Pseudomonas Aeruginosa, Pulmonary Infections
Conditions
Keywords
Tobramycin Inhalation Powder, Cystic fibrosis, Lung diseases, Anti-Bacterial Agents, Treatment of pulmonary infections with P. aeruginosa in cystic fibrosis participants
Brief summary
This was an open-label, single arm (uncontrolled) study in participants suffering from cystic fibrosis, who have completed their study participation in CTBM100C2303 and extension study one CTBM100C2303E1 (all visits), who were proven infected with Pseudomonas aeruginosa at enrollment into CTBM100C2303.
Interventions
Tobramycin dry powder for inhalation in capsules administered by the T-326 inhaler.
Sponsors
Study design
Eligibility
Inclusion criteria
* Completed all visits in study CTBM100C2303 and CTBM100C2303E1, and visit 11 of study CTBM100C2303E1 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 (at start of 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 trial CTMB100C2303E1 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) | From time of first administration of study drug until study completion (up to 169 days) | An AE was defined as any unfavorable and unintended sign, symptom, or disease temporally associated with the use of study drug, whether or not related to study drug. |
| Number of Participants With Serious Adverse Events (SAEs) | From time of consent to 4 weeks after study completion (up to 199 days) | A SAE was defined as an event which was fatal or life threatening, required or prolonged hospitalization, was significantly or permanently disabling or incapacitating, constituted a congenital anomaly or a birth defect, or encompassed any other clinically significant event that could jeopardize the participant or require medical or surgical intervention to prevent one of the aforementioned outcomes. |
| Percentage of Participants With a Decrease of ≥20% in Forced Expiratory Value in One Second (FEV1) Percent (%) Predicted From Pre-dose to 30-minute Post-dose | Pre-dose and post-dose of Day 1 and Day 29 of every Cycle (5, 6, 7) | Airway Reactivity \>= 20% relative decrease in FEV1% predicted from pre-dose to 30 minutes post-dose. Relative Change = 100 \* (30 minutes Post-dose - Pre-dose)/Pre-dose assessed by the number and percentage of participants with a decrease of ≥ 20% in FEV1 % predicted from pre-dose to 30 minutes post-dose. |
| Percentage of Participants With Frequency Decrease From Baseline in the Post-baseline Audiology Tests | Cycles 5, 6, 7 (Days 1, 29) and Follow-up (Week 57/Day 57) | 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 Tobramycin Minimum Inhibitory Concentration (MIC) Values for Pseudomonas Aeruginosa to Each Post-baseline Visit | Baseline, Cycles 5, 6, 7 (Days 1, 29) and Follow-up (Week 57/Day 57) | Minimum Inhibitory Concentration (MIC) is defined as the lowest concentration of an antimicrobial agent required to inhibit the visible growth of a microorganism after overnight incubation. |
| Number of Participants Who Used New Antipseudomonal Antibiotic During Treatment Period | Baseline, Cycles 5, 6, 7 (Days 1, 29) | The rate of anti-pseudomonal antibiotics use were determined from the collection of concomitant medication during the study Treatment period. |
| Relative Change From Baseline of Forced Expiratory Volume in One Second (FEV1) Percent Predicted to Each Post-baseline Visit | Baseline, Cycles 5, 6, 7 (Days 1, 29) and Follow-up (Week 57/Day 57) | Forced expiratory volume in one second (FEV1) is the amount of air which can be forcibly exhaled from the lungs in the first second of a forced exhalation. 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 from baseline to pre-dose day X = ((pre-dose day X FEV1 % predicted - baseline FEV1 % predicted) / baseline FEV1 % predicted) x 100. |
| Number of Days of Hospitalization Due to Respiratory Serious Adverse Events (SAEs) | From time of consent to 4 weeks after study completion (up to 199 days) | The average number of days patients were hospitalized due to respiratory events during the study. |
| Percentage of Participants With Hospitalization Due to Respiratory Serious Adverse Events (SAEs) | From time of consent to 4 weeks after study completion (up to 199 days) | A SAE was defined as an event which was fatal or life threatening, required or prolonged hospitalization, was significantly or permanently disabling or incapacitating, constituted a congenital anomaly or a birth defect, or encompassed any other clinically significant event that could jeopardize the participant or require medical or surgical intervention to prevent one of the aforementioned outcomes. |
| Relative Change From Baseline of Forced Vital Capacity (FVC) Percent Predicted to Each Post-baseline Visit | Baseline, Cycles 5, 6, 7 (Days 1, 29) and Follow-up (Week 57/Day 57) | Percent Predicted Forced Vital Capacity (FVC%) is the maximal exhaled breath volume following a maximal inhaled breath. Overall change in percent predicted FVC = (observed value)/(predicted value) \* 100%. A higher value indicates a greater response. |
| Relative Change From Baseline of Forced Expiratory Flow Rate Over 25 and 75 Percent (FEF25-75%) Predicted to Each Post-baseline Visit | Baseline, Cycles 5, 6, 7 (Days 1, 29) and Follow-up (Week 57/Day 57) | Forced Expiratory Flow Rate Over 25 and 75 Percent (FEF25-75%) is the forced expiratory flow from 25% to 75% of the Forced Vital Capacity (FVC). Relative change in FEF25-75% from baseline to pre-dose day X = (pre-dose day X FEF25-75 - baseline FEF25-75) / baseline FEF25-75) • 100. |
| Change From Baseline in Pseudomonas Aeruginosa Sputum Density to Each Post-baseline Visit | Baseline, Cycles 5, 6, 7 (Days 1, 29) and Follow-up (Week 57/Day 57) | Pseudomonas Aeruginosa Density refers to overall density, defined as the sum of Biotypes (mucoid, dry and small colony variant). Absolute change was determined using the formula; Change = Post-baseline value- baseline value. Absolute Change in Pseudomonas Aeruginosa Sputum density is measured in log 10 Colony Forming Units per gram (Log 10 CFU/g). |
Countries
Bulgaria, Estonia, Latvia, Lithuania, Romania, Russia, South Africa
Participant flow
Recruitment details
The study was conducted at 14 centres in 8 countries from 12 February 2010 to 19 March 2012.
Pre-assignment details
This study enrolled 49 Participants with Cystic Fibrosis who completed participation in the study CTBM100C2303E1 (NCT00982930).
Participants by arm
| Arm | Count |
|---|---|
| Tobramycin Inhalation Powder (TIPnew) Participants received four capsules of 28 mg TIPnew (112 mg), inhaled twice a day (b.i.d.) in the morning and the evening given in a cycle of 28 days on treatment followed by 28 days off treatment for three consecutive cycles. | 49 |
| Total | 49 |
Withdrawals & dropouts
| Period | Reason | FG000 |
|---|---|---|
| Overall Study | Adverse Event | 1 |
| Overall Study | Withdrawal by Subject | 2 |
Baseline characteristics
| Characteristic | Tobramycin Inhalation Powder (TIPnew) |
|---|---|
| Age, Continuous | 13.3 years STANDARD_DEVIATION 4.31 |
| Sex: Female, Male Female | 32 Participants |
| Sex: Female, Male Male | 17 Participants |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | 0 / 49 |
| other Total, other adverse events | 22 / 49 |
| serious Total, serious adverse events | 2 / 49 |
Outcome results
Number of Participants With Adverse Events (AEs)
An AE was defined as any unfavorable and unintended sign, symptom, or disease temporally associated with the use of study drug, whether or not related to study drug.
Time frame: From time of first administration of study drug until study completion (up to 169 days)
Population: Safety population included all participants who completed their participation in C2303E1, who gave their consent to enter the extension 2 study and who received at least one dose of study drug in the extension 2 study.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Tobramycin Inhalation Powder (TIPnew) | Number of Participants With Adverse Events (AEs) | 23 Participants |
Number of Participants With Serious Adverse Events (SAEs)
A SAE was defined as an event which was fatal or life threatening, required or prolonged hospitalization, was significantly or permanently disabling or incapacitating, constituted a congenital anomaly or a birth defect, or encompassed any other clinically significant event that could jeopardize the participant or require medical or surgical intervention to prevent one of the aforementioned outcomes.
Time frame: From time of consent to 4 weeks after study completion (up to 199 days)
Population: Safety population included all participants who completed their participation in C2303E1, who gave their consent to enter the extension 2 study and who received at least one dose of study drug in the extension 2 study.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Tobramycin Inhalation Powder (TIPnew) | Number of Participants With Serious Adverse Events (SAEs) | 2 Participants |
Percentage of Participants With a Decrease of ≥20% in Forced Expiratory Value in One Second (FEV1) Percent (%) Predicted From Pre-dose to 30-minute Post-dose
Airway Reactivity \>= 20% relative decrease in FEV1% predicted from pre-dose to 30 minutes post-dose. Relative Change = 100 \* (30 minutes Post-dose - Pre-dose)/Pre-dose assessed by the number and percentage of participants with a decrease of ≥ 20% in FEV1 % predicted from pre-dose to 30 minutes post-dose.
Time frame: Pre-dose and post-dose of Day 1 and Day 29 of every Cycle (5, 6, 7)
Population: Safety population included all participants who completed their participation in C2303E1, who gave their consent to enter the extension 2 study and who received at least one dose of study drug in the extension 2 study. Number analyzed is the number of participants with data available at the given timepoint.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Tobramycin Inhalation Powder (TIPnew) | Percentage of Participants With a Decrease of ≥20% in Forced Expiratory Value in One Second (FEV1) Percent (%) Predicted From Pre-dose to 30-minute Post-dose | Acute Change from Pre-dose to 30 mins Post-dose Cycle 5 (Day 1) | 2.3 percentage of participants |
| Tobramycin Inhalation Powder (TIPnew) | Percentage of Participants With a Decrease of ≥20% in Forced Expiratory Value in One Second (FEV1) Percent (%) Predicted From Pre-dose to 30-minute Post-dose | Acute Change from Pre-dose to 30 mins Post-dose Cycle 5 (Day 29) | 0.0 percentage of participants |
| Tobramycin Inhalation Powder (TIPnew) | Percentage of Participants With a Decrease of ≥20% in Forced Expiratory Value in One Second (FEV1) Percent (%) Predicted From Pre-dose to 30-minute Post-dose | Acute Change from Pre-dose to 30 mins Post-dose Cycle 6 (Day 1) | 2.5 percentage of participants |
| Tobramycin Inhalation Powder (TIPnew) | Percentage of Participants With a Decrease of ≥20% in Forced Expiratory Value in One Second (FEV1) Percent (%) Predicted From Pre-dose to 30-minute Post-dose | Acute Change from Pre-dose to 30 mins Post-dose Cycle 6 (Day 29) | 4.3 percentage of participants |
| Tobramycin Inhalation Powder (TIPnew) | Percentage of Participants With a Decrease of ≥20% in Forced Expiratory Value in One Second (FEV1) Percent (%) Predicted From Pre-dose to 30-minute Post-dose | Acute Change from Pre-dose to 30 mins Post-dose Cycle 7 (Day 1) | 6.7 percentage of participants |
| Tobramycin Inhalation Powder (TIPnew) | Percentage of Participants With a Decrease of ≥20% in Forced Expiratory Value in One Second (FEV1) Percent (%) Predicted From Pre-dose to 30-minute Post-dose | Acute Change from Pre-dose to 30 mins Post-dose Cycle 7 (Day 29) | 0.0 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: Cycles 5, 6, 7 (Days 1, 29) and Follow-up (Week 57/Day 57)
Population: All participants included in the safety population with at least one audiology testing. Number analyzed is the number of participants with data available at the given timepoint.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Tobramycin Inhalation Powder (TIPnew) | Percentage of Participants With Frequency Decrease From Baseline in the Post-baseline Audiology Tests | Cycle 5: Day 1; >= 10 dB Decrease in 3 Consecutive Frequencies in Either Ear | 0.0 percentage of participants |
| Tobramycin Inhalation Powder (TIPnew) | Percentage of Participants With Frequency Decrease From Baseline in the Post-baseline Audiology Tests | Cycle 5: Day 1; >= 15 dB Decrease in 2 Consecutive Frequencies in Either Ear | 0.0 percentage of participants |
| Tobramycin Inhalation Powder (TIPnew) | Percentage of Participants With Frequency Decrease From Baseline in the Post-baseline Audiology Tests | Cycle 5: Day 1; >= 20 dB Decrease in at least one Frequency in Either Ear | 0.0 percentage of participants |
| Tobramycin Inhalation Powder (TIPnew) | Percentage of Participants With Frequency Decrease From Baseline in the Post-baseline Audiology Tests | Cycle 5: Day 29; >= 10 dB Decrease in 3 Consecutive Frequencies in Either Ear | 0.0 percentage of participants |
| Tobramycin Inhalation Powder (TIPnew) | Percentage of Participants With Frequency Decrease From Baseline in the Post-baseline Audiology Tests | Cycle 5: Day 29; >= 15 dB Decrease in 2 Consecutive Frequencies in Either Ear | 5.3 percentage of participants |
| Tobramycin Inhalation Powder (TIPnew) | Percentage of Participants With Frequency Decrease From Baseline in the Post-baseline Audiology Tests | Cycle 5: Day 29; >= 20 dB Decrease in at least one Frequency in Either Ear | 0.0 percentage of participants |
| Tobramycin Inhalation Powder (TIPnew) | Percentage of Participants With Frequency Decrease From Baseline in the Post-baseline Audiology Tests | Cycle 6: Day 29; >= 10 dB Decrease in 3 Consecutive Frequencies in Either Ear | 0.0 percentage of participants |
| Tobramycin Inhalation Powder (TIPnew) | Percentage of Participants With Frequency Decrease From Baseline in the Post-baseline Audiology Tests | Cycle 6: Day 29; >= 15 dB Decrease in 2 Consecutive Frequencies in Either Ear | 5.3 percentage of participants |
| Tobramycin Inhalation Powder (TIPnew) | Percentage of Participants With Frequency Decrease From Baseline in the Post-baseline Audiology Tests | Cycle 6: Day 29; >= 20 dB Decrease in at least one Frequency in Either Ear | 0.0 percentage of participants |
| Tobramycin Inhalation Powder (TIPnew) | Percentage of Participants With Frequency Decrease From Baseline in the Post-baseline Audiology Tests | Cycle 7: Day 29; ˃= 10 dB Decrease in 3 Consecutive Frequencies in Either Ear | 10.5 percentage of participants |
| Tobramycin Inhalation Powder (TIPnew) | Percentage of Participants With Frequency Decrease From Baseline in the Post-baseline Audiology Tests | Cycle 7: Day 29; >= 15 dB Decrease In 2 Consecutive Frequencies in Either Ear | 5.3 percentage of participants |
| Tobramycin Inhalation Powder (TIPnew) | Percentage of Participants With Frequency Decrease From Baseline in the Post-baseline Audiology Tests | Cycle 7: Day 29; >= 20 dB Decrease in at Least One Frequency in Either Ear | 5.3 percentage of participants |
| Tobramycin Inhalation Powder (TIPnew) | Percentage of Participants With Frequency Decrease From Baseline in the Post-baseline Audiology Tests | Follow Up: Week 57/Day 57; ˃= 10 dB Decrease in 3 Consecutive Frequencies in Either Ear | 20.0 percentage of participants |
| Tobramycin Inhalation Powder (TIPnew) | Percentage of Participants With Frequency Decrease From Baseline in the Post-baseline Audiology Tests | Follow Up: Week 57/Day 57; >= 15 dB Decrease In 2 Consecutive Frequencies in Either Ear | 0.0 percentage of participants |
| Tobramycin Inhalation Powder (TIPnew) | Percentage of Participants With Frequency Decrease From Baseline in the Post-baseline Audiology Tests | Follow Up: Week 57/Day 57; >= 20 dB Decrease in at Least One Frequency in Either Ear | 0.0 percentage of participants |
Change From Baseline in Pseudomonas Aeruginosa Sputum Density to Each Post-baseline Visit
Pseudomonas Aeruginosa Density refers to overall density, defined as the sum of Biotypes (mucoid, dry and small colony variant). Absolute change was determined using the formula; Change = Post-baseline value- baseline value. Absolute Change in Pseudomonas Aeruginosa Sputum density is measured in log 10 Colony Forming Units per gram (Log 10 CFU/g).
Time frame: Baseline, Cycles 5, 6, 7 (Days 1, 29) and Follow-up (Week 57/Day 57)
Population: Safety population included all participants who completed their participation in C2303E1, who gave their consent to enter the extension 2 study and who received at least one dose of study drug in the extension 2 study. Number analyzed is the number of participants with data available at the given timepoint.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Tobramycin Inhalation Powder (TIPnew) | Change From Baseline in Pseudomonas Aeruginosa Sputum Density to Each Post-baseline Visit | Baseline | 7.4 Log 10 CFU/g | Standard Deviation 1.5 |
| Tobramycin Inhalation Powder (TIPnew) | Change From Baseline in Pseudomonas Aeruginosa Sputum Density to Each Post-baseline Visit | Change from Baseline to Cycle 5 (Day 1) | -1.1 Log 10 CFU/g | Standard Deviation 2.82 |
| Tobramycin Inhalation Powder (TIPnew) | Change From Baseline in Pseudomonas Aeruginosa Sputum Density to Each Post-baseline Visit | Change from Baseline to Cycle 5 (Day 29) | -3.7 Log 10 CFU/g | Standard Deviation 2.95 |
| Tobramycin Inhalation Powder (TIPnew) | Change From Baseline in Pseudomonas Aeruginosa Sputum Density to Each Post-baseline Visit | Change from Baseline to Cycle 6 (Day 1) | -1.6 Log 10 CFU/g | Standard Deviation 2.95 |
| Tobramycin Inhalation Powder (TIPnew) | Change From Baseline in Pseudomonas Aeruginosa Sputum Density to Each Post-baseline Visit | Change from Baseline to Cycle 6 (Day 29) | -3.6 Log 10 CFU/g | Standard Deviation 2.73 |
| Tobramycin Inhalation Powder (TIPnew) | Change From Baseline in Pseudomonas Aeruginosa Sputum Density to Each Post-baseline Visit | Change from Baseline to Cycle 7 (Day 1) | -1.5 Log 10 CFU/g | Standard Deviation 3.4 |
| Tobramycin Inhalation Powder (TIPnew) | Change From Baseline in Pseudomonas Aeruginosa Sputum Density to Each Post-baseline Visit | Change from Baseline to Cycle 7 (Day 29) | -2.6 Log 10 CFU/g | Standard Deviation 2.92 |
| Tobramycin Inhalation Powder (TIPnew) | Change From Baseline in Pseudomonas Aeruginosa Sputum Density to Each Post-baseline Visit | Change from Baseline to Follow-up (Week 57/Day 57) | -1.8 Log 10 CFU/g | Standard Deviation 3.62 |
Change From Baseline in Tobramycin Minimum Inhibitory Concentration (MIC) Values for Pseudomonas Aeruginosa to Each Post-baseline Visit
Minimum Inhibitory Concentration (MIC) is defined as the lowest concentration of an antimicrobial agent required to inhibit the visible growth of a microorganism after overnight incubation.
Time frame: Baseline, Cycles 5, 6, 7 (Days 1, 29) and Follow-up (Week 57/Day 57)
Population: Safety population included all participants who completed their participation in C2303E1, who gave their consent to enter the extension 2 study and who received at least one dose of study drug in the extension 2 study. Number analyzed is the number of participants with data available at the given timepoint.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Tobramycin Inhalation Powder (TIPnew) | Change From Baseline in Tobramycin Minimum Inhibitory Concentration (MIC) Values for Pseudomonas Aeruginosa to Each Post-baseline Visit | Baseline | 2.2 microgram/millilitre | Standard Deviation 9.11 |
| Tobramycin Inhalation Powder (TIPnew) | Change From Baseline in Tobramycin Minimum Inhibitory Concentration (MIC) Values for Pseudomonas Aeruginosa to Each Post-baseline Visit | Change from Baseline in Cycle 5 (Day 1) | 31.4 microgram/millilitre | Standard Deviation 117.6 |
| Tobramycin Inhalation Powder (TIPnew) | Change From Baseline in Tobramycin Minimum Inhibitory Concentration (MIC) Values for Pseudomonas Aeruginosa to Each Post-baseline Visit | Change from Baseline in Cycle 5 (Day 29) | 21.6 microgram/millilitre | Standard Deviation 92.35 |
| Tobramycin Inhalation Powder (TIPnew) | Change From Baseline in Tobramycin Minimum Inhibitory Concentration (MIC) Values for Pseudomonas Aeruginosa to Each Post-baseline Visit | Change from Baseline in Cycle 6 (Day 1) | 39.3 microgram/millilitre | Standard Deviation 138.37 |
| Tobramycin Inhalation Powder (TIPnew) | Change From Baseline in Tobramycin Minimum Inhibitory Concentration (MIC) Values for Pseudomonas Aeruginosa to Each Post-baseline Visit | Change from Baseline in Cycle 6 (Day 29) | 25.5 microgram/millilitre | Standard Deviation 94.74 |
| Tobramycin Inhalation Powder (TIPnew) | Change From Baseline in Tobramycin Minimum Inhibitory Concentration (MIC) Values for Pseudomonas Aeruginosa to Each Post-baseline Visit | Change from Baseline in Cycle 7 (Day 1) | 3.7 microgram/millilitre | Standard Deviation 22.94 |
| Tobramycin Inhalation Powder (TIPnew) | Change From Baseline in Tobramycin Minimum Inhibitory Concentration (MIC) Values for Pseudomonas Aeruginosa to Each Post-baseline Visit | Change from Baseline in Cycle 7 (Day 29) | 31.7 microgram/millilitre | Standard Deviation 115.97 |
| Tobramycin Inhalation Powder (TIPnew) | Change From Baseline in Tobramycin Minimum Inhibitory Concentration (MIC) Values for Pseudomonas Aeruginosa to Each Post-baseline Visit | Change from Baseline to Follow-up (Week 57/Day 57) | 1.7 microgram/millilitre | Standard Deviation 11.14 |
Number of Days of Hospitalization Due to Respiratory Serious Adverse Events (SAEs)
The average number of days patients were hospitalized due to respiratory events during the study.
Time frame: From time of consent to 4 weeks after study completion (up to 199 days)
Population: Safety population included all participants who completed their participation in C2303E1, who gave their consent to enter the extension 2 study and who received at least one dose of study drug in the extension 2 study. Number analyzed is the number of participants with data available at the given timepoint.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Tobramycin Inhalation Powder (TIPnew) | Number of Days of Hospitalization Due to Respiratory Serious Adverse Events (SAEs) | 16.5 days | Standard Deviation 2.12 |
Number of Participants Who Used New Antipseudomonal Antibiotic During Treatment Period
The rate of anti-pseudomonal antibiotics use were determined from the collection of concomitant medication during the study Treatment period.
Time frame: Baseline, Cycles 5, 6, 7 (Days 1, 29)
Population: Safety population included all participants who completed their participation in C2303E1, who gave their consent to enter the extension 2 study and who received at least one dose of study drug in the extension 2 study.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Tobramycin Inhalation Powder (TIPnew) | Number of Participants Who Used New Antipseudomonal Antibiotic During Treatment Period | 7 Participants |
Percentage of Participants With Hospitalization Due to Respiratory Serious Adverse Events (SAEs)
A SAE was defined as an event which was fatal or life threatening, required or prolonged hospitalization, was significantly or permanently disabling or incapacitating, constituted a congenital anomaly or a birth defect, or encompassed any other clinically significant event that could jeopardize the participant or require medical or surgical intervention to prevent one of the aforementioned outcomes.
Time frame: From time of consent to 4 weeks after study completion (up to 199 days)
Population: Safety population included all participants who completed their participation in C2303E1, who gave their consent to enter the extension 2 study and who received at least one dose of study drug in the extension 2 study. Number analyzed is the number of participants with data available at the given timepoint.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Tobramycin Inhalation Powder (TIPnew) | Percentage of Participants With Hospitalization Due to Respiratory Serious Adverse Events (SAEs) | 4.1 percentage of participants |
Relative Change From Baseline of Forced Expiratory Flow Rate Over 25 and 75 Percent (FEF25-75%) Predicted to Each Post-baseline Visit
Forced Expiratory Flow Rate Over 25 and 75 Percent (FEF25-75%) is the forced expiratory flow from 25% to 75% of the Forced Vital Capacity (FVC). Relative change in FEF25-75% from baseline to pre-dose day X = (pre-dose day X FEF25-75 - baseline FEF25-75) / baseline FEF25-75) • 100.
Time frame: Baseline, Cycles 5, 6, 7 (Days 1, 29) and Follow-up (Week 57/Day 57)
Population: Safety population included all participants who completed their participation in C2303E1, who gave their consent to enter the extension 2 study and who received at least one dose of study drug in the extension 2 study. Number analyzed is the number of participants with data available at the given timepoint.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Tobramycin Inhalation Powder (TIPnew) | Relative Change From Baseline of Forced Expiratory Flow Rate Over 25 and 75 Percent (FEF25-75%) Predicted to Each Post-baseline Visit | Baseline | 36.8 percent change in (FEF25-75)% predicted | Standard Deviation 20.3 |
| Tobramycin Inhalation Powder (TIPnew) | Relative Change From Baseline of Forced Expiratory Flow Rate Over 25 and 75 Percent (FEF25-75%) Predicted to Each Post-baseline Visit | Relative Change from Baseline to Cycle 5 (Day 1) | 37.7 percent change in (FEF25-75)% predicted | Standard Deviation 57.39 |
| Tobramycin Inhalation Powder (TIPnew) | Relative Change From Baseline of Forced Expiratory Flow Rate Over 25 and 75 Percent (FEF25-75%) Predicted to Each Post-baseline Visit | Relative Change from Baseline to Cycle 5 (Day 29) | 43.2 percent change in (FEF25-75)% predicted | Standard Deviation 67.51 |
| Tobramycin Inhalation Powder (TIPnew) | Relative Change From Baseline of Forced Expiratory Flow Rate Over 25 and 75 Percent (FEF25-75%) Predicted to Each Post-baseline Visit | Relative Change from Baseline to Cycle 6 (Day 1) | 35.1 percent change in (FEF25-75)% predicted | Standard Deviation 66.39 |
| Tobramycin Inhalation Powder (TIPnew) | Relative Change From Baseline of Forced Expiratory Flow Rate Over 25 and 75 Percent (FEF25-75%) Predicted to Each Post-baseline Visit | Relative Change from Baseline to Cycle 6 (Day 29) | 34.3 percent change in (FEF25-75)% predicted | Standard Deviation 63.53 |
| Tobramycin Inhalation Powder (TIPnew) | Relative Change From Baseline of Forced Expiratory Flow Rate Over 25 and 75 Percent (FEF25-75%) Predicted to Each Post-baseline Visit | Relative Change from Baseline to Cycle 7 (Day 1) | 44.4 percent change in (FEF25-75)% predicted | Standard Deviation 80.91 |
| Tobramycin Inhalation Powder (TIPnew) | Relative Change From Baseline of Forced Expiratory Flow Rate Over 25 and 75 Percent (FEF25-75%) Predicted to Each Post-baseline Visit | Relative Change from Baseline to Cycle 7 (Day 29) | 36.1 percent change in (FEF25-75)% predicted | Standard Deviation 61.75 |
| Tobramycin Inhalation Powder (TIPnew) | Relative Change From Baseline of Forced Expiratory Flow Rate Over 25 and 75 Percent (FEF25-75%) Predicted to Each Post-baseline Visit | Relative Change from Baseline to Follow-up (Week 57/Day 57) | 35.6 percent change in (FEF25-75)% predicted | Standard Deviation 77.34 |
Relative Change From Baseline of Forced Expiratory Volume in One Second (FEV1) Percent Predicted to Each Post-baseline Visit
Forced expiratory volume in one second (FEV1) is the amount of air which can be forcibly exhaled from the lungs in the first second of a forced exhalation. 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 from baseline to pre-dose day X = ((pre-dose day X FEV1 % predicted - baseline FEV1 % predicted) / baseline FEV1 % predicted) x 100.
Time frame: Baseline, Cycles 5, 6, 7 (Days 1, 29) and Follow-up (Week 57/Day 57)
Population: Safety population included all participants who completed their participation in C2303E1, who gave their consent to enter the extension 2 study and who received at least one dose of study drug in the extension 2 study. Number analyzed is the number of participants with data available at the given timepoint.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Tobramycin Inhalation Powder (TIPnew) | Relative Change From Baseline of Forced Expiratory Volume in One Second (FEV1) Percent Predicted to Each Post-baseline Visit | Baseline | 59.5 percent change in FEV1 % predicted | Standard Deviation 16.51 |
| Tobramycin Inhalation Powder (TIPnew) | Relative Change From Baseline of Forced Expiratory Volume in One Second (FEV1) Percent Predicted to Each Post-baseline Visit | Relative Change from Baseline to Cycle 5 (Day 1) | 11.4 percent change in FEV1 % predicted | Standard Deviation 21.79 |
| Tobramycin Inhalation Powder (TIPnew) | Relative Change From Baseline of Forced Expiratory Volume in One Second (FEV1) Percent Predicted to Each Post-baseline Visit | Relative Change from Baseline to Cycle 5 (Day 29) | 12.6 percent change in FEV1 % predicted | Standard Deviation 24.49 |
| Tobramycin Inhalation Powder (TIPnew) | Relative Change From Baseline of Forced Expiratory Volume in One Second (FEV1) Percent Predicted to Each Post-baseline Visit | Relative Change from Baseline to Cycle 6 (Day 1) | 8.6 percent change in FEV1 % predicted | Standard Deviation 19.73 |
| Tobramycin Inhalation Powder (TIPnew) | Relative Change From Baseline of Forced Expiratory Volume in One Second (FEV1) Percent Predicted to Each Post-baseline Visit | Relative Change from Baseline to Cycle 6 (Day 29) | 11.9 percent change in FEV1 % predicted | Standard Deviation 24.23 |
| Tobramycin Inhalation Powder (TIPnew) | Relative Change From Baseline of Forced Expiratory Volume in One Second (FEV1) Percent Predicted to Each Post-baseline Visit | Relative Change from Baseline to Cycle 7 (Day 1) | 9.0 percent change in FEV1 % predicted | Standard Deviation 22.44 |
| Tobramycin Inhalation Powder (TIPnew) | Relative Change From Baseline of Forced Expiratory Volume in One Second (FEV1) Percent Predicted to Each Post-baseline Visit | Relative Change from Baseline to Cycle 7 (Day 29) | 10.1 percent change in FEV1 % predicted | Standard Deviation 26.37 |
| Tobramycin Inhalation Powder (TIPnew) | Relative Change From Baseline of Forced Expiratory Volume in One Second (FEV1) Percent Predicted to Each Post-baseline Visit | Relative Change from Baseline to Follow -Up (Week 57/Day 57) | 8.1 percent change in FEV1 % predicted | Standard Deviation 25.79 |
Relative Change From Baseline of Forced Vital Capacity (FVC) Percent Predicted to Each Post-baseline Visit
Percent Predicted Forced Vital Capacity (FVC%) is the maximal exhaled breath volume following a maximal inhaled breath. Overall change in percent predicted FVC = (observed value)/(predicted value) \* 100%. A higher value indicates a greater response.
Time frame: Baseline, Cycles 5, 6, 7 (Days 1, 29) and Follow-up (Week 57/Day 57)
Population: Safety population included all participants who completed their participation in C2303E1, who gave their consent to enter the extension 2 study and who received at least one dose of study drug in the extension 2 study. Number analyzed is the number of participants with data available at the given timepoint.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Tobramycin Inhalation Powder (TIPnew) | Relative Change From Baseline of Forced Vital Capacity (FVC) Percent Predicted to Each Post-baseline Visit | Baseline | 75.0 percent change in FVC % predicted | Standard Deviation 17.63 |
| Tobramycin Inhalation Powder (TIPnew) | Relative Change From Baseline of Forced Vital Capacity (FVC) Percent Predicted to Each Post-baseline Visit | Relative Change from Baseline to Cycle 5 (Day 1) | 5.1 percent change in FVC % predicted | Standard Deviation 15.6 |
| Tobramycin Inhalation Powder (TIPnew) | Relative Change From Baseline of Forced Vital Capacity (FVC) Percent Predicted to Each Post-baseline Visit | Relative Change from Baseline to Cycle 5 (Day 29) | 5.2 percent change in FVC % predicted | Standard Deviation 17.87 |
| Tobramycin Inhalation Powder (TIPnew) | Relative Change From Baseline of Forced Vital Capacity (FVC) Percent Predicted to Each Post-baseline Visit | Relative Change from Baseline to Cycle 6 (Day 1) | 2.6 percent change in FVC % predicted | Standard Deviation 16.36 |
| Tobramycin Inhalation Powder (TIPnew) | Relative Change From Baseline of Forced Vital Capacity (FVC) Percent Predicted to Each Post-baseline Visit | Relative Change from Baseline to Cycle 6 (Day 29) | 6.2 percent change in FVC % predicted | Standard Deviation 20.01 |
| Tobramycin Inhalation Powder (TIPnew) | Relative Change From Baseline of Forced Vital Capacity (FVC) Percent Predicted to Each Post-baseline Visit | Relative Change from Baseline to Cycle 7 (Day 1) | 2.3 percent change in FVC % predicted | Standard Deviation 19.2 |
| Tobramycin Inhalation Powder (TIPnew) | Relative Change From Baseline of Forced Vital Capacity (FVC) Percent Predicted to Each Post-baseline Visit | Relative Change from Baseline to Cycle 7 (Day 29) | 2.9 percent change in FVC % predicted | Standard Deviation 20.4 |
| Tobramycin Inhalation Powder (TIPnew) | Relative Change From Baseline of Forced Vital Capacity (FVC) Percent Predicted to Each Post-baseline Visit | Relative Change from Baseline to Follow-up (Week 57/Day 57) | 4.0 percent change in FVC % predicted | Standard Deviation 20.37 |