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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT03482752
Registration number
NCT03482752
Ethics application status
Date submitted
21/03/2018
Date registered
29/03/2018
Titles & IDs
Public title
Safety Extension Trial of Inhaled Molgramostim in Autoimmune Pulmonary Alveolar Proteinosis
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Scientific title
An Open-label, Non-controlled, Multicentre Clinical Trial of Inhaled Molgramostim in Autoimmune Pulmonary Alveolar Proteinosis Patients
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Secondary ID [1]
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2017-004078-32
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Secondary ID [2]
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SAV006-03
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Universal Trial Number (UTN)
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Trial acronym
IMPALA-X
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Autoimmune Pulmonary Alveolar Proteinosis
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Condition category
Condition code
Respiratory
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Other respiratory disorders / diseases
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Inflammatory and Immune System
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Autoimmune diseases
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - Molgramostim
Experimental: Molgramostim nebulizer solution (300 µg) - Open-label treatment with molgramostim nebulizer solution (300 µg) administered intermittently (repetitive cycles of 7 days of treatment followed by 7 days off-treatment).
Treatment: Drugs: Molgramostim
300 µg inhaled molgramostim in cycles of once daily administration for 7 days, then 7 days off treatment.
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Intervention code [1]
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Treatment: Drugs
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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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Number of Treatment-emergent Adverse Events (TEAEs)
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Assessment method [1]
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The primary objective of this trial was safety assessed by adverse event (AE) reporting. Definitions and reporting procedures for AEs were done according to current regulatory standards. AEs were collected by the investigator by a non-leading question and by reporting events directly observed or spontaneously volunteered by participants. Participants were also encouraged to contact the clinic in between visits if they experienced AEs or had any concerns. Treatment-emergent was defined as events occurring on study drug and up to 7 days after last dose of study drug.
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Timepoint [1]
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139 weeks
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Primary outcome [2]
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Number of Serious TEAEs
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Assessment method [2]
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Serious TEAEs were defined as any untoward medicinal occurrence or effect that at any dose:
* Results in death
* Is life-threatening
* Requires hospitalisation or prolongation of existing hospitalisation
* Results in persistent or significant disability or incapacity
* Is a congenital abnormality or birth defect
* May jeopardise the participant or may require medical intervention to prevent one or more of the outcomes listed above (Important Medical Events).
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Timepoint [2]
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139 weeks
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Primary outcome [3]
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Number of Treatment-emergent Adverse Drug Reactions (ADRs)
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Assessment method [3]
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All AEs were assessed by the investigator for causality (unlikely, possible, probable, not applicable) according to current regulatory standards. AEs which had a 'possible' or 'probable' causality were classified as ADRs.
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Timepoint [3]
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139 weeks
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Primary outcome [4]
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Number of TEAEs Leading to Treatment Discontinuation
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Assessment method [4]
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Timepoint [4]
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139 weeks
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Eligibility
Key inclusion criteria
* Completer of the IMPALA trial.
* Females who have been post menopausal for >1 year, or females of child-bearing potential who are not pregnant or lactating and are using acceptable contraceptive methods.
* Males agreeing to use using acceptable contraceptive methods.
* Willing and able to provide signed informed consent.
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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
* Treatment with GM-CSF products other than molgramostim nebuliser solution within three months of Baseline.
* Treatment with any investigational medicinal product other than inhaled molgramostim within four weeks of Baseline.
* History of allergic reactions to GM-CSF.
* Connective tissue disease, inflammatory bowel disease or other autoimmune disorder requiring treatment associated with significant immunosuppression, e.g. more than 10 mg/day systemic prednisolone.
* Previous experience of severe and unexplained side effects during aerosol delivery of any kind of medicinal product.
* History of, or present, myeloproliferative disease or leukaemia.
* Apparent pre-existing concurrent pulmonary fibrosis.
* Any other serious medical condition which in the opinion of the investigator would make the subject unsuitable for the trial.
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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
Phase 3
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Stopped early
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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
16/04/2018
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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
14/01/2021
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Sample size
Target
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Accrual to date
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Final
60
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Recruitment in Australia
Recruitment state(s)
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Recruitment outside Australia
Country [1]
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Denmark
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State/province [1]
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Århus
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Country [2]
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France
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State/province [2]
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Rennes
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Country [3]
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Germany
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State/province [3]
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Essen
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Country [4]
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Germany
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State/province [4]
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Gauting
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Country [5]
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Germany
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State/province [5]
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Heidelberg
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Country [6]
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Germany
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State/province [6]
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Lübeck
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Country [7]
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Greece
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State/province [7]
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Athens
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Country [8]
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Israel
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State/province [8]
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Tel Aviv
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Country [9]
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Italy
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State/province [9]
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Pavia
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Country [10]
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Netherlands
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State/province [10]
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Nieuwegein
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Country [11]
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Russian Federation
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State/province [11]
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Saint Petersburg
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Country [12]
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Turkey
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State/province [12]
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Istanbul
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Country [13]
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United Kingdom
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State/province [13]
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London
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Savara 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
SAV006-03 is an open-label extension study for participants who had completed the IMPALA study. At the baseline visit, eligible participants may continue or re-start treatment with 300 µg inhaled molgramostim (recombinant human Granulocyte-Macrophage Colony Stimulating Factor; GM-CSF) administered intermittently in cycles of seven days molgramostim, administered once daily, and seven days off treatment. Participants will be treated with inhaled molgramostim for up to 36 months. During the trial, whole lung lavage will be applied as rescue therapy.
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Trial website
https://clinicaltrials.gov/study/NCT03482752
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Trial related presentations / publications
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Public notes
This record is viewable in the ANZCTR as it had previously listed Australia and/or New Zealand as a recruitment site, however these sites have since been removed
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Contacts
Principal investigator
Name
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Francesco Bonella, Prof.
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Address
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Interstitial and Rare Lung Disease Unit, Ruhrlandklinik University Hospital, Essen, Germany
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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 are available at
https://clinicaltrials.gov/study/NCT03482752