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
TERMINATED
PHASE4
14 participants
6 months of blinded treatment
2011-09-26
Participant Flow
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
| 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
| 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 treatmentPopulation: No statistical analysis was performed due to insufficient study enrollment
Outcome measures
Outcome data not reported
SECONDARY outcome
Timeframe: 6 months, 12 monthsPopulation: No statistical analysis was performed due to insufficient study enrollment
Outcome measures
Outcome data not reported
SECONDARY outcome
Timeframe: 3 months, 6 monthsPopulation: No statistical analysis was performed due to insufficient study enrollment
Outcome measures
Outcome data not reported
SECONDARY outcome
Timeframe: 12 monthsPopulation: No statistical analysis was performed due to insufficient study enrollment
Outcome measures
Outcome data not reported
SECONDARY outcome
Timeframe: 6 months, 12 monthsPopulation: No statistical analysis was performed due to insufficient study enrollment
Outcome measures
Outcome data not reported
SECONDARY outcome
Timeframe: 6 months, 12 monthsPopulation: No statistical analysis was performed due to insufficient study enrollment
Outcome measures
Outcome data not reported
Adverse Events
Blinded Omalizumab
Placebo
Open Label Omalizumab
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
| 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
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