A Phase 1b, Multi-center Study of Intravenous (IV) Gallium Nitrate in Patients With Cystic Fibrosis (CF) Who Are Colonized With Nontuberculous Mycobacteria (NTM) (The ABATE Study)

Who is this study for? Adult patients with nontuberculous mycobacteria and cystic fibrosis
What treatments are being studied? Gallium nitrate
Status: Recruiting
Location: See all (10) locations...
Intervention Type: Drug
Study Type: Interventional
Study Phase: Phase 1
SUMMARY

The purpose of this study is to assess the safety and tolerability of two 5-day infusion cycles of IV gallium in adult patients with CF who are infected with NTM. Funding Source - FDA Office of Orphan Products Development (OOPD)

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Healthy Volunteers: f
View:

• Written informed consent obtained from participant or participant's legal representative

• Be willing and able to adhere to the study visit schedule and other protocol requirements

• All genders ≥ 18 years of age at Visit 1

• Documentation of a CF diagnosis as evidenced by one or more clinical features consistent with the CF phenotype

• Documentation of persistently positive NTM culture results that are positive for the same species or sub-species (either M. avium complex, M. abscessus complex, or both M. avium and M. abscessus). Persistently positive cultures are those which meet ONE of the following criteria, after first ignoring any negative culture results that occur within 7 days of a positive culture:

∙ The two most recent NTM culture results from sputum or BAL taken at least 28 days apart are positive.

∙ OR

‣ At least one NTM culture result in the previous 4 months from sputum or BAL is positive. If there are four or more cultures in the last 12-months at least 3 out of the 4 most recent cultures must be positive for NTM. If there are three or fewer cultures in the past 12 months, then at least 2 of the 3 most recent cultures must be positive for NTM even if some of those cultures are more than 12 months ago.

• Current NTM species or subspecies has never been treated or previous treatment was associated with clearance of NTM and completed \> 2 years prior to Day 1

• FEV1 ≥ 25 % of predicted value at Screening

• Able to expectorate sputum

• Clinically stable with no significant changes in health status within 7 days prior to Day 1

⁃ Enrolled in the CFF Patient Registry (CFF PR)

⁃ Willing to discontinue chronic azithromycin use for the duration of the study

• Written informed consent obtained from participant or participant's legal representative

• Be willing and able to adhere to the study visit schedule and other protocol requirements

• All genders ≥ 18 years of age at Visit 1

• Documentation of a CF diagnosis as evidenced by one or more clinical features consistent with the CF phenotype

• History of current or prior treatment for NTM pulmonary disease with M. abscessus or M avium (or both M. avium and M. abscessus)

∙ Previously received treatment with guideline-based antibiotics for \>12 months without having treatment discontinued for reasons of culture clearance OR

‣ Currently receiving treatment with guideline-based antibiotics for \>12 months

• FEV1 ≥ 25 % of predicted value at Screening

• Able to expectorate sputum

• Not hospitalized within 7 days prior to Day 1

• Enrolled in the CFF Patient Registry (CFF PR)

⁃ Be willing and able to continue guideline-based antibiotic therapy for M. abscessus or M avium (or both M. avium and M. abscessus) concurrent with IV gallium, if currently on treatment

Locations
United States
Alabama
University of Alabama at Birmingham
RECRUITING
Birmingham
Colorado
National Jewish Health
RECRUITING
Denver
Maryland
Johns Hopkins University
RECRUITING
Baltimore
Minnesota
The Minnesota Cystic Fibrosis Center
RECRUITING
Minneapolis
Ohio
Nationwide Children's Hospital
RECRUITING
Columbus
Pennsylvania
University of Pittsburgh Medical Center
RECRUITING
Pittsburgh
South Carolina
Medical University of South Carolina
RECRUITING
Charleston
Texas
University of Texas Southwestern
RECRUITING
Dallas
Vermont
University of Vermont Medical Center
RECRUITING
Burlington
Washington
University of Washington Medical Center
RECRUITING
Seattle
Contact Information
Primary
Natallia Cameron
Natallia.Cameron@seattlechildrens.org
206-884-7550
Time Frame
Start Date: 2021-06-17
Estimated Completion Date: 2027-03-31
Participants
Target number of participants: 40
Treatments
Experimental: Infusion of IV Gallium
Gallium nitrate will be infused continuously over 5 days at 200 mg/m2/day. Study drug will be administered via a peripheral IV catheter, a peripherally inserted central catheter (PICC) line, midline catheter, or a chronic indwelling vascular access device using an ambulatory infusion pump infused over 24 hours for 5 sequential days for each cycle. There is a maximum of 2 cycles.
Related Therapeutic Areas
Sponsors
Collaborators: Cystic Fibrosis Foundation
Leads: Chris Goss

This content was sourced from clinicaltrials.gov