Experience using centralized spirometry in the phase 2 randomized, placebo-controlled, double-blind trial of denufosol in patients with mild to moderate.

Slides:



Advertisements
Similar presentations
Comparing age of cystic fibrosis diagnosis and treatment initiation after newborn screening with two common strategies  Don B. Sanders, Huichuan J. Lai,
Advertisements

Cheryl Cameron, Mark W. Lodes, William M. Gershan 
Effects of ivacaftor on severely ill patients with cystic fibrosis carrying a G551D mutation  Helge Hebestreit, Annette Sauer-Heilborn, Rainald Fischer,
Cystic Fibrosis Foundation and European Cystic Fibrosis Society Survey of cystic fibrosis mental health care delivery  J. Abbott, J.S. Elborn, A.M. Georgiopoulos,
A phase 3, multi-center, multinational, randomized, double-blind, placebo-controlled study to evaluate the efficacy and safety of levofloxacin inhalation.
Use of high-dose ibuprofen in a pediatric cystic fibrosis center
Zachary M. Sellers, Lori McGlocklin, Andrea Brasch 
HbA1c as a screening tool for cystic fibrosis related diabetes
R. Roberts, L. Speight, J. Lee, L. George, R. I. Ketchell, D. Lau, J
How does heart rate recovery after sub-maximal exercise correlate with maximal exercise testing in children with CF?  Sarah P. Cohen, David M. Orenstein 
H. Grasemann, E. Tullis, F. Ratjen  Journal of Cystic Fibrosis 
A randomized double blind, placebo controlled phase 2 trial of BIIL 284 BS (an LTB4 receptor antagonist) for the treatment of lung disease in children.
Long-term treatment with oral N-acetylcysteine: Affects lung function but not sputum inflammation in cystic fibrosis subjects. A phase II randomized placebo-controlled.
Megan R. Nelson, Craig R. Adamski, Audrey Tluczek 
Laura Viviani, Baroukh M. Assael, Eitan Kerem 
Cirrhosis and other liver disease in cystic fibrosis
Safety and efficacy of prolonged levofloxacin inhalation solution (APT-1026) treatment for cystic fibrosis and chronic Pseudomonas aeruginosa airway infection 
John Widger, Sarath Ranganathan, Philip J. Robinson 
The ease of breathing test tracks clinical changes in cystic fibrosis
Delayed publication of clinical trials in cystic fibrosis
Controlled clinical trials in cystic fibrosis — are we doing better?
Long-term azitromycin treatment of cystic fibrosis patients with chronic Pseudomonas aeruginosa infection; an observational cohort study  Christine Rønne.
Feasibility of using pedometers to measure daily step counts in cystic fibrosis and an assessment of its responsiveness to changes in health state  Bradley.
D. Stevens, P.J. Oades, N. Armstrong, C.A. Williams 
Claire J. Tipping, Rebecca L. Scholes, Narelle S. Cox 
Long-term daily high and low doses of azithromycin in children with cystic fibrosis: A randomized controlled trial  S.K. Kabra, R. Pawaiya, Rakesh Lodha,
Laboratory parameter profiles among patients with cystic fibrosis
Vitamin A and lung function in CF
The predictive potential of the sweat chloride test in cystic fibrosis patients with the G551D mutation  Verena I. Seliger, David Rodman, Fredrick Van.
International phase III trial of liprotamase efficacy and safety in pancreatic-insufficient cystic fibrosis patients  Drucy Borowitz, Christopher Stevens,
Exercise-induced hypoxemia and cardiac arrhythmia in cystic fibrosis
Pulmonary nocardiosis in cystic fibrosis
A.H. Gifford  Journal of Cystic Fibrosis 
Physiologic endpoints for clinical studies for cystic fibrosis
Antonia V. Bennett, Donald L. Patrick, James F. Lymp, Todd C
Characterisation of mutations and genotype–phenotype correlation in cystic fibrosis: Experience from India  Shivaram S. Shastri, Madhulika Kabra, Sushil.
Maximal daily dose of pancreatic enzyme replacement therapy in infants with cystic fibrosis: A reconsideration  Drucy Borowitz, Daniel Gelfond, Karen.
Molecular analysis of changes in Pseudomonas aeruginosa load during treatment of a pulmonary exacerbation in cystic fibrosis  D.W. Reid, R. Latham, I.L.
Colon Cancer in Cystic Fibrosis patients: Is this a growing problem?
Narelle S. Cox, Jennifer Follett, Karen O. McKay 
Pharmacokinetics and sputum penetration of azithromycin during once weekly dosing in cystic fibrosis patients  E.B. Wilms, D.J. Touw, H.G.M. Heijerman 
D.Y.F. Mak, J. Sykes, A.L. Stephenson, L.C. Lands 
Design and powering of cystic fibrosis clinical trials using rate of FEV1 decline as an efficacy endpoint  M.W. Konstan, J.S. Wagener, A. Yegin, S.J.
Effect of ivacaftor in patients with advanced cystic fibrosis and a G551D-CFTR mutation: Safety and efficacy in an expanded access program in the United.
Alina A. Ionescu, Lisette S. Nixon, Dennis J. Shale 
Trends in pathogens colonising the respiratory tract of adult patients with cystic fibrosis, 1985–2005  F.A. Millar, N.J. Simmonds, M.E. Hodson  Journal.
Comparison of two tobramycin nebuliser solutions: Pharmacokinetic, efficacy and safety profiles of T100 and TNS  Dorota Sands, Ewa Sapiejka, Grzegorz.
Comparing age of cystic fibrosis diagnosis and treatment initiation after newborn screening with two common strategies  Don B. Sanders, Huichuan J. Lai,
H. White, A.M. Morton, S.P. Conway, D.G. Peckham 
J.E. Spahr, R.B. Love, M. Francois, K. Radford, K.C. Meyer 
James H. Hull, Rachel Garrod, Timothy B. Ho, Ronald K. Knight, John R
Randomized, single blind, controlled trial of inhaled glutathione vs placebo in patients with cystic fibrosis  C. Calabrese, A. Tosco, P. Abete, V. Carnovale,
Gautham Marigowda, Fang Liu, David Waltz  Journal of Cystic Fibrosis 
D.F. Waterhouse, A.M. McLaughlin, C.G. Gallagher 
The role of respiratory viruses in adult patients with cystic fibrosis receiving intravenous antibiotics for a pulmonary exacerbation  C. Etherington,
CFTR modulators and pregnancy: Our work has only just begun
Felix Ratjen, Todd Durham, Tomas Navratil, Amy Schaberg, Frank J
Predictors of non-referral of patients with cystic fibrosisfor lung transplant evaluation in the United States  Kathleen J. Ramos, Bradley S. Quon, Kevin.
Cheryl Cameron, Mark W. Lodes, William M. Gershan 
Exercise-induced hypoxemia and cardiac arrhythmia in cystic fibrosis
Michael W. Konstan, Jeffrey S. Wagener, Donald R. VanDevanter, David J
Lutz Goldbeck, Sven Zerrer, Tim G. Schmitz  Journal of Cystic Fibrosis 
Khin M. Gyi, Margaret E. Hodson, Magdi Y. Yacoub 
David Adeboyeku, Sandra Scott, Margaret E. Hodson 
Aztreonam for inhalation solution (AZLI) in patients with cystic fibrosis, mild lung impairment, and P. aeruginosa  C.E. Wainwright, A.L. Quittner, D.E.
Elisabeth P. Dellon, Margaret W. Leigh, James R. Yankaskas, Terry L
Inhaled amiloride and tobramycin solutions fail to eradicate Burkholderia dolosa in patients with cystic fibrosis  Ahmet Z. Uluer, David A. Waltz, Leslie.
Cystic fibrosis and pregnancy in the modern era: A case control study
Safety assessment of inhaled xylitol in subjects with cystic fibrosis
Early aggressive eradication therapy for intermittent Pseudomonas aeruginosa airway colonization in cystic fibrosis patients: 15 years experience  C.R.
Presentation transcript:

Experience using centralized spirometry in the phase 2 randomized, placebo-controlled, double-blind trial of denufosol in patients with mild to moderate cystic fibrosis  C.H. Goss, E.F. McKone, D. Mathews, D. Kerr, J.S. Wanger, S.P. Millard  Journal of Cystic Fibrosis  Volume 7, Issue 2, Pages 147-153 (March 2008) DOI: 10.1016/j.jcf.2007.07.006 Copyright © 2007 European Cystic Fibrosis Society Terms and Conditions

Fig. 1 Mean absolute value of differences between the over-reading center value and site value for FEV1 (mL) for each subject, plotted by site. Journal of Cystic Fibrosis 2008 7, 147-153DOI: (10.1016/j.jcf.2007.07.006) Copyright © 2007 European Cystic Fibrosis Society Terms and Conditions

Fig. 2 Variability of spirometry as expressed by change in FEV1 (L) from the screening visit to the baseline visit was reduced compared to historical controls but not statistically significant. The difference between individual subjects' FEV1 at screening and at visit 1 prior to dosing was calculated for the denufosol Phase 2 study with and without central over-read, and these differences are compared to differences seen in historical controls. Filled circles represent the mean values and bars represent the 95% confidence intervals. Journal of Cystic Fibrosis 2008 7, 147-153DOI: (10.1016/j.jcf.2007.07.006) Copyright © 2007 European Cystic Fibrosis Society Terms and Conditions

Fig. 3 Differences in variability between the denufosol study and historical studies can possibly be attributed to differences in the duration in days between screening and visit 1 spirometry. The difference between individual subjects' FEV1 at screening and at visit 1 prior to dosing are plotted against the days between screening and visit 1 (○ represents the denufosol study with over-read; ▴ represents historical controls). Slope for denufosol=− 0.008, slope for historical controls=0.006, p=0.03). Journal of Cystic Fibrosis 2008 7, 147-153DOI: (10.1016/j.jcf.2007.07.006) Copyright © 2007 European Cystic Fibrosis Society Terms and Conditions