ClinicalTrials.gg
RecruitingNCT06585020AKAPIUpdated Oct 27, 2026

Amikacin Liposome Inhalation Suspension for Treatment of Mycobacterium Xenopi Pulmonary Infection

A Phase 2 interventional study of Arikayce and standard treatment in Mycobacterium; Xenopi and Lung Diseases, sponsored by Centre Hospitalier Universitaire, Amiens. Recruiting at 1 site in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-27.

Sponsored by Centre Hospitalier Universitaire, Amiens · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Started Oct 2024; still recruiting 2 years later.
Updated Oct 27, 2026Primary completion movedStudy completion movedGo to Updates ↓
Phase
Phase 2
Study type
Interventional
Enrollment
190
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

Treatment of Mycobacterium xenopi (MX) lung disease is not-well- tolerated and concerned a growing number of patients, especially with chronic pulmonary diseases or immunosuppression. The outcome of these patients is poor, and treatment is very long. Indeed, this duration is based on the date of sputum conversion. Treatment should be continued until 12 months after sputum conversion. In the vast majority patients have converted after 6 months of treatment, so a 18 months duration in total. Unfortunately, few data are available for MX, as it is rare in USA, but it is the second NTM isolated in France and concerns an increasing number of patients. As it is uncommon in USA, no clinical studies conducted by the pharmaceutical laboratory will be planned. In a murine model of MX infection, the only drug which decreased the number colony formant units in mice lungs, was amikacin. Until now, amikacin was only available intravenously and used only for patients with very severe disease, because of renal and auditory toxicity. Amikacin liposome inhalation suspension (ARIKAYCE®) is amikacin sulfate encapsulated in liposomes for inhalational delivery. ARIKAYCE® increases amikacin uptake into alveolar macrophages, a refuge for NTM organisms; allows biofilm penetration; and limits systemic amikacin exposure ARIKAYCE® has already be tested in a randomized study on M. avium complex (MAC) refractory pulmonary infections. In this study, the culture conversion rate in the ARIKAYCE® group was higher than standard regimen group.

02

Conditions studied

  • Mycobacterium; Xenopi
  • Lung Diseases

Keywords

  • Mycobacterium; Xenopi
  • Lung Diseases
03

In context

Mycobacterium Infections

59 studies on the registry are indexed under Mycobacterium Infections; 14 are open to participants now.

This study's planned enrollment of 190 is above the median of 50 across 31 interventional studies indexed under Mycobacterium Infections.

Browse Mycobacterium Infections studies →

Lead sponsor

Centre Hospitalier Universitaire, Amiens is the lead sponsor of 586 studies on the registry; 185 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • 18 years old or older
  • with an highly effective or acceptable
  • must present ATS/IDSA 2020 criteria for nontuberculous mycobacterial pulmonary infection
  • the NTM should be M. xenopi

Exclusion criteria

Exclusion Criteria:

  • Patients presenting any of the following criteria cannot be included:
  • Known to one of the molecules of the study
  • Relapse of MX lung infection
  • Treatment with molecules able to interfere with cytochrome P450 that cannot be replaced by another therapeutic class
  • 1 and 2 human immunodeficiency virus infection
  • Renal failure with less than 30 mL/min
  • Pregnancy and breastfeeding
  • Cystic fibrosis
  • to one of the antibiotic :

Contraindication to the use of ARIKAYCE®:

  • Hypersensitivity to the active substance, to aminoglycosides or to any of the listed in section 6.1 of the CPR.
  • Hypersensitivity to soy.
  • Co-administration with any other aminoglycoside, regardless of the route of administration
  • Severe Renal Failure

Contraindication to the use of Clarithromycine:

Allergy to macrolides or to any of the excipients listed in section 6.1;

  • Association with :

    • colchicine,
    • ergot alkaloids, including for example dihydroergotamine, ergotamine, methylergometrine, methysergide: risk of ergotism,
    • pimozide, mizolastine: risk of prolongation and cardiac rhythm disorders, in particular ventricular tachycardia, ventricular fibrillation and torsades de pointes,
    • simvastatin, due to the increased risk of myopathy, including rhabdomyolysis.
    • lomitapide,
    • alfuzosin
    • dapoxetine
    • avanafil
    • ivabradine,
    • eplerenone,
    • dronedarone,
    • Quetiapine,
    • ticagrelor,
    • cisapride,
    • astemizole,
    • terfenadine,
    • ranolazine,
    • domperidone,
  • Congenital or acquired prolongation of the QT interval (see sections 4.4 and 4.5 of the CPR)
  • History of QT interval prolongation or ventricular rhythm disorders, in particular torsades de pointe (see sections 4.4 and 4.5 of the CPR);
  • Electrolyte imbalances (hypokalaemia or hypomagnesaemia, due to the risk of QT interval prolongation) (see sections 4.4 and 4.5 of the CPR).Clarithromycin should not be used in patients with severe hepatic insufficiency in association with renal insufficiency.

Contraindication to the use of Rifampicine:

  • Hypersensitivity to rifamycins or to any of the excipients listed in section 6.1 of the CPR.
  • Porphyrias.
  • Association with bictegravir, cobicistat, daclatasvir, dasabuvir, delamanid, grazoprevir/elbasvir, ritonavir-boosted protease inhibitors, isavuconazole, lédipasvir, lurasidone, midostaurine, ombitasvir/paritaprévir, praziquantel, rilpivirine, sofosbuvir, velpatasvir, voriconazole, voxilaprévir, (see section 4. 5 of the CPR). In children under 6 years of age, due to the risk of malaria

Contradiction the the use of Ethambutol:

  • Known hypersensitivity to ethambutol
  • Optic neuritis
  • This medicine is contraindicated in patients with a wheat allergy (other than coeliac disease).
  • Inability to comply with the requirements of the protocol, especially substance abuse, according to the investigator.
  • Limited (e.g 3 months)
  • Patients with hematologic and allogeneic haematopoietic stem cells
  • Women of childbearing age and not using an effective method of (Pearl Index \<1%)
  • The patient is treated with molecules prolonging the QT interval that cannot be replaced by another therapeutic class.
  • The patient presents a heart failure with less than 30%.
Terms in these criteria, in plain language(10)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

LVEF (left ventricular ejection fraction)

The share of blood the heart’s main pumping chamber (the left ventricle) pushes out with each beat, measured by an echocardiogram (heart ultrasound) or a MUGA scan. About 50–70% is normal.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
190 participants (estimated)

Study arms

  • Experimental
    ARIKAYCE

    Experimental arm = ARIKAYCE® during 6 months in addition to standard treatment (duration determined with date of sputum conversion)

    Drug: Arikayce

  • Active comparator
    Standard treatment

    Control arm = standard treatment Standard treatment = Rifampicin, ethambutol and clarithromycin

    Drug: standard treatment

Interventions

  • Treatment regimens containing three molecules, rifampicin, ethambutol, and clarithromycin with ARIKAYCE® during the 6 first months of treatment. After having confirmed the presence of all inclusion criteria and the absence of all exclusion criteria, and after having obtained the patient's free and informed consent, the patient will be included and randomized to one of the treatment regimens.

  • Drugstandard treatment

    treatment regimens containing three molecules, rifampicin, ethambutol, and clarithromycin during the 6 first months of treatment. After having confirmed the presence of all inclusion criteria and the absence of all exclusion criteria, and after having obtained the patient's free and informed consent, the patient will be included and randomized to one of the treatment regimens.

06

What researchers measure

Primary outcomes

  1. variation of sputum conversion rate in ARIKAYCE® addition group compared to standard treatment

    Time frame: 3 months

Secondary outcomes

  1. variation of time to culture conversion between both groups

    Time frame: at 3 month

  2. variation of mortality between both groups

    Time frame: at 12 months

  3. variation of mortality between both groups

    Time frame: at 24 months

07

Study locations

1 of 1 sites recruiting
  • CHU Amiens-Picardie
    Amiens, 80054, France
    Recruiting
    • Claire Andréjak, MD · Contact
    • Frédéric GAGNADOUX, Pr · Principal investigator
    • Diane BOUVRY, Dr · Principal investigator
    • Elodie BLANCHARD, DR · Principal investigator
    • Cécile L'HEVEDER, Pr · Principal investigator
    • Antoine BELLE, Dr · Principal investigator
    • Bernard MAITRE, Pr · Principal investigator
    • Philippe BONNIAUD, Dr · Principal investigator
    • Rebecca HAMIDFAR, Dr · Principal investigator
    • Marie JOUVENOT, Dr · Principal investigator
    • Gilles DEVOUASSOUX, Pr · Principal investigator
    • Martine REYNAUD GAUBERT, Pr · Principal investigator
    • Cristina SOCOLOVSCHI AUDOLY, Dr · Principal investigator
    • Didier DEBIEUVRE, Dr · Principal investigator
    • Hugues MOREL, Dr · Principal investigator
    • Thomas MAITRE, Dr · Principal investigator
    • Alexandra SERRIS, Pr · Principal investigator
    • Léa COLOMBAIN, Dr · Principal investigator
    • Lucien GUERIN, Dr · Principal investigator
    • Jean Francois BOITIAUX, Dr · Principal investigator
    • Gaëtan DESLEE, Pr · Principal investigator
    • Mallorie KERJOUAN, Dr · Principal investigator
    • Hélène MORISSE PRADIER, Dr · Principal investigator
    • Youcef DOUADI, Dr · Principal investigator
    • Loic KASSEGNE, Dr · Principal investigator
    • Marlène MURRIS-ESPIN, Dr · Principal investigator
    • Sylvain MARCHAND ADAM, Pr · Principal investigator
    • Estelle HOGUET, Dr · Principal investigator
    • Florence LE MEUNIER, Dr · Principal investigator
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedDate before it movedWhere the date was before it moved

Started Oct 2024 (actual). Primary completion is estimated for Dec 2030, 74 months after the start.

Since we started tracking on Sep 25, 2026, the dates moved once, on Oct 27, 2026: primary completion Aug 2026 → Dec 2030 and completion Aug 2027 → Dec 2030.

Earlier changes are on the record history on ClinicalTrials.gov ↗

How these figures are worked out, and which studies are left out of them.

Registered
Aug 13, 2024
First posted
Sep 5, 2024
StartActual
Oct 20, 2024
Primary completionEst.
Dec 2030was Aug 2026
CompletionEst.
Dec 2030was Aug 2027
Last update
Oct 27, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Primary completion
Aug 2026→Dec 2030
Oct 27, 2026
Study completion
Aug 2027→Dec 2030
Oct 27, 2026
Show all 1 update
  1. Oct 27, 2026
    Primary completion Aug 2026→Dec 2030
    Study completion Aug 2027→Dec 2030
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT06585020
Collaborators
University Hospital, Angers, Hospital Avicenne, University Hospital, Bordeaux, University Hospital, Brest, Centre Hospitalier Intercommunal de Compiègne-Noyon, Créteil Hospital, Centre Hospitalier Universitaire Dijon, University Hospital, Grenoble, Centre Hospitalier le Mans, Hôpital de la Croix-Rousse, APHM - Nord, Hôpital Saint Joseph, CH Mulhouse, CH Orléans, Tenon Hospital, Paris, Hôpital Necker-Enfants Malades, Perpignan Hospital Center, Poitiers University Hospital, CH Pontoise, CHU de Reims, Rennes University Hospital, CHU de Rouen - Accueil, Central Hospital Saint Quentin, IHU Strasbourg, University Hospital, Tours, Abbeville Hospital Center, CH Cannes
Responsible party
Sponsor
First posted
Sep 5, 2024
Start date
Oct 20, 2024
Primary completion
Dec 2030 (estimated)
Completion
Dec 2030 (estimated)
Last update
Oct 27, 2026

Study contacts

Claire ANDREJAK, Pr
Contact
Andrejak.Claire@chu-amiens.fr
03 22 08 79 98 ext. 33

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Interested in this study?

Eligibility is decided by the study team. Share this record with your doctor or contact the team directly.

Contact study team

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Studies of the drug tested here: Amikacin

Start the discussion