Resumen

El objetivo principal de este estudio es generar evidencia que demuestre la especificación de dominios (mediante métodos psicométricos modernos), la fiabilidad, la validez y la capacidad de respuesta (cambio significativo dentro del sujeto) de los criterios de valoración de Resultados Comunicados por el Paciente (PRO).

Descripción detallada

Los participantes también completarán la herramienta EXAcerbaciones de la Enfermedad Pulmonar Crónica (EXACT), los Síntomas Respiratorios EXACT (EXACT-RS), el Cuestionario Respiratorio de St. George (SGRQ), la Escala de Fatiga de la Evaluación Funcional del Tratamiento de Enfermedades Crónicas (FACIT-Fatigue), la Impresión Global del Paciente sobre la Gravedad - Respiratoria (PGIS-Respiratory) y la Impresión Global del Paciente sobre la Gravedad - Fatiga (PGIS-Fatigue) al inicio y durante el estudio como anclas para la validación del QoL-B y el PROMIS F-SF 7a.

Elegibilidad

Edad mínima: 18 YearsSexo: ALL

Criterios de inclusión

Male or female, ≥ 18 years of age (19 years or older in South Korea)
Current diagnosis of Mycobacterium avium Complex (MAC) lung infection
Positive sputum culture for MAC within 6 months prior to screening
A chest computed tomography (CT) scan, read locally, within 6 months prior to Screening to determine presence and size of pulmonary cavities. Participants who do not have a chest CT scan within 6 months prior to Screening will be required to obtain a chest CT scan, read locally, during Screening
Willingness and ability to adhere to prescribed study treatment during the study
Ability to produce (spontaneously or with induction) approximately 2 mL of sputum for mycobacteriology at Screening
Women of child-bearing potential (WOCBP) (ie, fertile following menarche and until becoming post-menopausal unless permanently sterile) and fertile men (ie, all men after puberty unless permanently sterile by bilateral orchidectomy) agree to practice a highly effective method of birth control from Day 1 to at least 90 days after the last dose. Examples of such birth controls are:
true abstinence (refraining from heterosexual intercourse during the entire study),
copper intrauterine device (IUD),
hormonal methods (levonorgestrel-releasing intrauterine system, progestogen implant, combined oral contraceptive pill \[combined with barrier method\]),
exclusive homosexual relationship, or
sole male partner who has undergone surgical sterilization with confirmation of azoospermia at least 3 months post procedure while participating in the study
Provide signed informed consent prior to administration of study drugs or performing any study related procedure
Be able to comply with study drugs use, study visits, and study procedures as defined by the protocol
Men with partners who are WOCBP (pregnant or non-pregnant) agree to use condoms and non-pregnant partners should practice a highly effective method of birth control

Criterios de exclusión

Diagnosis of cystic fibrosis (CF)
History of more than 3 MAC lung infections
Received any mycobacterial antibiotic treatment for current MAC lung infection
Refractory MAC lung infection, defined as having positive MAC cultures while being treated with a multidrug mycobacterial antibiotic treatment regimen for a minimum of 6 consecutive months and no documented successful treatment, defined as negative sputum culture for MAC and cessation of treatment
Relapse of prior MAC lung infection, defined as positive sputum culture for MAC ≤ 6 months of cessation of prior successful treatment
Evidence of any pulmonary cavity ≥ 2 cm in diameter, as determined by chest CT scan, read locally, within 6 months prior to Screening
Radiographic finding of new lobar consolidation, atelectasis, significant pleural effusion, or pneumothorax during routine clinical care within 2 months prior to Screening
Active pulmonary malignancy (primary or metastatic) or any malignancy requiring chemotherapy or radiation therapy within 1 year prior to Screening or anticipated during the study
Acute pulmonary exacerbation (eg, chronic obstructive pulmonary disease \[COPD\] or bronchiectasis) requiring treatment with antibiotics, or corticosteroids (intravenous \[IV\] or oral), within 4 weeks prior to and during Screening
Current smoker
History of lung transplantation
Prior exposure to amikacin liposome inhalation suspension (ALIS) (including clinical study)
Known hypersensitivity or contraindications to use to ALIS, aminoglycosides, or any of their excipients
Disseminated MAC infection
Positive pregnancy test or lactation at Screening. All WOCBP will be tested. Women not of childbearing potential are defined as postmenopausal (ie, amenorrheic for 12 months without an alternative medical cause or confirmed by more than one follicle stimulating hormone \[FSH\] measurement), or naturally or surgically sterile through bilateral oophorectomy, hysterectomy, or bilateral salpingectomy. For women under the age of 45 years, confirmatory testing with FSH should be considered
Administration of any investigational drug within 8 weeks prior to Screening
Known or suspected acquired immunodeficiency syndromes (HIV-positive, regardless of CD4 counts). Other immunodeficiency syndromes that may interfere with study participation in the opinion of the Investigator.
Current alcohol, medication, or illicit drug abuse
Known and active COVID-19 infection
MAC isolate with MIC for clarithromycin ≥ 32 µg/mL at Screening
Known hypersensitivity or contraindications to use to ethambutol, azithromycin (including other macrolides or ketolides), or any of their excipients per local labeling guidance.

Resumen

Descripción detallada

Elegibilidad

Criterios de inclusión

Criterios de exclusión

Intervenciones

ALIS

Azithromycin

Ethambutol

ELC

Ubicaciones

ARG003

Patrocinadores