Overview

Inhalations of Ultra-low Doses of Melphalan for the Treatment of Non-cystic Fibrosis Bronchiectasis

Status:
Recruiting
Trial end date:
2021-12-30
Target enrollment:
0
Participant gender:
All
Summary
This non-randomised open-label prospective pilot study evaluates the safety and efficacy of inhalations of ultra-low doses of alkylating drug melphalan for the treatment of non-cystic fibrosis bronchiectasis. All patients will receive 0,1 mg of melphalan in 5 daily inhalations 1 time per day.
Phase:
Phase 2
Accepts Healthy Volunteers?
No
Details
Lead Sponsor:
Federal State Budgetary Institution, Pulmonology Scientific Research Institute
Collaborator:
Moscow State University of Medicine and Dentistry
Treatments:
Melphalan
Criteria
Inclusion Criteria:

- Signed informed consent form

- Established diagnosis witn CT scan of non-cystic fibrosis bronchiectasis more than 12
months before the screening visit.

- Sputum expectoration not less than 3 months per year during more than 2 consecutive
years

- Willing of the patient for cooperation

Non-Inclusion Criteria:

- Pregnant and lactating women and all women who are physiologically capable of becoming
pregnant, who do not agree to use one or more of the following effective methods of
contraception: intrauterine device or intrauterine system; hormonal contraception
(implantable and oral preparations, patches); barrier methods of contraception; male
sterilization (with appropriate documentation after a vasectomy about the absence of
sperm in the ejaculate).

Effective contraception is used throughout the study until the last visit. "True
abstinence" is acceptable only if it corresponds to the patient's preferred and habitual
way of life.

Postmenopausal women (physiological menopause is defined as "no menstruation for 12
consecutive months") and women who have undergone sterilization surgery (for example, tubal
occlusion, hysterectomy or bilateral salpingectomy) can be included in the study.

- A history of cystic fibrosis.

- Any exacerbation of respiratory infection requiring the use of systemic
corticosteroids and / or antibiotics or hospitalization, which developed after the
signing of the informed consent form and before the randomization visit (day 1, start
of treatment). The criterion should be specified during the randomization visit.

- The presence of hemoptysis at the time of inclusion in the study.

- The presence of diseases of the respiratory tract, in addition to bronchiectasis,
which can affect the effectiveness of the study drug and patient safety. Such
conditions may include, among others, active tuberculosis, lung cancer, sarcoidosis,
chronic obstructive pulmonary disease (COPD) IV (GOLD, 2017), uncontrolled bronchial
asthma with respiratory failure, high pulmonary hypertension (> 25 mm Hg),
interstitial lung disease, etc.

- Patients with a clinical significant disease of the cardiovascular system (for
example, unstable angina, chronic heart failure New York Heart Association (NYHA) III
/ IV, acute myocardial infarction (within 6 months before inhalation of 1 dose), etc.

- Atrial fibrillation patients.

- Clinical significant 12-lead ECG abnormalities that may affect patient safety. The
corrected QT interval (QTc) interval on the electrocardiogram (ECG in 12 leads) is
more than 450 ms for men and more than 470 ms for women on screening and randomization
visits.

- A history of hypersensitivity to any of the substances used in the study.

- Clinically significant deviations of laboratory parameters, indicating a significant
or unstable concomitant disease, which may affect the effectiveness of the study drug
or patient safety.

- Hemostasis deviation within 1 month before the first inhalation of the study drug,
including confirmed:

- Hemoglobin <10 g / 100 ml;

- White blood cell count <3.0 x 10*9 / L;

- The absolute number of neutrophils ≤ 1.5 x 10*9 / L;

- Platelet count <100 x 10*9 / L.

- Unstable concomitant disease, such as uncontrolled hyperthyroidism, uncontrolled
diabetes or other endocrine diseases; significant impairment of liver and kidney
function; uncontrolled gastrointestinal diseases (for example, active peptic ulcer);
uncontrolled neurological diseases; uncontrolled hematological diseases; uncontrolled
autoimmune diseases or other diseases that, according to the researcher, may affect
the effectiveness of the study drug and patient safety.

- Alcohol and/or drugs abuse 12 months before screening visit.

- Failure to perform tests to evaluate external respiration function, perform research
procedures, or adhere to the treatment schedule provided for in the study.

- Participation in another clinical trial in which the study drug was administered less
than 8 weeks before the screening visit.

Exclusion criteria:

- Informed consent withdrawn by the patient.

- The patient doesn't follow the instructions of the research staff regarding the
requirements of the research protocol.

- Unable to contact patient.

- The researcher believes that participation in the study is not in the interests of the
patient and / or further participation in the study is unsafe for the patient's
health.

- There is a violation of the criteria for inclusion and / or non-inclusion in the
study.

- The patient has developed adverse event, which, according to the researcher, makes
further participation in the study unsafe for the patient.

- The licensing authority or ethics committee, for any reason, decides to discontinue
the entire study or close this research center.

- A female patient becomes pregnant, is planning a pregnancy, or is breastfeeding while
participating in this study.