsor": { "name": "Zambon SpA", "type": "INDUSTRY" }, "locations": [ { "city": "Newport Beach", "country": "United States", "facility": "Zambon Investigative Site" }, { "city": "Palm Springs", "country": "United States", "facility": "Zambon Investigative Site" }, { "city": "Reseda", "country": "United States", "facility": "Zambon Investigative Site" }, { "city": "San Diego", "country": "United States", "facility": "Zambon investigative site" }, { "city": "San Diego", "country": "United States", "facility": "Zambon Investgative Site" }, { "city": "Centennial", "country": "United States", "facility": "Zambon Investigative Site" }, { "city": "Jacksonville", "country": "United States", "facility": "Zambon Investigative Site" }, { "city": "Kissimmee", "country": "United States", "facility": "Zambon Investigative Site" }, { "city": "Orlando", "country": "United States", "facility": "Zambon Investigative Site" }, { "city": "St. Petersburg", "country": "United States", "facility": "Zambon investigative Site" }, { "city": "St. Petersburg", "country": "United States", "facility": "Zambon Investigative Site" }, { "city": "Weston", "country": "United States", "facility": "Zambon Investigative Site" }, { "city": "Chicago", "country": "United States", "facility": "Zambon Investigative Site" }, { "city": "Michigan City", "country": "United States", "facility": "Zambon Investigative Site" }, { "city": "Louisville", "country": "United States", "facility": "Zambon Investigative Site" }, { "city": "Rochester", "country": "United States", "facility": "Zambon Investigative Site" }, { "city": "Chesterfield", "country": "United States", "facility": "Zambon Investigative Site" }, { "city": "Lebanon", "country": "United States", "facility": "Zambon Investigative Site" }, { "city": "New York", "country": "United States", "facility": "Zambon Investigative Site" }, { "city": "Chapel Hill", "country": "United States", "facility": "Zambon investigative site" }, { "city": "Durham", "country": "United States", "facility": "Zambon Investigative Site" }, { "city": "Winston-Salem", "country": "United States", "facility": "Zambon investigative site" }, { "city": "Portland", "country": "United States", "facility": "Zambon Investigative Site" }, { "city": "Tyler", "country": "United States", "facility": "Zambon Investigative Site" }, { "city": "Abingdon", "country": "United States", "facility": "ZambonInvestigative Site" }, { "city": "Richmond", "country": "United States", "facility": "Zambon investigative site" }, { "city": "Northwest", "country": "United States", "facility": "Zambon Investigative Site" }, { "city": "Buenos Aires", "country": "Argentina", "facility": "Zambon Investigative Site" }, { "city": "Buenos Aires", "country": "Argentina", "facility": "Zambon Investigative Site" }, { "city": "Buenos Aires", "country": "Argentina", "facility": "Zambon Investigative Site" }, { "city": "Buenos Aires", "country": "Argentina", "facility": "Zambon Investigative Site" }, { "city": "Buenos Aires", "country": "Argentina", "facility": "Zambon Investigative Site" }, { "city": "Buenos Aires", "country": "Argentina", "facility": "Zambon Investigative Site" }, { "city": "Buenos Aires", "country": "Argentina", "facility": "Zambon Investigative Site" }, { "city": "Buenos Aires", "country": "Argentina", "facility": "Zambon investigative site" }, { "city": "Quilmes", "country": "Argentina", "facility": "Zambon Investigative Site" }, { "city": "San Miguel de Tucumán", "country": "Argentina", "facility": "Zambon Investigative Site" }, { "city": "Santa Fe", "country": "Argentina", "facility": "Zambon Investigative Site" }, { "city": "Adelaide", "country": "Australia", "facility": "Zambon Investigative Site" }, { "city": "Concord", "country": "Australia", "facility": "Zambon investigative site" }, { "city": "Greenslopes", "country": "Australia", "facility": "Zambon investigative site" }, { "city": "Kent Town", "country": "Australia", "facility": "Zambon Investigative Site" }, { "city": "South Brisbane", "country": "Australia", "facility": "Zambon Investigative Site" }, { "city": "Spearwood", "country": "Australia", "facility": "Zambon investigative site" }, { "city": "Burlington", "country": "Canada", "facility": "Zambon investigative Site" }, { "city": "Kelowna", "country": "Canada", "facility": "Zambon investigative site" }, { "city": "London", "country": "Canada", "facility": "Zambon Investigative Site" }, { "city": "Montreal", "country": "Canada", "facility": "Zambon Investigative Site" }, { "city": "Ottawa", "country": "Canada", "facility": "Zambon Investigative Site" }, { "city": "Québec", "country": "Canada", "facility": "Zambon Investigative Site" }, { "city": "Winnipeg", "country": "Canada", "facility": "Zambon Investigative Site" }, { "city": "Amiens", "country": "France", "facility": "Zambon Investigative Site" }, { "city": "Brest", "country": "France", "facility": "Zambon investigative site" }, { "city": "Créteil", "country": "France", "facility": "Zambon Investigative Site" }, { "city": "La Tronche", "country": "France", "facility": "Zambon investigative site" }, { "city": "Lyon", "country": "France", "facility": "Zambon investigative site" }, { "city": "Montpellier", "country": "France", "facility": "Zambon Investigative Site" }, { "city": "Nice", "country": "France", "facility": "Zambon investigative site" }, { "city": "Pessac", "country": "France", "facility": "Zambon Investigative Site" }, { "city": "Reims", "country": "France", "facility": "Zambon investigative site" }, { "city": "Toulouse", "country": "France", "facility": "Zambon Investigative Site" }, { "city": "Frankfurt", "country": "Germany", "facility": "Zambon Investigative Site" }, { "city": "Hanover", "country": "Germany", "facility": "Zambon Investigative Site" }, { "city": "Athens", "country": "Greece", "facility": "Zambon Investigative Site" }, { "city": "Haifa", "country": "Israel", "facility": "Zambon Investigative Site" }, { "city": "Jerusalem", "country": "Israel", "facility": "Zambon Investigative Site" }, { "city": "Kfar Saba", "country": "Israel", "facility": "Zambon Investigative Site" }, { "city": "Milan", "country": "Italy", "facility": "Zambon Investigative Site" }, { "city": "Monza", "country": "Italy", "facility": "Zambon Investigative Site" }, { "city": "Christchurch", "country": "New Zealand", "facility": "Zambon Investigative Site" }, { "city": "Havelock North", "country": "New Zealand", "facility": "Zambon Investigative Site" }, { "city": "Mount Cook", "country": "New Zealand", "facility": "Zambon Investigative Site" }, { "city": "Tauranga", "country": "New Zealand", "facility": "Zambon Investigative Site" }, { "city": "Bialystok", "country": "Poland", "facility": "Zambon Investigative Site" }, { "city": "Bielsko-Biala", "country": "Poland", "facility": "Zambon Investigative Site" }, { "city": "Grudziądz", "country": "Poland", "facility": "Zambon Investigative Site" }, { "city": "Krakow", "country": "Poland", "facility": "Zambon Investigative Site" }, { "city": "Legnica", "country": "Poland", "facility": "Zambon Investigative Site" }, { "city": "Lodz", "country": "Poland", "facility": "Zambon Investigative Site" }, { "city": "Lublin", "country": "Poland", "facility": "Zambon Investigative Site" }, { "city": "Ostrowiec Świętokrzyski", "country": "Poland", "facility": "Zambon Investigative Site" }, { "city": "Piaseczno", "country": "Poland", "facility": "Zambon Investigative Site" }, { "city": "Proszowice", "country": "Poland", "facility": "Zambon Investigative Site" }, { "city": "Rzeszów", "country": "Poland", "facility": "Zambon Investigative Site" }, { "city": "Sosnowiec", "country": "Poland", "facility": "Zambon Investigative Site" }, { "city": "Warsaw", "country": "Poland", "facility": "Zambon Investigative Site" }, { "city": "Wroclaw", "country": "Poland", "facility": "Zambon Investigative Site" }, { "city": "Guimarães", "country": "Portugal", "facility": "Zambon Investigative Site" }, { "city": "Lisbon", "country": "Portugal", "facility": "Zambon Investigative Site" } ], "outcomes": { "other": [], "primary": [ "Mean Annual Non-cystic Fibrosis Bronchiectasis (NCFB) Pulmonary Exacerbation Rate" ], "secondary": [ "Time to First NCFB Pulmonary Exacerbation", "Change From Baseline in St. George's Respiratory Questionnaire (SGRQ) Total Score", "P. Aeruginosa Density: Change From Baseline at Visit 3 and at Visit 7", "P. Aeruginosa Density: Change From Baseline", "Mean Annual Severe Non-cystic Fibrosis Bronchiectasis (NCFB) Pulmonary Exacerbation Rate", "Time to First Severe NCFB Pulmonary Exacerbation", "NCFB Pulmonary Exacerbation Free Days", "Days of Work Absence", "Days of Work Absence Per Employment Month", "Subjects With Hospitalisations Due to NCFB Pulmonary Exacerbations", "Mean Annual Hospitalisation for NCFB Pulmonary Exacerbation Rate", "Change From Baseline in QoL-B Physical Functioning Domain Score", "Change From Baseline in QoL-B Role Functioning Domain Score", "Change From Baseline in QoL-B Vitality Domain Score", "Change From Baseline in QoL-B Emotional Functioning Domain Score", "Change From Baseline in QoL-B Social Functioning Domain Score", "Change From Baseline in QoL-B Treatment Burden Domain Score", "Change From Baseline in QoL-B Health Perceptions Domain Score", "Change From Baseline in QoL-B Respiratory Symptoms Domain Score" ] }, "eligibility": { "sex": "ALL", "criteria": "Inclusion Criteria:\n\n1. are able and willing to give informed consent, following a detailed explanation of partecipation in the protocol and signed consent obtained;\n2. aged 18 years or older of either gender;\n3. 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;\n4. 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;\n5. have a documented history of P. aeruginosa infection;\n6. are clinically stable and have not required a change in pulmonary treatment for at least 30 days before the Screening Visit (Visit 1);\n7. have pre-bronchodilator FEV1 ≥25% of predicted;\n8. had a positive sputum culture for P. aeruginosa from an adequate sample taken at the Screening Visit (Visit 1) or during the screening period.\n\nExclusion Criteria:\n\n1. known bronchiectasis as a consequence of cystic fibrosis (CF);\n2. known history of hypogammaglobulinaemia requiring treatment with immunoglobulin, unless fully replaced and considered immuno-competent by the Investigator;\n3. myasthenia gravis or porphyria;\n4. 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;\n5. had major surgery in the 3 months prior to the Screening Visit (Visit 1) or planned inpatient major surgery during the study period;\n6. receiving treatment for allergic bronchopulmonary aspergillosis (ABPA);\n7. 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;\n8. respiratory failure that would compromise patient safety or confound the evaluation of safety or efficacy of the study in the opinion of the Investigator;\n9. current active malignancy, except for basal cell carcinoma or squamous cell carcinoma of the skin without metastases;\n10. 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);\n11. known history of human immunodeficiency virus (HIV);\n12. current treatment for non-tuberculous mycobacterial (NTM) lung disease or tuberculosis;\n13. 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;\n14. 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);\n15. 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;\n16. 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;\n17. 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;\n18. 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;\n19. participated in another investigational, interventional trial within 30 days prior to the Screening Visit (Visit 1);\n20. in the opinion of the Investigator not suitable for inclusion for whatever reason.", "minimumAge": "18 Years", "healthyVolunteers": false }, "enrollment": { "type": "ACTUAL", "count": 287 }, "startDate": "2018-01-29", "completionDate": "2022-03-15", "lastUpdated": "2026-10-15T00:00:00.000Z", "firstPosted": "2018-03-09T00:00:00.000Z", "resultsAvailable": true, "sourceRegistries": [ "clinicaltrials_gov" ], "sourceUrls": [ "https://clinicaltrials.gov/study/NCT03460704" ] }, "identifiers": [ { "idType": "nct", "idValue": "NCT03460704", "declaredBy": "clinicaltrials_gov" }, { "idType": "eudract", "idValue": "2016-004558-13", "declaredBy": 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