Bronchiectasis drug trial halted early – what we know
NCT ID NCT03696290
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This trial tested the drug Cayston (aztreonam lysine) in adults with bronchiectasis, a chronic lung disease causing cough and infections. The goal was to see if it could safely delay or reduce lung flare-ups. However, the study was stopped early and only enrolled 34 people, so we have limited information on its benefits or risks.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Aztreonam lysine (Cayston)
- What this could lead to
- If it works, this could point toward a treatment to reduce lung infections and hospital visits for people with bronchiectasis.
- What could go wrong
- The trial was terminated early with only 34 participants, so results are limited. It is unclear if the drug is effective or safe for this condition.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
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34 people
The number who actually took part.
- Started
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Oct 2019
- Finished
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Mar 2025
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * ≥ 18 years of age * Able to give informed consent * Clinical diagnosis of Bronchiectasis * CT scan of the chest demonstrating bronchiectasis in 1 or more lobes * A history of at least 3 exacerbations in the previous 12 months * Bronchiectasis severity index score \>4 * Pseudomonas aeruginosa or other Gram-negative respiratory pathogen detected in sputum or bronchoalveolar lavage on at least 1 occasion in the previous 12 months. * A sputum sample that is culture positive for P. aeruginosa or other Gram-negative respiratory pathogens sent at the screening visit and within 28 days of randomization. Pre-specified eligible organisms include Eschericia coli, Haemophilus influenzae, Moraxella catarrhalis, Klebsiella pneumoniae, Proteus mirabilis, Serratia marcescens, Achromobacter, Enterobacter and Stenotrophomonas maltophilia Exclusion Criteria: * Participant has cystic fibrosis * Immunodeficiency requiring replacement immunoglobulin. * Active tuberculosis or nontuberculous mycobacterial infection (defined as currently under treatment, or requiring treatment in the opinion of the investigator). * Recent significant haemoptysis (a volume requiring clinical intervention, within the previous 4 weeks). * Treatment with inhaled, systemic or nebulized anti-Pseudomonal antibiotics in the 28 days prior to randomization * Oral macrolides which have been taken for a period of less than 3 months prior to the start of the trial. * Treatment of an exacerbation and receiving antibiotic treatment within 4 weeks of randomization * Primary diagnosis of COPD associated with \>20 pack years smoking history. * History of poorly controlled asthma or a history of bronchospasm with inhaled antibiotics. * Pregnant or lactating females. * Participants with FEV1 \<30% predicted value at screening. * Previous history of intolerance to Aztreonam or bronchospasm reported with any other inhaled anti-bacterial. * Glomerular filtration rate (eGFR) below 30ml/min/1.73m2 or requiring dialysis. This will be determined at screening. * Use of any investigational drugs within five times of the elimination half-life after the last trial dose or within 30 days, whichever is longer. * Unstable co-morbidities (cardiovascular disease, active malignancy) which in the opinion of the investigator would make participation in the trial not in the participants best interest. * Long term oxygen therapy * Women of child bearing age or male partners of women of child bearing age and not practicing a method of acceptable birth control (see below)
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Aintree University Hospital
Liverpool, United Kingdom
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Cardiff & Vale University Local Health Board
Cardiff, CF14 4HH, United Kingdom
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Freeman Hospital
Newcastle upon Tyne, NE7 7DN, United Kingdom
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Liverpool Heart and Chest Hospital
Liverpool, L14 3PE, United Kingdom
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Manchester University NHS Foundation Trust - Wythenshawe Hospital
Manchester, M13 9WL, United Kingdom
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NHS Lanakrshire University Hospital Hairmyres
East Kilbride, G75 8RG, United Kingdom
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NHS Lanarkshire: University Hospital Wishaw
Wishaw, ML2 0DP, United Kingdom
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NHS Tayside
Dundee, DD1 9SY, United Kingdom
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Royal Brompton & Harefield NHS Foundation Trust
London, United Kingdom
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Royal Papworth hospital NHS Foundation Trust
Cambridge, CB2 0AY, United Kingdom
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The Princess Alexandra Hospital NHS Trust
Harlow, United Kingdom
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Torbay Hospital
Torquay, Devon, TQ2 7AA, United Kingdom
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University Hospitals of Derby and Burton NHS Foundation Trust
Derby, United Kingdom
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University hospital Southampton NHS Foundation Trust
Southampton, SO16 6YD, United Kingdom
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