Clinical trial • Phase II|Phase III • Infectious Disease|Respiratory|Other

AMPHOTERICIN B for Chronic pulmonary aspergillosis

Phase II|Phase III trial of AMPHOTERICIN B for Chronic pulmonary aspergillosis. 18 participants.

Overview

Trial Therapeutic Area
Infectious Disease|Respiratory|Other
Trial Disease
Chronic pulmonary aspergillosis
Trial Stage
Phase II|Phase III
Drug Modality
Small molecule|Radiopharmaceutical

Key dates

Initial CTIS Submission Date
05-06-2025
First CTIS Authorization Date
04-09-2025

Trial design

Phase II|Phase III trial across 1 site in Netherlands.

Target Sample Size
18

Eligibility

Recruits 18 Vulnerable population not selected. Participants must be able to provide informed consent; individuals unable to provide informed consent are excluded ("The patient is unable to provide informed consent due to lack of decision-making capacity")..

Pregnancy Exclusion
The patient is breastfeeding, or of childbearing potential and is pregnant, planning to become pregnant within 3 months of the SPECT imaging, unable to provide a negative pregnancy test at screening, or unwilling to use effective contraception during the study and for at least 3 months after the last SPECT scan.
Vulnerable Population
Vulnerable population not selected. Participants must be able to provide informed consent; individuals unable to provide informed consent are excluded ("The patient is unable to provide informed consent due to lack of decision-making capacity").

Inclusion criteria

  • {"criterion_text":"- The patient is at least 18 years old on the day of inclusion."}
  • {"criterion_text":"- The patients has been diagnosed with chronic pulmonary aspergillosis."}
  • {"criterion_text":"- There is no significant interference with standard care and follow-up."}

Exclusion criteria

  • {"criterion_text":"- The patient is breastfeeding, or of childbearing potential and is pregnant, planning to become pregnant within 3 months of the SPECT imaging, unable to provide a negative pregnancy test at screening, or unwilling to use effective contraception during the study and for at least 3 months after the last SPECT scan."}
  • {"criterion_text":"- The patient is not able to lie supine in the scanner."}
  • {"criterion_text":"- The patient has previously reported intolerance to inhalation medication."}
  • {"criterion_text":"- The patient is unable to provide informed consent due to lack of decision-making capacity"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- The amount of AmBisome deposited in the lungs measured through single-photon emission computed tomography (SPECT/CT).","definition_or_measurement_approach":"Measured through single-photon emission computed tomography (SPECT/CT) to quantify pulmonary deposition of AmBisome."}
  • {"endpoint_text":"- The amount of AmBisome in the lungs compared to the blood concentrations to understand drug absorption and distribution","definition_or_measurement_approach":"Comparison of pulmonary deposition (SPECT/CT) with measured blood concentrations to assess absorption and distribution."}
  • {"endpoint_text":"- The most appropriate dose of nebulised AmBisome based on pulmonary deposition and pharmacokinetics.","definition_or_measurement_approach":"Determination based on measured pulmonary deposition (SPECT/CT) and pharmacokinetic analyses."}

Secondary endpoints

  • {"endpoint_text":"- A validated GMP-grade procedure for Technetium-99m labelled AmBisome.","definition_or_measurement_approach":"Development, preparation and validation of a GMP-grade procedure for technetium-99m labelling of AmBisome."}
  • {"endpoint_text":"- Number of adverse reactions associated with nebulised AmBisome, including respiratory symptoms, effects on pulmonary function and (S)AEs.","definition_or_measurement_approach":"Collection and counting of adverse reactions and (S)AEs, including monitoring respiratory symptoms and pulmonary function."}
  • {"endpoint_text":"- Assessment of PROs using a validated PRO instruments (TSQM) to assess side effects, treatment convenience and global satisfaction with therapy.","definition_or_measurement_approach":"Assessment of patient-reported outcomes using TSQM to evaluate side effects, convenience and overall satisfaction."}

Recruitment

Planned Sample Size
18
Recruitment Window Months
11
Consent Approach
Informed consent required from each participant. Individuals unable to provide informed consent are excluded. A subject information and informed consent form is listed in the trial documents (L1 PIF IC_NIMBUS_V3_20250829_clean).

Geography

Total Number Of Sites
1
Total Number Of Participants
18

Netherlands

Earliest CTIS Part Ii Submission Date
29-08-2025
Latest Decision Or Authorization Date
04-09-2025
Processing Time Days
6
Number Of Sites
1
Number Of Participants
18

Sites

Site Name
Radboud universitair medisch centrum Stichting
Department Name
Pharmacy, pharmacology and toxicology
Contact Person Name
Roger Brüggemann
Contact Person Email
roger.bruggemann@radboudumc.nl
Number Of Participants
18

Sponsor

Primary sponsor

Full Name
Radboud universitair medisch centrum Stichting
Organisation Type
Hospital/Clinic/Other health care facility
Country Of Registered Address
Netherlands

Investigational products

Investigational Product Name
AmBisome liposomale amfotericine B 50 mg, poeder voor oplossing voor infusie
Active Substance
AMPHOTERICIN B
Modality
Small molecule
Routes Of Administration
INHALATION
Route
INHALATION
Authorisation Status
Marketing authorisation: RVG 15610 (Netherlands)
Maximum Dose
Max daily dose 24 mg; max total dose 36 mg
Investigational Product Name
TECHNETIUM (99MTC) PERTECHNETATE
Active Substance
TECHNETIUM (99MTC) PERTECHNETATE
Modality
Radiopharmaceutical
Routes Of Administration
INHALATION
Route
INHALATION
Authorisation Status
No marketing authorisation number listed
Maximum Dose
Max daily dose 55 MBq; max total dose 110 MBq
Combination Treatment
Yes

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