Safety, Tolerability and Pharmacokinetics of Aerosolized Amikacin in Intubated and Mechanically-ventilated Patients With Nosocomial Pneumonia

NCT ID: NCT01021436

Last Updated: 2016-02-18

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-03-31

Study Completion Date

2007-08-31

Brief Summary

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This study is to understand how the inhaled form of amikacin is spread throughout the human body and how it is eliminated from the body and to make sure that giving an inhaled form of Amikacin to patients is safe and well tolerated

Detailed Description

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Conditions

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Pneumonia

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Amikacin inhalation solution

Subjects received 125 mg/mL of aerosolized amikacin via the PDDS clinical device at a nominal dose of 400 mg every 12 h for 7-14 days

Group Type EXPERIMENTAL

Amikacin inhalation solution (BAY41-6551)

Intervention Type DRUG

Daily dose of 800 mg of aerosolized amikacin delivered in two divided doses of 400 mg per aerosol treatment 12 hour

Interventions

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Amikacin inhalation solution (BAY41-6551)

Daily dose of 800 mg of aerosolized amikacin delivered in two divided doses of 400 mg per aerosol treatment 12 hour

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Male or female subjects with confirmed pneumonia, defined as the presence of a new progressive infiltrate(s) on chest radiograph and the presence of gram-negative organism by either culture or Gram stain of respiratory secretions. The subject must be intubated and mechanically ventilated and expected to remain so for at least 3 days after the start of study treatment. Subjects with a tracheostomy were also eligible.

Exclusion Criteria

* Subjects with compromised or suppressed Immune systems, severe hypoxemia, neutropenia, serum creatinine \> 2mg/dl and chronic liver disease
* Had primary lung cancer or another malignancy metastatic to the lungs
* Were known or suspected to have active tuberculosis, cystic fibrosis, acquired immunodeficiency syndrome, or Pneumocystis carinii pneumonia
* Were receiving immunosuppressive therapy, defined as chronic treatment with known immunosuppressant medications
* Had a body mass index of ≥30 kg/m2
* Had burns \>40% of total body surface area
* Had known local or systemic hypersensitivity to amikacin or aminoglycosides
* Had a diagnosis of end-stage renal failure or were currently on dialysis treatment
* Had a serum albumin level \<2 g/dL at Screening
* Used amikacin by any route within 7 days before the start of study treatment
* Had a presence of any concomitant condition that, in the opinion of the investigator, would preclude completion of study evaluations or make it unlikely that the contemplated course of therapy and Follow-Up could be completed
* Had known respiratory colonization with amikacin-resistant gram-negative rods
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Nektar Therapeutics

INDUSTRY

Sponsor Role collaborator

Bayer

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Bayer Study Director

Role: STUDY_DIRECTOR

Bayer

Locations

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Birminghan, Alabama, United States

Site Status

Cincinnati, Ohio, United States

Site Status

Memphis, Tennessee, United States

Site Status

Houston, Texas, United States

Site Status

Paris, Cedex 13, France

Site Status

Limoges, Cedex, France

Site Status

Countries

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United States France

References

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Luyt CE, Clavel M, Guntupalli K, Johannigman J, Kennedy JI, Wood C, Corkery K, Gribben D, Chastre J. Pharmacokinetics and lung delivery of PDDS-aerosolized amikacin (NKTR-061) in intubated and mechanically ventilated patients with nosocomial pneumonia. Crit Care. 2009;13(6):R200. doi: 10.1186/cc8206. Epub 2009 Dec 10.

Reference Type RESULT
PMID: 20003269 (View on PubMed)

Related Links

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http://www.clinicaltrialsregister.eu/

Click here to find information about studies related to Bayer Healthcare products conducted in Europe.

Other Identifiers

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2006-005079-17

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

06-IN-AK004

Identifier Type: -

Identifier Source: org_study_id

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