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AZLI two times a day/three times a day

Phase 3

Cystic Fibrosis | Small molecule | Respiratory |Gilead Sciences, Inc.|Last Updated: May 19, 2011

Success Probability

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials2
Total Enrollment485

FDA Designations

No designations recorded

Clinical trial landscape

AZLI two times a day/three times a day · 2 trials · 1 indication

Phase 3 2
NCT00128492Safety and Efficacy Study of Aztreonam for Inhalation Solution (AZLI) in Cystic Fibrosis (CF) Patients With Pseudomonas Aeruginosa (PA)Cystic Fibrosis
COMPLETED274 Analytics
NCT00104520Safety and Efficacy Study of Aztreonam for Inhalation Solution (AZLI) in Cystic Fibrosis Patients With P. AeruginosaCystic Fibrosis
COMPLETED211 Analytics
PHASE3COMPLETED
Safety and Efficacy Study of Aztreonam for Inhalation Solution (AZLI) in Cystic Fibrosis (CF) Patients With Pseudomonas Aeruginosa (PA)
Cystic FibrosisUnlock trial analytics
PHASE3COMPLETED
Safety and Efficacy Study of Aztreonam for Inhalation Solution (AZLI) in Cystic Fibrosis Patients With P. Aeruginosa
Cystic FibrosisUnlock trial analytics

Study Endpoints

Primary Endpoints

Number of Participants Reporting Adverse Events (AEs)
Overall study (72 weeks) included nine 28-day courses of study drug alternating with nine 28-day courses off drug

Participants experiencing at least 1 treatment-emergent AE or at least 1 serious adverse event (SAE) were summarized for the study as a whole. A treatment-emergent AE was any physical or clinical worsening in symptoms or disease experienced by the participant, whether or not the event was considered related to study participation or study procedures. An SAE was any adverse experience that resulted in hospitalization or death. Participants were monitored for AEs and SAEs during all on-treatment and off-treatment intervals throughout the 18-month study period.

Number of Subjects With <15% or ≥15% Decline in Forced Expiratory Volume in 1 Second [FEV1] From Pretreatment to 30 Minutes After Treatment With AZLI
Overall study (72 weeks) included nine 28-day courses of study drug alternating with nine 28-day courses off drug

Airway reactivity (percent change in FEV1 from pretreatment to 30 minutes after treatment with AZLI) was assessed at all study visits in which a participant received AZLI treatment. A participant was included in this endpoint if they experienced a decline in FEV1 of ≥15% at any visit in which they received AZLI.

Change in Heart Rate (HR)
Baseline, and end of treatment Courses 1 (Week 4), 3 (Week 20) and 9 (Week 68)

HR was recorded at all visits. Change from baseline at the end of AZLI treatment Courses 1 (Visit 2), 3 (Visit 4), and 9 (Visit 19) was determined.

Change in Systolic and Diastolic Blood Pressure (BP)
Baseline, and end of treatment Courses 1 (Week 4), 3 (Week 20) and 9 (Week 68)

BP was recorded at all visits. Change from baseline at the end of AZLI treatment Courses 1 (Visit 2), 3 (Visit 4), and 9 (Visit 19) was determined.

Change in Temperature
Baseline, and end of treatment Courses 1 (Week 4), 3 (Week 20) and 9 (Week 68)

Temperature was recorded at all visits. Change from baseline at the end of AZLI treatment Courses 1 (Visit 2), 3 (Visit 4), and 9 (Visit 19) was determined.

Change in Respiratory Rate (RR)
Baseline, and end of treatment Courses 1 (Week 4), 3 (Week 20) and 9 (Week 68)

RR was recorded at all visits. Change from baseline at the end of AZLI treatment Courses 1 (Visit 2), 3 (Visit 4), and 9 (Visit 19) was determined.

Serum Hematology - Concentration of White Blood Cells (WBC), Basophils, Eosinophils, Lymphocytes, Monocytes, Neutrophils, and Platelets
Baseline and end of Course 9 (Week 68)
Serum Hematology - Percent of Differential for Basophils, Eosinophils, Lymphocytes, Monocytes, and Neutrophils
Baseline and end of treatment Course 9 (Week 68)
Serum Hematology - Number of Red Blood Cells (RBC)
Baseline and end of treatment Course 9 (Week 68)
Serum Hematology - Hematocrit
Baseline and end of treatment Course 9 (Week 68)
Serum Hematology - Hemoglobin
Baseline and end of treatment Course 9 (Week 68)
Serum Hematology - Mean Corpuscular Volume (MCV)
Baseline and end of treatment Course 9 (Week 68)
Serum Hematology - Mean Corpuscular Hemoglobin (MCH)
Baseline and end of treatment Course 9 (Week 68)
Serum Hematology - Mean Corpuscular Hemoglobin Concentration (MCHC)
Baseline and end of treatment Course 9 (Week 68)
Serum Chemistry - Alanine Aminotransferase (ALT), Aspartate Aminotransferase (AST), and Gamma-glutamlytransferase (GGT)
Baseline and end of treatment Course 9 (Week 68)
Serum Chemistry - Concentration of Calcium, Creatinine, Direct Bilirubin, Total Bilirubin, Serum Glucose, and Blood Urea Nitrogen
Baseline and end of treatment Course 9 (Week 68)
Serum Chemistry - Concentration of Chloride, Potassium, and Sodium
Baseline and end of treatment Course 9 (Week 68)
Serum Chemistry - Concentration of Total Protein
Baseline and end of treatment Course 9 (Week 68)
Time to Need for Inhaled or Intravenous (IV) Antipseudomonal Antibiotics
Day 0 to Day 84 (end of study)

The primary endpoint was time to need for a course of inhaled or IV antipseudomonal antibiotics with documented physician assessment of need for antibiotics. Antipseudomonal Antibiotic need was documented based on the presence of at least one of the following four symptoms predictive of pulmonary exacerbation: decreased exercise tolerance, increased cough, increased sputum / chest congestion, decreased appetite, or other.

Secondary Endpoints

Change From Baseline in Pseudomonas Aeruginosa (PA) log10 Colony-forming Units (CFU) Per Gram of Sputum
Baseline, and the end of treatment Courses 1 (Week 4), 3 (Week 20), and 9 (Week 68)
Number of Participants With Other Pathogens
Baseline; end of treatment Courses 1 (Week 4), 3 (Week 20), and 9 (Week 68); and at Follow-up (Week 72)
Minimum Inhibitory Concentration (MIC) of Aztreonam
Baseline; end of treatment Courses 1 (Week 4), 3 (Week 20), and 9 (Week 68); and at Follow-up (Week 72)
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Study Design & Arms

AllocationNON_RANDOMIZED
MaskingNONE
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Placebo (pooled two times a day [BID]/three times a day [TID])PLACEBO_COMPARATOR -
AZLI (pooled two times a day [BID]/three times a day [TID])EXPERIMENTAL -

Interventions

NameTypeDescription
AZLI 75 mg two times a day (BID)/ three times a day (TID)DRUG -
AZLI 75 mg two times a day (BID)/three times a day (TID)DRUG -
Placebo two times a day (BID)/three times a day (TID)DRUG -
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Eligibility Criteria

Age Range6 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites65

Inclusion Criteria: * Compliance with Studies CP-AI-005 (NCT00104520) or CP-AI-007 (NCT00112359) by taking at least 50% of expected study medication. * Completion of CP-AI-005 or CP-AI-007 or was withdrawn due to need for antipseudomonal antibiotics or for an AE unrelated to study medication tolera...

Countries:United StatesAustraliaCanadaNew Zealand
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