CFDB - Cystic Fibrosis DataBase

primary studies published RCT

A phase 3, open-label, randomized trial to evaluate the safety and efficacy of levofloxacin inhalation solution (APT-1026) versus tobramycin inhalation solution in stable cystic fibrosis patients

Study design (if review, criteria of inclusion for studies)

multinational, randomized (2:1), non-inferiority study

Participants

CF patients ≥12years old with chronic P. aeruginosa infection.

Interventions

APT-1026 (levofloxacin inhalation solution, LIS) vs tobramycin inhalation solution (TIS) over three 28-day on/off cycles.

Outcome measures

Day 28 FEV1 % predicted relative change was the primary endpoint. Time to exacerbation and patient-reported quality of life were among secondary endpoints.

Main results

Baseline demographics for 282 subjects were comparable. Non-inferiority was demonstrated (1.86% predicted mean FEV1 difference [95% CI -0.66 to 4.39%]). LIS was well-tolerated, with dysgeusia (taste distortion) as the most frequent adverse event.

Authors' conclusions

LIS is a safe and effective therapy for the management of CF patients with chronic P. aeruginosa infection.

Keywords: Adult; aeroquin; Aged; Anti-Bacterial Agents; Child; Inhalation OR nebulised; levofloxacin; pharmacological_intervention; Tobramycin; Bacterial Infections; Respiratory Tract Infections; Respiratory Tract Diseases; Infection; Quinolones; Aminoglycosides; Pseudomonas aeruginosa; Pseudomonas;