KL₄Surfactant Treatment in Patients With ARDS

Sponsor
Windtree Therapeutics (Industry)
Overall Status
Terminated
CT.gov ID
NCT00215553
Collaborator
(none)
124
1
7
57.1
2.2

Study Details

Study Description

Brief Summary

Lung wash with KL₄Surfactant of individual lung segments using a bronchoscope compared to usual care alone consisting primarily of assisted (mechanical) ventilation in patients with acute respiratory distress syndrome(ARDS).

Condition or Disease Intervention/Treatment Phase
  • Drug: A.1 Lucinactant
  • Other: B.3 SoC
  • Drug: A.2 Lucinactant
  • Drug: A.3 Lucinactant
  • Drug: A.4 Lucinactant
  • Drug: B.1 Lucinactant
  • Drug: B.2 Lucinactant
Phase 2

Detailed Description

This is a multinational, multicenter, two-part, Phase 2 study that will evaluate the tolerability, safety, and efficacy of KL₄Surfactant in adult ARDS patients when administered by sequential bronchoscopic lavage into each of the 19 bronchopulmonary segments of the lung and as a bolus instillation into each lung.

Study Design

Study Type:
Interventional
Actual Enrollment :
124 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
A Multicenter, Randomized, Controlled Trial Comparing the Safety and Effectiveness of SURFAXIN® (Lucinactant) Delivered Via Bronchopulmonary Segmental Lavage to Standard of Care in Patients With Acute Respiratory Distress Syndrome (ARDS).
Study Start Date :
May 1, 2001
Actual Primary Completion Date :
Feb 1, 2006
Actual Study Completion Date :
Feb 1, 2006

Arms and Interventions

Arm Intervention/Treatment
Experimental: A.1 Lucinactant

3 30-mL aliquots per bronchopulmonary segment using concentrations of 5, 5, and 10 mg/mL total phopholipids. One re-treatment at 48 hours.

Drug: A.1 Lucinactant
3 30 mL aliquots at concentrations of 5, 5, and 10 mg/mL
Other Names:
  • KL₄Surfactant
  • Experimental: A.2 Lucinactant

    3 30-mL aliquots per bronchopulmonary segment using concentrations of 10, 10, and 10 mg/mL total phospholipids. One lavage re-treatment at 48 hours.

    Drug: A.2 Lucinactant
    3 30 mL aliquots at a concentration of 10 mg/mL each
    Other Names:
  • KL₄Surfactant
  • Experimental: A.3 Lucinactant

    2 50-mL aliquots per bronchopulmonary segment using concentrations of 10 and 20 mg/mL total phospholipids. One lavage re-treatment at 48 hours.

    Drug: A.3 Lucinactant
    2 50 mL aliquots at concentrations of 10 and 20 mg/mL
    Other Names:
  • KL₄Surfactant
  • Experimental: A.4 Lucinactant

    2 50-mL aliquots per bronchopulmonary segment using concentrations of 10 and 20 mg/mL total phospholipids (TPL). One re-treatment at 48 hours. One bolus re-treatment (20 mg/mL TPL) in another 48 hours. A second bolus re-treatment (20 mg/mL TPL) administered 48 hours later.

    Drug: A.4 Lucinactant
    2 50 mL aliquots at concentrations of 10 and 20 mg/mL, with bolus re-treatment allowed
    Other Names:
  • KL₄Surfactant
  • Experimental: B.1 Lucinactant

    2 50-mL aliquots per bronchopulmonary segment using concentrations of 10 and 20 mg/mL total phospholipids. One lavage re-treatment at 48 hours.

    Drug: B.1 Lucinactant
    2 50 mL aliquots at concentrations of 10 and 20 mg/mL
    Other Names:
  • KL₄Surfactant
  • Experimental: B.2 Lucinactant

    2 50-mL aliquots per bronchopulmonary segment using concentrations of 10 and 20 mg/mL total phospholipids (TPL). One re-treatment at 48 hours. One bolus re-treatment (20 mg/mL TPL) in another 48 hours. A second bolus re-treatment (20 mg/mL TPL) administered 48 hours later.

    Drug: B.2 Lucinactant
    2 50 mL aliquots at concentrations of 10 and 20 mg/mL, with bolus re-treatment allowed
    Other Names:
  • KL₄Surfactant
  • Other: B.3 SoC

    Received standard ARDS management and ICU care (Standard of Care [SOC]). Included, but was not limited to, support with oxygen, conventional mechanical ventilation, sedations, and paralysis.

    Other: B.3 SoC
    Standard ARDS management and ICU care
    Other Names:
  • Negative control
  • Outcome Measures

    Primary Outcome Measures

    1. Incidence of Patients Being Alive and Not Receiving Mechanical Ventilation for ≥48 Hours at the End of Day 28. [Through 28 days]

    Secondary Outcome Measures

    1. Mortality [Through 28 days]

    2. Days in ICU [Through 28 days]

      Number of days in ICU

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    16 Years to 75 Years
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    • Intubated and required mechanical ventilation support

    • Met the criteria for ARDS

    • Partial pressure of oxygen/fraction of inspired oxygen (PaO2/FiO2) ≤ 200 mmHg and ≥ 60 mmHg within 60 minutes before randomization

    • Mean blood pressure was ≥ 60 mmHg immediately before randomization

    Exclusion Criteria:
    • Had ARDS due solely to a major trauma

    • Was currently participating in another clinical trial or received an experimental drug or device within the previous month

    • A woman of childbearing age, unless pregnancy was excluded by a negative urine hCG test or if the subject was surgically incapable of childbearing

    • Had a previous episode of ARDS that resolved and then recurred during the current hospitalization

    • Had a disease that was sufficiently advanced, in the best judgment of the Principal Investigator, to markedly limit life expectancy to < 6 months

    • Was known to have AIDS or symptomatic HIV (CD4 counts <500). Subjects with asymptomatic HIV were not excluded

    • Received chemotherapy or radiation within the previous 90 days

    • Received an organ transplant other than corneal transplants

    • Received, or was currently receiving, immunosuppression therapy within the last 6 months

    • Had severe neurological damage or the presence of a disease that was likely to significantly prevent weaning from the ventilator

    • Had a best Glasgow Coma Score (GCS) of ≤ 8 or an intracranial pressure ≥ 20 cm H2O prior to the institution of sedatives or paralysis

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Discovery Laboratories, Inc. Warrington Pennsylvania United States 18976-3646

    Sponsors and Collaborators

    • Windtree Therapeutics

    Investigators

    • Study Director: Timothy J Gregory, PhD, Windtree Therapeutics

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    Windtree Therapeutics
    ClinicalTrials.gov Identifier:
    NCT00215553
    Other Study ID Numbers:
    • KL4-ARDS-04
    First Posted:
    Sep 22, 2005
    Last Update Posted:
    Aug 9, 2018
    Last Verified:
    Jul 1, 2018

    Study Results

    Participant Flow

    Recruitment Details Recruitment occurred between May 2001 to February 2006 in hospital ICUs
    Pre-assignment Detail
    Arm/Group Title A.1 Lucinactant A.2 Lucinactant A.3 Lucinactant A.4 Lucinactant B.1 Lucinactant B.2 Lucinactant B.3 SoC
    Arm/Group Description 3 30-mL aliquots per bronchopulmonary segment using concentrations of 5, 5, and 10 mg/mL total phopholipids. One re-treatment at 48 hours. 3 30-mL aliquots per bronchopulmonary segment using concentrations of 10, 10, and 10 mg/mL total phospholipids. One lavage re-treatment at 48 hours. 2 50-mL aliquots per bronchopulmonary segment using concentrations of 10 and 20 mg/mL total phospholipids. One lavage re-treatment at 48 hours. 2 50-mL aliquots per bronchopulmonary segment using concentrations of 10 and 20 mg/mL total phospholipids (TPL). One re-treatment at 48 hours. One bolus re-treatment (20 mg/mL TPL) in another 48 hours. A second bolus re-treatment (20 mg/mL TPL) administered 48 hours later. 2 50-mL aliquots per bronchopulmonary segment using concentrations of 10 and 20 mg/mL total phospholipids. One lavage re-treatment at 48 hours. 2 50-mL aliquots per bronchopulmonary segment using concentrations of 10 and 20 mg/mL total phospholipids (TPL). One re-treatment at 48 hours. One bolus re-treatment (20 mg/mL TPL) in another 48 hours. A second bolus re-treatment (20 mg/mL TPL) administered 48 hours later. Received standard ARDS management and ICU care. Included, but was not limited to, support with oxygen, conventional mechanical ventilation, sedations, and paralysis.
    Period Title: Overall Study
    STARTED 5 6 6 5 28 38 36
    COMPLETED 5 5 4 4 26 32 36
    NOT COMPLETED 0 1 2 1 2 6 0

    Baseline Characteristics

    Arm/Group Title A.1 Lucinactant A.2 Lucinactant A.3 Lucinactant A.4 Lucinactant B.1 Lucinactant B.2 Lucinactant B.3 SoC Total
    Arm/Group Description 3 30-mL aliquots per bronchopulmonary segment using concentrations of 5, 5, and 10 mg/mL total phopholipids. One re-treatment at 48 hours. 3 30-mL aliquots per bronchopulmonary segment using concentrations of 10, 10, and 10 mg/mL total phospholipids. One lavage re-treatment at 48 hours. 2 50-mL aliquots per bronchopulmonary segment using concentrations of 10 and 20 mg/mL total phospholipids. One lavage re-treatment at 48 hours. 2 50-mL aliquots per bronchopulmonary segment using concentrations of 10 and 20 mg/mL total phospholipids (TPL). One re-treatment at 48 hours. One bolus re-treatment (20 mg/mL TPL) in another 48 hours. A second bolus re-treatment (20 mg/mL TPL) administered 48 hours later. 2 50-mL aliquots per bronchopulmonary segment using concentrations of 10 and 20 mg/mL total phospholipids. One lavage re-treatment at 48 hours. 2 50-mL aliquots per bronchopulmonary segment using concentrations of 10 and 20 mg/mL total phospholipids (TPL). One re-treatment at 48 hours. One bolus re-treatment (20 mg/mL TPL) in another 48 hours. A second bolus re-treatment (20 mg/mL TPL) administered 48 hours later. Received standard ARDS management and ICU care. Included, but was not limited to, support with oxygen, conventional mechanical ventilation, sedations, and paralysis. Total of all reporting groups
    Overall Participants 5 6 6 5 28 38 36 124
    Age (Count of Participants)
    <=18 years
    1
    20%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    1
    0.8%
    Between 18 and 65 years
    2
    40%
    5
    83.3%
    5
    83.3%
    5
    100%
    26
    92.9%
    32
    84.2%
    32
    88.9%
    107
    86.3%
    >=65 years
    2
    40%
    1
    16.7%
    1
    16.7%
    0
    0%
    2
    7.1%
    6
    15.8%
    4
    11.1%
    16
    12.9%
    Age (years) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [years]
    52.7
    (24.0)
    50.5
    (17.1)
    45.6
    (16.0)
    41.6
    (6.2)
    46.3
    (12.5)
    51.8
    (13.0)
    47.3
    (12.6)
    48.5
    (13.1)
    Sex: Female, Male (Count of Participants)
    Female
    3
    60%
    2
    33.3%
    4
    66.7%
    1
    20%
    9
    32.1%
    22
    57.9%
    16
    44.4%
    57
    46%
    Male
    2
    40%
    4
    66.7%
    2
    33.3%
    4
    80%
    19
    67.9%
    16
    42.1%
    20
    55.6%
    67
    54%
    Region of Enrollment (participants) [Number]
    United States
    5
    100%
    6
    100%
    6
    100%
    5
    100%
    25
    89.3%
    32
    84.2%
    23
    63.9%
    102
    82.3%
    Canada
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    3
    10.7%
    5
    13.2%
    9
    25%
    17
    13.7%
    Russian Federation
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    1
    2.6%
    4
    11.1%
    5
    4%

    Outcome Measures

    1. Primary Outcome
    Title Incidence of Patients Being Alive and Not Receiving Mechanical Ventilation for ≥48 Hours at the End of Day 28.
    Description
    Time Frame Through 28 days

    Outcome Measure Data

    Analysis Population Description
    In Part A, 5 subjects provided a reasonable cohort to adequately examine the safety of each treatment regimen. In Part B, 30 subjects were planned to be enrolled in each treatment group (a total of 90 subjects), enough to calculate the dose response curve. Analyses conducted on Intent-to-Treat population (all enrolled subjects).
    Arm/Group Title A.1 Lucinactant A.2 Lucinactant A.3 Lucinactant A.4 Lucinactant B.1 Lucinactant B.2 Lucinactant B.3 SoC
    Arm/Group Description 3 30-mL aliquots per bronchopulmonary segment using concentrations of 5, 5, and 10 mg/mL total phopholipids. One re-treatment at 48 hours. 3 30-mL aliquots per bronchopulmonary segment using concentrations of 10, 10, and 10 mg/mL total phospholipids. One lavage re-treatment at 48 hours. 2 50-mL aliquots per bronchopulmonary segment using concentrations of 10 and 20 mg/mL total phospholipids. One lavage re-treatment at 48 hours. 2 50-mL aliquots per bronchopulmonary segment using concentrations of 10 and 20 mg/mL total phospholipids (TPL). One re-treatment at 48 hours. One bolus re-treatment (20 mg/mL TPL) in another 48 hours. A second bolus re-treatment (20 mg/mL TPL) administered 48 hours later. 2 50-mL aliquots per bronchopulmonary segment using concentrations of 10 and 20 mg/mL total phospholipids. One lavage re-treatment at 48 hours. 2 50-mL aliquots per bronchopulmonary segment using concentrations of 10 and 20 mg/mL total phospholipids (TPL). One re-treatment at 48 hours. One bolus re-treatment (20 mg/mL TPL) in another 48 hours. A second bolus re-treatment (20 mg/mL TPL) administered 48 hours later. Received standard ARDS management and ICU care. Included, but was not limited to, support with oxygen, conventional mechanical ventilation, sedations, and paralysis.
    Measure Participants 5 6 6 5 28 38 36
    Number [participants]
    2
    40%
    4
    66.7%
    4
    66.7%
    5
    100%
    20
    71.4%
    26
    68.4%
    29
    80.6%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection B.1 Lucinactant, B.2 Lucinactant
    Comments Null hypothesis: No difference between treatment groups
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.794
    Comments
    Method Cochran-Mantel-Haenszel
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection B.2 Lucinactant, B.3 SoC
    Comments Null hypothesis: No difference between treatment groups
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.236
    Comments
    Method Cochran-Mantel-Haenszel
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection B.1 Lucinactant, B.3 SoC
    Comments Null hypothesis: No difference between treatment groups
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.396
    Comments
    Method Cochran-Mantel-Haenszel
    Comments
    2. Secondary Outcome
    Title Mortality
    Description
    Time Frame Through 28 days

    Outcome Measure Data

    Analysis Population Description
    In Part A, 5 subjects provided a reasonable cohort to adequately examine the safety of each treatment regimen. In Part B, 30 subjects were planned to be enrolled in each treatment group (a total of 90 subjects), enough to calculate the dose response curve. Analyses conducted on Intent-to-Treat population (all enrolled subjects).
    Arm/Group Title A.1 Lucinactant A.2 Lucinactant A.3 Lucinactant A.4 Lucinactant B.1 Lucinactant B.2 Lucinactant B.3 SoC
    Arm/Group Description 3 30-mL aliquots per bronchopulmonary segment using concentrations of 5, 5, and 10 mg/mL total phopholipids. One re-treatment at 48 hours. 3 30-mL aliquots per bronchopulmonary segment using concentrations of 10, 10, and 10 mg/mL total phospholipids. One lavage re-treatment at 48 hours. 2 50-mL aliquots per bronchopulmonary segment using concentrations of 10 and 20 mg/mL total phospholipids. One lavage re-treatment at 48 hours. 2 50-mL aliquots per bronchopulmonary segment using concentrations of 10 and 20 mg/mL total phospholipids (TPL). One re-treatment at 48 hours. One bolus re-treatment (20 mg/mL TPL) in another 48 hours. A second bolus re-treatment (20 mg/mL TPL) administered 48 hours later. 2 50-mL aliquots per bronchopulmonary segment using concentrations of 10 and 20 mg/mL total phospholipids. One lavage re-treatment at 48 hours. 2 50-mL aliquots per bronchopulmonary segment using concentrations of 10 and 20 mg/mL total phospholipids (TPL). One re-treatment at 48 hours. One bolus re-treatment (20 mg/mL TPL) in another 48 hours. A second bolus re-treatment (20 mg/mL TPL) administered 48 hours later. Received standard ARDS management and ICU care. Included, but was not limited to, support with oxygen, conventional mechanical ventilation, sedations, and paralysis.
    Measure Participants 5 6 6 5 28 38 36
    Number [participants]
    3
    60%
    2
    33.3%
    0
    0%
    0
    0%
    4
    14.3%
    9
    23.7%
    5
    13.9%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection B.1 Lucinactant, B.2 Lucinactant
    Comments
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.346
    Comments
    Method Cochran-Mantel-Haenszel
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection B.2 Lucinactant, B.3 SoC
    Comments
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.286
    Comments
    Method Cochran-Mantel-Haenszel
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection B.1 Lucinactant, B.3 SoC
    Comments
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.964
    Comments
    Method Cochran-Mantel-Haenszel
    Comments
    3. Secondary Outcome
    Title Days in ICU
    Description Number of days in ICU
    Time Frame Through 28 days

    Outcome Measure Data

    Analysis Population Description
    In Part A, 5 subjects provided a reasonable cohort to adequately examine the safety of each treatment regimen. In Part B, 30 subjects were planned to be enrolled in each treatment group (a total of 90 subjects), enough to calculate the dose response curve. Analyses conducted on Intent-to-Treat population (all enrolled subjects).
    Arm/Group Title A.1 Lucinactant A.2 Lucinactant A.3 Lucinactant A.4 Lucinactant B.1 Lucinactant B.2 Lucinactant B.3 SoC
    Arm/Group Description 3 30-mL aliquots per bronchopulmonary segment using concentrations of 5, 5, and 10 mg/mL total phopholipids. One re-treatment at 48 hours. 3 30-mL aliquots per bronchopulmonary segment using concentrations of 10, 10, and 10 mg/mL total phospholipids. One lavage re-treatment at 48 hours. 2 50-mL aliquots per bronchopulmonary segment using concentrations of 10 and 20 mg/mL total phospholipids. One lavage re-treatment at 48 hours. 2 50-mL aliquots per bronchopulmonary segment using concentrations of 10 and 20 mg/mL total phospholipids (TPL). One re-treatment at 48 hours. One bolus re-treatment (20 mg/mL TPL) in another 48 hours. A second bolus re-treatment (20 mg/mL TPL) administered 48 hours later. 2 50-mL aliquots per bronchopulmonary segment using concentrations of 10 and 20 mg/mL total phospholipids. One lavage re-treatment at 48 hours. 2 50-mL aliquots per bronchopulmonary segment using concentrations of 10 and 20 mg/mL total phospholipids (TPL). One re-treatment at 48 hours. One bolus re-treatment (20 mg/mL TPL) in another 48 hours. A second bolus re-treatment (20 mg/mL TPL) administered 48 hours later. Received standard ARDS management and ICU care. Included, but was not limited to, support with oxygen, conventional mechanical ventilation, sedations, and paralysis.
    Measure Participants 5 6 6 5 28 38 36
    Mean (Standard Deviation) [days]
    23.4
    (7.06)
    20.5
    (7.53)
    14.3
    (9.81)
    20.0
    (2.74)
    15.3
    (9.01)
    19.9
    (7.66)
    17.4
    (8.10)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection B.1 Lucinactant, B.2 Lucinactant
    Comments
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.028
    Comments
    Method ANOVA
    Comments ANOVA on ranks
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection B.2 Lucinactant, B.3 SoC
    Comments
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.147
    Comments
    Method ANOVA
    Comments ANOVA on ranks
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection B.1 Lucinactant, B.3 SoC
    Comments
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.293
    Comments
    Method ANOVA
    Comments ANOVA on ranks

    Adverse Events

    Time Frame 28 days
    Adverse Event Reporting Description
    Arm/Group Title A.1 Lucinactant A.2 Lucinactant A.3 Lucinactant A.4 Lucinactant B.1 Lucinactant B.2 Lucinactant B.3 SoC
    Arm/Group Description 3 30-mL aliquots per bronchopulmonary segment using concentrations of 5, 5, and 10 mg/mL total phopholipids. One re-treatment at 48 hours. 3 30-mL aliquots per bronchopulmonary segment using concentrations of 10, 10, and 10 mg/mL total phospholipids. One lavage re-treatment at 48 hours. 2 50-mL aliquots per bronchopulmonary segment using concentrations of 10 and 20 mg/mL total phospholipids. One lavage re-treatment at 48 hours. 2 50-mL aliquots per bronchopulmonary segment using concentrations of 10 and 20 mg/mL total phospholipids (TPL). One re-treatment at 48 hours. One bolus re-treatment (20 mg/mL TPL) in another 48 hours. A second bolus re-treatment (20 mg/mL TPL) administered 48 hours later. 2 50-mL aliquots per bronchopulmonary segment using concentrations of 10 and 20 mg/mL total phospholipids. One lavage re-treatment at 48 hours. 2 50-mL aliquots per bronchopulmonary segment using concentrations of 10 and 20 mg/mL total phospholipids (TPL). One re-treatment at 48 hours. One bolus re-treatment (20 mg/mL TPL) in another 48 hours. A second bolus re-treatment (20 mg/mL TPL) administered 48 hours later. Received standard ARDS management and ICU care. Included, but was not limited to, support with oxygen, conventional mechanical ventilation, sedations, and paralysis.
    All Cause Mortality
    A.1 Lucinactant A.2 Lucinactant A.3 Lucinactant A.4 Lucinactant B.1 Lucinactant B.2 Lucinactant B.3 SoC
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total / (NaN) / (NaN) / (NaN) / (NaN) / (NaN) / (NaN) / (NaN)
    Serious Adverse Events
    A.1 Lucinactant A.2 Lucinactant A.3 Lucinactant A.4 Lucinactant B.1 Lucinactant B.2 Lucinactant B.3 SoC
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 4/5 (80%) 2/6 (33.3%) 1/6 (16.7%) 0/5 (0%) 10/28 (35.7%) 19/38 (50%) 13/36 (36.1%)
    Cardiac disorders
    Cardiac arrest 0/5 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/5 (0%) 0 0/28 (0%) 0 1/38 (2.6%) 1 1/36 (2.8%) 1
    Bradycardia NOS 0/5 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/5 (0%) 0 0/28 (0%) 0 1/38 (2.6%) 1 0/36 (0%) 0
    Pulmonary oedema 0/5 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/5 (0%) 0 0/28 (0%) 0 1/38 (2.6%) 1 0/36 (0%) 0
    Supraventricular tachycardia 0/5 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/5 (0%) 0 0/28 (0%) 0 1/38 (2.6%) 1 0/36 (0%) 0
    Cardio-respiratory arrest 0/5 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/5 (0%) 0 0/28 (0%) 0 1/38 (2.6%) 1 0/36 (0%) 0
    Ventricular arrythmia NOS 0/5 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/5 (0%) 0 0/28 (0%) 0 1/38 (2.6%) 1 0/36 (0%) 0
    Gastrointestinal disorders
    Gastrointestinal haemorrhage NOS 0/5 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/5 (0%) 0 1/28 (3.6%) 1 0/38 (0%) 0 0/36 (0%) 0
    Necrotising enterocolitis 0/5 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/5 (0%) 0 1/28 (3.6%) 1 0/38 (0%) 0 0/36 (0%) 0
    Colitis 0/5 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/5 (0%) 0 1/28 (3.6%) 1 0/38 (0%) 0 0/36 (0%) 0
    General disorders
    Death NOS 0/5 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/5 (0%) 0 0/28 (0%) 0 2/38 (5.3%) 2 0/36 (0%) 0
    Multi-organ failure 2/5 (40%) 2 1/6 (16.7%) 1 0/6 (0%) 0 0/5 (0%) 0 1/28 (3.6%) 1 2/38 (5.3%) 2 1/36 (2.8%) 1
    Haemorrhage NOS 0/5 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/5 (0%) 0 0/28 (0%) 0 1/38 (2.6%) 1 0/36 (0%) 0
    Hepatobiliary disorders
    Hepatic failure 0/5 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/5 (0%) 0 0/28 (0%) 0 0/38 (0%) 0 1/36 (2.8%) 1
    Infections and infestations
    Sepsis NOS 0/5 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0 0/5 (0%) 0 2/28 (7.1%) 2 2/38 (5.3%) 2 0/36 (0%) 0
    Septic shock 0/5 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/5 (0%) 0 0/28 (0%) 0 1/38 (2.6%) 1 1/36 (2.8%) 1
    Empyema NOS 0/5 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/5 (0%) 0 0/28 (0%) 0 1/38 (2.6%) 1 0/36 (0%) 0
    Lung abscess NOS 0/5 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/5 (0%) 0 0/28 (0%) 0 1/38 (2.6%) 1 0/36 (0%) 0
    Pneumonia pneumococcal 0/5 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0 0/5 (0%) 0 0/28 (0%) 0 0/38 (0%) 0 0/36 (0%) 0
    Pneumonia NOS 0/5 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/5 (0%) 0 0/28 (0%) 0 0/38 (0%) 0 1/36 (2.8%) 1
    Injury, poisoning and procedural complications
    Haemothorax 0/5 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/5 (0%) 0 0/28 (0%) 0 0/38 (0%) 0 1/36 (2.8%) 1
    Investigations
    Oxygen saturation decreased 0/5 (0%) 0 1/6 (16.7%) 1 0/6 (0%) 0 0/5 (0%) 0 0/28 (0%) 0 1/38 (2.6%) 1 0/36 (0%) 0
    Neurologic examination abnormality 0/5 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/5 (0%) 0 0/28 (0%) 0 0/38 (0%) 0 1/36 (2.8%) 1
    Blood pressure decreased 0/5 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/5 (0%) 0 0/28 (0%) 0 1/38 (2.6%) 1 0/36 (0%) 0
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Adenocarcinoma NOS 0/5 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/5 (0%) 0 0/28 (0%) 0 0/38 (0%) 0 1/36 (2.8%) 1
    Nervous system disorders
    Anoxic encephalopathy 0/5 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/5 (0%) 0 0/28 (0%) 0 2/38 (5.3%) 2 0/36 (0%) 0
    Metabolic encephalopathy 1/5 (20%) 1 0/6 (0%) 0 0/6 (0%) 0 0/5 (0%) 0 0/28 (0%) 0 0/38 (0%) 0 0/36 (0%) 0
    Confusion 0/5 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/5 (0%) 0 1/28 (3.6%) 1 0/38 (0%) 0 0/36 (0%) 0
    Hypoxic encephelopathy 0/5 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/5 (0%) 0 0/28 (0%) 0 1/38 (2.6%) 1 0/36 (0%) 0
    Polyneuropathy NOS 0/5 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/5 (0%) 0 0/28 (0%) 0 1/38 (2.6%) 1 0/36 (0%) 0
    Psychiatric disorders
    Agitation aggravated 0/5 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/5 (0%) 0 1/28 (3.6%) 1 0/38 (0%) 0 0/36 (0%) 0
    Renal and urinary disorders
    Renal failure NOS 1/5 (20%) 1 0/6 (0%) 0 0/6 (0%) 0 0/5 (0%) 0 1/28 (3.6%) 1 1/38 (2.6%) 1 1/36 (2.8%) 1
    Respiratory, thoracic and mediastinal disorders
    Acute respiratory distress syndrome 1/5 (20%) 2 0/6 (0%) 0 0/6 (0%) 0 0/5 (0%) 0 1/28 (3.6%) 1 1/38 (2.6%) 1 1/36 (2.8%) 1
    Hypoxia 1/5 (20%) 1 1/6 (16.7%) 1 1/6 (16.7%) 1 0/5 (0%) 0 4/28 (14.3%) 4 2/38 (5.3%) 2 2/36 (5.6%) 2
    Pleural effusion 0/5 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/5 (0%) 0 0/28 (0%) 0 2/38 (5.3%) 2 2/36 (5.6%) 3
    Pneumothorax NOS 1/5 (20%) 2 0/6 (0%) 0 0/6 (0%) 0 0/5 (0%) 0 4/28 (14.3%) 4 7/38 (18.4%) 10 0/36 (0%) 0
    Respiratory failure (exc neonatal) 0/5 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/5 (0%) 0 0/28 (0%) 0 1/38 (2.6%) 1 1/36 (2.8%) 1
    Respiratory gas exchange disorder 0/5 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/5 (0%) 0 0/28 (0%) 0 0/38 (0%) 0 1/36 (2.8%) 1
    Surgical and medical procedures
    Wound dehiscence 0/5 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/5 (0%) 0 0/28 (0%) 0 1/38 (2.6%) 1 0/36 (0%) 0
    Tracheostomy 0/5 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/5 (0%) 0 0/28 (0%) 0 0/38 (0%) 0 1/36 (2.8%) 1
    Subcutaneous emphysema 0/5 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/5 (0%) 0 0/28 (0%) 0 0/38 (0%) 0 1/36 (2.8%) 1
    Vascular disorders
    Hypotension NOS 0/5 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 1 0/5 (0%) 0 0/28 (0%) 0 1/38 (2.6%) 1 0/36 (0%) 0
    Pulmonary embolism 1/5 (20%) 2 0/6 (0%) 0 0/6 (0%) 0 0/5 (0%) 0 1/28 (3.6%) 1 0/38 (0%) 0 0/36 (0%) 0
    Ischaemic stroke NEC 0/5 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/5 (0%) 0 1/28 (3.6%) 1 0/38 (0%) 0 0/36 (0%) 0
    Venous thrombosis deep limb 0/5 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/5 (0%) 0 0/28 (0%) 0 0/38 (0%) 0 1/36 (2.8%) 1
    Shock haemorrhagic 0/5 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/5 (0%) 0 0/28 (0%) 0 0/38 (0%) 0 1/36 (2.8%) 1
    Gangrene NOS 0/5 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/5 (0%) 0 0/28 (0%) 0 0/38 (0%) 0 1/36 (2.8%) 1
    Other (Not Including Serious) Adverse Events
    A.1 Lucinactant A.2 Lucinactant A.3 Lucinactant A.4 Lucinactant B.1 Lucinactant B.2 Lucinactant B.3 SoC
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 5/5 (100%) 6/6 (100%) 6/6 (100%) 5/5 (100%) 24/28 (85.7%) 37/38 (97.4%) 31/36 (86.1%)
    Blood and lymphatic system disorders
    Anaemia NOS 2/5 (40%) 1/6 (16.7%) 2/6 (33.3%) 3/5 (60%) 5/28 (17.9%) 8/38 (21.1%) 5/36 (13.9%)
    Leucocytosis NOS 1/5 (20%) 1/6 (16.7%) 1/6 (16.7%) 1/5 (20%) 1/28 (3.6%) 0/38 (0%) 0/36 (0%)
    Thrombocythaemia 0/5 (0%) 0 1/6 (16.7%) 0 0/6 (0%) 0 1/5 (20%) 0 2/28 (7.1%) 0 3/38 (7.9%) 0 1/36 (2.8%) 0
    Cardiac disorders
    Atrial fibrillation 1/5 (20%) 1/6 (16.7%) 1/6 (16.7%) 0/5 (0%) 0 0/28 (0%) 0 2/38 (5.3%) 0 0/36 (0%) 0
    Bradycardia NOS 1/5 (20%) 1/6 (16.7%) 1/6 (16.7%) 0/5 (0%) 0 2/28 (7.1%) 0 2/38 (5.3%) 0 1/36 (2.8%) 0
    Pulmonary oedema NOS 1/5 (20%) 0/6 (0%) 0/6 (0%) 0 0/5 (0%) 0 0/28 (0%) 0 1/38 (2.6%) 0 3/36 (8.3%) 0
    Gastrointestinal disorders
    Constipation 0/5 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 0 1/5 (20%) 0 2/28 (7.1%) 0 1/38 (2.6%) 0 2/36 (5.6%) 0
    Diarrhoea NOS 0/5 (0%) 0 2/6 (33.3%) 0 2/6 (33.3%) 0 1/5 (20%) 0 5/28 (17.9%) 0 4/38 (10.5%) 0 6/36 (16.7%) 0
    Ileus 0/5 (0%) 0 1/6 (16.7%) 0 0/6 (0%) 0 1/5 (20%) 0 1/28 (3.6%) 0 2/38 (5.3%) 0 1/36 (2.8%) 0
    Nausea 0/5 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 0 0/5 (0%) 0 1/28 (3.6%) 0 0/38 (0%) 0 2/36 (5.6%) 0
    General disorders
    Multi-organ failure 2/5 (40%) 1/6 (16.7%) 0/6 (0%) 0 0/5 (0%) 0 1/28 (3.6%) 0 2/38 (5.3%) 0 1/36 (2.8%) 0
    Pyrexia 0/5 (0%) 0 1/6 (16.7%) 0 1/6 (16.7%) 0 3/5 (60%) 0 3/28 (10.7%) 0 2/38 (5.3%) 0 3/36 (8.3%) 0
    Infections and infestations
    Colitis pseudomembranous 0/5 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 1/5 (20%) 0 1/28 (3.6%) 0 1/38 (2.6%) 0 2/36 (5.6%) 0
    Methicillin-resistant Staphyloccal aureus infection 1/5 (20%) 0/6 (0%) 0 2/6 (33.3%) 0 0/5 (0%) 0 2/28 (7.1%) 0 1/38 (2.6%) 0 1/36 (2.8%) 0
    Pneumonia NOS 2/5 (40%) 0/6 (0%) 0/6 (0%) 0 0/5 (0%) 0 1/28 (3.6%) 0 3/38 (7.9%) 0 2/36 (5.6%) 0
    Sepsis NOS 2/5 (40%) 1/6 (16.7%) 0/6 (0%) 0 0/5 (0%) 0 2/28 (7.1%) 0 4/38 (10.5%) 0 1/36 (2.8%) 0
    Sinusitis NOS 0/5 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/5 (0%) 0 1/28 (3.6%) 0 3/38 (7.9%) 0 2/36 (5.6%) 0
    Urinary tract infection NOS 0/5 (0%) 0 1/6 (16.7%) 0 0/6 (0%) 0 0/5 (0%) 0 0/28 (0%) 0 3/38 (7.9%) 0 3/36 (8.3%) 0
    Septic shock 0/5 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/5 (0%) 0 0/28 (0%) 0 1/38 (2.6%) 0 2/36 (5.6%) 0
    Investigations
    Bacteria NOS sputum identified 1/5 (20%) 2/6 (33.3%) 0/6 (0%) 1/5 (20%) 2/28 (7.1%) 0/38 (0%) 0 0/36 (0%) 0
    Blood pH decreased 0/5 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/5 (0%) 0 1/28 (3.6%) 0 1/38 (2.6%) 0 2/36 (5.6%) 0
    Liver function tests NOS abnormal 0/5 (0%) 0 1/6 (16.7%) 0 1/6 (16.7%) 0 0/5 (0%) 0 3/28 (10.7%) 0 2/38 (5.3%) 0 1/36 (2.8%) 0
    Oxygen saturation decreased 1/5 (20%) 2/6 (33.3%) 3/6 (50%) 4/5 (80%) 3/28 (10.7%) 5/38 (13.2%) 0/36 (0%) 0
    Metabolism and nutrition disorders
    Hypernatraemia 3/5 (60%) 2/6 (33.3%) 0/6 (0%) 0 0/5 (0%) 0 0/28 (0%) 0 4/38 (10.5%) 0 1/36 (2.8%) 0
    Hypokalaemia 1/5 (20%) 3/6 (50%) 2/6 (33.3%) 1/5 (20%) 3/28 (10.7%) 3/38 (7.9%) 4/36 (11.1%)
    Nervous system disorders
    Confusion 0/5 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/5 (0%) 0 3/28 (10.7%) 0 2/38 (5.3%) 0 3/36 (8.3%) 0
    Renal and urinary disorders
    Renal failure NOS 3/5 (60%) 1/6 (16.7%) 0/6 (0%) 0 0/5 (0%) 0 4/28 (14.3%) 0 3/38 (7.9%) 0 3/36 (8.3%) 0
    Oliguria 0/5 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/5 (0%) 0 0/28 (0%) 0 0/38 (0%) 0 3/36 (8.3%) 0
    Respiratory, thoracic and mediastinal disorders
    Acute respiratory distress syndrome 1/5 (20%) 0/6 (0%) 0 0/6 (0%) 0 0/5 (0%) 0 3/28 (10.7%) 0 1/38 (2.6%) 0 1/36 (2.8%) 0
    Hypoxia 2/5 (40%) 1/6 (16.7%) 3/6 (50%) 0/5 (0%) 0 7/28 (25%) 0 4/38 (10.5%) 0 2/36 (5.6%) 0
    Lung infiltration NOS 0/5 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/5 (0%) 0 0/28 (0%) 0 1/38 (2.6%) 0 2/36 (5.6%) 0
    Pleural effusion 0/5 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 0 1/5 (20%) 0 2/28 (7.1%) 0 6/38 (15.8%) 0 4/36 (11.1%) 0
    Pneumothorax NOS 3/5 (60%) 1/6 (16.7%) 0/6 (0%) 0 1/5 (20%) 0 5/28 (17.9%) 0 9/38 (23.7%) 0 5/36 (13.9%) 0
    Respiratory acidosis 0/5 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 0 0/5 (0%) 0 4/28 (14.3%) 0 5/38 (13.2%) 0 2/36 (5.6%) 0
    Skin and subcutaneous tissue disorders
    Dermatitis NOS 0/5 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 0 1/5 (20%) 0 4/28 (14.3%) 0 3/38 (7.9%) 0 5/36 (13.9%) 0
    Pressure sore 0/5 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 0 2/5 (40%) 0 1/28 (3.6%) 0 1/38 (2.6%) 0 2/36 (5.6%) 0
    Surgical and medical procedures
    Subcutaneous emphysema 0/5 (0%) 0 0/6 (0%) 0 0/6 (0%) 0 0/5 (0%) 0 1/28 (3.6%) 0 2/38 (5.3%) 0 2/36 (5.6%) 0
    Tracheostomy 0/5 (0%) 0 0/6 (0%) 0 1/6 (16.7%) 0 0/5 (0%) 0 1/28 (3.6%) 0 1/38 (2.6%) 0 2/36 (5.6%) 0
    Vascular disorders
    Hypertension NOS 0/5 (0%) 0 0/6 (0%) 0 2/6 (33.3%) 0 1/5 (20%) 0 3/28 (10.7%) 0 1/38 (2.6%) 0 4/36 (11.1%) 0
    Hypotension NOS 0/5 (0%) 0 1/6 (16.7%) 0 3/6 (50%) 0 1/5 (20%) 0 5/28 (17.9%) 0 7/38 (18.4%) 0 5/36 (13.9%) 0

    Limitations/Caveats

    [Not Specified]

    More Information

    Certain Agreements

    Principal Investigators are NOT employed by the organization sponsoring the study.

    The only disclosure restriction on the PI is that the sponsor can review results communications prior to public release and can embargo communications regarding trial results for a period that is more than 60 days but less than or equal to 180 days. The sponsor cannot require changes to the communication and cannot extend the embargo.

    Results Point of Contact

    Name/Title Robert Segal, MD
    Organization Discovery Laboratories, Inc.
    Phone 215-488-9300
    Email rsegal@discoverylabs.com
    Responsible Party:
    Windtree Therapeutics
    ClinicalTrials.gov Identifier:
    NCT00215553
    Other Study ID Numbers:
    • KL4-ARDS-04
    First Posted:
    Sep 22, 2005
    Last Update Posted:
    Aug 9, 2018
    Last Verified:
    Jul 1, 2018