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
- Contact Person Email
- mvendrell.girona.ics@gencat.cat
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
Related trials
Other published trials that may interest you.