The primary objective of this study is to evaluate the safety and efficacy of a 14-day course versus a 28-day course of aztreonam for inhalation solution (AZLI) in pediatric participants with new onset Pseudomonas aeruginosa respiratory tract infection or colonization.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
149
Administered via the PARI Altera® Nebulizer System. Participants \< 2 years will receive via the SmartMask® Baby, 2 to \< 6 years via the SmartMask Kids® and \> 6 years via the nebulizer mouthpiece.
Administered via the PARI Altera® Nebulizer System. Participants \< 2 years will receive via the SmartMask® Baby, 2 to \< 6 years via the SmartMask Kids® and \> 6 years via the nebulizer mouthpiece.
Percentage of Participants With Pseudomonas Aeruginosa (PA)-Negative Cultures Through 28 Days Post-Treatment in the 14-Day Treatment Group vs 28-Day Treatment Group
Time frame: 28 days post treatment (Weeks 4 to 6 for the 14 Day treatment group and Weeks 4 to 8 for the 28 Day treatment group)
Time From Primary Eradication to PA Recurrence Over a 108-Week Post-Treatment Follow-up Period
The primary eradication was achieved when all cultures through 28 days post AZLI treatment were PA negative. Recurrence after PA eradication was defined as first positive PA culture result in participant who successfully met primary endpoint and had no PA-positive culture from local lab at Week 4 through Week 6 for AZLI 14 Days group or through Week 8 for AZLI 28 Days group.
Time frame: Last dose date of AZLI up to Week 112
Percentage of Participants With PA-negative Cultures Through 28 Days Post-Treatment in the 14-Day Treatment Group vs Historical Pooled Data for PA Eradication at 28 Days Post-Treatment in Participants Treated With Tobramycin Nebulizer Solution (TNS)
Time frame: 28 days post treatment (Weeks 4 to 6 for the 14 Day treatment group)
Time to PA Recurrence for a Sub-Group of Participants Matching the Population in the TNS ELITE Study Over a 108-Week Post-Treatment Follow-up Period
In ELITE study (NCT00391976), participants with cystic fibrosis who had early PA infection received TNS. Published criteria for efficacy analysis population in ELITE study included: * Participants must be ≥ 6 months at randomization * No history of positive anti-PA antibody (no anti-PA immunoglobulin G \[IgG\] antibody interpretation at Screening/Baseline) on record * Did not use anti-pseudomonal antibiotics through 28 days after completion of active treatment and within 2 years of Screening * Non-missing PA culture result at 28 days after last dose of AZLI * PA negative through 28 days after completion of active treatment * No important protocol deviation related to compliance with study drug administration * Documented new onset of positive respiratory tract culture for PA within 30 days of Screening defined as either first lifetime documented PA-positive culture, or PA recovered after at least a 2-year history of PA-negative respiratory cultures (at least 2 cultures per year).
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
University of California San Francisco (UCSF) - Benioff Children's Hospital
San Francisco, California, United States
Children's National Health System
Washington D.C., District of Columbia, United States
Johns Hopkins All Children's Hospital Outpatient Care Center
St. Petersburg, Florida, United States
Ann & Robert H Lurie Childrens Hospital of Chicago
Chicago, Illinois, United States
Corner Children's Hospital
Chicago, Illinois, United States
University of Mississippi Medical center
Jackson, Mississippi, United States
Clinical Research of Charlotte
Charlotte, North Carolina, United States
Cleveland Clinic
Cleveland, Ohio, United States
USC Department of Pediatrics/Division of Pediatric Pulmonology
Columbia, South Carolina, United States
Cook Children's Medical Center
Fort Worth, Texas, United States
...and 43 more locations
Time frame: Last dose date of AZLI up to Week 112