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ERADICATE study

EudraCT-Nr.: 2021-002335-33

Clinical picture

Pseudomonas aeruginosa infection in patients with bronchiectasis

Objective

The study investigates the effect of a four-week course of inhaled colistin treatment in patients with bronchiectasis, compared with a control group (no colistin), on the colonisation of sputum and airway cultures by Pseudomonas aeruginosa (PA) 28 weeks after randomisation.

Admission criteria

Inclusion criteria

Age ≥ 18 years at the time of screening

Bronchiectasis, confirmed by a chest CT scan

new positive sputum culture for PA (no more than 12 weeks old at the time of screening)

no recent onset of new respiratory symptoms or worsening of existing respiratory symptoms (e.g. cough, sputum volume, sputum colour, sputum viscosity, haemoptysis, reduced physical capacity, malaise, fatigue, etc.) in the 2 months prior to a new positive PA sputum culture, as assessed by the investigator

informed written consent

Negative serum/urine pregnancy test in women of childbearing age

Women of childbearing age must agree to use a highly effective method of contraception during the study treatment and for at least 4 weeks afterwards. Further information

Male participants must use a condom during treatment and until the end of the relevant systemic exposure period, as well as for a further period of 90 days, and the non-pregnant female partner must also use an additional method of contraception.

Exclusion criteria

Bronchiectasis caused by cystic fibrosis (CF)

Known previous infection with PA within the last 5 years prior to the new positive PA culture*

Treatment with antibiotics effective against Pseudomonas in the period between the new PA-positive sputum culture and the baseline consultation

Planned treatment with antibiotics effective against Pseudomonas during participation in the study.

Any treatment with inhaled antibiotics or long-term treatment effective against Pseudomonas (≥3 months) in the 5 years prior to screening.

A history of known hypersensitivity to the test product.

Hypersensitivity or known intolerance to colistimethate sodium, colistin, polymyxin B or other polymyxins.

Known diagnosis of myasthenia gravis or porphyria

ppFEV1 < 30% (after bronchodilation)

Pregnant women

Breastfeeding women

Severely impaired renal function (GFR ≤ 30 ml/min)

Participation in another clinical trial

*Patients with a positive culture for PA from respiratory specimens within the last 5 years, but within a period of ≥3 years prior to the re-detection of PA, who had at least 2 negative cultures for PA from respiratory specimens per year during those 3 years whilst not receiving treatment active against Pseudomonas, are also considered PA-negative and may be included in the study. Respiratory specimens include throat swabs, sputum, tracheal/bronchial secretions and bronchial lavage fluid.

Duration of participation

7 months (1 month of treatment, 24 weeks of follow-up)

Examinations and/or treatments as part of the study.
Treatment with inhaled colistin over 28 days.

UnTests, including:
  • Sputum tests
  • Questionnaires
  • Laboratory tests (blood and urine)
  • Lung function tests

Funding

The study was funded by the German Centre for Lung Research (DZL) and received financial support from a pharmaceutical manufacturer.

Participating examination centres

Berlin | Charité – Universitätsmedizin Berlin CVK

Berlin | Charité – Universitätsmedizin Berlin CVK
Department of Pediatric Respiratory Medicine, Immunology and Critical Care Medicine
Dr. Till Othmer, PD Dr. med. Stephanie Thee

Contact:
Frau Rola Khalife
E-Mail: rola.khalife@charite.de
Tel.: +49 (0)30 450 616 426

Essen | Ruhrlandklinik, Westdeutsches Lungenzentrum am Universitätsklinikum Essen gGmbH

Essen | Ruhrlandklinik, Westdeutsches Lungenzentrum am Universitätsklinikum Essen gGmbH
Abteilung Pneumologie-Allergologie
Dr. Sivagurunathan Sutharsan, Dr. Matthias Welsner

Contact:
Frau Thea-Lisa Schwarzer
E-Mail: thea-lisa.schwarze@rlk.uk-essen.de
Tel.: 0201-433-4698
&
Frau Jessica Zmudzinski
E-Mail: Jessica.Zmudzinski@rlk.uk-essen.de
Tel.: 0201-433-4893

Frankfurt a. M. | Universitätsklinikum Frankfurt

Frankfurt a. M. | Universitätsklinikum Frankfurt
Medizinische Klinik 1, Schwerpunkt Pneumologie und Allergologie
Dr. Wolfgang Gleiber, Dr. Julius Kohlhäufl

Contact:
Studienambulanz Pneumologie
Tel.: 069 6301 84301
E-Mail: pneumo.studien@kgu.de

Gießen/Marburg | Universitätsklinikum Gießen u. Marburg GmbH

Gießen/ Marburg | Universitätsklinikum Gießen u. Marburg GmbH
Standort Marburg
Klinik für Pneumologie, Schlaf- und Intensivmedizin Sektion Atemwegsinfektionen
Prof. Dr. Claus Vogelmeier, Prof. Dr. Bernd Schmeck

Contact:
Frau Ute Wissner
E-Mail: ute.wissner@uni-marburg.de
Tel.: 06421-58-69062

Hannover | Medizinische Hochschule Hannover

Hannover | Medizinische Hochschule Hannover
Klinik für Pneumologie und Infektiologie
Carl-Neuberg-Straße 1, 30625 Hannover
Prof Dr. Felix Ringshausen

Contact:
Frau Annika Bock
E-Mail: Bock.annika@mh-hannover.de
Tel.: 0511 532 3661

Berlin | HELIOS Klinikum Emil von Behring GmbH

Berlin | HELIOS Klinikum Emil von Behring GmbH
Lungenklinik Heckesborn, Walterhöfestr. 11, 14165 Berlin
Dr. med. David Krieger, Prof. Dr. med. Torsten Gerriet Blum

Contact:
Jessica Gallisch
E-Mail: Jessica.Gallisch@helios-gesundheit.de
Tel.: 030 8102 6132

Köln | Krankenhaus der Augustinerinnen “Severinsklösterchen”

Köln | Krankenhaus der Augustinerinnen “Severinsklösterchen”
Klinik für Pneumologie, Allergologie, Schlaf- und Beatmungsmedizin
PD Dr. med. Urte Sommerwerck, Dr. med. Agnieszka Ryba, Dr. Tobias Winermantel

Contact:
Linda Kunz
E-Mail: LKunz@severinskloesterchen.de
Tel.: +49 221 3308-5421

Lübeck | Universitätsklinikum Schleswig-Holstein – Campus Lübeck

Lübeck | Universitätsklinikum Schleswig-Holstein – Campus Lübeck
Medizinische Klinik III – Pulmologie, Ratzeburger Allee 160, 23528 Lübeck
PD Dr. Daniel Drömann, Dr. Patrick Parschke

Contact:
Tel.: 0451 500 45002
E-Mail: studienzentrum.pneumologie-infektiologie@uksh.de

München | LMU Klinikum Medizinische Klinik und Poliklinik V

München | LMU Klinikum Medizinische Klinik und Poliklinik V,
Campus Innenstadt, Ziemsstr. 1, 80336 Münschen
Dr. Pontus Mertsch, Dr. Susanne Nährig

Contact:
E-Mail: Pontus.Mertsch@med.uni-muenchen.de
Tel.: 089 440052209

Stuttgart | Robert Bosch Krankenhaus – Lungenzentrum Stuttgart

Stuttgart | Robert Bosch Krankenhaus – Lungenzentrum Stuttgart
Abteilung Pneumologie und Beatmungsmedizin
Dr. med. Joana Paderewska

Contact:
Nina Lutz
E-Mail: nina.lutz@rbk.de
Tel.: +49 711 8101-7628

Wangen | Waldburg-Zeil Kliniken, Fachkliniken Wangen
Klinik für Pneumologie

Wangen | Waldburg-Zeil Kliniken, Fachkliniken Wangen
Klinik für Pneumologie
Dr. med. Philipp Meyn. Dr. med. Dominik Harzheim

Contact:
Susanne Hirschmann
E-Mail: Susanne.Hirschmann@wz-kliniken.de 
Tel.: +49 (0) 7522 797-1037