Trial Outcomes & Findings for An Exploratory Study to Assess Multiple Doses of Omalizumab in Patients With Cystic Fibrosis Complicated by Acute Bronchopulmonary Aspergillosis (ABPA) (NCT NCT00787917)

NCT ID: NCT00787917

Last Updated: 2011-09-26

Results Overview

Recruitment status

TERMINATED

Study phase

PHASE4

Target enrollment

14 participants

Primary outcome timeframe

6 months of blinded treatment

Results posted on

2011-09-26

Participant Flow

Participant milestones

Participant milestones
Measure
Omalizumab
Eligible participants received a maximum dose of 600 mg omalizumab via subcutaneous injection for 6 months in the double-blind phase of the study. The study medication was to be administered at the same time of day. Study medication was injected subcutaneously into the upper arm in the area of the deltoid or to the thigh. A maximum 600 mg dose required 4 injections. All participants who entered the study received itraconazole twice daily, while receiving oral corticosteroids, with a maximum daily dose of 400 mg. Patients completed double-blinded phase, entered open-label treatment period of 6 months and continued the same regimen of omalizumab of double-blinded phase.
Placebo
Eligible participants received placebo comparator via subcutaneous injection for 6 months in the double-blind phase of the study. The study medication was to be administered at the same time of day. Study medication was injected subcutaneously into the upper arm in the area of the deltoid or to the thigh. All participants who entered the study received itraconazole twice daily, while on oral corticosteroids, with a maximum daily dose of 400 mg.
Blinded Treatment
STARTED
9
5
Blinded Treatment
COMPLETED
4
3
Blinded Treatment
NOT COMPLETED
5
2
Open Label
STARTED
7
0
Open Label
COMPLETED
3
0
Open Label
NOT COMPLETED
4
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Omalizumab
Eligible participants received a maximum dose of 600 mg omalizumab via subcutaneous injection for 6 months in the double-blind phase of the study. The study medication was to be administered at the same time of day. Study medication was injected subcutaneously into the upper arm in the area of the deltoid or to the thigh. A maximum 600 mg dose required 4 injections. All participants who entered the study received itraconazole twice daily, while receiving oral corticosteroids, with a maximum daily dose of 400 mg. Patients completed double-blinded phase, entered open-label treatment period of 6 months and continued the same regimen of omalizumab of double-blinded phase.
Placebo
Eligible participants received placebo comparator via subcutaneous injection for 6 months in the double-blind phase of the study. The study medication was to be administered at the same time of day. Study medication was injected subcutaneously into the upper arm in the area of the deltoid or to the thigh. All participants who entered the study received itraconazole twice daily, while on oral corticosteroids, with a maximum daily dose of 400 mg.
Blinded Treatment
Adverse Event
1
0
Blinded Treatment
Lack of Efficacy
1
0
Blinded Treatment
Administrative problems
3
2
Open Label
Unsatisfactory therapeutic effect
1
0
Open Label
Administrative problems
3
0

Baseline Characteristics

An Exploratory Study to Assess Multiple Doses of Omalizumab in Patients With Cystic Fibrosis Complicated by Acute Bronchopulmonary Aspergillosis (ABPA)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Omalizumab
n=9 Participants
Eligible participants received a maximum dose of 600 mg omalizumab via subcutaneous injection for 6 months in the double-blind phase of the study. The study medication was to be administered at the same time of day. Study medication was injected subcutaneously into the upper arm in the area of the deltoid or to the thigh. A maximum 600 mg dose required 4 injections. All participants who entered the study received itraconazole twice daily, while receiving oral corticosteroids, with a maximum daily dose of 400 mg. Patients completed double-blinded phase, entered open-label treatment period of 6 months and continued the same regimen of omalizumab of double-blinded phase.
Placebo
n=5 Participants
Eligible participants received placebo comparator via subcutaneous injection for 6 months in the double-blind phase of the study. The study medication was to be administered at the same time of day. Study medication was injected subcutaneously into the upper arm in the area of the deltoid or to the thigh. All participants who entered the study received itraconazole twice daily, while on oral corticosteroids, with a maximum daily dose of 400 mg.
Total
n=14 Participants
Total of all reporting groups
Age Continuous
21 years
STANDARD_DEVIATION 4.1 • n=5 Participants
28 years
STANDARD_DEVIATION 9.5 • n=7 Participants
23 years
STANDARD_DEVIATION 7.1 • n=5 Participants
Sex: Female, Male
Female
5 Participants
n=5 Participants
1 Participants
n=7 Participants
6 Participants
n=5 Participants
Sex: Female, Male
Male
4 Participants
n=5 Participants
4 Participants
n=7 Participants
8 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 6 months of blinded treatment

Population: No statistical analysis was performed due to insufficient study enrollment

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 6 months, 12 months

Population: No statistical analysis was performed due to insufficient study enrollment

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 3 months, 6 months

Population: No statistical analysis was performed due to insufficient study enrollment

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 12 months

Population: No statistical analysis was performed due to insufficient study enrollment

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 6 months, 12 months

Population: No statistical analysis was performed due to insufficient study enrollment

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 6 months, 12 months

Population: No statistical analysis was performed due to insufficient study enrollment

Outcome measures

Outcome data not reported

Adverse Events

Blinded Omalizumab

Serious events: 6 serious events
Other events: 9 other events
Deaths: 0 deaths

Placebo

Serious events: 1 serious events
Other events: 5 other events
Deaths: 0 deaths

Open Label Omalizumab

Serious events: 4 serious events
Other events: 6 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Blinded Omalizumab
n=9 participants at risk
Eligible participants received a maximum dose of 600 mg omalizumab via subcutaneous injection for 6 months in the double-blind phase of the study. The study medication was to be administered at the same time of day. Study medication was injected subcutaneously into the upper arm in the area of the deltoid or to the thigh. A maximum 600 mg dose required 4 injections. All participants who entered the study received itraconazole twice daily, while receiving oral corticosteroids, with a maximum daily dose of 400 mg.
Placebo
n=5 participants at risk
Eligible participants received placebo comparator via subcutaneous injection for 6 months in the double-blind phase of the study. The study medication was to be administered at the same time of day. Study medication was injected subcutaneously into the upper arm in the area of the deltoid or to the thigh. All participants who entered the study received itraconazole twice daily, while on oral corticosteroids, with a maximum daily dose of 400 mg.
Open Label Omalizumab
n=7 participants at risk
Patients who completed double-blinded phase of the study, enrolled into 6 months open label phase and continued in the same regimen of omalizumab as they were during double-blinded phase. A maximum dose of 600 mg omalizumab via subcutaneous injection for 6 months was to be administered at the same time of day. Study medication was injected subcutaneously into the upper arm in the area of the deltoid or to the thigh. A maximum 600 mg dose required 4 injections. All participants who entered the study received itraconazole twice daily, while receiving oral corticosteroids, with a maximum daily dose of 400 mg.
Gastrointestinal disorders
Distal intestinal obstruction syndrome
11.1%
1/9
0.00%
0/5
0.00%
0/7
Infections and infestations
Bronchopulmonary aspergillosis allergic
22.2%
2/9
0.00%
0/5
0.00%
0/7
Infections and infestations
Infective pulmonary exacerbation of cystic fibrosis
55.6%
5/9
20.0%
1/5
57.1%
4/7
Infections and infestations
Lower respiratory tract infection bacterial
11.1%
1/9
0.00%
0/5
0.00%
0/7
Infections and infestations
Pneumonia
0.00%
0/9
0.00%
0/5
14.3%
1/7
Infections and infestations
Respiratory tract infection
0.00%
0/9
0.00%
0/5
14.3%
1/7
Respiratory, thoracic and mediastinal disorders
Dyspnoea exertional
11.1%
1/9
0.00%
0/5
0.00%
0/7
Respiratory, thoracic and mediastinal disorders
Haemoptysis
11.1%
1/9
0.00%
0/5
0.00%
0/7
Respiratory, thoracic and mediastinal disorders
Rhonchi
11.1%
1/9
0.00%
0/5
0.00%
0/7
Vascular disorders
Hypertension
0.00%
0/9
0.00%
0/5
14.3%
1/7

Other adverse events

Other adverse events
Measure
Blinded Omalizumab
n=9 participants at risk
Eligible participants received a maximum dose of 600 mg omalizumab via subcutaneous injection for 6 months in the double-blind phase of the study. The study medication was to be administered at the same time of day. Study medication was injected subcutaneously into the upper arm in the area of the deltoid or to the thigh. A maximum 600 mg dose required 4 injections. All participants who entered the study received itraconazole twice daily, while receiving oral corticosteroids, with a maximum daily dose of 400 mg.
Placebo
n=5 participants at risk
Eligible participants received placebo comparator via subcutaneous injection for 6 months in the double-blind phase of the study. The study medication was to be administered at the same time of day. Study medication was injected subcutaneously into the upper arm in the area of the deltoid or to the thigh. All participants who entered the study received itraconazole twice daily, while on oral corticosteroids, with a maximum daily dose of 400 mg.
Open Label Omalizumab
n=7 participants at risk
Patients who completed double-blinded phase of the study, enrolled into 6 months open label phase and continued in the same regimen of omalizumab as they were during double-blinded phase. A maximum dose of 600 mg omalizumab via subcutaneous injection for 6 months was to be administered at the same time of day. Study medication was injected subcutaneously into the upper arm in the area of the deltoid or to the thigh. A maximum 600 mg dose required 4 injections. All participants who entered the study received itraconazole twice daily, while receiving oral corticosteroids, with a maximum daily dose of 400 mg.
Congenital, familial and genetic disorders
Cystic fibrosis lung
11.1%
1/9
0.00%
0/5
0.00%
0/7
Endocrine disorders
Adrenal insufficiency
0.00%
0/9
20.0%
1/5
0.00%
0/7
Eye disorders
Conjunctivitis
0.00%
0/9
20.0%
1/5
0.00%
0/7
Eye disorders
Retinopathy hypertensive
0.00%
0/9
0.00%
0/5
14.3%
1/7
Gastrointestinal disorders
Constipation
0.00%
0/9
0.00%
0/5
14.3%
1/7
Gastrointestinal disorders
Diarrhoea
11.1%
1/9
0.00%
0/5
0.00%
0/7
Gastrointestinal disorders
Nausea
11.1%
1/9
0.00%
0/5
14.3%
1/7
Gastrointestinal disorders
Vomiting
0.00%
0/9
20.0%
1/5
42.9%
3/7
General disorders
Chills
0.00%
0/9
20.0%
1/5
0.00%
0/7
General disorders
Device occlusion
11.1%
1/9
0.00%
0/5
0.00%
0/7
General disorders
Exercise tolerance decreased
11.1%
1/9
0.00%
0/5
0.00%
0/7
General disorders
Influenza like illness
0.00%
0/9
0.00%
0/5
14.3%
1/7
General disorders
Injection site erythema
33.3%
3/9
0.00%
0/5
0.00%
0/7
General disorders
Injection site inflammation
11.1%
1/9
0.00%
0/5
0.00%
0/7
General disorders
Injection site pain
11.1%
1/9
0.00%
0/5
0.00%
0/7
General disorders
Injection site swelling
44.4%
4/9
0.00%
0/5
0.00%
0/7
General disorders
Injection site warmth
44.4%
4/9
0.00%
0/5
0.00%
0/7
General disorders
Medical device pain
11.1%
1/9
0.00%
0/5
0.00%
0/7
General disorders
Non-cardiac chest pain
11.1%
1/9
20.0%
1/5
14.3%
1/7
General disorders
Oedema peripheral
11.1%
1/9
0.00%
0/5
0.00%
0/7
General disorders
Pyrexia
33.3%
3/9
40.0%
2/5
28.6%
2/7
General disorders
Vessel puncture site haematoma
11.1%
1/9
0.00%
0/5
0.00%
0/7
Immune system disorders
Food allergy
0.00%
0/9
20.0%
1/5
0.00%
0/7
Infections and infestations
Gastroenteritis
11.1%
1/9
0.00%
0/5
0.00%
0/7
Infections and infestations
Gastrointestinal viral infection
0.00%
0/9
20.0%
1/5
0.00%
0/7
Infections and infestations
Infective pulmonary exacerbation of cystic fibrosis
66.7%
6/9
80.0%
4/5
42.9%
3/7
Infections and infestations
Lower respiratory tract infection
11.1%
1/9
0.00%
0/5
0.00%
0/7
Infections and infestations
Lung infection
0.00%
0/9
20.0%
1/5
0.00%
0/7
Infections and infestations
Nasopharyngitis
22.2%
2/9
0.00%
0/5
28.6%
2/7
Infections and infestations
Oral candidiasis
11.1%
1/9
0.00%
0/5
14.3%
1/7
Infections and infestations
Oral herpes
11.1%
1/9
0.00%
0/5
14.3%
1/7
Infections and infestations
Pharyngitis
0.00%
0/9
0.00%
0/5
14.3%
1/7
Infections and infestations
Pseudomonas infection
0.00%
0/9
20.0%
1/5
0.00%
0/7
Infections and infestations
Respiratory tract infection
0.00%
0/9
0.00%
0/5
14.3%
1/7
Infections and infestations
Sinusitis
0.00%
0/9
0.00%
0/5
14.3%
1/7
Infections and infestations
Upper respiratory tract infection
11.1%
1/9
0.00%
0/5
14.3%
1/7
Injury, poisoning and procedural complications
Procedural pain
0.00%
0/9
0.00%
0/5
14.3%
1/7
Injury, poisoning and procedural complications
Rib fracture
0.00%
0/9
20.0%
1/5
0.00%
0/7
Investigations
Blood glucose increased
0.00%
0/9
0.00%
0/5
14.3%
1/7
Investigations
Blood sodium decreased
0.00%
0/9
0.00%
0/5
14.3%
1/7
Investigations
Liver function test abnormal
0.00%
0/9
0.00%
0/5
14.3%
1/7
Investigations
Weight decreased
11.1%
1/9
0.00%
0/5
0.00%
0/7
Metabolism and nutrition disorders
Decreased appetite
11.1%
1/9
0.00%
0/5
14.3%
1/7
Metabolism and nutrition disorders
Hypokalaemia
22.2%
2/9
0.00%
0/5
28.6%
2/7
Metabolism and nutrition disorders
Iron deficiency
0.00%
0/9
0.00%
0/5
14.3%
1/7
Metabolism and nutrition disorders
Vitamin K deficiency
11.1%
1/9
0.00%
0/5
0.00%
0/7
Musculoskeletal and connective tissue disorders
Myalgia
0.00%
0/9
20.0%
1/5
0.00%
0/7
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Neoplasm skin
11.1%
1/9
0.00%
0/5
0.00%
0/7
Nervous system disorders
Headache
44.4%
4/9
20.0%
1/5
42.9%
3/7
Psychiatric disorders
Anxiety
0.00%
0/9
20.0%
1/5
0.00%
0/7
Respiratory, thoracic and mediastinal disorders
Bronchostenosis
11.1%
1/9
0.00%
0/5
0.00%
0/7
Respiratory, thoracic and mediastinal disorders
Cough
44.4%
4/9
20.0%
1/5
42.9%
3/7
Respiratory, thoracic and mediastinal disorders
Haemoptysis
33.3%
3/9
0.00%
0/5
0.00%
0/7
Respiratory, thoracic and mediastinal disorders
Increased upper airway secretion
11.1%
1/9
0.00%
0/5
0.00%
0/7
Respiratory, thoracic and mediastinal disorders
Oropharyngeal pain
0.00%
0/9
0.00%
0/5
14.3%
1/7
Respiratory, thoracic and mediastinal disorders
Respiratory tract congestion
11.1%
1/9
0.00%
0/5
0.00%
0/7
Respiratory, thoracic and mediastinal disorders
Rhonchi
0.00%
0/9
20.0%
1/5
0.00%
0/7
Respiratory, thoracic and mediastinal disorders
Sputum increased
11.1%
1/9
20.0%
1/5
28.6%
2/7
Skin and subcutaneous tissue disorders
Acne
11.1%
1/9
0.00%
0/5
0.00%
0/7
Skin and subcutaneous tissue disorders
Erythema
0.00%
0/9
20.0%
1/5
0.00%
0/7
Skin and subcutaneous tissue disorders
Rash
0.00%
0/9
20.0%
1/5
0.00%
0/7
Vascular disorders
Deep vein thrombosis
11.1%
1/9
0.00%
0/5
0.00%
0/7
Vascular disorders
Flushing
0.00%
0/9
0.00%
0/5
14.3%
1/7
Vascular disorders
Hypertension
0.00%
0/9
0.00%
0/5
14.3%
1/7

Additional Information

Study Director

Novartis Pharmaceuticals

Phone: 862 778-8300

Results disclosure agreements

  • Principal investigator is a sponsor employee The terms and conditions of Novartis's agreements with it's investigators vary. However, Novartis does not prohibit any investigator from publishing. Any publication from a single-center site are postponed until the publication of the pooled data ( i.e. data from all sites) in the clinical trial.
  • Publication restrictions are in place

Restriction type: OTHER