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Open Label Extension to Bridging Study CTBM100C2303

A Phase III Open-Label Extension Study to Assess the Safety and Efficacy of Tobramycin Inhalation Powder After Manufacturing Process Modifications (TIPnew) in Cystic Fibrosis (CF) Subjects Who Completed Participation in Study CTBM100C2303.

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00982930
Enrollment
55
Registered
2009-09-23
Start date
2009-08-12
Completion date
2011-10-06
Last updated
2021-06-02

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Cystic Fibrosis, Pseudomonas Aeruginosa

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

Novartis Pharmaceuticals
Lead SponsorINDUSTRY

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
6 Years to 21 Years
Healthy volunteers
No

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

MeasureTime frameDescription
Number of Participants With Adverse Events (AEs) Associated With the Use of New Antipseudomonal AntibioticFrom 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 CasesFrom 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 DiscontinuationFrom 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 NormalFrom 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 DrugPre-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 TestsFrom 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

MeasureTime frameDescription
Change From Baseline in Forced Vital Capacity (FVC) Percent (%) Predicted to End of Dosing at Each Cycle and Study CompletionBaseline, 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 CompletionBaseline, 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 CompletionBaseline, 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 CompletionBaseline, 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 PeriodFrom first administration of study drug to study completion (up to approximately 25 weeks)
Number of Days of Hospitalization Due to Respiratory Serious Adverse EventsFrom 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 CompletionBaseline, 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

ArmCount
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
Total55

Withdrawals & dropouts

PeriodReasonFG000
Overall StudyAdministrative Problems2
Overall StudyAdverse Event1
Overall StudyWithdrawal by Subject1

Baseline characteristics

CharacteristicTobramycin Inhalation Powder
Age, Continuous12.9 years
STANDARD_DEVIATION 4.44
Baseline Forced Expiratory Flow Rate Over 25 and 75 Percent (FEF25-75%) Predicted37.2 percentage
STANDARD_DEVIATION 20.19
Baseline Forced Expiratory Volume in One Second (FEV1) Percent Predicted59.9 percentage
STANDARD_DEVIATION 16.24
Baseline Forced Vital Capacity (FVC) Percent Predicted75.2 percentage
STANDARD_DEVIATION 17.05
Baseline P. aeruginosa Sputum Density7.3 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 typeEG000
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

Primary

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.

ArmMeasureGroupValue (MEAN)Dispersion
Tobramycin Inhalation PowderAcute 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 DrugCycle 4: Day 29-0.6 percentage changeStandard Deviation 6.82
Tobramycin Inhalation PowderAcute 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 DrugCycle 2: Day 10.0 percentage changeStandard Deviation 12.07
Tobramycin Inhalation PowderAcute 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 DrugCycle 2: Day 29-3.0 percentage changeStandard Deviation 7.21
Tobramycin Inhalation PowderAcute 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 DrugCycle 3: Day 1-1.4 percentage changeStandard Deviation 13.33
Tobramycin Inhalation PowderAcute 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 DrugCycle 3: Day 29-1.8 percentage changeStandard Deviation 6.67
Tobramycin Inhalation PowderAcute 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 DrugCycle 4: Day 1-3.0 percentage changeStandard Deviation 11.01
Primary

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.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Tobramycin Inhalation PowderNumber of Participants With Adverse Events (AEs) Associated With the Use of New Antipseudomonal AntibioticMild, No13 Participants
Tobramycin Inhalation PowderNumber of Participants With Adverse Events (AEs) Associated With the Use of New Antipseudomonal AntibioticModerate, Yes3 Participants
Tobramycin Inhalation PowderNumber of Participants With Adverse Events (AEs) Associated With the Use of New Antipseudomonal AntibioticModerate, No9 Participants
Tobramycin Inhalation PowderNumber of Participants With Adverse Events (AEs) Associated With the Use of New Antipseudomonal AntibioticSevere, Yes0 Participants
Tobramycin Inhalation PowderNumber of Participants With Adverse Events (AEs) Associated With the Use of New Antipseudomonal AntibioticSevere, No0 Participants
Tobramycin Inhalation PowderNumber of Participants With Adverse Events (AEs) Associated With the Use of New Antipseudomonal AntibioticMild, Yes1 Participants
Primary

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.

ArmMeasureValue (NUMBER)
Tobramycin Inhalation PowderPercentage of Death Cases0 percentage of participants
Primary

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.

ArmMeasureValue (NUMBER)
Tobramycin Inhalation PowderPercentage of Participants With Adverse Events (AEs)47.3 percentage of participants
Primary

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.

ArmMeasureGroupValue (NUMBER)
Tobramycin Inhalation PowderPercentage of Participants With Adverse Events and Serious Adverse Events Leading to Permanent Study DiscontinuationDiscontinuation Due to Adverse Events1.8 percentage of participants
Tobramycin Inhalation PowderPercentage of Participants With Adverse Events and Serious Adverse Events Leading to Permanent Study DiscontinuationDiscontinuation Due to Serious Adverse Events0 percentage of participants
Primary

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.

ArmMeasureGroupValue (NUMBER)
Tobramycin Inhalation PowderPercentage of Participants With Frequency Decrease From Baseline in the Post-baseline Audiology TestsCycle 2: Day 1; ˃= 10 dB Decrease in 3 Consecutive Frequencies in Either Ear5.6 percentage of participants
Tobramycin Inhalation PowderPercentage of Participants With Frequency Decrease From Baseline in the Post-baseline Audiology TestsCycle 2: Day 1: >= 15 dB Decrease In 2 Consecutive Frequencies in Either Ear0.0 percentage of participants
Tobramycin Inhalation PowderPercentage of Participants With Frequency Decrease From Baseline in the Post-baseline Audiology TestsCycle 2: Day 1; >= 20 dB Decrease in at Least One Frequency In Either Ear0.0 percentage of participants
Tobramycin Inhalation PowderPercentage of Participants With Frequency Decrease From Baseline in the Post-baseline Audiology TestsCycle 2: Day 29; ˃= 10 dB decrease in 3 Consecutive Frequencies in Either Ear5.0 percentage of participants
Tobramycin Inhalation PowderPercentage of Participants With Frequency Decrease From Baseline in the Post-baseline Audiology TestsCycle 2: Day 29; >= 15 dB Decrease In 2 Consecutive Frequencies in Either Ear0.0 percentage of participants
Tobramycin Inhalation PowderPercentage of Participants With Frequency Decrease From Baseline in the Post-baseline Audiology TestsCycle 2: Day 29; >= 20 dB Decrease in at Least One Frequency In Either Ear0.0 percentage of participants
Tobramycin Inhalation PowderPercentage of Participants With Frequency Decrease From Baseline in the Post-baseline Audiology TestsCycle 3: Day 29; ˃= 10 dB Decrease in 3 Consecutive Frequencies in Either Ear9.1 percentage of participants
Tobramycin Inhalation PowderPercentage of Participants With Frequency Decrease From Baseline in the Post-baseline Audiology TestsCycle 3: Day 29; >= 15 dB Decrease In 2 Consecutive Frequencies in Either Ear4.5 percentage of participants
Tobramycin Inhalation PowderPercentage of Participants With Frequency Decrease From Baseline in the Post-baseline Audiology TestsCycle 3: Day 29; >= 20 dB Decrease in at Least One Frequency In Either Ear4.5 percentage of participants
Tobramycin Inhalation PowderPercentage of Participants With Frequency Decrease From Baseline in the Post-baseline Audiology TestsCycle 4: Day 29; ˃= 10 dB decrease in 3 Consecutive Frequencies in Either Ear4.5 percentage of participants
Tobramycin Inhalation PowderPercentage of Participants With Frequency Decrease From Baseline in the Post-baseline Audiology TestsCycle 4: Day 29; >= 15 dB Decrease In 2 Consecutive Frequencies in Either Ear0.0 percentage of participants
Tobramycin Inhalation PowderPercentage of Participants With Frequency Decrease From Baseline in the Post-baseline Audiology TestsCycle 4: Day 29; >= 20 dB Decrease in at Least One Frequency In Either Ear0.0 percentage of participants
Tobramycin Inhalation PowderPercentage of Participants With Frequency Decrease From Baseline in the Post-baseline Audiology TestsFollow Up: Day 57; ˃= 10 dB decrease in 3 Consecutive Frequencies in Either Ear0.0 percentage of participants
Tobramycin Inhalation PowderPercentage of Participants With Frequency Decrease From Baseline in the Post-baseline Audiology TestsFollow Up: Day 57: >= 15 dB Decrease in 2 Consecutive Frequencies in Either Ear0.0 percentage of participants
Tobramycin Inhalation PowderPercentage of Participants With Frequency Decrease From Baseline in the Post-baseline Audiology TestsFollow Up: Day 57; >= 20 dB Decrease in at Least One Frequency In Either Ear0.0 percentage of participants
Primary

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.

ArmMeasureValue (NUMBER)
Tobramycin Inhalation PowderPercentage of Participants With Serious Adverse Events (SAEs)5.5 percentage of participants
Primary

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.

ArmMeasureGroupValue (NUMBER)
Tobramycin Inhalation PowderShift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of NormalHematology (Hem): Absolute Basophils - low0.0 percentage of participants at risk
Tobramycin Inhalation PowderShift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of NormalHem: Absolute Basophils - high16.0 percentage of participants at risk
Tobramycin Inhalation PowderShift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of NormalHem: Absolute Eosinophils - low0.0 percentage of participants at risk
Tobramycin Inhalation PowderShift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of NormalHem: Absolute Eosinophils - high33.3 percentage of participants at risk
Tobramycin Inhalation PowderShift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of NormalHem: Absolute Lymphocytes - low10.6 percentage of participants at risk
Tobramycin Inhalation PowderShift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of NormalHem: Absolute Lymphocytes - high32.4 percentage of participants at risk
Tobramycin Inhalation PowderShift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of NormalHem: Absolute Monocytes - low0.0 percentage of participants at risk
Tobramycin Inhalation PowderShift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of NormalHem: Absolute Monocytes - high20.9 percentage of participants at risk
Tobramycin Inhalation PowderShift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of NormalHem: Absolute Neutrophils (Seg. + Bands) - low28.3 percentage of participants at risk
Tobramycin Inhalation PowderShift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of NormalHem: Absolute Neutrophils (Seg. + Bands) - high35.7 percentage of participants at risk
Tobramycin Inhalation PowderShift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of NormalBio: Alkaline phosphatase, serum - low0.0 percentage of participants at risk
Tobramycin Inhalation PowderShift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of NormalBio: Alkaline phosphatase, serum - high22.0 percentage of participants at risk
Tobramycin Inhalation PowderShift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of NormalBio: Bilirubin (direct/conjugated) -low0.0 percentage of participants at risk
Tobramycin Inhalation PowderShift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of NormalHem: Basophils - low0.0 percentage of participants at risk
Tobramycin Inhalation PowderShift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of NormalHem: Basophils - high70.4 percentage of participants at risk
Tobramycin Inhalation PowderShift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of NormalHem: Eosinophils - low0.0 percentage of participants at risk
Tobramycin Inhalation PowderShift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of NormalHem: Eosinophils - high37.8 percentage of participants at risk
Tobramycin Inhalation PowderShift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of NormalHem: Hematocrit - low0.0 percentage of participants at risk
Tobramycin Inhalation PowderShift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of NormalHem: Hematocrit - high29.5 percentage of participants at risk
Tobramycin Inhalation PowderShift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of NormalHem: Hemoglobin - low5.8 percentage of participants at risk
Tobramycin Inhalation PowderShift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of NormalBio: Bilirubin (direct/conjugated) -high11.8 percentage of participants at risk
Tobramycin Inhalation PowderShift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of NormalHem: Hemoglobin - high6.0 percentage of participants at risk
Tobramycin Inhalation PowderShift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of NormalHem: Lymphocytes - low12.8 percentage of participants at risk
Tobramycin Inhalation PowderShift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of NormalBio: Bilirubin (total) - low0.0 percentage of participants at risk
Tobramycin Inhalation PowderShift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of NormalBio: Bilirubin (total) - high7.4 percentage of participants at risk
Tobramycin Inhalation PowderShift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of NormalBio: Blood Urea Nitrogen (BUN) - low16.7 percentage of participants at risk
Tobramycin Inhalation PowderShift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of NormalBio: Blood Urea Nitrogen (BUN) - high10.9 percentage of participants at risk
Tobramycin Inhalation PowderShift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of NormalHem: Lymphocytes - high39.5 percentage of participants at risk
Tobramycin Inhalation PowderShift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of NormalHem: Monocytes - low14.9 percentage of participants at risk
Tobramycin Inhalation PowderShift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of NormalBio: Calcium -low12.7 percentage of participants at risk
Tobramycin Inhalation PowderShift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of NormalHem: Monocytes - high42.5 percentage of participants at risk
Tobramycin Inhalation PowderShift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of NormalBio: Calcium - high11.1 percentage of participants at risk
Tobramycin Inhalation PowderShift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of NormalHem: Neutrophils (Seg. + Bands) - low37.8 percentage of participants at risk
Tobramycin Inhalation PowderShift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of NormalHem: Neutrophils (Seg. + Bands) - high10.4 percentage of participants at risk
Tobramycin Inhalation PowderShift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of NormalHem: Platelet count (direct) - low2.0 percentage of participants at risk
Tobramycin Inhalation PowderShift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of NormalHem: Platelet count (direct) - high24.0 percentage of participants at risk
Tobramycin Inhalation PowderShift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of NormalHem: RBC- low0.0 percentage of participants at risk
Tobramycin Inhalation PowderShift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of NormalHem: RBC- high27.8 percentage of participants at risk
Tobramycin Inhalation PowderShift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of NormalHem: WBC (total)- low20.5 percentage of participants at risk
Tobramycin Inhalation PowderShift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of NormalHem: WBC (total)- high31.7 percentage of participants at risk
Tobramycin Inhalation PowderShift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of NormalBiochemistry (Bio): Albumin - low0.0 percentage of participants at risk
Tobramycin Inhalation PowderShift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of NormalBio: Albumin - high32.4 percentage of participants at risk
Tobramycin Inhalation PowderShift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of NormalBio: Chloride - low9.1 percentage of participants at risk
Tobramycin Inhalation PowderShift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of NormalBio: Chloride - high1.8 percentage of participants at risk
Tobramycin Inhalation PowderShift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of NormalBio: Creatinine - low36.4 percentage of participants at risk
Tobramycin Inhalation PowderShift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of NormalBio: Creatinine - high1.9 percentage of participants at risk
Tobramycin Inhalation PowderShift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of NormalBio: Gamma Glutamyltransferase - low1.9 percentage of participants at risk
Tobramycin Inhalation PowderShift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of NormalBio: Gamma Glutamyltransferase - high10.4 percentage of participants at risk
Tobramycin Inhalation PowderShift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of NormalBio: Glucose - low24.0 percentage of participants at risk
Tobramycin Inhalation PowderShift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of NormalBio: Glucose - high15.1 percentage of participants at risk
Tobramycin Inhalation PowderShift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of NormalBio: Phosphate (Inorganic Phosphorus) - low1.8 percentage of participants at risk
Tobramycin Inhalation PowderShift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of NormalBio: Phosphate (Inorganic Phosphorus) - high47.1 percentage of participants at risk
Tobramycin Inhalation PowderShift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of NormalBio: Potassium - low3.8 percentage of participants at risk
Tobramycin Inhalation PowderShift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of NormalBio: Potassium - high7.4 percentage of participants at risk
Tobramycin Inhalation PowderShift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of NormalBio: SGOT (AST) - low3.7 percentage of participants at risk
Tobramycin Inhalation PowderShift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of NormalBio: SGOT (AST) - high30.4 percentage of participants at risk
Tobramycin Inhalation PowderShift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of NormalBio: SGPT (ALT) - low0.0 percentage of participants at risk
Tobramycin Inhalation PowderShift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of NormalBio: SGPT (ALT) - high39.0 percentage of participants at risk
Tobramycin Inhalation PowderShift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of NormalBio: Serum bicarbonate - low45.9 percentage of participants at risk
Tobramycin Inhalation PowderShift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of NormalBio: Serum bicarbonate - high0.0 percentage of participants at risk
Tobramycin Inhalation PowderShift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of NormalBio: Sodium - low10.9 percentage of participants at risk
Tobramycin Inhalation PowderShift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of NormalBio: Sodium - high5.5 percentage of participants at risk
Tobramycin Inhalation PowderShift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of NormalBio: Total Protein (Serum) - low1.8 percentage of participants at risk
Tobramycin Inhalation PowderShift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of NormalBio: Total Protein (Serum) - high27.9 percentage of participants at risk
Tobramycin Inhalation PowderShift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of NormalBio: Uric Acid - low1.8 percentage of participants at risk
Tobramycin Inhalation PowderShift From Baseline in Laboratory Parameters to Above Upper/Lower Limit of NormalBio: Uric Acid - high16.0 percentage of participants at risk
Secondary

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.

ArmMeasureGroupValue (MEAN)Dispersion
Tobramycin Inhalation PowderAbsolute 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 CompletionCycle 2: Day 29-3.7 log10 Colony Forming Units (CFU)Standard Deviation 2.76
Tobramycin Inhalation PowderAbsolute 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 CompletionFollow Up: Day 57-1.1 log10 Colony Forming Units (CFU)Standard Deviation 2.82
Tobramycin Inhalation PowderAbsolute 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 CompletionTermination-2.9 log10 Colony Forming Units (CFU)Standard Deviation 3.16
Tobramycin Inhalation PowderAbsolute 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 CompletionCycle 3: Day 29-3.5 log10 Colony Forming Units (CFU)Standard Deviation 3.04
Tobramycin Inhalation PowderAbsolute 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 CompletionCycle 4: Day 29-3.9 log10 Colony Forming Units (CFU)Standard Deviation 2.82
Secondary

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.

ArmMeasureGroupValue (MEAN)Dispersion
Tobramycin Inhalation PowderChange 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 CompletionFollow Up: Day 5735.9 percentage changeStandard Deviation 58.08
Tobramycin Inhalation PowderChange 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 CompletionTermination34.7 percentage changeStandard Deviation 57.98
Tobramycin Inhalation PowderChange 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 CompletionCycle 2: Day 2935.2 percentage changeStandard Deviation 55.86
Tobramycin Inhalation PowderChange 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 CompletionCycle 3: Day 2944.7 percentage changeStandard Deviation 58.17
Tobramycin Inhalation PowderChange 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 CompletionCycle 4; Day 2940.5 percentage changeStandard Deviation 59.21
Secondary

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.

ArmMeasureGroupValue (MEAN)Dispersion
Tobramycin Inhalation PowderChange From Baseline in Forced Vital Capacity (FVC) Percent (%) Predicted to End of Dosing at Each Cycle and Study CompletionCycle 2: Day 297.0 percentage changeStandard Deviation 17.46
Tobramycin Inhalation PowderChange From Baseline in Forced Vital Capacity (FVC) Percent (%) Predicted to End of Dosing at Each Cycle and Study CompletionCycle 3: Day 297.2 percentage changeStandard Deviation 16.89
Tobramycin Inhalation PowderChange From Baseline in Forced Vital Capacity (FVC) Percent (%) Predicted to End of Dosing at Each Cycle and Study CompletionCycle 4: Day 299.6 percentage changeStandard Deviation 16.87
Tobramycin Inhalation PowderChange From Baseline in Forced Vital Capacity (FVC) Percent (%) Predicted to End of Dosing at Each Cycle and Study CompletionFollow Up: Day 577.4 percentage changeStandard Deviation 14.99
Tobramycin Inhalation PowderChange From Baseline in Forced Vital Capacity (FVC) Percent (%) Predicted to End of Dosing at Each Cycle and Study CompletionTermination7.9 percentage changeStandard Deviation 15.24
Secondary

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.

ArmMeasureGroupValue (MEAN)Dispersion
Tobramycin Inhalation PowderChange From Baseline in Pseudomonas Aeruginosa Minimum Inhibitory Concentration (MIC) to End of Dosing at Each Cycle and Study CompletionCycle 2: Day 2915.1 μg/mLStandard Deviation 82.45
Tobramycin Inhalation PowderChange From Baseline in Pseudomonas Aeruginosa Minimum Inhibitory Concentration (MIC) to End of Dosing at Each Cycle and Study CompletionCycle 4: Day 2924.0 μg/mLStandard Deviation 90.13
Tobramycin Inhalation PowderChange From Baseline in Pseudomonas Aeruginosa Minimum Inhibitory Concentration (MIC) to End of Dosing at Each Cycle and Study CompletionCycle 3: Day 2930.7 μg/mLStandard Deviation 112.32
Tobramycin Inhalation PowderChange From Baseline in Pseudomonas Aeruginosa Minimum Inhibitory Concentration (MIC) to End of Dosing at Each Cycle and Study CompletionFollow Up: Day 5728.6 μg/mLStandard Deviation 111.71
Tobramycin Inhalation PowderChange From Baseline in Pseudomonas Aeruginosa Minimum Inhibitory Concentration (MIC) to End of Dosing at Each Cycle and Study CompletionTermination22.3 μg/mLStandard Deviation 101.38
Secondary

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.

ArmMeasureValue (MEDIAN)
Tobramycin Inhalation PowderNumber of Days of Hospitalization Due to Respiratory Serious Adverse Events13.0 days
Secondary

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.

ArmMeasureValue (NUMBER)
Tobramycin Inhalation PowderPercentage of Participants With Anti-Pseudomonal Antibiotic Use During The Treatment Period9.1 percentage of participants
Secondary

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.

ArmMeasureGroupValue (MEAN)Dispersion
Tobramycin Inhalation PowderRelative Change From Baseline in Forced Expiratory Volume in One Second (FEV1) Percent Predicted to End of Dosing at Each Cycle and Study CompletionCycle 2: Day 2913.5 percentage changeStandard Deviation 23.42
Tobramycin Inhalation PowderRelative Change From Baseline in Forced Expiratory Volume in One Second (FEV1) Percent Predicted to End of Dosing at Each Cycle and Study CompletionCycle 3: Day 2914.8 percentage changeStandard Deviation 22.4
Tobramycin Inhalation PowderRelative Change From Baseline in Forced Expiratory Volume in One Second (FEV1) Percent Predicted to End of Dosing at Each Cycle and Study CompletionCycle 4: Day 2917.3 percentage changeStandard Deviation 23.56
Tobramycin Inhalation PowderRelative Change From Baseline in Forced Expiratory Volume in One Second (FEV1) Percent Predicted to End of Dosing at Each Cycle and Study CompletionFollow Up: Day 5713.5 percentage changeStandard Deviation 20.62
Tobramycin Inhalation PowderRelative Change From Baseline in Forced Expiratory Volume in One Second (FEV1) Percent Predicted to End of Dosing at Each Cycle and Study CompletionTermination13.9 percentage changeStandard Deviation 21.86

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026