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The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been endorsed by the ANZCTR. Before participating in a study, talk to your health care provider and refer to this
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Trial registered on ANZCTR
Registration number
ACTRN12618001831279
Ethics application status
Approved
Date submitted
9/02/2018
Date registered
9/11/2018
Date last updated
13/07/2025
Date data sharing statement initially provided
9/11/2018
Type of registration
Prospectively registered
Titles & IDs
Public title
Finding the Optimal Regimen for Mycobacteroides abscessus Treatment (FORMaT) in people with Mycobacteroides abscessus pulmonary disease: a multi-centre, randomised, multi-arm, adaptive platform trial.
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Scientific title
Finding the Optimal Regimen for Mycobacterium abscessus Treatment (FORMaT)
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Secondary ID [1]
293945
0
ClinicalTrials.gov Identifier NCT04310930
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Secondary ID [2]
314893
0
The UK's Clinical Study Registry, ISRCTN67303903
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Universal Trial Number (UTN)
U1111-1209-0672
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Trial acronym
FORMaT
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Mycobacterium abscessus pulmonary disease
306443
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Mycobacterium abscessus
315340
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Condition category
Condition code
Respiratory
305529
305529
0
0
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Other respiratory disorders / diseases
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Human Genetics and Inherited Disorders
308844
308844
0
0
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Cystic fibrosis
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Infection
308845
308845
0
0
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Other infectious diseases
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
This study is a standing platform trial to evaluate the efficacy of antibiotic therapy combinations in clearing Mycobacterium abscessus pulmonary disease (MABS-PD). The study will provide a pipeline for new therapies to be evaluated for treating MABS-PD in all age groups.
There are two different phases of treatment; intensive therapy followed by consolidation therapy. Intervention cohort participants will be randomised to 1 of 3 treatment arms for 6 weeks of intensive therapy. After the first 6 weeks of intensive therapy participants who are culture positive for MABS are randomised to either prolonged intensive therapy (additional 6 weeks of intensive therapy) then consolidation therapy, or to commence consolidation therapy. If, at week 6 participants are MABS culture-negative they will commence consolidation therapy. Participants commencing consolidation therapy are randomised to one of two treatment arms for 50 weeks. There are 12 possible paths through the trial and they are detailed below:
1. Intensive Arm A for 6 weeks, Consolidation arm b for 46 weeks,
2. Intensive Arm A for 12 weeks, Consolidation arm b for 46 weeks,
3. Intensive Arm A for 6 weeks, “Consolidation: arm a” for 46 weeks,
4. Intensive Arm A for 12 weeks, “Consolidation: arm a” for 46 weeks,
5. Intensive Arm B for 6 weeks, Consolidation arm b for 46 weeks,
6. Intensive Arm B for 12 weeks, Consolidation arm b for 46 weeks,
7. Intensive Arm B for 6 weeks, “Consolidation: arm a” for 46 weeks,
8. Intensive Arm B for 12 weeks, “Consolidation: arm a” for 46 weeks,
9. Intensive Arm C for 6 weeks, Consolidation arm b for 46 weeks,
10. Intensive Arm C for 12 weeks, Consolidation arm b for 46 weeks,
11. Intensive Arm C for 6 weeks, “Consolidation: arm a” for 46 weeks,
12. Intensive Arm C for 12 weeks, “Consolidation: arm a” for 46 weeks,
Where Intensive Arm A is IV amikacin, and; IV tigecycline, and; IV imipenem/cilastatin or IV cefoxitin, and; Oral azithromycin or oral clarithromycin, and; Oral clofazimine.
Intensive Arm B is Inhaled amikacin, and; IV tigecycline, and; IV imipenem/cilastatin or IV cefoxitin, and; Oral azithromycin or oral clarithromycin, and; Oral clofazimine.
Intensive Arm C is IV amikacin, and; IV tigecycline, and; IV imipenem/cilastatin or IV cefoxitin, and; Oral azithromycin or oral clarithromycin.
Consolidation arm a is Oral clofazimine, and; Oral azithromycin or oral clarithromycin, and; In combination with one to three of the following oral antibiotics: Oral linezolid, Oral trimethoprim / sulfamethoxazole, Oral bedaquiline, Oral rifabutin, Oral doxycycline, Oral moxifloxacin.
Consolidation arm b is Inhaled amikacin, and; Oral clofazimine, and; Oral azithromycin or oral clarithromycin, and; In combination with one to three of the following oral antibiotics: Oral linezolid, Oral trimethoprim / sulfamethoxazole, Oral bedaquiline, Oral rifabutin, Oral doxycycline, Oral moxifloxacin.
Dosing recommendations for each drug is outlined in the Drug dosing Regimen Tables contained in the relevant sections of the FORMaT Intervention Program Appendix A1 and Appendix A2 modules.
This standing platform trial design enables assessment of short intensive therapy, prolonged intensive therapy, and consolidation therapy components individually as well as the overall combination of intensive therapy and consolidation therapy. After 100 patients have completed short intensive therapy an interim analysis will be conducted, and Bayesian adaptive randomisation (BAR) will be implemented. New interventions may be added or stopped in the future due to lack of benefit at interim analyses.
Those participants that have a positive respiratory specimen but do not meet all three ATS criteria or those who are MABS-PD positive but are not commencing drug therapy can be recruited into the observation cohort where they will undergo all the same monitoring and outcomes collection but will not receive treatment. If they meet ATS criteria at a later stage during the trial they may be randomised into the active treatment phases (intensive and consolidation) of the trial.
The FORMaT trial has several substudies that are conducted alongside the main trial. These substudies are registered on a separate trial registration.
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Intervention code [1]
300217
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Treatment: Drugs
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Comparator / control treatment
The active comparator group are those intervention program participants who are treated according to current therapy guidelines (Intensive arm A). Active comparator treatment for the intensive phase is (based on current guidelines): IV amikacin + IV tigecycline + IV imipenem or IV cefoxitin (guided by local susceptibility testing and patient specific hypersensitivity) + oral azithromycin or oral clarithromycin AND clofazimine..
See attachment 1 for the drug dosing regimens for the intensive treatment phase for both paediatrics and adults
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Control group
Active
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Outcomes
Primary outcome [1]
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The primary outcome of the Intervention Program is microbiological clearance of MABS with good tolerance of the interventions. Definition of MABS clearance at final outcome: Negative MABS cultures from four consecutive sputum samples with one of those sputum specimens collected four weeks after the completion of consolidation therapy, or a MABS negative Bronchoalveolar Lavage (BAL) collected four weeks after completion of consolidation. Definition of tolerance: Tolerance is based on the Common Terminology Criteria for Adverse Events (CTCAE version 5.0). Only adverse events that are attributed as either “possibly-“, “probably-“, or “definitely-“ related to study drug will be assessed in the determination of tolerance. “Good” tolerance is defined as no adverse events occurring or only adverse events coded as CTCAE grades 1 and 2. “Poor” tolerance is defined as any adverse events attributed as possibly-, probably-, or definitely-related to study drug coded as CTCAE grades 3, 4, or 5. Nested Study A1.1 Type of Short Intensive Therapy - MABS clearance from respiratory sample(s) with tolerance. To compare the microbiological clearance of MABS from respiratory samples collected at 4 weeks with good tolerability assessed at the end of short intensive therapy between the use of Inhaled Amikacin (Arm B) and the use of Intravenous Amikacin (Arm A) given during intensive phase. Definition of MABS clearance is 3 MABS negative sputum samples or ONE MABS negative Bronchoalveolar Lavage (BAL) at end of Short Intensive Therapy. “Good” tolerance is defined as no adverse events occurring or only adverse events that are attributed as either “possibly-“, “probably-“, or “definitely-“ related to study drug coded as CTCAE grades 1 and 2. Nested Study A1.2 - Duration of intensive therapy for patients completing short intensive treatment with ongoing positive MABS cultures collected at 4 weeks and randomised to either a further 6 weeks intensive therapy or immediate consolidation. To compare the microbiological clearance from samples collected at 10 weeks with good tolerability between those who are allocated to prolonged intensive therapy and those allocated to immediate consolidation following short intensive therapy. MABS clearance, assessed at the end of prolonged intensive therapy (for those allocated to prolonged intensive) or at 12 weeks (for those allocated to immediate consolidation) will be defined as negative MABS cultures from all 3 sputum samples or from one BAL sample collected at 10 weeks. “Good” tolerance is defined as no adverse events occurring or only adverse events that are attributed as either “possibly-“, “probably-“, or “definitely-“ related to study drug coded as CTCAE grades 1 and 2. Nested Study 1.3 Consolidation Therapy – The use of oral therapy only or oral therapy and inhaled amikacin for consolidation therapy. Description: To compare the microbiological clearance with good tolerability of MABS between those allocated to consolidation therapy with oral treatment and those allocated to consolidation therapy with oral treatment and additional Inhaled Amikacin at Final Outcome. Definition of MABS clearance at final outcome: Negative MABS cultures from four consecutive sputum samples with one of those sputum specimens collected four weeks after the completion of consolidation therapy, or a MABS negative Bronchoalveolar Lavage (BAL) collected four weeks after completion of consolidation. “Good” tolerance is defined as no adverse events occurring or only adverse events that are attributed as either “possibly-“, “probably-“, or “definitely-“ related to study drug coded as CTCAE grades 1 and 2.
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Assessment method [1]
304705
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Timepoint [1]
304705
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Time frame for the Intervention Program: Screening (Day 0) to End of treatment plus four weeks off-treatment (Final Outcome Visit (Week 56 for those allocated to Immediate Consolidation or Week 62 for those allocated to Prolonged Intensive). Time frame for Nested study A1.1: Screening (Day 0) to the End of Short Intensive Therapy (Week 6). Time Frame for Nested Study A1.2: Screening (Day 0) to EITHER the End of Prolonged Intensive Therapy (for those allocated to Prolonged Intensive) OR Week 12 Visit (for those allocated to immediate consolidation therapy). Time frame for Nested Study A1.3: Start of Consolidation Therapy (Date of Randomisation to Consolidation Therapy) to End of Treatment plus 4 weeks off treatment (Final Outcome Visit - Week 56 for those randomised to Immediate Consolidation or Week 62 for those in Prolonged
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Secondary outcome [1]
342866
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Probability of MABS clearance at Final Outcome irrespective of toxicity according to participant’s treatment pathway. Definition of MABS clearance at final outcome: Negative MABS cultures from four consecutive sputum samples with one of those sputum specimens collected four weeks after the completion of consolidation therapy, or a MABS negative Bronchoalveolar Lavage (BAL) collected four weeks after completion of consolidation.
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Assessment method [1]
342866
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Timepoint [1]
342866
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Screening (Day 0); at End of Treatment plus 4 weeks off treatment (Final Outcome Visit - either Week 56 or Week 62).
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Secondary outcome [2]
353072
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Safety of treatment combinations based on the reporting of adverse events that are attributed as either “possibly-“, “probably-“, or “definitely-“ related to study drugs.
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Assessment method [2]
353072
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Timepoint [2]
353072
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Screening (Day 0); At End of Short Intensive Therapy (Week 6); At End of Prolonged Intensive Therapy OR at Week 12 visit; at End of Treatment plus 4 weeks off treatment (Final Outcome Visit - either Week 56 or Week 62).
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Secondary outcome [3]
353081
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Safety of treatments based on changes to microbiological resistance of the MABS bacteria during the study treatment period.
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Assessment method [3]
353081
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Timepoint [3]
353081
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Screening (Day 0); At End of Short Intensive Therapy (Week 6); At End of Prolonged Intensive Therapy OR at Week 12 visit; at End of Treatment plus 4 weeks off treatment (Final Outcome Visit - either Week 56 or Week 62).
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Secondary outcome [4]
353220
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Change in FEV1 z-score at Final Outcome compared with Screening in participants who do and do not clear MABS at Final Outcome.
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Assessment method [4]
353220
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Timepoint [4]
353220
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Screening (Day 0); At End of Short Intensive Therapy (Week 6); At End of Prolonged Intensive Therapy OR at Week 12 visit; at End of Treatment plus 4 weeks off treatment (Final Outcome Visit - either Week 56 or Week 62).
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Secondary outcome [5]
377245
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Phenotype of the structural abnormalities of chest CTs and changes in chest CT scores between Screening and Final Outcome between participants who clear or do not clear MABS at Final Outcome.
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Assessment method [5]
377245
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Timepoint [5]
377245
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Screening (Day 0); At End of Prolonged Intensive Therapy OR at Week 12 visit; at End of Treatment plus 4 weeks off treatment (Final Outcome Visit - either Week 56 or Week 62).
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Secondary outcome [6]
428915
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Predictive value of structural abnormalities on Screening CT scans for sputum conversion and for progression of structural changes in relation to treatment.
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Assessment method [6]
428915
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Timepoint [6]
428915
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Screening (Day 0); At End of Prolonged Intensive Therapy OR at Week 12 visit; at End of Treatment plus 4 weeks off treatment (Final Outcome Visit - either Week 56 or Week 62).
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Secondary outcome [7]
428916
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Change in 6-minute walk distance (6MWD) for adult participants from Screening to Final Outcome according to treatment pathway and in participants who do and do not clear MABS at Final Outcome.
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Assessment method [7]
428916
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Timepoint [7]
428916
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Screening (Day 0); At End of Short Intensive Therapy (Week 6); At End of Prolonged Intensive Therapy OR at Week 12 visit; at End of Treatment plus 4 weeks off treatment (Final Outcome Visit - either Week 56 or Week 62).
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Secondary outcome [8]
428917
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Change in HRQoL (measured using the CFQ-R, EQ-5D, SGRQ, SF-36, PedsQL and CHU-9D) for participants from Screening to Final Outcome according to treatment pathway and in participants who do and do not clear MABS at Final Outcome. CFQ-R is the Cystic Fibrosis Questionnaire Revised and will be completed by all CF participants, EQ-5D is the EuroQol 5 Dimensions and will be completed by all participants; SGRQ is the St George's Respiratory Questionnaire and will be completed by all non-CF participants who are 18 years and older; the SF-36 is the Short-Form 36 questionnaire and will be completed by all participants 16 years and older; the PedsQL is the Pediatric Quality of Life Inventory questionnaire and will be completed by participants 2 years old to 16 years old; CHU-9D is the Child Health Utility 9D and will be completed by all children aged 7 to 17 years of age.
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Assessment method [8]
428917
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Timepoint [8]
428917
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Screening (Day 0); At End of Short Intensive Therapy (Week 6); At End of Prolonged Intensive Therapy OR at Week 12 visit; at End of Treatment plus 4 weeks off treatment (Final Outcome Visit - either Week 56 or Week 62).
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Secondary outcome [9]
428918
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Cost effectiveness of the treatment combinations across intensive and consolidation phases of the trial. Cost effectiveness of the treatments will be assessed using the unvalidated "Costs Questionnaire" and where applicable and available, the linked administrative healthcare utilisation data e.g. in Australian participants.
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Assessment method [9]
428918
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Timepoint [9]
428918
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Screening (Day 0); At End of Short Intensive Therapy (Week 6); At End of Prolonged Intensive Therapy OR at Week 12 visit; at End of Treatment plus 4 weeks off treatment (Final Outcome Visit - either Week 56 or Week 62).
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Secondary outcome [10]
428919
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Causes for early withdrawal from MABS-PD treatment due to reasons other than poor tolerance as defined in the primary objectives.
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Assessment method [10]
428919
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Timepoint [10]
428919
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At End of Short Intensive Therapy (Week 6); At End of Prolonged Intensive Therapy OR at Week 12 visit; at End of Treatment plus 4 weeks off treatment (Final Outcome Visit - either Week 56 or Week 62).
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Eligibility
Key inclusion criteria
Eligibility criteria
Entry into the study can occur at two different levels:
1. Participants of any age meeting the ATS criteria1 for MABS-PD and not receiving treatment are eligible to enrol in the Intervention program, and;
2. Participants of any age from their first MABS isolate who do not require treatment or who have elected not to receive MABS therapy can enrol in the Observational cohort. Participants enrolled into the Observational cohort who proceed to meet the ATS criteria for MABS-PD can transition to the Intervention Program at any time.
Intervention program participants are randomised to receive MABS-PD therapy combinations.
Intervention program inclusion criteria
Participants with positive MABS cultures, including those with mixed NTM infections (slow growers + MABS) or with recurrence of MABS, are eligible for the Intervention program if the following inclusion criteria are met.
1. ATS diagnostic criteria for MABS-PD are fulfilled (clinical, radiographic and microbiological).
a. Clinical: Pulmonary symptoms and exclusion of other causes.
b. Radiographic: Nodular or cavitary opacities on chest radiograph or a chest high-resolution computed tomography (HRCT) scan showing multifocal bronchiectasis with multiple small nodules.
c. Microbiological: MABS positive culture results from at least two separate expectorated sputum samples.
or
Positive culture results from one bronchial wash or bronchoalveolar lavage (BAL).
or
One lung biopsy with histology consistent with NTM and the biopsy or sputum culture positive for MABS.
Screening samples must be collected within the timeframes stated in the relevant appendix.
2. Participants of any age and sex.
3. Not received treatment for MABS-PD in the preceding 12-months, or as specified in the relevant appendix (this includes drugs prescribed for the treatment of other mycobacteria and/or other indications that may have activity against MABS).
4. Informed consent signed by participant or parent/legal guardian (if participant is aged
<18-years).
5. Ability to comply with study visits, therapies and study procedures as judged by the site investigator.
Observational cohort inclusion criteria (Appendix B)
Participants meeting the following criteria are eligible to be recruited into the Observational Cohort:
1. Participants of any age with at least one positive respiratory culture for MABS.
2. Informed consent signed by participant or parent/legal guardian if participant is aged <18-years.
3. Ability to comply with study visits and study procedures as judged by the site investigator.
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Minimum age
No limit
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Intervention program exclusion criteria
1. Receiving current treatment for MABS (including drugs prescribed for other mycobacteria and/or other indications that may have activity against MABS, except for azithromycin as part of routine treatment for CF or chronic infection-related pulmonary disease).
2. QTc interval >500 milliseconds.
3. Pregnancy or breast feeding.
4. Known hypersensitivity to any of the therapies for which there are no alternative option(s).
Observational cohort exclusion criteria
Receiving current treatment for MABS (including drugs prescribed for other mycobacteria and/or other indications that may have activity against MABS, except for azithromycin as part of routine treatment for CF or chronic infection-related pulmonary disease).
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Allocation is not concealed
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Minimisation is a dynamic randomisation approach used in clinical trials to balance allocation to treatment arms with respect to a number of important stratification factors.
There will be three stages of randomisation in the intervention program of this study, dictating the treatment the participant will receive:
Randomisation 1: The first randomisation will be at the start of the intensive phase, with all participants randomised between the different intensive therapy arms for a period of 6 weeks.
Randomisation 2: The second randomisation will ONLY be for participants who are still MABS positive at week six. Randomisation will occur at the end of week 6 and will allocate participants to either;
1- Continue intensive therapy which will be followed by consolidation
2- Immediately commence consolidation therapy.
Randomisation 3: This randomisation will allocate participants to the consolidation therapy arms either at week 6 or at week 12 depending on the most recent MABS clearance result, i.e. from week six or (if applicable) from week 12 following prolonged intensive therapy.
Week 6: This randomisation occurs at 6 weeks for patients who have cleared MABS at 6 weeks and for patients who remained MABS positive at 6 weeks and were randomised in randomisation 2 to start consolidation.
Week 12: Patients who are randomised to prolonged intensive therapy will be randomised between the consolidation arms at the end of week 12.
Intervention cohort participants will be randomsied according to the stratification criteria below:
1- Macrolide resistance*: *Any of these measurement methods are acceptable for defining macrolide resistance (in order of preference);
a. Inducible at 14 days or constitutive at 3 days
b. Erm(41) status: Functional or dysfunctional
c. MABS subspecies: M. abscessus & M. bolletii combined or M. massiliense
2. Age: <12 years, 12-30 years and >30 years of age
3. Sex
4. Location: Australia and New Zealand as one stratum, United Kingdom and Ireland as one stratum, Denmark, France and the Netherlands as another stratum and Canada as one stratum
5. Cystic Fibrosis Status
6. Mixed NTM infections at enrolment
7. MABS positive culture (at initial randomisation to intensive therapy and for randomisation 2 all participants will have a positive culture, so this factor will not be required. However, it will be required for randomisation 3)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
For participants enrolled in the intervention cohort a respiratory sample assessing MABS will be collected at the completion of 4 weeks of intensive therapy. Intervention cohort subjects will continue intensive therapy until results are available (10-14 days). Subjects with positive cultures for MABS at this point, will be randomised 1:1 to either continuing a further 6 weeks of intensive treatment before starting consolidation or starting consolidation immediately.
When randomised to the consolidation phase subjects will be randomised 1:1 to oral azithromycin, clofazimine and doxycycline or moxifloxacin + additional IA for 46 wks to complete a total 52 or 58 wks therapy.
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Phase
Phase 2
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
2/12/2019
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Actual
2/03/2020
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Date of last participant enrolment
Anticipated
31/12/2028
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Actual
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Date of last data collection
Anticipated
31/12/2028
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Actual
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Sample size
Target
300
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Accrual to date
101
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Final
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Recruitment in Australia
Recruitment state(s)
NSW,QLD,SA,WA,VIC
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Recruitment hospital [1]
9967
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The Prince Charles Hospital - Chermside
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Recruitment hospital [2]
9968
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Greenslopes Private Hospital - Greenslopes
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Recruitment hospital [3]
9969
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Princess Alexandra Hospital - Woolloongabba
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Recruitment hospital [4]
9971
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Mater Adult Hospital - South Brisbane
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Recruitment hospital [5]
9972
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Gold Coast University Hospital - Southport
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Recruitment hospital [6]
9973
0
Royal Prince Alfred Hospital - Camperdown
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Recruitment hospital [7]
9974
0
John Hunter Hospital - New Lambton
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Recruitment hospital [8]
9977
0
Sydney Children's Hospital - Randwick
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Recruitment hospital [9]
9978
0
The Alfred - Prahran
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Recruitment hospital [10]
9983
0
Sir Charles Gairdner Hospital - Nedlands
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Recruitment hospital [11]
9984
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The Royal Adelaide Hospital - Adelaide
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Recruitment hospital [12]
12231
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Perth Children's Hospital - Nedlands
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Recruitment hospital [13]
15331
0
Sunshine Coast University Hospital - Birtinya
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Recruitment hospital [14]
25659
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Queensland Children's Hospital - South Brisbane
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Recruitment hospital [15]
25660
0
Royal Perth Hospital - Perth
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Recruitment hospital [16]
25661
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Royal Melbourne Hospital - City campus - Parkville
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Recruitment hospital [17]
25726
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Royal Melbourne Hospital - City campus - Parkville
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Recruitment hospital [18]
28204
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Austin Health - Austin Hospital - Heidelberg
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Recruitment postcode(s) [1]
18807
0
4032 - Chermside
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Recruitment postcode(s) [2]
18808
0
4120 - Greenslopes
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Recruitment postcode(s) [3]
18809
0
4102 - Woolloongabba
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Recruitment postcode(s) [4]
18811
0
4215 - Southport
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Recruitment postcode(s) [5]
18812
0
2050 - Camperdown
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Recruitment postcode(s) [6]
18813
0
2305 - New Lambton
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Recruitment postcode(s) [7]
18815
0
2031 - Randwick
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Recruitment postcode(s) [8]
18816
0
3004 - Prahran
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Recruitment postcode(s) [9]
18821
0
6009 - Nedlands
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Recruitment postcode(s) [10]
18822
0
5000 - Adelaide
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Recruitment postcode(s) [11]
24416
0
6009 - Broadway Nedlands
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Recruitment postcode(s) [12]
28640
0
4575 - Birtinya
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Recruitment postcode(s) [13]
41549
0
6000 - Perth
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Recruitment postcode(s) [14]
41550
0
3050 - Parkville
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Recruitment postcode(s) [15]
41680
0
3050 - Parkville
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Recruitment postcode(s) [16]
44416
0
3084 - Heidelberg
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Recruitment outside Australia
Country [1]
9563
0
United Kingdom
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State/province [1]
9563
0
Nottingham
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Country [2]
9564
0
United Kingdom
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State/province [2]
9564
0
Birmingham
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Country [3]
9567
0
Denmark
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State/province [3]
9567
0
Copenhagen
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Country [4]
25844
0
Singapore
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State/province [4]
25844
0
Singapore
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Country [5]
25845
0
Israel
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State/province [5]
25845
0
Tel Aviv
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Country [6]
25847
0
Taiwan, Province Of China
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State/province [6]
25847
0
Taipei
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Country [7]
25849
0
France
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State/province [7]
25849
0
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Country [8]
25888
0
Singapore
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State/province [8]
25888
0
Singapore
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Country [9]
25889
0
Israel
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State/province [9]
25889
0
Beer-Sheva
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Country [10]
25891
0
Taiwan, Province Of China
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State/province [10]
25891
0
Taichung
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Country [11]
25969
0
Israel
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State/province [11]
25969
0
Haifa
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Country [12]
27213
0
Israel
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State/province [12]
27213
0
Jerusalem
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Country [13]
27214
0
United Kingdom
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State/province [13]
27214
0
Glasgow
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Country [14]
27215
0
United Kingdom
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State/province [14]
27215
0
Bristol
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Country [15]
27216
0
United Kingdom
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State/province [15]
27216
0
Liverpool
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Country [16]
27217
0
United Kingdom
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State/province [16]
27217
0
Edinburgh
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Country [17]
27218
0
United Kingdom
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State/province [17]
27218
0
Southampton
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Country [18]
27219
0
United Kingdom
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State/province [18]
27219
0
Manchester
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Country [19]
27220
0
United Kingdom
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State/province [19]
27220
0
Wales
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Country [20]
27221
0
Israel
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State/province [20]
27221
0
Petah-Tikva
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Country [21]
27222
0
Israel
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State/province [21]
27222
0
Ramat Gan
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Country [22]
27223
0
Belgium
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State/province [22]
27223
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Leuven
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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The Commonwealth of Australian represented by Department of Health
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Address [1]
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23 Furzer Street Woden ACT 2606
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Country [1]
298573
0
Australia
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Funding source category [2]
298629
0
Other
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Name [2]
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0
Anonymous donor
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Address [2]
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N/K
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Country [2]
298629
0
Australia
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Funding source category [3]
304376
0
Charities/Societies/Foundations
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Name [3]
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0
Cystic Fibrosis Foundation
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Address [3]
304376
0
4550 Montgomery Ave. Suite 1100 N Bethesda, MD 20814
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Country [3]
304376
0
United States of America
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Funding source category [4]
304377
0
University
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Name [4]
304377
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The Unviersity of Queensland
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Address [4]
304377
0
The University of Queensland Brisbane QLD 4072 Australia
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Country [4]
304377
0
Australia
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Funding source category [5]
304378
0
Charities/Societies/Foundations
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Name [5]
304378
0
Children's Hospital Foundation
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Address [5]
304378
0
494 Stanley Street, South Brisbane QLD 4101
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Country [5]
304378
0
Australia
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Primary sponsor type
University
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Name
The University of Queensland
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Address
Office of Sponsored Research
The University of Queensland
Cumbrae Stewart Building 72
Research Road, QLD 4072
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Country
Australia
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Secondary sponsor category [1]
300554
0
None
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Name [1]
300554
0
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Address [1]
300554
0
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Country [1]
300554
0
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
299539
0
Children’s Health Queensland Human Research Ethics Committee
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Ethics committee address [1]
299539
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Level 7, Centre for Children’s Health Research Lady Cilento Children’s Hospital Precinct, 62 Graham Street South Brisbane QLD 4101
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Ethics committee country [1]
299539
0
Australia
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Date submitted for ethics approval [1]
299539
0
18/09/2019
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Approval date [1]
299539
0
10/10/2019
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Ethics approval number [1]
299539
0
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Ethics committee name [2]
299574
0
Metro North Health Human Research Ethics Committee
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Ethics committee address [2]
299574
0
Level 7, Block 7, RBWH Campus Herson, QLD, 4029
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Ethics committee country [2]
299574
0
Australia
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Date submitted for ethics approval [2]
299574
0
22/08/2019
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Approval date [2]
299574
0
26/08/2019
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Ethics approval number [2]
299574
0
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Ethics committee name [3]
318022
0
Region Hovedstaden Ethics Committee
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Ethics committee address [3]
318022
0
De Videnskabsetiske Komiteer Borgervænget 3, stuen 2100 København Ø Telefon 3866 6395 Mail vek@regionh.dk
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Ethics committee country [3]
318022
0
Denmark
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Date submitted for ethics approval [3]
318022
0
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Approval date [3]
318022
0
02/01/2023
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Ethics approval number [3]
318022
0
H-21048431
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Ethics committee name [4]
318023
0
National Health Group Domain Specific Review Board
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Ethics committee address [4]
318023
0
3 Fusionopolis Link #03-08 Nexus@one-north Singapore 138543 Tel 6496 6600
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Ethics committee country [4]
318023
0
Singapore
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Date submitted for ethics approval [4]
318023
0
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Approval date [4]
318023
0
09/11/2023
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Ethics approval number [4]
318023
0
2023/00432
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Ethics committee name [5]
318024
0
London – Brighton & Sussex Research Ethics Committee
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Ethics committee address [5]
318024
0
London - Brighton & Sussex Research Ethics Committee Health Research Authority 2 Redman Place Stratford London E20 1JQ
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Ethics committee country [5]
318024
0
United Kingdom
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Date submitted for ethics approval [5]
318024
0
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Approval date [5]
318024
0
14/01/2025
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Ethics approval number [5]
318024
0
24/LO/0838
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Ethics committee name [6]
318025
0
Research Ethics Committee E – National Taiwan University Hospital
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Ethics committee address [6]
318025
0
Research Ethics Committee E National Taiwan University Hospital 7, Chung - Shan South Road, Taipei, Taiwan 100, R.O.C Phone: 2312 - 3456 Fax: 23951950
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Ethics committee country [6]
318025
0
Taiwan, Province Of China
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Date submitted for ethics approval [6]
318025
0
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Approval date [6]
318025
0
27/03/2025
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Ethics approval number [6]
318025
0
202502093MINE
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Ethics committee name [7]
318026
0
Research Ethics Committee F – Kaohsiung Medical University Hospital
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Ethics committee address [7]
318026
0
Research Ethics Committee E National Taiwan University Hospital 7, Chung - Shan South Road, Taipei, Taiwan 100, R.O.C Phone: 2312 - 3456 Fax: 23951950
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Ethics committee country [7]
318026
0
Taiwan, Province Of China
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Date submitted for ethics approval [7]
318026
0
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Approval date [7]
318026
0
11/04/2025
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Ethics approval number [7]
318026
0
KMUHIRB-F(I)-20250111
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Ethics committee name [8]
318027
0
Hadassah Ethics Committee
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Ethics committee address [8]
318027
0
vhelsinki@hadassah.org.il or by phone at +972-2-6777242,
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Ethics committee country [8]
318027
0
Israel
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Date submitted for ethics approval [8]
318027
0
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Approval date [8]
318027
0
21/01/2025
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Ethics approval number [8]
318027
0
0262-24-HMO
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Ethics committee name [9]
318028
0
Sheba Ethics Committee
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Ethics committee address [9]
318028
0
+972-526669142
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Ethics committee country [9]
318028
0
Israel
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Date submitted for ethics approval [9]
318028
0
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Approval date [9]
318028
0
02/03/2025
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Ethics approval number [9]
318028
0
1372-24-SMC
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Ethics committee name [10]
318029
0
Rambam Ethics Committee
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Ethics committee address [10]
318029
0
d_haddad@rmc.gov.il
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Ethics committee country [10]
318029
0
Israel
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Date submitted for ethics approval [10]
318029
0
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Approval date [10]
318029
0
12/05/2025
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Ethics approval number [10]
318029
0
0307-24-RMB
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Summary
Brief summary
Mycobacterium abscessus (MABS) is a group of rapid-growing, multi-drug resistant non-tuberculous mycobacteria causing infections in humans. While the overall numbers affected is small, the prevalence of infections is increasing. Individuals with cystic fibrosis (CF) and bronchiectasis are at particular risk of MABS becoming established within their lungs, resulting in a clinical spectrum ranging from simple colonisation to severe infection with increased healthcare utilisation and mortality. There is no evidence for either the timing of starting therapy, or for the currently used treatment regimens, which are complex, often poorly tolerated, and involve multiple expensive and toxic drug combinations given for at least 1-2 years. These considerable challenges have resulted in very few clinical trials being performed leaving an urgent clinical management evidence vacuum. Population: Those with MABS positive respiratory samples. Intervention: We aim to build an iterative, experimental clinical trial platform with adaptive properties and an observation arm to enable multiple treatment combinations to be evaluated in patients with and without CF, in those infected with different MABS subspecies, and strains with macrolide resistance. The platform will enable future novel treatments to efficiently enter the trial as they become available. Comparison: The trial platform will include the current standard of care as a comparator arm; as evidence is accumulated new comparators may be incorporated. Outcome: The trial platform will facilitate the evolution of optimal management for MABS lung disease with primary outcome of microbial clearance and include pharmacokinetic and health economic evaluation. Biomarkers will be developed to guide when to initiate treatment, and enable the monitoring of treatment responses. This will reduce unnecessary treatment associated toxicity and costs and enable targeted therapeutic approaches to maximise clinical benefit.
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Trial website
FORMaTtrial.com
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
80778
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Prof Claire Wainwright
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Address
80778
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Centre for Children's Health Research Level 7, 62 Graham Street Lady Cilento Children's Hospital Precinct South Brisbane QLD 4101
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Country
80778
0
Australia
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Phone
80778
0
+617 30681111
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Fax
80778
0
+617 30697159
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Email
80778
0
[email protected]
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Contact person for public queries
Name
80779
0
Claire Wainwright
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Address
80779
0
Centre for Children's Health Research Level 7, 62 Graham Street Lady Cilento Children's Hospital Precinct South Brisbane QLD 4101
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Country
80779
0
Australia
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Phone
80779
0
+617 30681111
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Fax
80779
0
+617 30697159
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Email
80779
0
[email protected]
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Contact person for scientific queries
Name
80780
0
Claire Wainwright
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Address
80780
0
Centre for Children's Health Research Level 7, 62 Graham Street Lady Cilento Children's Hospital Precinct South Brisbane QLD 4101
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Country
80780
0
Australia
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Phone
80780
0
+617 30681111
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Fax
80780
0
+617 30697159
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Email
80780
0
[email protected]
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Data sharing statement
Will the study consider sharing individual participant data?
Yes
Will there be any conditions when requesting access to individual participant data?
Persons/groups eligible to request access:
•
Data will be made available to recognised academic institutes and clinical teams upon written request with a proposal for data usage to Chief Investigator, Professor Claire Wainwright
Conditions for requesting access:
•
-
What individual participant data might be shared?
•
All de-identified raw data measured during the trial will be made available.
What types of analyses could be done with individual participant data?
•
Any purpose.
When can requests for individual participant data be made (start and end dates)?
From:
Immediately following publication with no end date.
To:
-
Where can requests to access individual participant data be made, or data be obtained directly?
•
Upon the approval for data sharing by Professor Claire Wainwright the requester will be required to sign a data agreement.
Are there extra considerations when requesting access to individual participant data?
No
What supporting documents are/will be available?
No Supporting Document Provided
Type
Citation
Link
Email
Other Details
Attachment
Ethical approval
Study-related document.pdf
Informed consent form
[email protected]
Other
Attachments 1: Paediatric and adult drug dosing ta...
[
More Details
]
Study-related document.docx
Other
Attachment 2: Paediatric and adult drug dosing ta...
[
More Details
]
Study-related document.docx
Study protocol
[email protected]
Study protocol
Masterprotocolandappendices_v4-1_20Feb2024.pdf
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Embase
Pulmonary Mycobacterium abscessus complex in children with cystic fibrosis: A practical management guideline.
2019
https://dx.doi.org/10.1111/jpc.14427
N.B. These documents automatically identified may not have been verified by the study sponsor.
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