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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