Clinical trial • Phase IV • Respiratory

POTASSIUM CHLORIDE PH. EUR.; SODIUM CHLORIDE PH. EUR. for Bronchiectasis

Phase IV trial of POTASSIUM CHLORIDE PH. EUR.; SODIUM CHLORIDE PH. EUR. for Bronchiectasis.

Overview

Trial Therapeutic Area
Respiratory
Trial Disease
Bronchiectasis
Trial Stage
Phase IV
Drug Modality
Small molecule

Key dates

Initial CTIS Submission Date
23-10-2024
First CTIS Authorization Date
05-11-2024

Trial design

Randomised, arms include: combination arm of once-daily 7% hypertonic saline inhalation prior to eltgol physiotherapy (interventional arm); once-daily isotonic saline (sodium chloride) inhalation prior to eltgol physiotherapy (comparator); and eltgol physiotherapy twice-daily alone (no medicinal product). sodium chloride product listing indicates max daily amount 5 ml.-controlled Phase IV trial across 2 sites in Spain.

Randomised
Yes
Comparator
Arms include: combination arm of once-daily 7% hypertonic saline inhalation prior to ELTGOL physiotherapy (interventional arm); once-daily isotonic saline (sodium chloride) inhalation prior to ELTGOL physiotherapy (comparator); and ELTGOL physiotherapy twice-daily alone (no medicinal product). Sodium chloride product listing indicates max daily amount 5 ml.
Target Sample Size
57
Trial Duration For Participant
395

Eligibility

Recruits 57 No vulnerable population selected; participants are adults only (Men and woman ≥ 18 years old). Informed consent required: 'sign the informed consent'..

Vulnerable Population
No vulnerable population selected; participants are adults only (Men and woman ≥ 18 years old). Informed consent required: 'sign the informed consent'.

Inclusion criteria

  • {"criterion_text":"- Men and woman ≥ 18 years old\n- Bronchiectasis confirmed by high resolution computed tomography\n- no exacerbations in the previous month\n- chronic purulent sputum ( ≥10ml daily expectoration)\n- at least one exacerbation in the previous year\n- FEV1 ≥30% after bronchodilation\n- sign the informed consent"}

Exclusion criteria

  • {"criterion_text":"- patients > 85 years old\n- asthma, allergic bronchopulmonary aspergillosis or cystic fibrosis\n- current smokers or a smoking history of ≥20 pack/year\n- following mucoactive treatment in the previous month\n- contraindications to perform ELTGOL, spirometry or to attend visits\n- pulmonary rehabilitation in the previous 6 months\n- change of treatment the previous month\n- uncontrolled hypertension"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- change in the sputum weight in grams during intervention from baseline to V7","definition_or_measurement_approach":"Change in sputum weight measured in grams during the intervention from baseline to visit V7."}

Secondary endpoints

  • {"endpoint_text":"- Change from baseline in the 24h sputum volume in millilitres and sputum weight (defined as the sputum volume during the intervention and 24 hours later) over the 12-month treatment period.","definition_or_measurement_approach":"24-hour sputum volume in mL and sputum weight measured during the intervention and 24 hours later; change from baseline over 12-month treatment period."}
  • {"endpoint_text":"- Change in cough assessed with the Leicester Cough Questionnaire26 from V2 over the 12-month treatment period","definition_or_measurement_approach":"Change from baseline (V2) in Leicester Cough Questionnaire score over 12 months."}
  • {"endpoint_text":"- Number of exacerbations and the time to the first exacerbation over the 12-month treatment period","definition_or_measurement_approach":"Count of exacerbations and time-to-first-exacerbation assessed during 12-month treatment period."}
  • {"endpoint_text":"- Change in sputum purulence assessed by the sputum colour chart, mucus properties, and microbiology from V2 to V7.","definition_or_measurement_approach":"Change from V2 to V7 in sputum purulence via sputum colour chart, mucus properties assessments, and sputum microbiology."}
  • {"endpoint_text":"- Change in quality of life (assessed with Bronchiectasis health questionnaire and Saint George Respiratory questionnaire) from V2 over the 12-month treatment period","definition_or_measurement_approach":"Change from V2 in QoL measured by Bronchiectasis Health Questionnaire and St. George's Respiratory Questionnaire over 12 months."}
  • {"endpoint_text":"- Change from V2 in post-bronchodilator FEV1 over the 12-month treatment period in ml","definition_or_measurement_approach":"Change from V2 in post-bronchodilator FEV1 (ml) measured over 12 months."}
  • {"endpoint_text":"- Treatment adherence assessed through vial counting, Morisky-Green test, the diary card.","definition_or_measurement_approach":"Adherence assessed by vial counts, Morisky-Green questionnaire, and participant diary card."}
  • {"endpoint_text":"- Adverse events assessed by symptoms reported, vital sign measurement (including blood pressure and arterial oxygen saturation), physical examination, Borg scale at the end of interventions at V2, V3, V5, V7, and pulmonary function tests at V2.","definition_or_measurement_approach":"Safety assessed via reported symptoms, vital signs (including BP and SpO2), physical exam, Borg scale at end of interventions at specified visits, and pulmonary function tests at V2."}
  • {"endpoint_text":"- Change from V7 to V8 in the 24h sputum volume, colour and weight, quality of life and FEV1","definition_or_measurement_approach":"Change between V7 and V8 in 24h sputum volume, colour and weight, QoL measures, and FEV1."}

Recruitment

Planned Sample Size
57
Recruitment Window Months
24
Consent Approach
Informed consent required from participants; adults only. Subject information and informed consent forms available for adults (documents: L1_SIS and ICF ADULTS; L1_SIS and ICF Biological samples Adults). No assent or minor consent procedures described; languages of consent documents not specified.

Geography

Total Number Of Sites
2
Total Number Of Participants
57

Spain

Earliest CTIS Part Ii Submission Date
31-10-2024
Latest Decision Or Authorization Date
11-07-2025
Processing Time Days
253
Number Of Sites
2
Number Of Participants
57

Sites

Site Name
Hospital Germans Trias I Pujol
Department Name
Pneumology
Contact Person Name
Alicia Marin
Contact Person Email
amarin.germanstrias@gencat.cat
Site Name
Hospital Universitari De Girona Doctor Josep Trueta
Department Name
Pneumology
Principal Investigator Name
Monsterrat Vendrell
Principal Investigator Email
mvendrell.girona.ics@gencat.cat
Contact Person Name
Monsterrat Vendrell

Sponsor

Primary sponsor

Full Name
Hospital Universitari De Girona Doctor Josep Trueta
Organisation Type
Hospital/Clinic/Other health care facility
Country Of Registered Address
Spain

Investigational products

Investigational Product Name
SODIUM CHLORIDE
Active Substance
POTASSIUM CHLORIDE PH. EUR.; SODIUM CHLORIDE PH. EUR.
Modality
Small molecule
Routes Of Administration
INHALATION
Route
INHALATION
Maximum Dose
5 ml
Investigational Product Name
ELECTROLYTES
Active Substance
MANNITOL
Modality
Small molecule
Routes Of Administration
INHALATION
Route
INHALATION
Maximum Dose
1
Combination Treatment
Yes

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