Trial Outcomes & Findings for Safety and Tolerability Study of 2 Dose Level of Arikayce™ in Patients With Bronchiectasis and Chronic Infection Due to Pseudomonas Aeruginosa. (NCT NCT00775138)

NCT ID: NCT00775138

Last Updated: 2019-07-10

Results Overview

Number of Subjects reporting TEAE in the Arikayce™ groups and the placebo groups during the study. The table shows the events incidents, not the number of participants.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

64 participants

Primary outcome timeframe

Day 1 through 56.

Results posted on

2019-07-10

Participant Flow

Participant milestones

Participant milestones
Measure
Arikayce™ at 280 mg
Study subjects will receive Arikayce™ 280 mg on Days 1-28.
Matching Placebo (280 mg)
Study subjects will receive matching placebo on Days 1-28.
Arikayce™ at 560 mg
Study subjects will receive Arikayce™ 560 mg on Days 1-28.
Matching Placebo (560 mg)
Study subjects will receive matching placebo on Days 1-28.
Overall Study
STARTED
24
10
20
10
Overall Study
COMPLETED
24
10
17
8
Overall Study
NOT COMPLETED
0
0
3
2

Reasons for withdrawal

Reasons for withdrawal
Measure
Arikayce™ at 280 mg
Study subjects will receive Arikayce™ 280 mg on Days 1-28.
Matching Placebo (280 mg)
Study subjects will receive matching placebo on Days 1-28.
Arikayce™ at 560 mg
Study subjects will receive Arikayce™ 560 mg on Days 1-28.
Matching Placebo (560 mg)
Study subjects will receive matching placebo on Days 1-28.
Overall Study
Withdrawal by Subject
0
0
2
2
Overall Study
Adverse Event
0
0
1
0

Baseline Characteristics

Safety and Tolerability Study of 2 Dose Level of Arikayce™ in Patients With Bronchiectasis and Chronic Infection Due to Pseudomonas Aeruginosa.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Arikayce™ at 280 mg
n=24 Participants
Study subjects will receive Arikayce™ 280 mg on Days 1-28.
Matching Placebo (280 mg)
n=10 Participants
Study subjects will receive matching placebo on Days 1-28.
Arikayce™ at 560 mg
n=19 Participants
Study subjects will receive Arikayce™ 560 mg on Days 1-28.
Matching Placebo (560 mg)
n=9 Participants
Study subjects will receive matching placebo on Days 1-28.
Total
n=62 Participants
Total of all reporting groups
Age, Continuous
49.9 years
STANDARD_DEVIATION 21.1 • n=5 Participants
46.8 years
STANDARD_DEVIATION 15.0 • n=7 Participants
58.5 years
STANDARD_DEVIATION 16.0 • n=5 Participants
52.3 years
STANDARD_DEVIATION 11.1 • n=4 Participants
52.4 years
STANDARD_DEVIATION 17.7 • n=21 Participants
Sex: Female, Male
Female
10 Participants
n=5 Participants
4 Participants
n=7 Participants
11 Participants
n=5 Participants
5 Participants
n=4 Participants
30 Participants
n=21 Participants
Sex: Female, Male
Male
14 Participants
n=5 Participants
6 Participants
n=7 Participants
8 Participants
n=5 Participants
4 Participants
n=4 Participants
32 Participants
n=21 Participants

PRIMARY outcome

Timeframe: Day 1 through 56.

Population: Safety population, the same as the mITT population, defined as all randomized patients who received at least 1 dose of study drug.

Number of Subjects reporting TEAE in the Arikayce™ groups and the placebo groups during the study. The table shows the events incidents, not the number of participants.

Outcome measures

Outcome measures
Measure
Arikace™ 280 mg
n=24 Participants
Study subjects will receive Arikace™ 280 mg on Days 1-28.
Matching Placebo (280 mg)
n=10 Participants
Study subjects will receive matching placebo on Days 1-28.
Arikace™ 560 mg
n=19 Participants
Study subjects will receive Arikace™ 560 mg on Days 1-28.
Matching Placebo (560 mg)
n=9 Participants
Study subjects will receive matching placebo on Days 1-28.
Number of Participants Reporting Treatment-emergent AEs (TEAEs) up to End of Treatment
Productive Cough
2 Participants
3 Participants
2 Participants
3 Participants
Number of Participants Reporting Treatment-emergent AEs (TEAEs) up to End of Treatment
Bronchial disorder
3 Participants
0 Participants
1 Participants
0 Participants
Number of Participants Reporting Treatment-emergent AEs (TEAEs) up to End of Treatment
Cough
1 Participants
2 Participants
5 Participants
0 Participants
Number of Participants Reporting Treatment-emergent AEs (TEAEs) up to End of Treatment
Haemoptysis
2 Participants
1 Participants
1 Participants
0 Participants
Number of Participants Reporting Treatment-emergent AEs (TEAEs) up to End of Treatment
Pyrexia
2 Participants
1 Participants
1 Participants
2 Participants
Number of Participants Reporting Treatment-emergent AEs (TEAEs) up to End of Treatment
Wheezing
1 Participants
2 Participants
1 Participants
0 Participants
Number of Participants Reporting Treatment-emergent AEs (TEAEs) up to End of Treatment
Dyspnoea
0 Participants
2 Participants
3 Participants
1 Participants
Number of Participants Reporting Treatment-emergent AEs (TEAEs) up to End of Treatment
Headache
1 Participants
1 Participants
4 Participants
1 Participants
Number of Participants Reporting Treatment-emergent AEs (TEAEs) up to End of Treatment
Nasopharyngitis
1 Participants
1 Participants
1 Participants
0 Participants
Number of Participants Reporting Treatment-emergent AEs (TEAEs) up to End of Treatment
Sneezing
0 Participants
2 Participants
0 Participants
0 Participants
Number of Participants Reporting Treatment-emergent AEs (TEAEs) up to End of Treatment
Agitation
1 Participants
0 Participants
0 Participants
0 Participants
Number of Participants Reporting Treatment-emergent AEs (TEAEs) up to End of Treatment
Aphthous stomatitis
0 Participants
1 Participants
0 Participants
0 Participants
Number of Participants Reporting Treatment-emergent AEs (TEAEs) up to End of Treatment
Arthralgia
1 Participants
0 Participants
0 Participants
0 Participants
Number of Participants Reporting Treatment-emergent AEs (TEAEs) up to End of Treatment
Cervicobrachial syndrome
0 Participants
1 Participants
0 Participants
0 Participants
Number of Participants Reporting Treatment-emergent AEs (TEAEs) up to End of Treatment
Chronic obstructive pulmonary disease
1 Participants
0 Participants
0 Participants
0 Participants
Number of Participants Reporting Treatment-emergent AEs (TEAEs) up to End of Treatment
Dizziness
0 Participants
1 Participants
1 Participants
0 Participants
Number of Participants Reporting Treatment-emergent AEs (TEAEs) up to End of Treatment
Dysgeusia
1 Participants
0 Participants
0 Participants
0 Participants
Number of Participants Reporting Treatment-emergent AEs (TEAEs) up to End of Treatment
Dysphonia
1 Participants
0 Participants
2 Participants
0 Participants
Number of Participants Reporting Treatment-emergent AEs (TEAEs) up to End of Treatment
Forced expiratory volume decreased
1 Participants
0 Participants
0 Participants
0 Participants
Number of Participants Reporting Treatment-emergent AEs (TEAEs) up to End of Treatment
Pharyngolaryngeal pain
1 Participants
0 Participants
0 Participants
0 Participants
Number of Participants Reporting Treatment-emergent AEs (TEAEs) up to End of Treatment
Pruritus
0 Participants
1 Participants
0 Participants
0 Participants
Number of Participants Reporting Treatment-emergent AEs (TEAEs) up to End of Treatment
Rash
0 Participants
1 Participants
0 Participants
0 Participants
Number of Participants Reporting Treatment-emergent AEs (TEAEs) up to End of Treatment
Rhinorrhoea
0 Participants
1 Participants
0 Participants
1 Participants
Number of Participants Reporting Treatment-emergent AEs (TEAEs) up to End of Treatment
Sinus bradycardia
0 Participants
1 Participants
0 Participants
0 Participants
Number of Participants Reporting Treatment-emergent AEs (TEAEs) up to End of Treatment
Tinnitus
1 Participants
0 Participants
0 Participants
0 Participants
Number of Participants Reporting Treatment-emergent AEs (TEAEs) up to End of Treatment
Toothache
1 Participants
0 Participants
0 Participants
0 Participants
Number of Participants Reporting Treatment-emergent AEs (TEAEs) up to End of Treatment
Upper respiratory tract infection
1 Participants
0 Participants
1 Participants
0 Participants
Number of Participants Reporting Treatment-emergent AEs (TEAEs) up to End of Treatment
Anorexia
0 Participants
0 Participants
1 Participants
1 Participants
Number of Participants Reporting Treatment-emergent AEs (TEAEs) up to End of Treatment
Bronchiectasis
0 Participants
0 Participants
1 Participants
1 Participants
Number of Participants Reporting Treatment-emergent AEs (TEAEs) up to End of Treatment
Fatigue
0 Participants
0 Participants
1 Participants
1 Participants
Number of Participants Reporting Treatment-emergent AEs (TEAEs) up to End of Treatment
Insomnia
0 Participants
0 Participants
1 Participants
1 Participants
Number of Participants Reporting Treatment-emergent AEs (TEAEs) up to End of Treatment
Abortion incomplete
0 Participants
0 Participants
1 Participants
0 Participants
Number of Participants Reporting Treatment-emergent AEs (TEAEs) up to End of Treatment
Blood creatinine increased
0 Participants
0 Participants
1 Participants
0 Participants
Number of Participants Reporting Treatment-emergent AEs (TEAEs) up to End of Treatment
Constipation
0 Participants
0 Participants
0 Participants
1 Participants
Number of Participants Reporting Treatment-emergent AEs (TEAEs) up to End of Treatment
Laryngitis
0 Participants
0 Participants
1 Participants
0 Participants
Number of Participants Reporting Treatment-emergent AEs (TEAEs) up to End of Treatment
Lung abscess
0 Participants
0 Participants
0 Participants
1 Participants
Number of Participants Reporting Treatment-emergent AEs (TEAEs) up to End of Treatment
Nausea
0 Participants
0 Participants
1 Participants
0 Participants
Number of Participants Reporting Treatment-emergent AEs (TEAEs) up to End of Treatment
Palpitations
0 Participants
0 Participants
1 Participants
0 Participants

PRIMARY outcome

Timeframe: Day 1 through 56.

Population: The safety population is the mITT population.

Number of subjects reporting Incidence of clinically significant abnormalities in clinical values (Common Terminology Criteria for Adverse Events \[CTCAE\] grade \>= 3) in Arikayce™ and placebo groups.

Outcome measures

Outcome measures
Measure
Arikace™ 280 mg
n=24 Participants
Study subjects will receive Arikace™ 280 mg on Days 1-28.
Matching Placebo (280 mg)
n=10 Participants
Study subjects will receive matching placebo on Days 1-28.
Arikace™ 560 mg
n=19 Participants
Study subjects will receive Arikace™ 560 mg on Days 1-28.
Matching Placebo (560 mg)
n=9 Participants
Study subjects will receive matching placebo on Days 1-28.
Treatment-emergent Marked Laboratory Abnormalities up to 28 Days After Study Medication Discontinuation
Leukocytes
1 Participants
0 Participants
0 Participants
0 Participants
Treatment-emergent Marked Laboratory Abnormalities up to 28 Days After Study Medication Discontinuation
Neutrophils Abs
4 Participants
0 Participants
1 Participants
0 Participants
Treatment-emergent Marked Laboratory Abnormalities up to 28 Days After Study Medication Discontinuation
Sodium
1 Participants
0 Participants
0 Participants
0 Participants
Treatment-emergent Marked Laboratory Abnormalities up to 28 Days After Study Medication Discontinuation
Uric acid
0 Participants
1 Participants
1 Participants
1 Participants

PRIMARY outcome

Timeframe: Pre-dose, 0-1 hour post-dose and 2-4 hours post-dose on day 1, 0-1 hour post-dose and 2-4 hours post-dose on day 14, and 0-1 hour post-dose and 2-4 hours post-dose on day 28

Population: The analysis population is the safety population, the same as the mITT population, defined as all randomized patients who received at least 1 dose of study drug.

Changes in PFT from pre-dose during the study were measured on Days 1, 14, and 28. Acute tolerability of the study treatment was assessed by examining the relative (rel.) changes in FEV1 from pre-dose assessments to 0-1 hour post-dose and 2-4 hours post-dose for each time point at which post-dose spirometry was conducted.

Outcome measures

Outcome measures
Measure
Arikace™ 280 mg
n=24 Participants
Study subjects will receive Arikace™ 280 mg on Days 1-28.
Matching Placebo (280 mg)
n=10 Participants
Study subjects will receive matching placebo on Days 1-28.
Arikace™ 560 mg
n=19 Participants
Study subjects will receive Arikace™ 560 mg on Days 1-28.
Matching Placebo (560 mg)
n=9 Participants
Study subjects will receive matching placebo on Days 1-28.
Treatment-emergent Pulmonary Function Test (PFT) for Acute Tolerability Assessment
Day 1: Pre-Dose
1.917 L
Standard Deviation 0.793
1.841 L
Standard Deviation 0.536
1.939 L
Standard Deviation 0.515
1.758 L
Standard Deviation 0.654
Treatment-emergent Pulmonary Function Test (PFT) for Acute Tolerability Assessment
Day 1: 0 - 1 Hr Post-Dose
1.922 L
Standard Deviation 0.780
1.820 L
Standard Deviation 0.546
1.907 L
Standard Deviation 0.475
1.807 L
Standard Deviation 0.666
Treatment-emergent Pulmonary Function Test (PFT) for Acute Tolerability Assessment
Day 1: 2 - 4 Hrs Post-Dose
1.955 L
Standard Deviation 0.766
1.864 L
Standard Deviation 0.520
1.912 L
Standard Deviation 0.477
1.812 L
Standard Deviation 0.675
Treatment-emergent Pulmonary Function Test (PFT) for Acute Tolerability Assessment
Day1:0-1 Hr Post-Dose Rel. Change from Pre-dose
0.816 L
Standard Deviation 9.317
-1.186 L
Standard Deviation 3.028
-0.873 L
Standard Deviation 9.640
3.128 L
Standard Deviation 12.088
Treatment-emergent Pulmonary Function Test (PFT) for Acute Tolerability Assessment
Day1:2-4 Hrs Post-Dose Rel. Change from Pre-dose
3.323 L
Standard Deviation 11.181
1.484 L
Standard Deviation 3.507
-0.661 L
Standard Deviation 8.374
3.082 L
Standard Deviation 11.671
Treatment-emergent Pulmonary Function Test (PFT) for Acute Tolerability Assessment
Day 14: Pre-Dose
1.892 L
Standard Deviation 0.759
1.761 L
Standard Deviation 0.550
1.864 L
Standard Deviation 0.607
1.895 L
Standard Deviation 0.592
Treatment-emergent Pulmonary Function Test (PFT) for Acute Tolerability Assessment
Day 14: 0 - 1 Hr Post-Dose
1.907 L
Standard Deviation 0.776
1.794 L
Standard Deviation 0.556
1.856 L
Standard Deviation 0.555
1.908 L
Standard Deviation 0.611
Treatment-emergent Pulmonary Function Test (PFT) for Acute Tolerability Assessment
Day 14: 2 - 4 Hr Post-Dose
1.931 L
Standard Deviation 0.771
1.797 L
Standard Deviation 0.520
1.843 L
Standard Deviation 0.567
1.901 L
Standard Deviation 0.542
Treatment-emergent Pulmonary Function Test (PFT) for Acute Tolerability Assessment
Day14:0-1 Hr Post-Dose Rel. Change from Pre-dose
0.800 L
Standard Deviation 8.818
2.061 L
Standard Deviation 4.509
-1.629 L
Standard Deviation 9.961
0.589 L
Standard Deviation 4.558
Treatment-emergent Pulmonary Function Test (PFT) for Acute Tolerability Assessment
Day14:2-4 Hr Post-Dose Rel. Change from Pre-dose
2.388 L
Standard Deviation 9.020
2.711 L
Standard Deviation 6.620
-3.114 L
Standard Deviation 8.506
1.228 L
Standard Deviation 9.617
Treatment-emergent Pulmonary Function Test (PFT) for Acute Tolerability Assessment
Day 28: Pre-Dose
1.919 L
Standard Deviation 0.761
1.794 L
Standard Deviation 0.507
1.846 L
Standard Deviation 0.532
1.934 L
Standard Deviation 0.560
Treatment-emergent Pulmonary Function Test (PFT) for Acute Tolerability Assessment
Day 28: 0 - 1 Hr Post-Dose
1.928 L
Standard Deviation 0.751
1.803 L
Standard Deviation 0.502
1.797 L
Standard Deviation 0.541
1.901 L
Standard Deviation 0.550
Treatment-emergent Pulmonary Function Test (PFT) for Acute Tolerability Assessment
Day 28: 2 - 4 Hrs Post-Dose
1.908 L
Standard Deviation 0.754
1.809 L
Standard Deviation 0.527
1.799 L
Standard Deviation 0.578
1.940 L
Standard Deviation 0.641
Treatment-emergent Pulmonary Function Test (PFT) for Acute Tolerability Assessment
Day 28:0-1 Hr Post-Dose Rel. Change from Pre-dose
0.635 L
Standard Deviation 7.647
0.654 L
Standard Deviation 3.675
0.607 L
Standard Deviation 4.185
-1.437 L
Standard Deviation 6.454
Treatment-emergent Pulmonary Function Test (PFT) for Acute Tolerability Assessment
Day 28:2-4 Hrs Post-Dose Rel. Change from Pre-dose
-0.356 L
Standard Deviation 8.858
0.601 L
Standard Deviation 3.184
-0.006 L
Standard Deviation 6.156
-0.542 L
Standard Deviation 7.690

PRIMARY outcome

Timeframe: Day 1, Day 14 and Day 28

Population: The analysis population is the safety population, the same as the mITT population, defined as all randomized patients who received at least 1 dose of study drug.

Number of Subjects with Decrease of \>= 15% in FEV1 (L) from Pre- to Post-dose by Study Day

Outcome measures

Outcome measures
Measure
Arikace™ 280 mg
n=24 Participants
Study subjects will receive Arikace™ 280 mg on Days 1-28.
Matching Placebo (280 mg)
n=10 Participants
Study subjects will receive matching placebo on Days 1-28.
Arikace™ 560 mg
n=19 Participants
Study subjects will receive Arikace™ 560 mg on Days 1-28.
Matching Placebo (560 mg)
n=9 Participants
Study subjects will receive matching placebo on Days 1-28.
Treatment-emergent PFT Abnormalities up to the End of Study
Day 1 · No
22 Participants
10 Participants
17 Participants
9 Participants
Treatment-emergent PFT Abnormalities up to the End of Study
Day 1 · Yes
2 Participants
0 Participants
2 Participants
0 Participants
Treatment-emergent PFT Abnormalities up to the End of Study
Day 14 · No
23 Participants
10 Participants
18 Participants
9 Participants
Treatment-emergent PFT Abnormalities up to the End of Study
Day 14 · Yes
1 Participants
0 Participants
1 Participants
0 Participants
Treatment-emergent PFT Abnormalities up to the End of Study
Day 28 · No
23 Participants
10 Participants
19 Participants
9 Participants
Treatment-emergent PFT Abnormalities up to the End of Study
Day 28 · Yes
1 Participants
0 Participants
0 Participants
0 Participants

PRIMARY outcome

Timeframe: Screening to Day 56

Population: The analysis population is the safety population, the same as the mITT population, defined as all randomized patients who received at least 1 dose of study drug.

Outcome measures

Outcome measures
Measure
Arikace™ 280 mg
n=24 Participants
Study subjects will receive Arikace™ 280 mg on Days 1-28.
Matching Placebo (280 mg)
n=10 Participants
Study subjects will receive matching placebo on Days 1-28.
Arikace™ 560 mg
n=19 Participants
Study subjects will receive Arikace™ 560 mg on Days 1-28.
Matching Placebo (560 mg)
n=9 Participants
Study subjects will receive matching placebo on Days 1-28.
Number of Subjects With an Adverse Event Leading to Permanent Discontinuation of Study Medication
0 Participants
0 Participants
1 Participants
0 Participants

PRIMARY outcome

Timeframe: Screening to Day 56

Population: The safety population is the modified intent-to-treat (mITT) population, defined as all randomized patients who received at least 1 dose of study drug.

Number of subjects with a SAE in the Arikace™ groups and the placebo group up to 28 days after study medication discontinuation. See SAE table in the safety section for details.

Outcome measures

Outcome measures
Measure
Arikace™ 280 mg
n=24 Participants
Study subjects will receive Arikace™ 280 mg on Days 1-28.
Matching Placebo (280 mg)
n=10 Participants
Study subjects will receive matching placebo on Days 1-28.
Arikace™ 560 mg
n=19 Participants
Study subjects will receive Arikace™ 560 mg on Days 1-28.
Matching Placebo (560 mg)
n=9 Participants
Study subjects will receive matching placebo on Days 1-28.
Serious Adverse Events up to 28 Days After Study Medication Discontinuation
1 Participants
0 Participants
1 Participants
1 Participants

SECONDARY outcome

Timeframe: Baseline to Day 14, Day 28 and Day 42.

Population: Per source, this is the Pa population, which includes patients who grew Pa on day 1, analyzed as treated.

The change in Pseudomonas aeruginosa density from from baseline to Day 14, 28, and 42 were evaluated.Treatment differences with respect to the changes from baseline to each measured study day, defined as the log10 of the sum of all morphotypes (colony-forming units \[CFU\]) per gram of sputum in (log10CFU/gram \[g\]), was estimated for each treatment group; standard deviations accompanied the treatment differences.

Outcome measures

Outcome measures
Measure
Arikace™ 280 mg
n=17 Participants
Study subjects will receive Arikace™ 280 mg on Days 1-28.
Matching Placebo (280 mg)
n=9 Participants
Study subjects will receive matching placebo on Days 1-28.
Arikace™ 560 mg
n=15 Participants
Study subjects will receive Arikace™ 560 mg on Days 1-28.
Matching Placebo (560 mg)
n=8 Participants
Study subjects will receive matching placebo on Days 1-28.
Change From Baseline in Log10CFU Per Gram (Density) of Pseudomonas Aeruginosa in Sputum.
Day 14 Change from Baseline
-0.227 log10CFU per gram
Standard Deviation 0.805
-0.333 log10CFU per gram
Standard Deviation 0.515
-2.016 log10CFU per gram
Standard Deviation 1.942
-0.474 log10CFU per gram
Standard Deviation 1.942
Change From Baseline in Log10CFU Per Gram (Density) of Pseudomonas Aeruginosa in Sputum.
Day 28 Change from Baseline
-0.094 log10CFU per gram
Standard Deviation 0.975
0.315 log10CFU per gram
Standard Deviation 0.732
-1.013 log10CFU per gram
Standard Deviation 1.099
-0.302 log10CFU per gram
Standard Deviation 0.443
Change From Baseline in Log10CFU Per Gram (Density) of Pseudomonas Aeruginosa in Sputum.
Day 42 Change from Baseline
0.101 log10CFU per gram
Standard Deviation 0.788
-0.057 log10CFU per gram
Standard Deviation 0.627
0.046 log10CFU per gram
Standard Deviation 0.705
-0.641 log10CFU per gram
Standard Deviation 1.095

SECONDARY outcome

Timeframe: Baseline to Day 14, Day 28, Day 42 and Day 56.

Population: The safety population is used for this analysis. It is the same as the mITT population, defined as all randomized patients who received at least one dose of study medication.

Changes in the severity and intensity (frequency x severity) of individual symptoms and change in composite PSSS from baseline to Days 14, 28, 42 and 56. The Pulmonary Symptom Severity Score (PSSS) was assessed on patient's responses to the Patients Symptoms Questionnaire, which employs symptom frequency and severity scales described for the validated Memorial Symptoms Assessment Scale. Symptom severity was scored on a scale of 0 (not applicable or symptom not present) to 4 (very severe) for each of the 5 symptoms (cough, shortness of breath, sputum production \[frequency and severity\], fatigue, and wheezing), and a composite score (range, 0 to 20 \[low score represents better outcome\]) was obtained as the sum of the severity scores for each symptom.

Outcome measures

Outcome measures
Measure
Arikace™ 280 mg
n=24 Participants
Study subjects will receive Arikace™ 280 mg on Days 1-28.
Matching Placebo (280 mg)
n=10 Participants
Study subjects will receive matching placebo on Days 1-28.
Arikace™ 560 mg
n=19 Participants
Study subjects will receive Arikace™ 560 mg on Days 1-28.
Matching Placebo (560 mg)
n=9 Participants
Study subjects will receive matching placebo on Days 1-28.
Total Pulmonary Symptom Severity Score (PSSS)
Day 14 change from Day 1
-1.125 score on a scale
Standard Deviation 2.213
-0.200 score on a scale
Standard Deviation 0.789
-0.471 score on a scale
Standard Deviation 2.035
-0.250 score on a scale
Standard Deviation 2.053
Total Pulmonary Symptom Severity Score (PSSS)
Day 28 change from Day 1
-2.167 score on a scale
Standard Deviation 2.988
0.000 score on a scale
Standard Deviation 2.357
-1.000 score on a scale
Standard Deviation 4.087
-0.125 score on a scale
Standard Deviation 4.257
Total Pulmonary Symptom Severity Score (PSSS)
Day 42 change from Day 1
-2.458 score on a scale
Standard Deviation 3.476
-1.000 score on a scale
Standard Deviation 1.491
-1.882 score on a scale
Standard Deviation 4.285
1.125 score on a scale
Standard Deviation 3.137
Total Pulmonary Symptom Severity Score (PSSS)
Day 56 change from Day 1
-2.458 score on a scale
Standard Deviation 2.874
-1.500 score on a scale
Standard Deviation 2.121
-2.167 score on a scale
Standard Deviation 3.053
-2.000 score on a scale
Standard Deviation 1.690

SECONDARY outcome

Timeframe: Day 1 to Day 14, Day 28, Day 42 and Day 56.

Population: The analysis population is the mITT population, defined as all randomized patients who received at least one dose of study medication.

A composite total score is derived as the sum of domain scores for symptoms, activity, and impact, with 0 as the best possible score and 100 as the worst possible score. A reduction in score of 4 points is generally recognized as a clinically meaningful improvement in quality of life. This analysis compared the changes from Day 1 (prior to first dosing) to Days 14, 28, 42, and 56.

Outcome measures

Outcome measures
Measure
Arikace™ 280 mg
n=24 Participants
Study subjects will receive Arikace™ 280 mg on Days 1-28.
Matching Placebo (280 mg)
n=10 Participants
Study subjects will receive matching placebo on Days 1-28.
Arikace™ 560 mg
n=19 Participants
Study subjects will receive Arikace™ 560 mg on Days 1-28.
Matching Placebo (560 mg)
n=9 Participants
Study subjects will receive matching placebo on Days 1-28.
To Evaluate Change in St. George's Respiratory Questionnaire Measurements
Day 14 change from Day 1
-4.024 score on a scale
Standard Deviation 8.558
-6.350 score on a scale
Standard Deviation 8.756
-6.101 score on a scale
Standard Deviation 12.164
-2.807 score on a scale
Standard Deviation 7.256
To Evaluate Change in St. George's Respiratory Questionnaire Measurements
Day 28 change from Day 1
-6.205 score on a scale
Standard Deviation 13.661
-5.812 score on a scale
Standard Deviation 12.039
-6.200 score on a scale
Standard Deviation 11.855
-8.304 score on a scale
Standard Deviation 12.993
To Evaluate Change in St. George's Respiratory Questionnaire Measurements
Day 42 change from Day 1
-7.611 score on a scale
Standard Deviation 13.274
-6.130 score on a scale
Standard Deviation 14.271
-8.196 score on a scale
Standard Deviation 12.332
0.242 score on a scale
Standard Deviation 5.818
To Evaluate Change in St. George's Respiratory Questionnaire Measurements
Day 56 change from Day 1
-7.937 score on a scale
Standard Deviation 16.281
-7.371 score on a scale
Standard Deviation 11.270
-9.282 score on a scale
Standard Deviation 10.302
-1.637 score on a scale
Standard Deviation 15.161

SECONDARY outcome

Timeframe: Screening to Day 56.

Population: The analysis population is the mITT population, defined as all randomized patients who received at least one dose of study medication

Outcome measures

Outcome measures
Measure
Arikace™ 280 mg
n=24 Participants
Study subjects will receive Arikace™ 280 mg on Days 1-28.
Matching Placebo (280 mg)
n=10 Participants
Study subjects will receive matching placebo on Days 1-28.
Arikace™ 560 mg
n=19 Participants
Study subjects will receive Arikace™ 560 mg on Days 1-28.
Matching Placebo (560 mg)
n=9 Participants
Study subjects will receive matching placebo on Days 1-28.
To Evaluate the Use of Systemic Antipseudomonal Rescue Therapy
Rescue Medication Initiation by Day 28
0 Participants
0 Participants
0 Participants
1 Participants
To Evaluate the Use of Systemic Antipseudomonal Rescue Therapy
Rescue Medication Initiation by Day 56
0 Participants
0 Participants
0 Participants
1 Participants
To Evaluate the Use of Systemic Antipseudomonal Rescue Therapy
No Rescue Medication Initiation
24 Participants
10 Participants
19 Participants
7 Participants

Adverse Events

Arikace at 280 mg

Serious events: 1 serious events
Other events: 11 other events
Deaths: 0 deaths

Matching Placebo (280 mg)

Serious events: 0 serious events
Other events: 5 other events
Deaths: 0 deaths

Arikace at 560 mg

Serious events: 1 serious events
Other events: 11 other events
Deaths: 0 deaths

Matching Placebo (560 mg)

Serious events: 1 serious events
Other events: 6 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Arikace at 280 mg
n=24 participants at risk
Study subjects will receive Arikace™ 280 mg on Days 1-28.
Matching Placebo (280 mg)
n=10 participants at risk
Study subjects will receive matching placebo on Days 1-28.
Arikace at 560 mg
n=19 participants at risk
Study subjects will receive Arikace™ 560 mg on Days 1-28.
Matching Placebo (560 mg)
n=9 participants at risk
Study subjects will receive matching placebo on Days 1-28.
Respiratory, thoracic and mediastinal disorders
Chronic Obstructive Pulmonary Disease
4.2%
1/24 • Number of events 1 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
0.00%
0/10 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
0.00%
0/19 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
0.00%
0/9 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
Pregnancy, puerperium and perinatal conditions
Abortion Incomplete
0.00%
0/24 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
0.00%
0/10 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
5.3%
1/19 • Number of events 1 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
0.00%
0/9 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
Respiratory, thoracic and mediastinal disorders
Lung Abscess
0.00%
0/24 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
0.00%
0/10 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
0.00%
0/19 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
11.1%
1/9 • Number of events 1 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56

Other adverse events

Other adverse events
Measure
Arikace at 280 mg
n=24 participants at risk
Study subjects will receive Arikace™ 280 mg on Days 1-28.
Matching Placebo (280 mg)
n=10 participants at risk
Study subjects will receive matching placebo on Days 1-28.
Arikace at 560 mg
n=19 participants at risk
Study subjects will receive Arikace™ 560 mg on Days 1-28.
Matching Placebo (560 mg)
n=9 participants at risk
Study subjects will receive matching placebo on Days 1-28.
Cardiac disorders
Palpitations
0.00%
0/24 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
0.00%
0/10 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
5.3%
1/19 • Number of events 1 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
0.00%
0/9 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
Cardiac disorders
Sinus Bradycardia
0.00%
0/24 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
10.0%
1/10 • Number of events 1 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
0.00%
0/19 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
0.00%
0/9 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
Gastrointestinal disorders
Aphthous Stomatitis
0.00%
0/24 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
10.0%
1/10 • Number of events 1 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
0.00%
0/19 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
0.00%
0/9 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
Gastrointestinal disorders
Constipation
0.00%
0/24 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
0.00%
0/10 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
0.00%
0/19 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
11.1%
1/9 • Number of events 1 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
Gastrointestinal disorders
Nausea
0.00%
0/24 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
0.00%
0/10 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
5.3%
1/19 • Number of events 1 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
0.00%
0/9 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
General disorders
Pyrexia
8.3%
2/24 • Number of events 2 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
10.0%
1/10 • Number of events 1 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
5.3%
1/19 • Number of events 1 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
22.2%
2/9 • Number of events 3 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
General disorders
Fatigue
0.00%
0/24 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
0.00%
0/10 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
5.3%
1/19 • Number of events 1 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
11.1%
1/9 • Number of events 1 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
Infections and infestations
Nasopharyngitis
4.2%
1/24 • Number of events 1 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
10.0%
1/10 • Number of events 1 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
0.00%
0/19 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
11.1%
1/9 • Number of events 1 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
Infections and infestations
Bronchiectasis
0.00%
0/24 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
0.00%
0/10 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
5.3%
1/19 • Number of events 1 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
11.1%
1/9 • Number of events 1 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
Infections and infestations
Laryngitis
0.00%
0/24 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
0.00%
0/10 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
5.3%
1/19 • Number of events 1 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
0.00%
0/9 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
Infections and infestations
Respiratory Tract Infection
0.00%
0/24 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
0.00%
0/10 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
5.3%
1/19 • Number of events 1 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
0.00%
0/9 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
Investigations
Blood Creatinine Increased
0.00%
0/24 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
0.00%
0/10 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
5.3%
1/19 • Number of events 1 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
0.00%
0/9 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
Investigations
Heart Rate Increased
0.00%
0/24 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
0.00%
0/10 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
0.00%
0/19 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
11.1%
1/9 • Number of events 1 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
Metabolism and nutrition disorders
Anorexia
0.00%
0/24 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
0.00%
0/10 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
5.3%
1/19 • Number of events 1 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
11.1%
1/9 • Number of events 1 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
Nervous system disorders
Headache
4.2%
1/24 • Number of events 1 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
10.0%
1/10 • Number of events 3 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
21.1%
4/19 • Number of events 4 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
11.1%
1/9 • Number of events 2 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
Nervous system disorders
Dizziness
0.00%
0/24 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
10.0%
1/10 • Number of events 21 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
5.3%
1/19 • Number of events 1 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
0.00%
0/9 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
Nervous system disorders
Cervicobrachial Syndrome
0.00%
0/24 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
10.0%
1/10 • Number of events 1 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
0.00%
0/19 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
0.00%
0/9 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
Psychiatric disorders
Insomnia
0.00%
0/24 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
0.00%
0/10 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
5.3%
1/19 • Number of events 1 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
11.1%
1/9 • Number of events 1 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
Respiratory, thoracic and mediastinal disorders
Productive Cough
8.3%
2/24 • Number of events 2 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
30.0%
3/10 • Number of events 4 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
10.5%
2/19 • Number of events 3 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
33.3%
3/9 • Number of events 3 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
Respiratory, thoracic and mediastinal disorders
Cough
4.2%
1/24 • Number of events 1 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
20.0%
2/10 • Number of events 4 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
26.3%
5/19 • Number of events 11 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
0.00%
0/9 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
Respiratory, thoracic and mediastinal disorders
Dyspnoea
0.00%
0/24 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
20.0%
2/10 • Number of events 3 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
15.8%
3/19 • Number of events 3 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
11.1%
1/9 • Number of events 1 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
Respiratory, thoracic and mediastinal disorders
Bronchial Disorder
12.5%
3/24 • Number of events 4 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
0.00%
0/10 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
5.3%
1/19 • Number of events 1 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
0.00%
0/9 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
Respiratory, thoracic and mediastinal disorders
Haemoptysis
8.3%
2/24 • Number of events 2 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
10.0%
1/10 • Number of events 1 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
5.3%
1/19 • Number of events 1 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
0.00%
0/9 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
Respiratory, thoracic and mediastinal disorders
Wheezing
4.2%
1/24 • Number of events 1 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
20.0%
2/10 • Number of events 3 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
5.3%
1/19 • Number of events 1 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
0.00%
0/9 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
Respiratory, thoracic and mediastinal disorders
Dysphonia
4.2%
1/24 • Number of events 1 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
0.00%
0/10 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
10.5%
2/19 • Number of events 2 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
0.00%
0/9 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
Respiratory, thoracic and mediastinal disorders
Rhinorrhoea
0.00%
0/24 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
10.0%
1/10 • Number of events 1 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
0.00%
0/19 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
11.1%
1/9 • Number of events 1 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
Respiratory, thoracic and mediastinal disorders
Sneezing
0.00%
0/24 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
20.0%
2/10 • Number of events 3 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
0.00%
0/19 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
11.1%
1/9 • Number of events 1 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
Skin and subcutaneous tissue disorders
Pruritus
0.00%
0/24 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
10.0%
1/10 • Number of events 5 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
0.00%
0/19 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
0.00%
0/9 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
Skin and subcutaneous tissue disorders
Rash
0.00%
0/24 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
10.0%
1/10 • Number of events 1 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
0.00%
0/19 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56
0.00%
0/9 • TEAEs were assessed at Baseline and all subsequent study visits up to day 56

Additional Information

Dr. Kevin Mange, Sr. Vice President, Clinical Development

Insmed

Phone: 908-947-2651

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place