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Phase 2 N=21 Randomized Treatment

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

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

OutcomeResultp-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
View full record on ClinicalTrials.gov →

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.

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