This was an open-label, multicenter study in children ≤ 12 years of age with cystic fibrosis (CF) and chronic Pseudomonas aeruginosa (PA) infection in the lower airways using three 28-day courses of Aztreonam for Inhalation Solution (AZLI) 75 mg three times daily, each followed by 28 days off AZLI. The total treatment duration was to be 6 months.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
61
AZLI 75 mg was administered 3 times daily via the investigational nebulizer.
Percentage of Participants Who Discontinued Study Drug Due to Safety or Tolerability Reasons
Participants who discontinued study drug due to safety or tolerability reasons were defined as those with "Adverse Event (AE)/Safety or Tolerability" on the Study Drug Completion electronic case report form as the reason for early discontinuation. The 95% confidence interval (CI) was calculated using the exact binomial method.
Time frame: Baseline to Day 168
Change From Baseline in FEV1 % Predicted in Subjects Aged ≥ 6 Years
The change in FEV1 % predicted was assessed at the end of each 28-day AZLI treatment course. FEV1 % predicted is defined as FEV1 of the patient divided by the average FEV1 in the population for any person of similar age, sex, race, and body composition.
Time frame: Baseline to Day 28, 84, and 140
Change From Baseline in CFQ-R Respiratory Symptoms Scale (RSS) Score in Subjects Aged ≥ 6 Years
The change in CFQ-R RSS score was assessed at the end of each 28-day AZLI treatment course. The range of scores (units) was 0 to 100 with higher scores indicating fewer symptoms.
Time frame: Baseline to Day 28, 84, and 140
Change in Pseudomonas Aeruginosa (PA) Sputum Density
The change in PA sputum density (log10 colony-forming units per gram \[cfu/g\]) was assessed at the end of each 28-day AZLI treatment course.
Time frame: Baseline to Day 28, 84, and 140
Percentage of Participants Who Used Additional (Non-study) Antipseudomonal Antibiotics
The percentage of participants who used additional (non-study) antipseudomonal antibiotics (IV, inhaled, oral, IV/inhaled, IV/inhaled/oral) was summarized (number and percent) for all subjects.
Time frame: Baseline to Day 168
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The Children's Hospital - Denver
Aurora, Colorado, United States
Nemours Children's Clinic - Jacksonville
Jacksonville, Florida, United States
Children's Memorial Hospital
Chicago, Illinois, United States
Riley Hospital for Children
Indianapolis, Indiana, United States
Children's Hospital Boston
Boston, Massachusetts, United States
Children's Mercy Hospital & Clinics
Kansas City, Missouri, United States
SUNY Upstate Medical University
Syracuse, New York, United States
Nationwide Children's Hospital
Columbus, Ohio, United States
Baylor College of Medicine
Houston, Texas, United States
University of Utah
Salt Lake City, Utah, United States
...and 19 more locations
Percentage of Participants Hospitalized at Least Once Due to a Respiratory Event
Time frame: Baseline to Day 168
Number of Days Participants Were Hospitalized Due to a Respiratory Event
The average number of days hospitalized due to a respiratory event, among the 11 participants who were hospitalized for respiratory event, was reported.
Time frame: Baseline to Day 168
Percentage of Participants With Pulmonary Exacerbations
Pulmonary exacerbations were defined as respiratory hospitalizations or discrete courses of non-study IV/inhaled antipseudomonal antibiotics. Use of oral antibiotics alone for respiratory signs or symptoms was considered to be representative of milder clinical events and, therefore, was not included in the definition of pulmonary exacerbations.
Time frame: Baseline to Day 168
Time to Pulmonary Exacerbation
The median days to first pulmonary exacerbation was summarized using Kaplan-Meier (KM) summary statistics.
Time frame: Baseline to Day 168
Percentage of Participants With Study-drug Induced Bronchospasm
Study-drug induced bronchospasm (airway reactivity) was assessed at the baseline visit as the percent change in FEV1 from the pretreatment measurement to 30 minutes following treatment for subjects ≥ 6 years or as from the Investigator's assessment for subjects \< 6 years.
Time frame: Pretreatment at Baseline to 30 minutes following treatment
Adverse Event Rates Adjusted for Study Duration
Adverse events occurring in ≥ 5% of participants adjusted for study duration were summarized. The adjustment was made by using a standardized rate calculated as the sum of study duration across patients divided by 28 for the total number of patient months. Rate calculations presented are the number of adverse events (AEs) per patient month.
Time frame: Baseline to Day 168