Long-term Impact of Inhaled Tobramycin for Pseudomonas Aeruginosa Eradication in Bronchiectasis (ERASE II)

NCT ID: NCT06760273

Last Updated: 2025-04-01

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

RECRUITING

Total Enrollment

364 participants

Study Classification

OBSERVATIONAL

Study Start Date

2024-10-16

Study Completion Date

2027-12-31

Brief Summary

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The ERASE II study is a prospective follow-up study designed to assess the long-term impact of successful eradication of Pseudomonas aeruginosa (PA) in patients with bronchiectasis. Building on the findings of the initial ERASE study, which evaluated the efficacy and safety of Tobramycin Inhalation Solution, ERASE II aims to determine whether successful PA eradication influences patient prognosis over an extended period.

The study will involve a total observation period of 36 months, consisting of the initial 9 months of the ERASE study followed by an additional 27 months of comprehensive follow-up. Key outcomes to be assessed include patients' quality of life, lung function, frequency of pulmonary exacerbations, frequency of hospitalization, and overall treatment costs. Additionally, the study will examine the timing and incidence of any potential reinfections with Pseudomonas aeruginosa.

Detailed Description

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Individuals with bronchiectasis are particularly susceptible to infections from Pseudomonas aeruginosa (PA), which can become chronic and lead to increased mortality and disease severity. To address this critical issue, we have designed a multi-center, 2×2 factorial randomized, double-blind, placebo-controlled trial known as the ERASE study. This trial aims to evaluate the efficacy and safety of Tobramycin Inhalation Solution in the eradication of Pseudomonas aeruginosa in bronchiectasis patients with newly or firstly isolated PA.

Building upon the findings of the ERASE study, the ERASE II study seeks to investigate whether successful eradication of PA influences the long-term prognosis of patients after the completion of the randomized controlled trial. To achieve this, we plan to extend the observation period to a total of 36 months, comprising the initial 9 months of the ERASE study, followed by an additional 27 months of comprehensive follow-up.

This extended observation period will enable us to assess the long-term impact of eradication therapy on various clinical outcomes, including patients' quality of life, lung function, frequency of pulmonary exacerbations, frequency of hospitalization, and overall economic treatment costs. Additionally, we will evaluate the timing of any potential reinfections/relapse with Pseudomonas aeruginosa, thereby providing valuable insights into the long-term benefits of eradication strategies in patients with bronchiectasis.

Conditions

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Bronchiectasis Adult

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Patients who successfully eradicate Pseudomonas aeruginosa in ERASE study

no intervention

No Intervention: Observational Cohort

Intervention Type OTHER

Observational study, no additional intervention

Patients who were not successful in eradicating Pseudomonas aeruginosa in the ERASE Study

No intervention

No Intervention: Observational Cohort

Intervention Type OTHER

Observational study, no additional intervention

Interventions

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No Intervention: Observational Cohort

Observational study, no additional intervention

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* all patients who participate the ERSE study
* write the informed consent form.

Exclusion Criteria

* patients who were lost of follow up in the ERASE study
* ineligible for inclusion at the discretion of the researcher for other reasons.
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Shanghai Pulmonary Hospital, Shanghai, China

OTHER

Sponsor Role lead

Responsible Party

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Jin-Fu Xu

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Jin-Fu Xu, PhD

Role: PRINCIPAL_INVESTIGATOR

Huadong Hospital affiliated with Fudan University

Locations

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Anhui Chest Hospital

Hefei, Anhui, China

Site Status RECRUITING

The First Affiliated Hospital of Anhui Medical University

Hefei, Anhui, China

Site Status RECRUITING

Beijing Chao-Yang Hospital, Capital Medical University

Beijing, Beijing Municipality, China

Site Status RECRUITING

Peking Union Medical College Hospital, Chinese Academy of Medical Sciences

Beijing, Beijing Municipality, China

Site Status RECRUITING

The Second Affiliated Hospital of Chongqing Medical University

Chongqing, Chongqing Municipality, China

Site Status ACTIVE_NOT_RECRUITING

The Third Affiliated Hospital of Chongqing Medical University

Chongqing, Chongqing Municipality, China

Site Status RECRUITING

Fujian Provincial Hospital

Fuzhou, Fujiang, China

Site Status RECRUITING

The First Affiliated Hospital of Guangzhou Medical University

Guangzhou, Guangdong, China

Site Status RECRUITING

The First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine

Guangzhou, Guangdong, China

Site Status RECRUITING

Shenzhen Institute of Respiratory Diseases

Shenzhen, Guangdong, China

Site Status RECRUITING

The Eighth Affiliated Hospital of Sun Yat-Sen University

Shenzhen, Guangdong, China

Site Status RECRUITING

Affiliated Hospital, Guangdong Medical College

Zhanjiang, Guangdong, China

Site Status ACTIVE_NOT_RECRUITING

The First Affiliated Hospital of Guangxi Medical University

Nanning, Guangxi, China

Site Status ACTIVE_NOT_RECRUITING

Guizhou Provincial People's Hospital

Guiyang, Guizhou, China

Site Status RECRUITING

Hainan General Hospital, Hainan Affiliated Hospital of Hainan Medical University

Haikou, Hainan, China

Site Status ACTIVE_NOT_RECRUITING

Henan Provincial People's Hospital

Zhengzhou, Henan, China

Site Status RECRUITING

Zhengzhou People's Hospital

Zhengzhou, Henan, China

Site Status RECRUITING

Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology

Wuhan, Hubei, China

Site Status RECRUITING

Union Hospital,Tongji Medical College, Huazhong University of Science and Technology

Wuhan, Hubei, China

Site Status RECRUITING

The Second Xiangya Hospital of Central South University

Changsha, Hunan, China

Site Status RECRUITING

Xiangya Hospital, Central South University

Changsha, Hunan, China

Site Status RECRUITING

The Second Affiliated Hospital of Nanjing Medical University

Nanjing, Jiangsu, China

Site Status RECRUITING

Affiliated Hospital, Nantong University

Nantong, Jiangsu, China

Site Status RECRUITING

The Sixth People's Hospital of Nantong City

Nantong, Jiangsu, China

Site Status RECRUITING

Suzhou Science and Technology Town Hospital

Suzhou, Jiangsu, China

Site Status RECRUITING

The First Affiliated Hospital of Soochow University

Suzhou, Jiangsu, China

Site Status RECRUITING

Subei People's Hospital

Yangzhou, Jiangsu, China

Site Status RECRUITING

The First Affiliated Hospital of Nanchang University

Nanchang, Jiangxi, China

Site Status RECRUITING

Shangrao People's Hospital

Shangrao, Jiangxi, China

Site Status RECRUITING

The First Affiliated Hospital of Jilin University

Changchun, Jilin, China

Site Status RECRUITING

The Second Affiliated Hospital of Dalian Medical University

Dalian, Liaoning, China

Site Status RECRUITING

Shengjing Hospital of China Medical University

Shenyang, Liaoning, China

Site Status RECRUITING

The First Affiliated Hospital of China Medical University

Shenyang, Liaoning, China

Site Status RECRUITING

Qilu Hospital of Shandong University

Jinan, Shandong, China

Site Status RECRUITING

Qingdao Municipal Hospital

Qingdao, Shandong, China

Site Status RECRUITING

The First Affiliated Hospital of Shandong First Medical University

Jinan, Shangdong, China

Site Status ACTIVE_NOT_RECRUITING

Ruijin Hospital

Shanghai, Shanghai Municipality, China

Site Status RECRUITING

The Shanghai Fifth People's Hospital

Shanghai, Shanghai Municipality, China

Site Status RECRUITING

Shanghai pulmonary hospital

Shanghai, Shanghai Municipality, China

Site Status RECRUITING

Baoshan District Hospital of Integrated Traditional Chinese and Western Medicine

Shanghai, Shanghai Municipality, China

Site Status RECRUITING

Shanghai Eighth People's Hospital

Shanghai, Shanghai Municipality, China

Site Status RECRUITING

Shanghai General Hospital

Shanghai, Shanghai Municipality, China

Site Status RECRUITING

Shanghai Putuo District People's Hospital

Shanghai, Shanghai Municipality, China

Site Status RECRUITING

Shanghai Sixth People's Hospital

Shanghai, Shanghai Municipality, China

Site Status RECRUITING

Zhongshan Hospital, Fudan University

Shanghai, Shanghai Municipality, China

Site Status RECRUITING

Shanxi Bethune Hospital

Taiyuan, Shanxi, China

Site Status ACTIVE_NOT_RECRUITING

West China Hospital of Sichuan University

Chengdu, Sichuan, China

Site Status RECRUITING

The First People's Hospital of Anning City Affiliated to Kunming University of Science and Technology

Anning, Yunnan, China

Site Status RECRUITING

The First Affiliated Hospital of Kunming Medical University

Kunming, Yunnan, China

Site Status ACTIVE_NOT_RECRUITING

The Affiliated Hospital of Hangzhou Normal University

Hangzhou, Zhejiang, China

Site Status RECRUITING

The Second Affiliated Hospital of Zhengjiang University

Hangzhou, Zhejiang, China

Site Status RECRUITING

Huzhou Central Hospital

Huzhou, Zhejiang, China

Site Status RECRUITING

The First Hospital of Jiaxing City

Jiaxing, Zhejiang, China

Site Status RECRUITING

The Second Hospital of Jiaxing City

Jiaxing, Zhejiang, China

Site Status ACTIVE_NOT_RECRUITING

Fenghua District People's Hospital of Ningbo City

Ningbo, Zhejiang, China

Site Status RECRUITING

Ningbo Medical Center Lihuili Hospital

Ningbo, Zhejiang, China

Site Status RECRUITING

The First Affiliated Hospital of Ningbo University

Ningbo, Zhejiang, China

Site Status RECRUITING

The First Affiliated Hospital of Wenzhou Medical University

Wenzhou, Zhejiang, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Jin-Fu Xu

Role: CONTACT

+8613321922898

Jin-Fu Xu, PhD

Role: CONTACT

+8613321922898

Facility Contacts

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Hua Niu, MD

Role: primary

Xiao-yun Fan, MD

Role: primary

Zhao-hui Tong, MD

Role: primary

Xin-lun Tian, MD

Role: primary

Chang-zheng Wang, MD

Role: primary

Bao-song Xie, MD

Role: primary

Wei-jie Guan, PhD

Role: primary

Shao-feng Zhan, MD

Role: primary

Ling-wei Wang, MD

Role: primary

Jian-quan Zhang, MD

Role: primary

Lin Liu, MD

Role: primary

Xiao-ju Zhang, MD

Role: primary

Jin-guang Jia, MD

Role: primary

Min Xie, MD

Role: primary

Yang Jin, MD

Role: primary

Hong Luo, MD

Role: primary

Yuan-yuan Li, MD

Role: primary

Gan-zhu Feng, MD

Role: primary

Jian Feng, MD

Role: primary

Hong-yan Gu, MD

Role: primary

Chao Yang, MD

Role: primary

Jian-an Huang, MD

Role: primary

Xing-xiang Xu, MD

Role: primary

Wei Zhang, MD

Role: primary

Tian-xin Xiang, MD

Role: backup

Qing-wei Meng, MD

Role: primary

Dan Li, MD

Role: primary

Qi Wang, MD

Role: primary

Yu Chen, MD

Role: primary

Wei Wang, MD

Role: primary

De-dong Ma, MD

Role: primary

Xue-dong Liu, MD

Role: primary

Jie-ming Qu, MD

Role: primary

Zhi-Jun Jie, MD

Role: primary

Jin-Fu Xu, PhD

Role: primary

+8613321922898

Li Li, MD

Role: primary

De-jie Chu, MD

Role: primary

Min Zhang, MD

Role: primary

Feng-ying Zhang, MD

Role: primary

Tao Ren, MD

Role: primary

Yuan-lin Song, MD

Role: primary

Hong Fan, MD

Role: primary

Jian He, MD

Role: primary

Qun Lv, MD

Role: primary

Wen Li, MD

Role: primary

Bin Wang, MD

Role: primary

Xiao-dong Lv, MD

Role: primary

Zhi Yuan, MD

Role: primary

Jing-bo Jiang, MD

Role: primary

Chao Cao, MD

Role: primary

Yu-ping Li, MD

Role: primary

References

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Conceicao M, Shteinberg M, Goeminne P, Altenburg J, Chalmers JD. Eradication treatment for Pseudomonas aeruginosa infection in adults with bronchiectasis: a systematic review and meta-analysis. Eur Respir Rev. 2024 Jan 31;33(171):230178. doi: 10.1183/16000617.0178-2023. Print 2024 Jan 31.

Reference Type RESULT
PMID: 38296344 (View on PubMed)

Gao YH, Lu HW, Zheng HZ, Cao C, Chu DJ, Fan H, Fan XY, Gu HY, Guan WJ, Jie ZJ, Jin Y, Li W, Li YP, Li YY, Liu L, Liu XD, Luo H, Lv XD, Mo WQ, Song YL, Wang DX, Wang LW, Wang CZ, Xie M, Zhang M, Zheng CX, Mao B, Chotirmall SH, Chalmers JD, Qu JM, Xu JF. A phase 4 multicentre, 2x2 factorial randomised, double-blind, placebo-controlled trial to investigate the efficacy and safety of tobramycin inhalation solution for Pseudomonas aeruginosa eradication in bronchiectasis: ERASE. ERJ Open Res. 2024 Feb 26;10(1):00938-2023. doi: 10.1183/23120541.00938-2023. eCollection 2024 Jan.

Reference Type RESULT
PMID: 38410702 (View on PubMed)

Hill AT, Sullivan AL, Chalmers JD, De Soyza A, Elborn SJ, Floto AR, Grillo L, Gruffydd-Jones K, Harvey A, Haworth CS, Hiscocks E, Hurst JR, Johnson C, Kelleher PW, Bedi P, Payne K, Saleh H, Screaton NJ, Smith M, Tunney M, Whitters D, Wilson R, Loebinger MR. British Thoracic Society Guideline for bronchiectasis in adults. Thorax. 2019 Jan;74(Suppl 1):1-69. doi: 10.1136/thoraxjnl-2018-212463. No abstract available.

Reference Type RESULT
PMID: 30545985 (View on PubMed)

Polverino E, Goeminne PC, McDonnell MJ, Aliberti S, Marshall SE, Loebinger MR, Murris M, Canton R, Torres A, Dimakou K, De Soyza A, Hill AT, Haworth CS, Vendrell M, Ringshausen FC, Subotic D, Wilson R, Vilaro J, Stallberg B, Welte T, Rohde G, Blasi F, Elborn S, Almagro M, Timothy A, Ruddy T, Tonia T, Rigau D, Chalmers JD. European Respiratory Society guidelines for the management of adult bronchiectasis. Eur Respir J. 2017 Sep 9;50(3):1700629. doi: 10.1183/13993003.00629-2017. Print 2017 Sep.

Reference Type RESULT
PMID: 28889110 (View on PubMed)

Related Links

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Other Identifiers

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20230329-1

Identifier Type: -

Identifier Source: org_study_id

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