- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02459158
A Study to Assess the Pharmacokinetic Profile, the Safety, and the Tolerability of ME1100 Inhalation Solution in Patients With Mechanically Ventilated Bacterial Pneumonia
July 3, 2017 updated by: Meiji Seika Pharma Co., Ltd.
A Randomized, Open-Label Phase 1b Study of ME1100 Inhalation Solution Plus Best Available Therapy in the Treatment of Mechanically Ventilated Subjects With Bacterial Pneumonia
This study is a randomized, open-label phase I study.
The primary objective of this study is to assess the pharmacokinetic (PK) profile of ME1100 in subjects with mechanically ventilated bacterial pneumonia (MVBP).
The secondary objective of this study is to assess the safety and tolerability of ME1100 for the treatment of subjects with MVBP to assess the safety and tolerability of ME1100.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Study Type
Interventional
Enrollment (Actual)
25
Phase
- Phase 1
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
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California
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Martinez, California, United States
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Sacramento, California, United States
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San Diego, California, United States
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Colorado
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Aurora, Colorado, United States
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Florida
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Jacksonville, Florida, United States
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Kentucky
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Hazard, Kentucky, United States
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Massachusetts
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Worcester, Massachusetts, United States
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Michigan
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Kalamazoo, Michigan, United States
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New York
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Buffalo, New York, United States
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North Carolina
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Greensboro, North Carolina, United States
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Ohio
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Cincinnati, Ohio, United States
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Lima, Ohio, United States
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Toledo, Ohio, United States
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Texas
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Houston, Texas, United States
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
Participants must meet all of the following inclusion criteria in order to be eligible for the study:
- Is a hospitalized male or female, ≥ 18 years of age at the Screening Visit;
- Is on mechanical ventilation;
Has a known or suspected mechanically ventilated bacterial pneumonia with at least 1 of the following:
- Fever (> 38.5゚C or > 101.3゚F);
- Hypothermia (≤ 35.0゚C or ≤ 95.0゚F);
- Leukopenia (≤ 4500 cells/mm3);
- Leukocytosis (≤ 10000 cells/mm3);
- White blood cell count with left shift defined as > 15% immature polymorphonuclear leukocytes (bands) on peripheral blood smear; or
- Procalcitonin > 0.25 µg/mL;
Plus at least 2 of the following:
- Respiratory failure requiring mechanical ventilation;
- New onset of expectorated or suctioned purulent sputum production or respiratory secretions, or a change in the character of sputum;
- Auscultatory findings on pulmonary examination of rales and/or evidence of pulmonary consolidation;
- Dyspnea, tachypnea, or signs of respiratory distress as evidenced by an increase in respiratory support or oxygen requirement, particularly if any or all of these are progressive in nature; or
- Hypoxemia by pulse oximetry or arterial blood gas requiring an increase in supplemental oxygen;
- Has a chest X-ray with a new consolidation consistent with pneumonia or significant worsening of previous findings consistent with pneumonia; and
- Has an Acute Physiology and Chronic Health Evaluation II (APACHE II) score ≥ 8 and ≤ 30 at the Screening Visit.
Exclusion Criteria:
Participants who meet any of the following exclusion criteria will not be enrolled in the study:
- Has a requirement of inhaled non-study antibiotic;
- Has been treated with any inhaled antibiotic (including inhaled aminoglycosides) within 72 hours of study entry;
- Has renal insufficiency at Screening as evidenced by an estimated creatinine clearance <50 mL/min based on the Cockcroft-Gault formula;
- Is at risk of rapidly fatal illness and death within the next 72 hours;
- Is a pregnant or nursing female. Females of childbearing potential must have a serum pregnancy test prior to enrollment. If results of the serum pregnancy test are not available prior to the Day 1 Treatment Visit, the patients may be enrolled on the basis of a negative urine pregnancy test; however, the results of the serum pregnancy test must still be obtained. If either test is positive, the patients must be excluded;
- Has myasthenia gravis, parkinsonism, or any other progressive neuromuscular disorder;
- Has a history of epilepsy or known seizure disorder;
- Has a history of sensorineural hearing loss resulting from any therapy known as ototoxic (eg, aminoglycosides, cisplatin, loop diuretics, or quinine);
- Has received any investigational medication in the last 30 days (or 5 half-lives of the investigational medication, whichever is longer) prior to the Screening Visit; or
- Has known hypersensitivity to ME1100, aminoglycosides, or any of the specified Best Available Therapy agents or their excipients.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
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Experimental: Low dose of ME1100
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Low dose of ME1100 inhalation solution twice daily for up to 14 days to be administered via eFlow nebulizer system
Other Names:
High dose of ME1100 inhalation solution twice daily for up to 14 days to be administered via eFlow nebulizer system
Other Names:
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Experimental: High dose of ME1100
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Low dose of ME1100 inhalation solution twice daily for up to 14 days to be administered via eFlow nebulizer system
Other Names:
High dose of ME1100 inhalation solution twice daily for up to 14 days to be administered via eFlow nebulizer system
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
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Arbekacin concentrations in respiratory fluids collected via bronchoalveolar lavage (BAL) for epithelial lining fluid (ELF)
Time Frame: Day 3
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Day 3
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Plasma arbekacin concentrations
Time Frame: Day 1 to Day 5
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Day 1 to Day 5
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Urinary elimination of arbekacin
Time Frame: Day 2
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Day 2
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Arbekacin concentrations in tracheal aspirate
Time Frame: Day 2
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Day 2
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Secondary Outcome Measures
Outcome Measure |
Time Frame |
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Number of participants with adverse events
Time Frame: Screening through 14 days after the end of treatment
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Screening through 14 days after the end of treatment
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start
September 1, 2015
Primary Completion (Actual)
March 22, 2017
Study Completion (Actual)
March 22, 2017
Study Registration Dates
First Submitted
May 28, 2015
First Submitted That Met QC Criteria
May 29, 2015
First Posted (Estimate)
June 1, 2015
Study Record Updates
Last Update Posted (Actual)
July 5, 2017
Last Update Submitted That Met QC Criteria
July 3, 2017
Last Verified
November 1, 2016
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- ME1100-CL-103
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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