A Study to Access Safety and Efficacy of Nebulized Tobramycin in Patients With Bronchiectasis
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Purpose
This is a study to evaluate the efficacy,indications,adverse reactions and resistance of combined administration of nebulized tobramycin compared with systemic administration alone in patients with Bronchiectasis in acute exacerbation of Bronchiectasis.
| Condition | Intervention | Phase |
|---|---|---|
|
Bronchiectasis |
Drug: Tobramycin Drug: Saline |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | A Randomized,Controlled Study to Evaluate the Efficacy,Indications,Adverse Reactions and Resistance of Combined Administration of Nebulized Tobramycin Compared With Systemic Administration Alone in Patients With Bronchiectasis |
- To evaluate change in density of Pseudomonas aeruginosa in sputum [ Time Frame: days 1,7,14 ] [ Designated as safety issue: No ]
- To evaluate chang in the amount of sputum [ Time Frame: days 1,7,14 ] [ Designated as safety issue: No ]
- To evaluate chang in patients' cough severity [ Time Frame: days 1,7,14 ] [ Designated as safety issue: No ]
- To evaluate change in pulmonary function [ Time Frame: days 1,7,14 ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 120 |
| Study Start Date: | August 2012 |
| Estimated Study Completion Date: | December 2014 |
| Estimated Primary Completion Date: | December 2014 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Active Comparator: Nebulised Tobramycin
Nebulised Tobramycin
|
Drug: Tobramycin
Nebulised 80mg twice daily
|
|
Placebo Comparator: Nebulised 0.9% Saline
Nebulised 0.9% Saline
|
Drug: Saline
Nebulised 5mls 0.9% Saline twice daily
|
Detailed Description:
Bronchiectasis is a chronic disorder of the major bronchi and bronchioles characterized by permanent dilation, microbial infection, a persistent inflammatory response with the release of immune mediators and microbial toxins leading to destruction. The origin of bronchiectasis varies, but the presence of microbial infection and a persistent inflammatory response is typical of the disease. The chronic nature of the infection and the associated considerable morbidity provides the rationale for using aerosolized antibiotics for the treatment of bronchiectasis patients.
This is a study of safety and efficacy of combined administration of nebulized tobramycin compared with systemic administration alone in patients with Bronchiectasis in acute exacerbation of Bronchiectasis. Study subjects will be randomized to receive either study drug or placebo by inhalation via a nebulizer. Each subject will complete 14 days of daily dosing.
Clinical laboratory parameters,clinical adverse events and pulmonary function will be evaluated for all study subjects in order to determine the qualitative and quantitative safety and efficacy of nebulized tobramycin.
Eligibility| Ages Eligible for Study: | 18 Years to 80 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Male or female study subjects ≥18 years of age and ≤80 years of age
- Confirmed diagnosis of idiopathic bronchiectasis or postinfectious bronchiectasis
- Confirmation of infection with P. aeruginosa at screening
- Are sensitive to Tobramycin
- Acute exacerbation of bronchiectasis -
Exclusion Criteria:
- Bronchiectasis due to special causes.
- Smokers.
- Are associated with bronchial asthma.
- Have any serious or active medical or psychiatric illness.
- Are not tolerant to nebulised tobramycin
- FEV1.0 reduces ≥ 15% after inhaling tobramycin. -
Contacts and Locations| Contact: Qi | xiaokangqlh@163.com |
| China, Shandong | |
| Shandong University | Recruiting |
| Jinan, Shandong, China, 250100 | |
More Information
No publications provided
| Responsible Party: | Qi Qian, Principal Investigator, Shandong University |
| ClinicalTrials.gov Identifier: | NCT01677403 History of Changes |
| Other Study ID Numbers: | qlhqiqian, QL |
| Study First Received: | August 26, 2012 |
| Last Updated: | December 4, 2012 |
| Health Authority: | China: Food and Drug Administration |
Keywords provided by Shandong University:
|
Bronchiectasis Tobramycin nebulised |
Additional relevant MeSH terms:
|
Bronchiectasis Bronchial Diseases Respiratory Tract Diseases Tobramycin |
Anti-Bacterial Agents Anti-Infective Agents Therapeutic Uses Pharmacologic Actions |
ClinicalTrials.gov processed this record on May 21, 2013