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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT04685720
Registration number
NCT04685720
Ethics application status
Date submitted
7/12/2020
Date registered
28/12/2020
Titles & IDs
Public title
A Pilot Study to Assess the Effect of Intermittent iNO on the Treatment of NTM Lung Infection in CF and Non-CF Patients
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Scientific title
A Pilot Study to Assess the Effect of Intermittent Inhaled Nitric Oxide on the Treatment of Nontuberculous Mycobacteria (NTM) Lung Infection in Cystic Fibrosis and Non-Cystic Fibrosis Patients
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Secondary ID [1]
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BA_NTM_AU_01.01
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Non-Tuberculous Mycobacterial Pneumonia
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Cystic Fibrosis
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0
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Mycobacterial Pneumonia
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Mycobacterium Abscessus Infection
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Mycobacterium Avium Complex
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0
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Condition category
Condition code
Infection
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0
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Studies of infection and infectious agents
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Infection
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0
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Other infectious diseases
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Infection
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0
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Sexually transmitted infections
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Respiratory
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0
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0
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Other respiratory disorders / diseases
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Human Genetics and Inherited Disorders
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0
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Cystic fibrosis
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Oral and Gastrointestinal
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0
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Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
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Inflammatory and Immune System
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0
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Connective tissue diseases
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Inflammatory and Immune System
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0
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Other inflammatory or immune system disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Devices - LungFit
Experimental: Inhaled NO delivered using LungFit - Inhaled Nitric Oxide in doses up to 250 ppm
Treatment: Devices: LungFit
LungFit for NTM is an experimental device that produces Nitric Oxide from the ambient air.
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Intervention code [1]
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Treatment: Devices
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Treatment-Emergent SAEs
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Assessment method [1]
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The primary endpoint of the study is the number of patients with treatment-emergent SAEs
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Timepoint [1]
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Day 1 to Day 84
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Secondary outcome [1]
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Changes in NTM bacterial load from baseline to Day 174
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Assessment method [1]
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Changes in NTM bacterial load will be assessed by sputum culture in liquid and solid media.
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Timepoint [1]
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Day 1 to Day 174
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Secondary outcome [2]
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Number of patients with culture conversion at Day 174
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Assessment method [2]
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NTM culture conversion will be defined as having at least three consecutive negative NTM cultures
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Timepoint [2]
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Day 1 to Day 174
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Secondary outcome [3]
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Changes in quality of life assessed by CFQ-R for or QOL-B with NTM module
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Assessment method [3]
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Changes in quality of life assessed by Cystic Fibrosis Questionnaire Revised \[CFQ R\] for CF patients or Quality of Life Questionnaire-Bronchiectasis \[QOL-B\] with NTM module for non-CF patients.
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Timepoint [3]
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Day 1 to Day 174
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Secondary outcome [4]
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Changes in FEV1 from baseline to Day 174
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Assessment method [4]
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Respiratory function will be assessed by spirometry including FEV1.
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Timepoint [4]
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Day 1 to Day 174
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Secondary outcome [5]
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Changes in activity tracker data as assessed by changes in distance from baseline to Day 174.
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Assessment method [5]
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Patients will collect activity tracker data from 2 weeks before treatment and from Day 1 to Day 174.
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Timepoint [5]
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Day 1 to Day 174
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Secondary outcome [6]
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Change in 6 Minute Walking Test
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Assessment method [6]
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Change in 6 Minute Walking Test will be assessed by changes in distance between baseline and Day 84
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Timepoint [6]
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Day 1 to Day 84
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Eligibility
Key inclusion criteria
* Subjects diagnosed with refractory NTM (MAC or MAbs) pulmonary infection
* CF and Non-CF patients
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Diagnosis of methemoglobinemia or MetHb =2% at screening; treatment with any drug known to increase MetHb; known or suspected hemoglobinopathy.
* History of or current myeloproliferative disease, leukemia or other hematological malignancy; known or suspected immunodeficiency disease.
* Subjects with advanced cardiovascular disease or CHF
* Use of an investigational drug during the 30 days prior to enrollment.
* History of frequent epistaxis (>1 episode/month); significant hemoptysis (during the 30 days prior to enrollment.
* Subject on non-constant dose of systemic steroids within 30 days prior to enrollment; subjects on constant systemic steroids if the daily dose is higher than 10 mg/d prednisolone or equivalent.
* Active pulmonary malignancy (primary or metastatic) or any malignancy; history of lung transplantation.
* Pulmonary tuberculosis requiring treatment or treated within 2 years prior to screening.
* Uncontrolled hypertension within 3 months prior to or at screening
* Diagnosis of significant pulmonary hypertension indicated on echocardiogram at screening
* Clinically significant renal or liver laboratory abnormalities
* History of daily, continuous oxygen supplementation.
* Women of childbearing potential - pregnant or breastfeeding, or not on medically acceptable double methods of contraception from enrollment until Day 84.
* Smoking tobacco or any substance within 6 months prior to screening or anticipated inability to refrain from smoking throughout the study.
* Patient receiving drugs that have a contraindication with NO
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Study design
Purpose of the study
Treatment
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Allocation to intervention
NA
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
NA
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
7/12/2020
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
10/10/2022
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Sample size
Target
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Accrual to date
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Final
15
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Recruitment in Australia
Recruitment state(s)
QLD
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Recruitment hospital [1]
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Gallipoli Medical Research Foundation - Greenslopes
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Recruitment postcode(s) [1]
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4120 - Greenslopes
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Beyond Air Inc.
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
The purpose of this open-label, multicenter, non-randomized, pilot study is to assess the safety of high dose intermittent iNO for treatment of NTM infection in CF and non-CF patients.
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Trial website
https://clinicaltrials.gov/study/NCT04685720
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT04685720