Milla 2013.
Study characteristics | ||
Methods | Double‐blind, placebo‐controlled single‐dose RCT. Parallel design (3‐armed). Location: 10 CF centres in the USA. Duration: single‐dose given on day 0 and followed up until day 56. |
|
Participants | 27 participants (aged over 12 years) with P aeruginosa infection. KB001‐A 3 mg/kg n = 10; KB001‐A 10 mg/kg n = 8; placebo n = 9. Age, mean (range): 3 mg/kg 29.9 (17 – 58) years; 10 mg/kg group 27.8 (20 – 37) years; placebo 33.4 (19 – 55) years. Gender split, n (%): 3 mg/kg group 5 males (50%); 10 mg/kg group 6 males (75%); placebo 7 males (78%). Baseline FEV1 % predicted, mean (SD): 3 mg/kg group 75.2% (21.4); 10 mg/kg group 69.6% (19.7); placebo 67.8% (13.0). Baseline CFQ‐R respiratory symptom score, mean (SD): 3 mg/kg group 66.7 (7.4); 10 mg/kg group 75.0 (14.6); placebo 71.6 (15.3). Baseline sputum P aeruginosa density log10 CFU/g, mean (SD): 3 mg/kg group 8.00 (1.20); 10 mg/kg group 7.80 (0.73); placebo 7.33 (2.07). |
|
Interventions | KB001‐A is a monoclonal antibody that works by inactivating the infection mechanism of P aeruginosa. Intervention 1: KB001‐A (3 mg/kg), single IV infusion given over 1 hour. Intervention 2: KB001‐A (10 mg/kg), single IV infusion given over 1 hour. Control: placebo (0.9 % sodium chloride), single IV infusion given over 1 hour. |
|
Outcomes | Safety outcomes, adverse events, inflammatory markers, CFQ‐R respiratory domain scores, spirometry (FEV1, FEF25-75, FVC) Outcomes were reported at baseline and day 28 and day 56. |
|
Notes | ||
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | Described as "randomized" but no detail provided. |
Allocation concealment (selection bias) | Unclear risk | No detail provided. |
Blinding (performance bias and detection bias) PUFA first | Low risk | Research teams and participants were blinded. Unblinded pharmacists prepared the infusion bags but labelled bags to maintain blinding. |
Incomplete outcome data (attrition bias) All outcomes | Unclear risk | 27 participants randomised. 2 participants discontinued the trial, 1 from each of the KB001‐A groups (due to infusion related AE). A further 2 from the KB001‐A 3 mg/kg group were excluded from the analysis (received prohibited medications) and 1 from the placebo group for the same reason. All participants were included in the safety analysis. |
Selective reporting (reporting bias) | Low risk | Protocol deposited on clinicaltrials.gov. Primary outcomes are safety and tolerability which are reported. |
Other bias | Unclear risk | The trial was sponsored by the pharmaceutical company developing KB001‐A. |