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Antibiotic treatment for nontuberculous mycobacteria lung infection in people with cystic fibrosis

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Referencias

References to studies awaiting assessment

Olivier 2014 {published data only}

NCT01315236. Arikace® for Nontuberculous Mycobacteria. www.clinicaltrials.gov/ct2/show/NCT01315236?term=arikace&rank=4 (accessed 01 October 2012). [ClinicalTrials.gov identifier: NCT01315236]
Olivier KN, Eagle G, McGinnis II JP, Micioni L, Daley CL, Winthrop KL, et al. Randomized, double‐blind, placebo‐controlled, open‐label study of liposomal amikacin for inhalation (LAI) in patients with recalcitrant nontuberculous mycobacterial lung disease (NTM‐LD) [abstract]. Pediatric Pulmonology 2014;49 Suppl 38:321, Abstract no: 293. [CENTRAL: 1012528; CFGD Register: PI281; CRS: 5500131000000183]

Aitken 2012

Aitken ML, Limaye A, Pottinger P, Whimbey E, Goss CH, Tonelli MR, et al. Respiratory outbreak of Mycobacterium abscessus subspecies massiliense in a lung transplant and cystic fibrosis center. American Journal of Respiratory and Critical Care Medicine 2012;185(2):231‐2. [PUBMED: 22246710]

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Choi GE,  Shin SJ,  Won CJ,  Min KN,  Oh T,  Hahn MY, et al. Macrolide treatment for Mycobacterium abscessus and M. massiliense infection and inducible resistance. American Journal of Respiratory and Critical Care Medicine 2012 Aug 9 [Epub ahead of print].

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Esther CR, Esserman DA, Gilligan P, Kerr A, Noone PG. Chronic Mycobacterium abscessus infection and lung function decline in cystic fibrosis. Journal of Cystic Fibrosis 2010;9(2):117‐23.

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Griffith 2007

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Higgins 2011a

Higgins JPT, Deeks JJ (editors). Chapter 7: Selecting studies and collecting data. In: Higgins JPT, Green S (editors). Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0 [updated March 2011]. The Cochrane Collaboration, 2011. Available from www.cochrane‐handbook.org.

Higgins 2011b

Higgins JPT, Altman DG (editors). Chapter 8: Assessing risk of bias in included studies. In: Higgins JPT, Green S (editors). Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0 [updated March 2011]. The Cochrane Collaboration, 2011. Available from www.cochrane‐handbook.org.

Higgins 2011c

Higgins JPT, Deeks JJ, Altman DG on behalf of the CSMG. Chapter 16: Special topics in statistics. In: Higgins JPT, Green S (editors). Cochrane Handbook of Systematic Reviews of Interventions. Version 5.1 [updated March 2011]. The Cochrane Collaboration, 2011. Available from www.cochrane‐handbook.org.

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Jeon 2009

Jeon K,  Kwon OJ,  Lee NY,  Kim BJ,  Kook YH,  Lee SH, et al. Antibiotic treatment of Mycobacterium abscessus lung disease: a retrospective analysis of 65 patients. American Journal of Respiratory and Critical Care Medicine 2009;180(9):896‐902.

Levy 2008

Levy I, Grisaru‐Soen G, Lerner‐Geva L, Kerem E, Blau H, Bentur L, et al. Multicenter cross‐sectional study of nontuberculous mycobacterial infections among cystic fibrosis patients, Israel. Emerging Infectious Diseases 2008;14(3):378‐84. [PUBMED: 18325250]

Mandell 2010

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Maniu CV,  Hellinger WC,  Chu SY,  Palmer R,  Alvarez‐Elcoro S. Failure of treatment for chronic Mycobacterium abscessus meningitis despite adequate clarithromycin levels in cerebrospinal fluid. Clinical Infectious Diseases 2001;33(5):745‐8.

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Nash 2009

Nash KA, Brown‐Elliott BA, Wallace RJ. A novel gene, erm (41), confers inducible macrolide resistance to clinical isolates of Mycobacterium abscessus but is absent from Mycobacterium chelonae. Antimicrobial Agents and Chemotherapy 2009;53(4):1367‐76.

Olivier 2003

Olivier KN, Weber DJ, Lee JH, Handler A, Tudor G, Molina PL, et al. Nontuberculous mycobacteria. II: nested‐cohort study of impact on cystic fibrosis lung disease. American Journal of Respiratory and Critical Care Medicine 2003;167(6):828‐34. [PUBMED: 12433669]

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Wallace RJ, Brown BA, Griffith DE, Girard WM, Murphy DT, Onyi GO, et al. Initial clarithromycin monotherapy for Mycobacterium avium‐intracellulare complex lung disease. American Journal of Respiratory and Critical Care Medicine 1994;149(5):1335‐41.

Wallace 1996

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Wallace 2002

Wallace RJ, Brown‐Elliott BA, Crist CJ, Mann L, Wilson RW. Comparison of the in vitro activity of the glycylcycline tigecycline (formerly GAR‐936) with those of tetracycline, minocycline, and doxycycline against isolates of nontuberculous mycobacteria. Antimicrobial Agents and Chemotherapy 2002;46(10):3164‐7. [PUBMED: 12234839]

Waters 2012a

Waters V. New treatments for emerging cystic fibrosis pathogens other than Pseudomonas. Current Pharmaceutical Design 2012;18(5):696‐725.

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References to other published versions of this review

Waters 2012b

Waters V, Ratjen F. Antibiotic treatment for nontuberculous mycobacteria lung infection in people with cystic fibrosis. Cochrane Database of Systematic Reviews 12, Issue 7. [DOI: 10.1002/14651858.CD010004]

Waters 2012c

Waters V, Ratjen F. Antibiotic treatment for nontuberculous mycobacteria lung infection in people with cystic fibrosis. Cochrane Database of Systematic Reviews 2012, Issue 12. [DOI: 10.1002/14651858.CD010004.pub2]

Characteristics of studies

Characteristics of studies awaiting assessment [ordered by study ID]

Olivier 2014

Methods

Randomized (1:1), double‐blind, placebo‐controlled trial.
Participants to visit the clinic about every 28 days for efficacy, safety and tolerability evaluations.

Participants

Adults (both with CF and without CF) with recalcitrant non‐tuberculous mycobacterial lung disease on a stable multi‐drug regimen.

Eligible age range 18 to 75 years.

Estimated number to recruit: 100.

Interventions

Liposomal amikacin (Arikace®, 560 mg) for inhalation once daily using the PARI Investigational eFlow® Nebulizer (administration time approximately 13 minutes) or placebo (administration procedures, volume and administration time is the same as for Arikace®).

Randomized treatment period planned for 84 days (Arikace® and placebo) with an option for 84 additional days of dosing with Arikace® in the open label extension.

Outcomes

Primary outcome

  • Change in semi‐quantitative mycobacterial culture results from baseline to end of treatment

Secondary outcomes

  • Proportion of subjects with culture conversion to negative

  • Time to 'rescue' anti‐mycobacterial drugs

  • Change from baseline in 6‐minute walk distance and oxygen saturation

  • Change from baseline in patient‐reported outcomes

  • Evaluation of safety and tolerability

Notes

PI confirmed inclusion of participants with CF.

Supported by Insmed Incorporated.