Phase 2
N=21
Aerosol Liposomal Cyclosporine for Chronic Rejection in Lung Transplant Recipients
Disorder Related to Lung Transplantation · Bronchiolitis Obliterans · Decreased Immunologic Activity · Chronic Rejection of Lung Transplant
Bottom Line
View on ClinicalTrials.gov: NCT01650545 ↗Enrolled (actual)
21
Serious AEs
76.2%
Results posted
Oct 2017
Primary outcome: Primary: Number Of Participants With Chronic Rejection Who Met Primary Combined End-point — 2; 5 Participants — p=0.03
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 2
- Interventions
- Liposomal aerosol cyclosporine (Drug); standard immune suppression, oral (Other)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- University of Maryland, Baltimore
- Primary completion
- Aug 2015
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Number Of Participants With Chronic Rejection Who Met Primary Combined End-point |
2; 5 | 0.03 sig |
| SECONDARY Cytokine Analysis From BAL Fluid in Lung |
-2; 3.3; -0.9; -0.3; -2.0; 6.3 | — |
| SECONDARY Overall Survival at 5 Years Follow-up |
5; 0 | — |
Summary
This is a single-center pilot study to investigate the efficacy and safety of aerosolized liposomal cyclosporine A in the treatment of chronic rejection in lung transplant recipients with bronchiolitis obliterans syndrome (BOS).
The primary objective is to evaluate the efficacy of liposomal cyclosporine A in the treatment of chronic rejection. Pulmonary function and changes in BOS grade are the primary end points.
Eligibility Criteria
Inclusion Criteria
Chronic rejection
- Bronchiolitis obliterans diagnosed by bronchiolitis obliterans syndrome and > 20% decline from the individual patient's best FEV1 is observed
- Recipient of a double or single lung transplant
- Receiving immunosuppressive treatment according to institutional standards
Exclusion criteria
- Active invasive bacterial, viral or fungal infection
- Current mechanical ventilation
- Pregnant or breast-feeding woman
- Known hypersensitivity to cyclosporine A
- Serum creatinine value of more than 265 μmol/L (3 mg/dL) or chronic dialysis
- Receipt of an investigational drug as part of a clinical trial
Data sourced from ClinicalTrials.gov (NCT01650545). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.