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Second 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) Patients Who Successfully Completed Participation in Study CTBM100C2303E1

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01069705
Enrollment
49
Registered
2010-02-17
Start date
2010-02-12
Completion date
2012-03-19
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

Pseudomonas Aeruginosa, Pulmonary Infections

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

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 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

MeasureTime frameDescription
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-dosePre-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 TestsCycles 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

MeasureTime frameDescription
Change From Baseline in Tobramycin Minimum Inhibitory Concentration (MIC) Values for Pseudomonas Aeruginosa to Each Post-baseline VisitBaseline, 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 PeriodBaseline, 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 VisitBaseline, 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 VisitBaseline, 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 VisitBaseline, 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 VisitBaseline, 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

ArmCount
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
Total49

Withdrawals & dropouts

PeriodReasonFG000
Overall StudyAdverse Event1
Overall StudyWithdrawal by Subject2

Baseline characteristics

CharacteristicTobramycin Inhalation Powder (TIPnew)
Age, Continuous13.3 years
STANDARD_DEVIATION 4.31
Sex: Female, Male
Female
32 Participants
Sex: Female, Male
Male
17 Participants

Adverse events

Event typeEG000
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

Primary

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.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Tobramycin Inhalation Powder (TIPnew)Number of Participants With Adverse Events (AEs)23 Participants
Primary

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.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Tobramycin Inhalation Powder (TIPnew)Number of Participants With Serious Adverse Events (SAEs)2 Participants
Primary

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.

ArmMeasureGroupValue (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-doseAcute 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-doseAcute 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-doseAcute 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-doseAcute 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-doseAcute 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-doseAcute Change from Pre-dose to 30 mins Post-dose Cycle 7 (Day 29)0.0 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: 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.

ArmMeasureGroupValue (NUMBER)
Tobramycin Inhalation Powder (TIPnew)Percentage of Participants With Frequency Decrease From Baseline in the Post-baseline Audiology TestsCycle 5: Day 1; >= 10 dB Decrease in 3 Consecutive Frequencies in Either Ear0.0 percentage of participants
Tobramycin Inhalation Powder (TIPnew)Percentage of Participants With Frequency Decrease From Baseline in the Post-baseline Audiology TestsCycle 5: Day 1; >= 15 dB Decrease in 2 Consecutive Frequencies in Either Ear0.0 percentage of participants
Tobramycin Inhalation Powder (TIPnew)Percentage of Participants With Frequency Decrease From Baseline in the Post-baseline Audiology TestsCycle 5: Day 1; >= 20 dB Decrease in at least one Frequency in Either Ear0.0 percentage of participants
Tobramycin Inhalation Powder (TIPnew)Percentage of Participants With Frequency Decrease From Baseline in the Post-baseline Audiology TestsCycle 5: Day 29; >= 10 dB Decrease in 3 Consecutive Frequencies in Either Ear0.0 percentage of participants
Tobramycin Inhalation Powder (TIPnew)Percentage of Participants With Frequency Decrease From Baseline in the Post-baseline Audiology TestsCycle 5: Day 29; >= 15 dB Decrease in 2 Consecutive Frequencies in Either Ear5.3 percentage of participants
Tobramycin Inhalation Powder (TIPnew)Percentage of Participants With Frequency Decrease From Baseline in the Post-baseline Audiology TestsCycle 5: Day 29; >= 20 dB Decrease in at least one Frequency in Either Ear0.0 percentage of participants
Tobramycin Inhalation Powder (TIPnew)Percentage of Participants With Frequency Decrease From Baseline in the Post-baseline Audiology TestsCycle 6: Day 29; >= 10 dB Decrease in 3 Consecutive Frequencies in Either Ear0.0 percentage of participants
Tobramycin Inhalation Powder (TIPnew)Percentage of Participants With Frequency Decrease From Baseline in the Post-baseline Audiology TestsCycle 6: Day 29; >= 15 dB Decrease in 2 Consecutive Frequencies in Either Ear5.3 percentage of participants
Tobramycin Inhalation Powder (TIPnew)Percentage of Participants With Frequency Decrease From Baseline in the Post-baseline Audiology TestsCycle 6: Day 29; >= 20 dB Decrease in at least one Frequency in Either Ear0.0 percentage of participants
Tobramycin Inhalation Powder (TIPnew)Percentage of Participants With Frequency Decrease From Baseline in the Post-baseline Audiology TestsCycle 7: Day 29; ˃= 10 dB Decrease in 3 Consecutive Frequencies in Either Ear10.5 percentage of participants
Tobramycin Inhalation Powder (TIPnew)Percentage of Participants With Frequency Decrease From Baseline in the Post-baseline Audiology TestsCycle 7: Day 29; >= 15 dB Decrease In 2 Consecutive Frequencies in Either Ear5.3 percentage of participants
Tobramycin Inhalation Powder (TIPnew)Percentage of Participants With Frequency Decrease From Baseline in the Post-baseline Audiology TestsCycle 7: Day 29; >= 20 dB Decrease in at Least One Frequency in Either Ear5.3 percentage of participants
Tobramycin Inhalation Powder (TIPnew)Percentage of Participants With Frequency Decrease From Baseline in the Post-baseline Audiology TestsFollow Up: Week 57/Day 57; ˃= 10 dB Decrease in 3 Consecutive Frequencies in Either Ear20.0 percentage of participants
Tobramycin Inhalation Powder (TIPnew)Percentage of Participants With Frequency Decrease From Baseline in the Post-baseline Audiology TestsFollow Up: Week 57/Day 57; >= 15 dB Decrease In 2 Consecutive Frequencies in Either Ear0.0 percentage of participants
Tobramycin Inhalation Powder (TIPnew)Percentage of Participants With Frequency Decrease From Baseline in the Post-baseline Audiology TestsFollow Up: Week 57/Day 57; >= 20 dB Decrease in at Least One Frequency in Either Ear0.0 percentage of participants
Secondary

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.

ArmMeasureGroupValue (MEAN)Dispersion
Tobramycin Inhalation Powder (TIPnew)Change From Baseline in Pseudomonas Aeruginosa Sputum Density to Each Post-baseline VisitBaseline7.4 Log 10 CFU/gStandard Deviation 1.5
Tobramycin Inhalation Powder (TIPnew)Change From Baseline in Pseudomonas Aeruginosa Sputum Density to Each Post-baseline VisitChange from Baseline to Cycle 5 (Day 1)-1.1 Log 10 CFU/gStandard Deviation 2.82
Tobramycin Inhalation Powder (TIPnew)Change From Baseline in Pseudomonas Aeruginosa Sputum Density to Each Post-baseline VisitChange from Baseline to Cycle 5 (Day 29)-3.7 Log 10 CFU/gStandard Deviation 2.95
Tobramycin Inhalation Powder (TIPnew)Change From Baseline in Pseudomonas Aeruginosa Sputum Density to Each Post-baseline VisitChange from Baseline to Cycle 6 (Day 1)-1.6 Log 10 CFU/gStandard Deviation 2.95
Tobramycin Inhalation Powder (TIPnew)Change From Baseline in Pseudomonas Aeruginosa Sputum Density to Each Post-baseline VisitChange from Baseline to Cycle 6 (Day 29)-3.6 Log 10 CFU/gStandard Deviation 2.73
Tobramycin Inhalation Powder (TIPnew)Change From Baseline in Pseudomonas Aeruginosa Sputum Density to Each Post-baseline VisitChange from Baseline to Cycle 7 (Day 1)-1.5 Log 10 CFU/gStandard Deviation 3.4
Tobramycin Inhalation Powder (TIPnew)Change From Baseline in Pseudomonas Aeruginosa Sputum Density to Each Post-baseline VisitChange from Baseline to Cycle 7 (Day 29)-2.6 Log 10 CFU/gStandard Deviation 2.92
Tobramycin Inhalation Powder (TIPnew)Change From Baseline in Pseudomonas Aeruginosa Sputum Density to Each Post-baseline VisitChange from Baseline to Follow-up (Week 57/Day 57)-1.8 Log 10 CFU/gStandard Deviation 3.62
Secondary

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.

ArmMeasureGroupValue (MEAN)Dispersion
Tobramycin Inhalation Powder (TIPnew)Change From Baseline in Tobramycin Minimum Inhibitory Concentration (MIC) Values for Pseudomonas Aeruginosa to Each Post-baseline VisitBaseline2.2 microgram/millilitreStandard Deviation 9.11
Tobramycin Inhalation Powder (TIPnew)Change From Baseline in Tobramycin Minimum Inhibitory Concentration (MIC) Values for Pseudomonas Aeruginosa to Each Post-baseline VisitChange from Baseline in Cycle 5 (Day 1)31.4 microgram/millilitreStandard Deviation 117.6
Tobramycin Inhalation Powder (TIPnew)Change From Baseline in Tobramycin Minimum Inhibitory Concentration (MIC) Values for Pseudomonas Aeruginosa to Each Post-baseline VisitChange from Baseline in Cycle 5 (Day 29)21.6 microgram/millilitreStandard Deviation 92.35
Tobramycin Inhalation Powder (TIPnew)Change From Baseline in Tobramycin Minimum Inhibitory Concentration (MIC) Values for Pseudomonas Aeruginosa to Each Post-baseline VisitChange from Baseline in Cycle 6 (Day 1)39.3 microgram/millilitreStandard Deviation 138.37
Tobramycin Inhalation Powder (TIPnew)Change From Baseline in Tobramycin Minimum Inhibitory Concentration (MIC) Values for Pseudomonas Aeruginosa to Each Post-baseline VisitChange from Baseline in Cycle 6 (Day 29)25.5 microgram/millilitreStandard Deviation 94.74
Tobramycin Inhalation Powder (TIPnew)Change From Baseline in Tobramycin Minimum Inhibitory Concentration (MIC) Values for Pseudomonas Aeruginosa to Each Post-baseline VisitChange from Baseline in Cycle 7 (Day 1)3.7 microgram/millilitreStandard Deviation 22.94
Tobramycin Inhalation Powder (TIPnew)Change From Baseline in Tobramycin Minimum Inhibitory Concentration (MIC) Values for Pseudomonas Aeruginosa to Each Post-baseline VisitChange from Baseline in Cycle 7 (Day 29)31.7 microgram/millilitreStandard Deviation 115.97
Tobramycin Inhalation Powder (TIPnew)Change From Baseline in Tobramycin Minimum Inhibitory Concentration (MIC) Values for Pseudomonas Aeruginosa to Each Post-baseline VisitChange from Baseline to Follow-up (Week 57/Day 57)1.7 microgram/millilitreStandard Deviation 11.14
Secondary

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.

ArmMeasureValue (MEAN)Dispersion
Tobramycin Inhalation Powder (TIPnew)Number of Days of Hospitalization Due to Respiratory Serious Adverse Events (SAEs)16.5 daysStandard Deviation 2.12
Secondary

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.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Tobramycin Inhalation Powder (TIPnew)Number of Participants Who Used New Antipseudomonal Antibiotic During Treatment Period7 Participants
Secondary

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.

ArmMeasureValue (NUMBER)
Tobramycin Inhalation Powder (TIPnew)Percentage of Participants With Hospitalization Due to Respiratory Serious Adverse Events (SAEs)4.1 percentage of participants
Secondary

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.

ArmMeasureGroupValue (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 VisitBaseline36.8 percent change in (FEF25-75)% predictedStandard 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 VisitRelative Change from Baseline to Cycle 5 (Day 1)37.7 percent change in (FEF25-75)% predictedStandard 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 VisitRelative Change from Baseline to Cycle 5 (Day 29)43.2 percent change in (FEF25-75)% predictedStandard 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 VisitRelative Change from Baseline to Cycle 6 (Day 1)35.1 percent change in (FEF25-75)% predictedStandard 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 VisitRelative Change from Baseline to Cycle 6 (Day 29)34.3 percent change in (FEF25-75)% predictedStandard 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 VisitRelative Change from Baseline to Cycle 7 (Day 1)44.4 percent change in (FEF25-75)% predictedStandard 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 VisitRelative Change from Baseline to Cycle 7 (Day 29)36.1 percent change in (FEF25-75)% predictedStandard 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 VisitRelative Change from Baseline to Follow-up (Week 57/Day 57)35.6 percent change in (FEF25-75)% predictedStandard Deviation 77.34
Secondary

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.

ArmMeasureGroupValue (MEAN)Dispersion
Tobramycin Inhalation Powder (TIPnew)Relative Change From Baseline of Forced Expiratory Volume in One Second (FEV1) Percent Predicted to Each Post-baseline VisitBaseline59.5 percent change in FEV1 % predictedStandard 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 VisitRelative Change from Baseline to Cycle 5 (Day 1)11.4 percent change in FEV1 % predictedStandard 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 VisitRelative Change from Baseline to Cycle 5 (Day 29)12.6 percent change in FEV1 % predictedStandard 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 VisitRelative Change from Baseline to Cycle 6 (Day 1)8.6 percent change in FEV1 % predictedStandard 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 VisitRelative Change from Baseline to Cycle 6 (Day 29)11.9 percent change in FEV1 % predictedStandard 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 VisitRelative Change from Baseline to Cycle 7 (Day 1)9.0 percent change in FEV1 % predictedStandard 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 VisitRelative Change from Baseline to Cycle 7 (Day 29)10.1 percent change in FEV1 % predictedStandard 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 VisitRelative Change from Baseline to Follow -Up (Week 57/Day 57)8.1 percent change in FEV1 % predictedStandard Deviation 25.79
Secondary

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.

ArmMeasureGroupValue (MEAN)Dispersion
Tobramycin Inhalation Powder (TIPnew)Relative Change From Baseline of Forced Vital Capacity (FVC) Percent Predicted to Each Post-baseline VisitBaseline75.0 percent change in FVC % predictedStandard Deviation 17.63
Tobramycin Inhalation Powder (TIPnew)Relative Change From Baseline of Forced Vital Capacity (FVC) Percent Predicted to Each Post-baseline VisitRelative Change from Baseline to Cycle 5 (Day 1)5.1 percent change in FVC % predictedStandard Deviation 15.6
Tobramycin Inhalation Powder (TIPnew)Relative Change From Baseline of Forced Vital Capacity (FVC) Percent Predicted to Each Post-baseline VisitRelative Change from Baseline to Cycle 5 (Day 29)5.2 percent change in FVC % predictedStandard Deviation 17.87
Tobramycin Inhalation Powder (TIPnew)Relative Change From Baseline of Forced Vital Capacity (FVC) Percent Predicted to Each Post-baseline VisitRelative Change from Baseline to Cycle 6 (Day 1)2.6 percent change in FVC % predictedStandard Deviation 16.36
Tobramycin Inhalation Powder (TIPnew)Relative Change From Baseline of Forced Vital Capacity (FVC) Percent Predicted to Each Post-baseline VisitRelative Change from Baseline to Cycle 6 (Day 29)6.2 percent change in FVC % predictedStandard Deviation 20.01
Tobramycin Inhalation Powder (TIPnew)Relative Change From Baseline of Forced Vital Capacity (FVC) Percent Predicted to Each Post-baseline VisitRelative Change from Baseline to Cycle 7 (Day 1)2.3 percent change in FVC % predictedStandard Deviation 19.2
Tobramycin Inhalation Powder (TIPnew)Relative Change From Baseline of Forced Vital Capacity (FVC) Percent Predicted to Each Post-baseline VisitRelative Change from Baseline to Cycle 7 (Day 29)2.9 percent change in FVC % predictedStandard Deviation 20.4
Tobramycin Inhalation Powder (TIPnew)Relative Change From Baseline of Forced Vital Capacity (FVC) Percent Predicted to Each Post-baseline VisitRelative Change from Baseline to Follow-up (Week 57/Day 57)4.0 percent change in FVC % predictedStandard Deviation 20.37

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