Cystic Fibrosis, Pseudomonas Aeruginosa
Conditions
Keywords
Tobramycin Inhalation Powder, Cystic fibrosis, Lung diseases, Anti-Bacterial Agents
Brief summary
This was an open-label, single arm (uncontrolled) study in participants suffering from cystic fibrosis, who had completed their study participation in CTBM100C2303 (all visits) and who were proven infected with Pseudomonas aeruginosa (P. aeruginosa) at enrollment into CTBM100C2303.
Interventions
Tobramycin inhalation powder, 112 mg (4 capsules of 28 mg), inhalation capsules, b.i.d.
Sponsors
Study design
Eligibility
Inclusion criteria
* Completed all visits in study CTBM100C2303, and visit 4 took place not more than 5 days before enrollment into this study. * Confirmed diagnosis of cystic fibrosis participants with P. aeruginosa infection. * Forced Expiratory Volume in One Second (FEV1) at screening (study CTBM100C2303) must be between 25% and 80% of normal predicted values.
Exclusion criteria
* Any use of inhaled anti-pseudomonal antibiotics between the termination of the core trial CTMB100C2303 and the enrollment into this study. * Known local or systemic hypersensitivity to aminoglycosides or inhaled antibiotics.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of Participants With Adverse Events (AEs) Associated With the Use of New Antipseudomonal Antibiotic | From first administration of study drug to study completion (up to approximately 25 weeks) | AE was defined as any untoward medical occurrence in a participant administered a pharmaceutical product; the untoward medical occurrence did not necessarily have a causal relationship with this treatment. An AE could therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal (investigational) product whether or not related to the medicinal product. SAEs included adverse events that resulted in any of the following outcomes: death, a life-threatening adverse event, inpatient hospitalization or prolongation of existing hospitalization, a persistent or significant incapacity or substantial disruption of the ability to conduct normal functions, or a congenital anomaly/birth defect. |
| Percentage of Participants With Adverse Events (AEs) | From first administration of study drug to study completion (up to approximately 25 weeks) | AE was defined as any untoward medical occurrence in a participant administered a pharmaceutical product; the untoward medical occurrence did not necessarily have a causal relationship with this treatment. An AE could therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal (investigational) product whether or not related to the medicinal product. |
| Percentage of Participants With Serious Adverse Events (SAEs) | From time of consent to 4 weeks after study completion (up to approximately 29 weeks) | SAEs included adverse events that resulted in any of the following outcomes: death, a life-threatening adverse event, inpatient hospitalization or prolongation of existing hospitalization, a persistent or significant incapacity or substantial disruption of the ability to conduct normal functions, or a congenital anomaly/birth defect. |
| Percentage of Death Cases | From time of consent to 4 weeks after study completion (up to approximately 29 weeks) | — |
| Percentage of Participants With Adverse Events and Serious Adverse Events Leading to Permanent Study Discontinuation | From first administration of study drug to study completion (up to approximately 25 weeks) | AE was defined as any untoward medical occurrence in a participant administered a pharmaceutical product; the untoward medical occurrence did not necessarily have a causal relationship with this treatment. An AE could therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal (investigational) product whether or not related to the medicinal product. SAEs included adverse events that resulted in any of the following outcomes: death, a life-threatening adverse event, inpatient hospitalization or prolongation of existing hospitalization, a persistent or significant incapacity or substantial disruption of the ability to conduct normal functions, or a congenital anomaly/birth defect. |
| Shift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of Normal | From baseline to study completion (up to approximately 25 weeks) | Shift from baseline in hematology and biochemistry values to above upper/below lower limit of normal at any time post-baseline were reported. Baseline for safety analyses was defined as the last measurement prior to first dose of study drug in the core study CTBM100C2303. Change to low referred to number of participants with normal or high values at baseline. Change to high referred to number of participants with normal or low values at baseline. |
| Acute Relative Change in Airways Reactivity [Forced Expiratory Value in One Second (FEV1) Percent (%) Predicted] From Pre-dose to 30 Minutes After Completion of First Dose of Study Drug | Pre-dose and 30 minutes Post-dose on Day 1 and Day 29 of every Cycle (2, 3, 4) | Airway Reactivity was defined as ≥20% FEV1 relative decrease in percent predicted from pre dose to 30 minutes post dose. FEV1 was defined as the volume of air expired in 1 second. FEV1 % predicted was a normalized value of FEV1 calculated using the Knudsen equation, based upon participant's age, gender and height. Relative change in FEV1 % predicted = 100\* (30 minutes post dose - pre dose) / pre dose assessed by number and percentage of participants with a decrease in ≥20% FEV1 percent predicted from pre dose to 30 minutes post dose. Baseline for was defined as the last measurement prior to first dose of study drug in the core study CTBM100C2303. |
| Percentage of Participants With Frequency Decrease From Baseline in the Post-baseline Audiology Tests | From first dose of study drug to study completion (up to approximately 25 weeks) | Auditory acuity of participants was measured using a standard dual-channel audiometer at frequencies from 250 to 8000 Hertz, and an audiogram (pure-tone air conduction) and tympanogram were performed by an audiologist. The categories reported includes \>= 10dB decrease in 3 consecutive frequencies in either ear, \>= 15dB decrease in 2 consecutive frequencies in either ear, and \>= 20dB decrease in at least one frequency in either ear. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change From Baseline in Forced Vital Capacity (FVC) Percent (%) Predicted to End of Dosing at Each Cycle and Study Completion | Baseline, Day 29 of Cycle 2, 3, 4, Day 57 of Follow Up and Termination (Study Completion) | Relative change from baseline in FVC % predicted to end of dosing in each cycle and study completion were reported. Relative change from baseline was defined as: Relative change = 100\* (Post baseline- baseline) / baseline. Baseline was defined as last measurement prior to first dose of study drug in the core study CTBM100C2303. Termination referred to the last available pre dose post-baseline measurement. |
| Change From Baseline in Forced Expiratory Flow Rate Over 25 Percent and 75 Percent (FEF25-75%) Predicted to End of Dosing at Each Cycle and Study Completion | Baseline, Day 29 of Cycle 2, 3, 4, Day 57 of Follow Up and Termination (Study Completion) | Relative change from baseline in FEF25-75% predicted to end of dosing in each cycle and study completion were reported. Relative change from baseline was defined as: Relative change = 100\* (Post baseline- baseline) / baseline. Baseline was defined as last measurement prior to first dose of study drug in the core study CTBM100C2303. Termination referred to the last available pre dose post-baseline measurement. |
| Absolute Change From Baseline in Sputum Pseudomonas Aeruginosa Density [log10 Colony Forming Units (CFU) Per Gram Sputum] to End of Dosing at Each Cycle and Study Completion | Baseline, Day 29 of Cycle 2, 3, 4, Day 57 of Follow Up and Termination (Study Completion) | P. aeruginosa sputum density referred to overall density, defined as the sum of biotypes (mucoid, dry and small colony variant). If sub-isolates existed for CFU biotype mucoid or dry, then the sum of sub-isolates was analyzed. Absolute change from baseline was defined as: Absolute change = Post Baseline - Baseline. Baseline was defined as last measurement prior to first dose of study drug in the core study CTBM100C2303. Termination referred to the last available pre dose post-baseline measurement. |
| Change From Baseline in Pseudomonas Aeruginosa Minimum Inhibitory Concentration (MIC) to End of Dosing at Each Cycle and Study Completion | Baseline, Day 29 of Cycle 2, 3, 4, Day 57 of Follow Up and Termination (Study Completion) | Change in tobramycin MIC values for P. aeruginosa were reported for specimens and were used to assess the change in pathogen susceptibility to tobramycin before (baseline) and after (post-baseline) the treatment. Maximum MIC values from all biotypes were used. Change from baseline was defined as: Change = Post-baseline - Baseline. Baseline was defined as last measurement prior to first dose of study drug in the core studyCTBM100C2303.Termination referred to the last available pre dose post-baseline measurement. |
| Percentage of Participants With Anti-Pseudomonal Antibiotic Use During The Treatment Period | From first administration of study drug to study completion (up to approximately 25 weeks) | — |
| Number of Days of Hospitalization Due to Respiratory Serious Adverse Events | From first administration of study drug to study completion (up to approximately 25 weeks) | SAEs included adverse events that resulted in any of the following outcomes: death, a life-threatening adverse event, inpatient hospitalization or prolongation of existing hospitalization, a persistent or significant incapacity or substantial disruption of the ability to conduct normal functions, or a congenital anomaly/birth defect. For calculation of days in hospitalization due to respiratory events, the end date was defined as the discharge date (if provided and even if after the end of the extension study), and otherwise as the date of last visit. |
| Relative Change From Baseline in Forced Expiratory Volume in One Second (FEV1) Percent Predicted to End of Dosing at Each Cycle and Study Completion | Baseline, Day 29 of Cycle 2, 3, 4, Day 57 of Follow Up and Termination (Study Completion) | FEV1 was defined as the volume of air expired in 1 second. FEV1 % predicted was a normalized value of FEV1 calculated using the Knudsen equation, based upon participant's age, gender and height. Relative change in FEV1 % predicted = 100\* (30 minutes post dose - pre dose) / pre dose assessed by number and percentage of participants with a decrease in ≥20% FEV1 percent predicted from pre dose to 30 minutes post dose. Baseline for was defined as the last measurement prior to first dose of study drug in the core study CTBM100C2303. Termination referred to the last available pre dose post-baseline measurement. |
Countries
Estonia, Russia
Participant flow
Recruitment details
Participants who had completed all visits in the core study CTBM100C2303 took part in this extension study at 16 centers in 8 countries Bulgaria, Egypt, Estonia, Latvia, India, Lithuania, Romania and Russia from 12 August 2009 to 6 October 2011.
Pre-assignment details
A total of 55 participants who completed all visits in the core study CTBM100C2303 and received one cycle (Cycle 1) of either Tobramycin Inhalation Powder (TIP) or matching placebo entered into the extension study and received 3 additional TIP cycles (Cycles 2, 3 and 4).
Participants by arm
| Arm | Count |
|---|---|
| Tobramycin Inhalation Powder Participants received 112 mg (four 28 mg capsules) of TIP administered by the T-326 Inhaler, b.i.d., given in a cycle of 28 days on treatment followed by 28 days off treatment (one cycle = 56 days) for up to 3 cycles. | 55 |
| Total | 55 |
Withdrawals & dropouts
| Period | Reason | FG000 |
|---|---|---|
| Overall Study | Administrative Problems | 2 |
| Overall Study | Adverse Event | 1 |
| Overall Study | Withdrawal by Subject | 1 |
Baseline characteristics
| Characteristic | Tobramycin Inhalation Powder |
|---|---|
| Age, Continuous | 12.9 years STANDARD_DEVIATION 4.44 |
| Baseline Forced Expiratory Flow Rate Over 25 and 75 Percent (FEF25-75%) Predicted | 37.2 percentage STANDARD_DEVIATION 20.19 |
| Baseline Forced Expiratory Volume in One Second (FEV1) Percent Predicted | 59.9 percentage STANDARD_DEVIATION 16.24 |
| Baseline Forced Vital Capacity (FVC) Percent Predicted | 75.2 percentage STANDARD_DEVIATION 17.05 |
| Baseline P. aeruginosa Sputum Density | 7.3 log10 Colony Forming Units (CFU) STANDARD_DEVIATION 1.81 |
| Baseline P. aeruginosa Tobramycin Minimal Inhibitory Concentration (MIC) | 4.6 microgram/ mL (µg/mL) STANDARD_DEVIATION 14.6 |
| Sex: Female, Male Female | 35 Participants |
| Sex: Female, Male Male | 20 Participants |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | 0 / 55 |
| other Total, other adverse events | 24 / 55 |
| serious Total, serious adverse events | 3 / 55 |
Outcome results
Acute Relative Change in Airways Reactivity [Forced Expiratory Value in One Second (FEV1) Percent (%) Predicted] From Pre-dose to 30 Minutes After Completion of First Dose of Study Drug
Airway Reactivity was defined as ≥20% FEV1 relative decrease in percent predicted from pre dose to 30 minutes post dose. FEV1 was defined as the volume of air expired in 1 second. FEV1 % predicted was a normalized value of FEV1 calculated using the Knudsen equation, based upon participant's age, gender and height. Relative change in FEV1 % predicted = 100\* (30 minutes post dose - pre dose) / pre dose assessed by number and percentage of participants with a decrease in ≥20% FEV1 percent predicted from pre dose to 30 minutes post dose. Baseline for was defined as the last measurement prior to first dose of study drug in the core study CTBM100C2303.
Time frame: Pre-dose and 30 minutes Post-dose on Day 1 and Day 29 of every Cycle (2, 3, 4)
Population: Safety Population included all enrolled participants who completed their participation in the core study (CTBM100C2303) and received at least one dose of study drug in the extension study. Number analyzed were the number of participants with data available for analyses at given time point.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Tobramycin Inhalation Powder | Acute Relative Change in Airways Reactivity [Forced Expiratory Value in One Second (FEV1) Percent (%) Predicted] From Pre-dose to 30 Minutes After Completion of First Dose of Study Drug | Cycle 4: Day 29 | -0.6 percentage change | Standard Deviation 6.82 |
| Tobramycin Inhalation Powder | Acute Relative Change in Airways Reactivity [Forced Expiratory Value in One Second (FEV1) Percent (%) Predicted] From Pre-dose to 30 Minutes After Completion of First Dose of Study Drug | Cycle 2: Day 1 | 0.0 percentage change | Standard Deviation 12.07 |
| Tobramycin Inhalation Powder | Acute Relative Change in Airways Reactivity [Forced Expiratory Value in One Second (FEV1) Percent (%) Predicted] From Pre-dose to 30 Minutes After Completion of First Dose of Study Drug | Cycle 2: Day 29 | -3.0 percentage change | Standard Deviation 7.21 |
| Tobramycin Inhalation Powder | Acute Relative Change in Airways Reactivity [Forced Expiratory Value in One Second (FEV1) Percent (%) Predicted] From Pre-dose to 30 Minutes After Completion of First Dose of Study Drug | Cycle 3: Day 1 | -1.4 percentage change | Standard Deviation 13.33 |
| Tobramycin Inhalation Powder | Acute Relative Change in Airways Reactivity [Forced Expiratory Value in One Second (FEV1) Percent (%) Predicted] From Pre-dose to 30 Minutes After Completion of First Dose of Study Drug | Cycle 3: Day 29 | -1.8 percentage change | Standard Deviation 6.67 |
| Tobramycin Inhalation Powder | Acute Relative Change in Airways Reactivity [Forced Expiratory Value in One Second (FEV1) Percent (%) Predicted] From Pre-dose to 30 Minutes After Completion of First Dose of Study Drug | Cycle 4: Day 1 | -3.0 percentage change | Standard Deviation 11.01 |
Number of Participants With Adverse Events (AEs) Associated With the Use of New Antipseudomonal Antibiotic
AE was defined as any untoward medical occurrence in a participant administered a pharmaceutical product; the untoward medical occurrence did not necessarily have a causal relationship with this treatment. An AE could therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal (investigational) product whether or not related to the medicinal product. SAEs included adverse events that resulted in any of the following outcomes: death, a life-threatening adverse event, inpatient hospitalization or prolongation of existing hospitalization, a persistent or significant incapacity or substantial disruption of the ability to conduct normal functions, or a congenital anomaly/birth defect.
Time frame: From first administration of study drug to study completion (up to approximately 25 weeks)
Population: Safety Population included all enrolled participants who completed their participation in the core study (CTBM100C2303) and received at least one dose of study drug in the extension study.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Tobramycin Inhalation Powder | Number of Participants With Adverse Events (AEs) Associated With the Use of New Antipseudomonal Antibiotic | Mild, No | 13 Participants |
| Tobramycin Inhalation Powder | Number of Participants With Adverse Events (AEs) Associated With the Use of New Antipseudomonal Antibiotic | Moderate, Yes | 3 Participants |
| Tobramycin Inhalation Powder | Number of Participants With Adverse Events (AEs) Associated With the Use of New Antipseudomonal Antibiotic | Moderate, No | 9 Participants |
| Tobramycin Inhalation Powder | Number of Participants With Adverse Events (AEs) Associated With the Use of New Antipseudomonal Antibiotic | Severe, Yes | 0 Participants |
| Tobramycin Inhalation Powder | Number of Participants With Adverse Events (AEs) Associated With the Use of New Antipseudomonal Antibiotic | Severe, No | 0 Participants |
| Tobramycin Inhalation Powder | Number of Participants With Adverse Events (AEs) Associated With the Use of New Antipseudomonal Antibiotic | Mild, Yes | 1 Participants |
Percentage of Death Cases
Time frame: From time of consent to 4 weeks after study completion (up to approximately 29 weeks)
Population: Safety Population included all enrolled participants who completed their participation in the core study (CTBM100C2303) and received at least one dose of study drug in the extension study.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Tobramycin Inhalation Powder | Percentage of Death Cases | 0 percentage of participants |
Percentage of Participants With Adverse Events (AEs)
AE was defined as any untoward medical occurrence in a participant administered a pharmaceutical product; the untoward medical occurrence did not necessarily have a causal relationship with this treatment. An AE could therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal (investigational) product whether or not related to the medicinal product.
Time frame: From first administration of study drug to study completion (up to approximately 25 weeks)
Population: Safety Population included all enrolled participants who completed their participation in the core study (CTBM100C2303) and received at least one dose of study drug in the extension study.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Tobramycin Inhalation Powder | Percentage of Participants With Adverse Events (AEs) | 47.3 percentage of participants |
Percentage of Participants With Adverse Events and Serious Adverse Events Leading to Permanent Study Discontinuation
AE was defined as any untoward medical occurrence in a participant administered a pharmaceutical product; the untoward medical occurrence did not necessarily have a causal relationship with this treatment. An AE could therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal (investigational) product whether or not related to the medicinal product. SAEs included adverse events that resulted in any of the following outcomes: death, a life-threatening adverse event, inpatient hospitalization or prolongation of existing hospitalization, a persistent or significant incapacity or substantial disruption of the ability to conduct normal functions, or a congenital anomaly/birth defect.
Time frame: From first administration of study drug to study completion (up to approximately 25 weeks)
Population: Safety Population included all enrolled participants who completed their participation in the core study (CTBM100C2303) and received at least one dose of study drug in the extension study. Number analyzed were the number of participants with data available for analyses at given time point.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Tobramycin Inhalation Powder | Percentage of Participants With Adverse Events and Serious Adverse Events Leading to Permanent Study Discontinuation | Discontinuation Due to Adverse Events | 1.8 percentage of participants |
| Tobramycin Inhalation Powder | Percentage of Participants With Adverse Events and Serious Adverse Events Leading to Permanent Study Discontinuation | Discontinuation Due to Serious Adverse Events | 0 percentage of participants |
Percentage of Participants With Frequency Decrease From Baseline in the Post-baseline Audiology Tests
Auditory acuity of participants was measured using a standard dual-channel audiometer at frequencies from 250 to 8000 Hertz, and an audiogram (pure-tone air conduction) and tympanogram were performed by an audiologist. The categories reported includes \>= 10dB decrease in 3 consecutive frequencies in either ear, \>= 15dB decrease in 2 consecutive frequencies in either ear, and \>= 20dB decrease in at least one frequency in either ear.
Time frame: From first dose of study drug to study completion (up to approximately 25 weeks)
Population: Safety Population (Audiology Subgroup) included all participants in the safety population with at least one audiology testing. Safety Population included all enrolled participants who completed their participation in the core study (CTBM100C2303) and received at least one dose of study drug in the extension study. Number analyzed were the number of participants with normal hearing at baseline with data available for analyses at given time point.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Tobramycin Inhalation Powder | Percentage of Participants With Frequency Decrease From Baseline in the Post-baseline Audiology Tests | Cycle 2: Day 1; ˃= 10 dB Decrease in 3 Consecutive Frequencies in Either Ear | 5.6 percentage of participants |
| Tobramycin Inhalation Powder | Percentage of Participants With Frequency Decrease From Baseline in the Post-baseline Audiology Tests | Cycle 2: Day 1: >= 15 dB Decrease In 2 Consecutive Frequencies in Either Ear | 0.0 percentage of participants |
| Tobramycin Inhalation Powder | Percentage of Participants With Frequency Decrease From Baseline in the Post-baseline Audiology Tests | Cycle 2: Day 1; >= 20 dB Decrease in at Least One Frequency In Either Ear | 0.0 percentage of participants |
| Tobramycin Inhalation Powder | Percentage of Participants With Frequency Decrease From Baseline in the Post-baseline Audiology Tests | Cycle 2: Day 29; ˃= 10 dB decrease in 3 Consecutive Frequencies in Either Ear | 5.0 percentage of participants |
| Tobramycin Inhalation Powder | Percentage of Participants With Frequency Decrease From Baseline in the Post-baseline Audiology Tests | Cycle 2: Day 29; >= 15 dB Decrease In 2 Consecutive Frequencies in Either Ear | 0.0 percentage of participants |
| Tobramycin Inhalation Powder | Percentage of Participants With Frequency Decrease From Baseline in the Post-baseline Audiology Tests | Cycle 2: Day 29; >= 20 dB Decrease in at Least One Frequency In Either Ear | 0.0 percentage of participants |
| Tobramycin Inhalation Powder | Percentage of Participants With Frequency Decrease From Baseline in the Post-baseline Audiology Tests | Cycle 3: Day 29; ˃= 10 dB Decrease in 3 Consecutive Frequencies in Either Ear | 9.1 percentage of participants |
| Tobramycin Inhalation Powder | Percentage of Participants With Frequency Decrease From Baseline in the Post-baseline Audiology Tests | Cycle 3: Day 29; >= 15 dB Decrease In 2 Consecutive Frequencies in Either Ear | 4.5 percentage of participants |
| Tobramycin Inhalation Powder | Percentage of Participants With Frequency Decrease From Baseline in the Post-baseline Audiology Tests | Cycle 3: Day 29; >= 20 dB Decrease in at Least One Frequency In Either Ear | 4.5 percentage of participants |
| Tobramycin Inhalation Powder | Percentage of Participants With Frequency Decrease From Baseline in the Post-baseline Audiology Tests | Cycle 4: Day 29; ˃= 10 dB decrease in 3 Consecutive Frequencies in Either Ear | 4.5 percentage of participants |
| Tobramycin Inhalation Powder | Percentage of Participants With Frequency Decrease From Baseline in the Post-baseline Audiology Tests | Cycle 4: Day 29; >= 15 dB Decrease In 2 Consecutive Frequencies in Either Ear | 0.0 percentage of participants |
| Tobramycin Inhalation Powder | Percentage of Participants With Frequency Decrease From Baseline in the Post-baseline Audiology Tests | Cycle 4: Day 29; >= 20 dB Decrease in at Least One Frequency In Either Ear | 0.0 percentage of participants |
| Tobramycin Inhalation Powder | Percentage of Participants With Frequency Decrease From Baseline in the Post-baseline Audiology Tests | Follow Up: Day 57; ˃= 10 dB decrease in 3 Consecutive Frequencies in Either Ear | 0.0 percentage of participants |
| Tobramycin Inhalation Powder | Percentage of Participants With Frequency Decrease From Baseline in the Post-baseline Audiology Tests | Follow Up: Day 57: >= 15 dB Decrease in 2 Consecutive Frequencies in Either Ear | 0.0 percentage of participants |
| Tobramycin Inhalation Powder | Percentage of Participants With Frequency Decrease From Baseline in the Post-baseline Audiology Tests | Follow Up: Day 57; >= 20 dB Decrease in at Least One Frequency In Either Ear | 0.0 percentage of participants |
Percentage of Participants With Serious Adverse Events (SAEs)
SAEs included adverse events that resulted in any of the following outcomes: death, a life-threatening adverse event, inpatient hospitalization or prolongation of existing hospitalization, a persistent or significant incapacity or substantial disruption of the ability to conduct normal functions, or a congenital anomaly/birth defect.
Time frame: From time of consent to 4 weeks after study completion (up to approximately 29 weeks)
Population: Safety Population included all enrolled participants who received at least one dose of study drug.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Tobramycin Inhalation Powder | Percentage of Participants With Serious Adverse Events (SAEs) | 5.5 percentage of participants |
Shift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of Normal
Shift from baseline in hematology and biochemistry values to above upper/below lower limit of normal at any time post-baseline were reported. Baseline for safety analyses was defined as the last measurement prior to first dose of study drug in the core study CTBM100C2303. Change to low referred to number of participants with normal or high values at baseline. Change to high referred to number of participants with normal or low values at baseline.
Time frame: From baseline to study completion (up to approximately 25 weeks)
Population: Safety Population included all enrolled participants who completed their participation in the core study (CTBM100C2303) and received at least one dose of study drug in the extension study. Number analyzed were the number of participants with data available for analyses at given time point.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Tobramycin Inhalation Powder | Shift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of Normal | Hematology (Hem): Absolute Basophils - low | 0.0 percentage of participants at risk |
| Tobramycin Inhalation Powder | Shift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of Normal | Hem: Absolute Basophils - high | 16.0 percentage of participants at risk |
| Tobramycin Inhalation Powder | Shift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of Normal | Hem: Absolute Eosinophils - low | 0.0 percentage of participants at risk |
| Tobramycin Inhalation Powder | Shift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of Normal | Hem: Absolute Eosinophils - high | 33.3 percentage of participants at risk |
| Tobramycin Inhalation Powder | Shift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of Normal | Hem: Absolute Lymphocytes - low | 10.6 percentage of participants at risk |
| Tobramycin Inhalation Powder | Shift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of Normal | Hem: Absolute Lymphocytes - high | 32.4 percentage of participants at risk |
| Tobramycin Inhalation Powder | Shift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of Normal | Hem: Absolute Monocytes - low | 0.0 percentage of participants at risk |
| Tobramycin Inhalation Powder | Shift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of Normal | Hem: Absolute Monocytes - high | 20.9 percentage of participants at risk |
| Tobramycin Inhalation Powder | Shift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of Normal | Hem: Absolute Neutrophils (Seg. + Bands) - low | 28.3 percentage of participants at risk |
| Tobramycin Inhalation Powder | Shift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of Normal | Hem: Absolute Neutrophils (Seg. + Bands) - high | 35.7 percentage of participants at risk |
| Tobramycin Inhalation Powder | Shift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of Normal | Bio: Alkaline phosphatase, serum - low | 0.0 percentage of participants at risk |
| Tobramycin Inhalation Powder | Shift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of Normal | Bio: Alkaline phosphatase, serum - high | 22.0 percentage of participants at risk |
| Tobramycin Inhalation Powder | Shift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of Normal | Bio: Bilirubin (direct/conjugated) -low | 0.0 percentage of participants at risk |
| Tobramycin Inhalation Powder | Shift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of Normal | Hem: Basophils - low | 0.0 percentage of participants at risk |
| Tobramycin Inhalation Powder | Shift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of Normal | Hem: Basophils - high | 70.4 percentage of participants at risk |
| Tobramycin Inhalation Powder | Shift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of Normal | Hem: Eosinophils - low | 0.0 percentage of participants at risk |
| Tobramycin Inhalation Powder | Shift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of Normal | Hem: Eosinophils - high | 37.8 percentage of participants at risk |
| Tobramycin Inhalation Powder | Shift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of Normal | Hem: Hematocrit - low | 0.0 percentage of participants at risk |
| Tobramycin Inhalation Powder | Shift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of Normal | Hem: Hematocrit - high | 29.5 percentage of participants at risk |
| Tobramycin Inhalation Powder | Shift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of Normal | Hem: Hemoglobin - low | 5.8 percentage of participants at risk |
| Tobramycin Inhalation Powder | Shift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of Normal | Bio: Bilirubin (direct/conjugated) -high | 11.8 percentage of participants at risk |
| Tobramycin Inhalation Powder | Shift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of Normal | Hem: Hemoglobin - high | 6.0 percentage of participants at risk |
| Tobramycin Inhalation Powder | Shift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of Normal | Hem: Lymphocytes - low | 12.8 percentage of participants at risk |
| Tobramycin Inhalation Powder | Shift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of Normal | Bio: Bilirubin (total) - low | 0.0 percentage of participants at risk |
| Tobramycin Inhalation Powder | Shift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of Normal | Bio: Bilirubin (total) - high | 7.4 percentage of participants at risk |
| Tobramycin Inhalation Powder | Shift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of Normal | Bio: Blood Urea Nitrogen (BUN) - low | 16.7 percentage of participants at risk |
| Tobramycin Inhalation Powder | Shift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of Normal | Bio: Blood Urea Nitrogen (BUN) - high | 10.9 percentage of participants at risk |
| Tobramycin Inhalation Powder | Shift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of Normal | Hem: Lymphocytes - high | 39.5 percentage of participants at risk |
| Tobramycin Inhalation Powder | Shift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of Normal | Hem: Monocytes - low | 14.9 percentage of participants at risk |
| Tobramycin Inhalation Powder | Shift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of Normal | Bio: Calcium -low | 12.7 percentage of participants at risk |
| Tobramycin Inhalation Powder | Shift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of Normal | Hem: Monocytes - high | 42.5 percentage of participants at risk |
| Tobramycin Inhalation Powder | Shift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of Normal | Bio: Calcium - high | 11.1 percentage of participants at risk |
| Tobramycin Inhalation Powder | Shift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of Normal | Hem: Neutrophils (Seg. + Bands) - low | 37.8 percentage of participants at risk |
| Tobramycin Inhalation Powder | Shift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of Normal | Hem: Neutrophils (Seg. + Bands) - high | 10.4 percentage of participants at risk |
| Tobramycin Inhalation Powder | Shift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of Normal | Hem: Platelet count (direct) - low | 2.0 percentage of participants at risk |
| Tobramycin Inhalation Powder | Shift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of Normal | Hem: Platelet count (direct) - high | 24.0 percentage of participants at risk |
| Tobramycin Inhalation Powder | Shift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of Normal | Hem: RBC- low | 0.0 percentage of participants at risk |
| Tobramycin Inhalation Powder | Shift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of Normal | Hem: RBC- high | 27.8 percentage of participants at risk |
| Tobramycin Inhalation Powder | Shift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of Normal | Hem: WBC (total)- low | 20.5 percentage of participants at risk |
| Tobramycin Inhalation Powder | Shift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of Normal | Hem: WBC (total)- high | 31.7 percentage of participants at risk |
| Tobramycin Inhalation Powder | Shift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of Normal | Biochemistry (Bio): Albumin - low | 0.0 percentage of participants at risk |
| Tobramycin Inhalation Powder | Shift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of Normal | Bio: Albumin - high | 32.4 percentage of participants at risk |
| Tobramycin Inhalation Powder | Shift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of Normal | Bio: Chloride - low | 9.1 percentage of participants at risk |
| Tobramycin Inhalation Powder | Shift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of Normal | Bio: Chloride - high | 1.8 percentage of participants at risk |
| Tobramycin Inhalation Powder | Shift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of Normal | Bio: Creatinine - low | 36.4 percentage of participants at risk |
| Tobramycin Inhalation Powder | Shift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of Normal | Bio: Creatinine - high | 1.9 percentage of participants at risk |
| Tobramycin Inhalation Powder | Shift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of Normal | Bio: Gamma Glutamyltransferase - low | 1.9 percentage of participants at risk |
| Tobramycin Inhalation Powder | Shift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of Normal | Bio: Gamma Glutamyltransferase - high | 10.4 percentage of participants at risk |
| Tobramycin Inhalation Powder | Shift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of Normal | Bio: Glucose - low | 24.0 percentage of participants at risk |
| Tobramycin Inhalation Powder | Shift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of Normal | Bio: Glucose - high | 15.1 percentage of participants at risk |
| Tobramycin Inhalation Powder | Shift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of Normal | Bio: Phosphate (Inorganic Phosphorus) - low | 1.8 percentage of participants at risk |
| Tobramycin Inhalation Powder | Shift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of Normal | Bio: Phosphate (Inorganic Phosphorus) - high | 47.1 percentage of participants at risk |
| Tobramycin Inhalation Powder | Shift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of Normal | Bio: Potassium - low | 3.8 percentage of participants at risk |
| Tobramycin Inhalation Powder | Shift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of Normal | Bio: Potassium - high | 7.4 percentage of participants at risk |
| Tobramycin Inhalation Powder | Shift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of Normal | Bio: SGOT (AST) - low | 3.7 percentage of participants at risk |
| Tobramycin Inhalation Powder | Shift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of Normal | Bio: SGOT (AST) - high | 30.4 percentage of participants at risk |
| Tobramycin Inhalation Powder | Shift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of Normal | Bio: SGPT (ALT) - low | 0.0 percentage of participants at risk |
| Tobramycin Inhalation Powder | Shift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of Normal | Bio: SGPT (ALT) - high | 39.0 percentage of participants at risk |
| Tobramycin Inhalation Powder | Shift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of Normal | Bio: Serum bicarbonate - low | 45.9 percentage of participants at risk |
| Tobramycin Inhalation Powder | Shift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of Normal | Bio: Serum bicarbonate - high | 0.0 percentage of participants at risk |
| Tobramycin Inhalation Powder | Shift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of Normal | Bio: Sodium - low | 10.9 percentage of participants at risk |
| Tobramycin Inhalation Powder | Shift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of Normal | Bio: Sodium - high | 5.5 percentage of participants at risk |
| Tobramycin Inhalation Powder | Shift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of Normal | Bio: Total Protein (Serum) - low | 1.8 percentage of participants at risk |
| Tobramycin Inhalation Powder | Shift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of Normal | Bio: Total Protein (Serum) - high | 27.9 percentage of participants at risk |
| Tobramycin Inhalation Powder | Shift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of Normal | Bio: Uric Acid - low | 1.8 percentage of participants at risk |
| Tobramycin Inhalation Powder | Shift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of Normal | Bio: Uric Acid - high | 16.0 percentage of participants at risk |
Absolute Change From Baseline in Sputum Pseudomonas Aeruginosa Density [log10 Colony Forming Units (CFU) Per Gram Sputum] to End of Dosing at Each Cycle and Study Completion
P. aeruginosa sputum density referred to overall density, defined as the sum of biotypes (mucoid, dry and small colony variant). If sub-isolates existed for CFU biotype mucoid or dry, then the sum of sub-isolates was analyzed. Absolute change from baseline was defined as: Absolute change = Post Baseline - Baseline. Baseline was defined as last measurement prior to first dose of study drug in the core study CTBM100C2303. Termination referred to the last available pre dose post-baseline measurement.
Time frame: Baseline, Day 29 of Cycle 2, 3, 4, Day 57 of Follow Up and Termination (Study Completion)
Population: Safety Population included all enrolled participants who completed their participation in the core study (CTBM100C2303) and received at least one dose of study drug in the extension study. Number analyzed were the number of participants with data available for analyses at given time point.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Tobramycin Inhalation Powder | Absolute Change From Baseline in Sputum Pseudomonas Aeruginosa Density [log10 Colony Forming Units (CFU) Per Gram Sputum] to End of Dosing at Each Cycle and Study Completion | Cycle 2: Day 29 | -3.7 log10 Colony Forming Units (CFU) | Standard Deviation 2.76 |
| Tobramycin Inhalation Powder | Absolute Change From Baseline in Sputum Pseudomonas Aeruginosa Density [log10 Colony Forming Units (CFU) Per Gram Sputum] to End of Dosing at Each Cycle and Study Completion | Follow Up: Day 57 | -1.1 log10 Colony Forming Units (CFU) | Standard Deviation 2.82 |
| Tobramycin Inhalation Powder | Absolute Change From Baseline in Sputum Pseudomonas Aeruginosa Density [log10 Colony Forming Units (CFU) Per Gram Sputum] to End of Dosing at Each Cycle and Study Completion | Termination | -2.9 log10 Colony Forming Units (CFU) | Standard Deviation 3.16 |
| Tobramycin Inhalation Powder | Absolute Change From Baseline in Sputum Pseudomonas Aeruginosa Density [log10 Colony Forming Units (CFU) Per Gram Sputum] to End of Dosing at Each Cycle and Study Completion | Cycle 3: Day 29 | -3.5 log10 Colony Forming Units (CFU) | Standard Deviation 3.04 |
| Tobramycin Inhalation Powder | Absolute Change From Baseline in Sputum Pseudomonas Aeruginosa Density [log10 Colony Forming Units (CFU) Per Gram Sputum] to End of Dosing at Each Cycle and Study Completion | Cycle 4: Day 29 | -3.9 log10 Colony Forming Units (CFU) | Standard Deviation 2.82 |
Change From Baseline in Forced Expiratory Flow Rate Over 25 Percent and 75 Percent (FEF25-75%) Predicted to End of Dosing at Each Cycle and Study Completion
Relative change from baseline in FEF25-75% predicted to end of dosing in each cycle and study completion were reported. Relative change from baseline was defined as: Relative change = 100\* (Post baseline- baseline) / baseline. Baseline was defined as last measurement prior to first dose of study drug in the core study CTBM100C2303. Termination referred to the last available pre dose post-baseline measurement.
Time frame: Baseline, Day 29 of Cycle 2, 3, 4, Day 57 of Follow Up and Termination (Study Completion)
Population: Safety Population included all enrolled participants who completed their participation in the core study (CTBM100C2303) and received at least one dose of study drug in the extension study. Number analyzed were the number of participants with data available for analyses at given time point.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Tobramycin Inhalation Powder | Change From Baseline in Forced Expiratory Flow Rate Over 25 Percent and 75 Percent (FEF25-75%) Predicted to End of Dosing at Each Cycle and Study Completion | Follow Up: Day 57 | 35.9 percentage change | Standard Deviation 58.08 |
| Tobramycin Inhalation Powder | Change From Baseline in Forced Expiratory Flow Rate Over 25 Percent and 75 Percent (FEF25-75%) Predicted to End of Dosing at Each Cycle and Study Completion | Termination | 34.7 percentage change | Standard Deviation 57.98 |
| Tobramycin Inhalation Powder | Change From Baseline in Forced Expiratory Flow Rate Over 25 Percent and 75 Percent (FEF25-75%) Predicted to End of Dosing at Each Cycle and Study Completion | Cycle 2: Day 29 | 35.2 percentage change | Standard Deviation 55.86 |
| Tobramycin Inhalation Powder | Change From Baseline in Forced Expiratory Flow Rate Over 25 Percent and 75 Percent (FEF25-75%) Predicted to End of Dosing at Each Cycle and Study Completion | Cycle 3: Day 29 | 44.7 percentage change | Standard Deviation 58.17 |
| Tobramycin Inhalation Powder | Change From Baseline in Forced Expiratory Flow Rate Over 25 Percent and 75 Percent (FEF25-75%) Predicted to End of Dosing at Each Cycle and Study Completion | Cycle 4; Day 29 | 40.5 percentage change | Standard Deviation 59.21 |
Change From Baseline in Forced Vital Capacity (FVC) Percent (%) Predicted to End of Dosing at Each Cycle and Study Completion
Relative change from baseline in FVC % predicted to end of dosing in each cycle and study completion were reported. Relative change from baseline was defined as: Relative change = 100\* (Post baseline- baseline) / baseline. Baseline was defined as last measurement prior to first dose of study drug in the core study CTBM100C2303. Termination referred to the last available pre dose post-baseline measurement.
Time frame: Baseline, Day 29 of Cycle 2, 3, 4, Day 57 of Follow Up and Termination (Study Completion)
Population: Safety Population included all enrolled participants who completed their participation in the core study (CTBM100C2303) and received at least one dose of study drug in the extension study. Number analyzed were the number of participants with data available for analyses at given time point.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Tobramycin Inhalation Powder | Change From Baseline in Forced Vital Capacity (FVC) Percent (%) Predicted to End of Dosing at Each Cycle and Study Completion | Cycle 2: Day 29 | 7.0 percentage change | Standard Deviation 17.46 |
| Tobramycin Inhalation Powder | Change From Baseline in Forced Vital Capacity (FVC) Percent (%) Predicted to End of Dosing at Each Cycle and Study Completion | Cycle 3: Day 29 | 7.2 percentage change | Standard Deviation 16.89 |
| Tobramycin Inhalation Powder | Change From Baseline in Forced Vital Capacity (FVC) Percent (%) Predicted to End of Dosing at Each Cycle and Study Completion | Cycle 4: Day 29 | 9.6 percentage change | Standard Deviation 16.87 |
| Tobramycin Inhalation Powder | Change From Baseline in Forced Vital Capacity (FVC) Percent (%) Predicted to End of Dosing at Each Cycle and Study Completion | Follow Up: Day 57 | 7.4 percentage change | Standard Deviation 14.99 |
| Tobramycin Inhalation Powder | Change From Baseline in Forced Vital Capacity (FVC) Percent (%) Predicted to End of Dosing at Each Cycle and Study Completion | Termination | 7.9 percentage change | Standard Deviation 15.24 |
Change From Baseline in Pseudomonas Aeruginosa Minimum Inhibitory Concentration (MIC) to End of Dosing at Each Cycle and Study Completion
Change in tobramycin MIC values for P. aeruginosa were reported for specimens and were used to assess the change in pathogen susceptibility to tobramycin before (baseline) and after (post-baseline) the treatment. Maximum MIC values from all biotypes were used. Change from baseline was defined as: Change = Post-baseline - Baseline. Baseline was defined as last measurement prior to first dose of study drug in the core studyCTBM100C2303.Termination referred to the last available pre dose post-baseline measurement.
Time frame: Baseline, Day 29 of Cycle 2, 3, 4, Day 57 of Follow Up and Termination (Study Completion)
Population: Safety Population included all enrolled participants who completed their participation in the core study (CTBM100C2303) and received at least one dose of study drug in the extension study. Number analyzed were the number of participants with data available for analyses at given time point.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Tobramycin Inhalation Powder | Change From Baseline in Pseudomonas Aeruginosa Minimum Inhibitory Concentration (MIC) to End of Dosing at Each Cycle and Study Completion | Cycle 2: Day 29 | 15.1 μg/mL | Standard Deviation 82.45 |
| Tobramycin Inhalation Powder | Change From Baseline in Pseudomonas Aeruginosa Minimum Inhibitory Concentration (MIC) to End of Dosing at Each Cycle and Study Completion | Cycle 4: Day 29 | 24.0 μg/mL | Standard Deviation 90.13 |
| Tobramycin Inhalation Powder | Change From Baseline in Pseudomonas Aeruginosa Minimum Inhibitory Concentration (MIC) to End of Dosing at Each Cycle and Study Completion | Cycle 3: Day 29 | 30.7 μg/mL | Standard Deviation 112.32 |
| Tobramycin Inhalation Powder | Change From Baseline in Pseudomonas Aeruginosa Minimum Inhibitory Concentration (MIC) to End of Dosing at Each Cycle and Study Completion | Follow Up: Day 57 | 28.6 μg/mL | Standard Deviation 111.71 |
| Tobramycin Inhalation Powder | Change From Baseline in Pseudomonas Aeruginosa Minimum Inhibitory Concentration (MIC) to End of Dosing at Each Cycle and Study Completion | Termination | 22.3 μg/mL | Standard Deviation 101.38 |
Number of Days of Hospitalization Due to Respiratory Serious Adverse Events
SAEs included adverse events that resulted in any of the following outcomes: death, a life-threatening adverse event, inpatient hospitalization or prolongation of existing hospitalization, a persistent or significant incapacity or substantial disruption of the ability to conduct normal functions, or a congenital anomaly/birth defect. For calculation of days in hospitalization due to respiratory events, the end date was defined as the discharge date (if provided and even if after the end of the extension study), and otherwise as the date of last visit.
Time frame: From first administration of study drug to study completion (up to approximately 25 weeks)
Population: Safety Population included all enrolled participants who completed their participation in the core study (CTBM100C2303) and received at least one dose of study drug in the extension study.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Tobramycin Inhalation Powder | Number of Days of Hospitalization Due to Respiratory Serious Adverse Events | 13.0 days |
Percentage of Participants With Anti-Pseudomonal Antibiotic Use During The Treatment Period
Time frame: From first administration of study drug to study completion (up to approximately 25 weeks)
Population: Safety Population included all enrolled participants who completed their participation in the core study (CTBM100C2303) and received at least one dose of study drug in the extension study.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Tobramycin Inhalation Powder | Percentage of Participants With Anti-Pseudomonal Antibiotic Use During The Treatment Period | 9.1 percentage of participants |
Relative Change From Baseline in Forced Expiratory Volume in One Second (FEV1) Percent Predicted to End of Dosing at Each Cycle and Study Completion
FEV1 was defined as the volume of air expired in 1 second. FEV1 % predicted was a normalized value of FEV1 calculated using the Knudsen equation, based upon participant's age, gender and height. Relative change in FEV1 % predicted = 100\* (30 minutes post dose - pre dose) / pre dose assessed by number and percentage of participants with a decrease in ≥20% FEV1 percent predicted from pre dose to 30 minutes post dose. Baseline for was defined as the last measurement prior to first dose of study drug in the core study CTBM100C2303. Termination referred to the last available pre dose post-baseline measurement.
Time frame: Baseline, Day 29 of Cycle 2, 3, 4, Day 57 of Follow Up and Termination (Study Completion)
Population: Safety Population included all enrolled participants who completed their participation in the core study (CTBM100C2303) and received at least one dose of study drug in the extension study. Number analyzed were the number of participants with data available for analyses at given time point.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Tobramycin Inhalation Powder | Relative Change From Baseline in Forced Expiratory Volume in One Second (FEV1) Percent Predicted to End of Dosing at Each Cycle and Study Completion | Cycle 2: Day 29 | 13.5 percentage change | Standard Deviation 23.42 |
| Tobramycin Inhalation Powder | Relative Change From Baseline in Forced Expiratory Volume in One Second (FEV1) Percent Predicted to End of Dosing at Each Cycle and Study Completion | Cycle 3: Day 29 | 14.8 percentage change | Standard Deviation 22.4 |
| Tobramycin Inhalation Powder | Relative Change From Baseline in Forced Expiratory Volume in One Second (FEV1) Percent Predicted to End of Dosing at Each Cycle and Study Completion | Cycle 4: Day 29 | 17.3 percentage change | Standard Deviation 23.56 |
| Tobramycin Inhalation Powder | Relative Change From Baseline in Forced Expiratory Volume in One Second (FEV1) Percent Predicted to End of Dosing at Each Cycle and Study Completion | Follow Up: Day 57 | 13.5 percentage change | Standard Deviation 20.62 |
| Tobramycin Inhalation Powder | Relative Change From Baseline in Forced Expiratory Volume in One Second (FEV1) Percent Predicted to End of Dosing at Each Cycle and Study Completion | Termination | 13.9 percentage change | Standard Deviation 21.86 |