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Trial · NCT04107675

A Safety Study of Liposomal Cyclosporine A to Treat Bronchiolitis After Hematopoietic Transplant (BOSTON-4)

NCT04107675, Phase 2, Terminated, Zambon SpA; results first posted 2023-10-03

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. A Safety Study of Liposomal Cyclosporine A to Treat Bronchiolitis After Hematopoietic Transplant (BOSTON-4). Trials, record NCT04107675. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT04107675

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
A Safety Study of Liposomal Cyclosporine A to Treat Bronchiolitis After Hematopoietic Transplant (BOSTON-4)
NCT number
NCT04107675
Status
Terminated
Phases
Phase 2
Enrollment
6 participants, actual
Lead sponsor
Zambon SpA
Conditions
Bronchiolitis Obliterans Syndrome (BOS), GVHD, Chronic, Stem Cell Transplant Complications
Interventions
Liposomal Cyclosporine A, Liposomal Placebo
First posted
2019-09-27
Last updated
2023-10-03
Other registries' IDs
eudract:2019-000718-13
Results first posted
2023-10-03
Limitations and caveats
From the beginning of the trial, only 6 patients were enrolled. Due to the low number of patients recruited so far and the slow enrolment pace of patients, on 18 March 2022, the sponsor decided to terminate the BOSTON-4 safety and tolerability trial early. This decision was made after the Sponsor performed a careful and due diligent analysis of the current study status and considered the impact of the coronavirus disease 2019 (COVID-19) pandemic on-site activities.

Source ClinicalTrials.gov

Registered outcomes5

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryNumber of Local Tolerability Events of Interest From Baseline to Visit 3 (Week 4)at Week 4 (visit 3)The local tolerability events of interest taken into consideration were: Cough, Wheezing, Bronchospasm, Throat irritation and Change from baseline in FEV1 to Visit 3.
PrimaryNumber of Participants With AE and sAE of Different Level of Severity During the First 4 Weeks of TreatmentDuring the first 4 weeks of treatment
An adverse event (AE) is any untoward medical occurrence after exposure to a medicine, which is not necessarily caused by that medicine. An adverse event can therefore be any unfavourable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal (investigational) product, whether or not related to the medicinal (investigational) product. A serious adverse event is an adverse event that results in death, is life-threatening, requires hospitalisation or prolongation of existing hospitalisation, results in persistent or significant disability or incapacity, or is a birth defect.
SecondaryNumber of Local Tolerability Events of Interest From Baseline to Week 12at Week 12The local tolerability events of interest taken into consideration were: Cough, Wheezing, Bronchospasm, Throat irritation and Change from baseline in FEV1 to Visit 3.
SecondaryNumber of Participants With AE and sAE of Different Level of Severity During the First 12 Weeks of TreatmentDuring the first 12 weeks of treatment
An adverse event (AE) is any untoward medical occurrence after exposure to a medicine, which is not necessarily caused by that medicine. An adverse event can therefore be any unfavourable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal (investigational) product, whether or not related to the medicinal (investigational) product. A serious adverse event is an adverse event that results in death, is life-threatening, requires hospitalisation or prolongation of existing hospitalisation, results in persistent or significant disability or incapacity, or is a birth defect.
SecondaryCsA Whole Blood Concentrations and CsA Whole Blood Trough LevelsWeeks 0 (pre-dose, directly after end of inhalation, 15, 30, 45, 60 min, 1.5 h, 2h, 4h), 2, 4, 8, and 12
Whole Blood concentrations (Week 0) are at pre-dose, directly after end of inhalation, 15, 30, and 45 minutes, and 1, 1.5, 2, and 4 hours after end of inhalation, and whole blood trough levels (CsA concentration) at Weeks 2, 4, 8, and 12 were calculated.

Outcomes5

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYNumber of Local Tolerability Events of Interest From Baseline to Visit 3 (Week 4)at Week 4 (visit 3)The Safety Analysis Set (SAF) was defined as all randomized patients who had received a partial dose of IMP at least once.number of local eventsNUMBER
PRIMARYNumber of Participants With AE and sAE of Different Level of Severity During the First 4 Weeks of TreatmentDuring the first 4 weeks of treatmentThe Safety Analysis Set (SAF) was defined as all randomized patients who had received a partial dose of IMP at least once.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Local Tolerability Events of Interest From Baseline to Week 12at Week 12The Safety Analysis Set (SAF) was defined as all randomized patients who had received a partial dose of IMP at least once.number of eventsNUMBER
SECONDARYNumber of Participants With AE and sAE of Different Level of Severity During the First 12 Weeks of TreatmentDuring the first 12 weeks of treatmentThe Safety Analysis Set (SAF) was defined as all randomized patients who had received a partial dose of IMP at least once.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYCsA Whole Blood Concentrations and CsA Whole Blood Trough LevelsWeeks 0 (pre-dose, directly after end of inhalation, 15, 30, 45, 60 min, 1.5 h, 2h, 4h), 2, 4, 8, and 12
The Full Analysis Set (FAS) was defined as all randomized patients for whom at least~1 post-baseline measurement of an efficacy outcome measure (ie, spirometry or quality of life measures) was available. For spirometry measures, baseline corresponded to the assessment at randomization visit (Visit 1) prior to inhalation of IMP.
ng/mlMEAN

Results by group135

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Number of Local Tolerability Events of Interest From Baseline to Visit 3 (Week 4)L-CsA 10 mg Plus Standard of CareAny Local Tolerability Event1number of local events
Number of Local Tolerability Events of Interest From Baseline to Visit 3 (Week 4)L-CsA 5 mg Plus Standard of CareAny Local Tolerability Event5number of local events
Number of Local Tolerability Events of Interest From Baseline to Visit 3 (Week 4)Liposomal Placebo Plus Standard of CareAny Local Tolerability Event4number of local events
Number of Local Tolerability Events of Interest From Baseline to Visit 3 (Week 4)L-CsA 10 mg Plus Standard of CareCough0number of local events
Number of Local Tolerability Events of Interest From Baseline to Visit 3 (Week 4)L-CsA 5 mg Plus Standard of CareCough1number of local events
Number of Local Tolerability Events of Interest From Baseline to Visit 3 (Week 4)Liposomal Placebo Plus Standard of CareCough1number of local events
Number of Local Tolerability Events of Interest From Baseline to Visit 3 (Week 4)L-CsA 10 mg Plus Standard of CareWheezing0number of local events
Number of Local Tolerability Events of Interest From Baseline to Visit 3 (Week 4)L-CsA 5 mg Plus Standard of CareWheezing0number of local events
Number of Local Tolerability Events of Interest From Baseline to Visit 3 (Week 4)Liposomal Placebo Plus Standard of CareWheezing0number of local events
Number of Local Tolerability Events of Interest From Baseline to Visit 3 (Week 4)L-CsA 10 mg Plus Standard of CareBronchospasm0number of local events

Participant flow9

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDL-CsA 10 mg Plus Standard of Care2
Overall StudySTARTEDL-CsA 5 mg Plus Standard of Care2
Overall StudySTARTEDLiposomal Placebo Plus Standard of Care2
Overall StudyCOMPLETEDL-CsA 10 mg Plus Standard of Care2
Overall StudyCOMPLETEDL-CsA 5 mg Plus Standard of Care2
Overall StudyCOMPLETEDLiposomal Placebo Plus Standard of Care2
Overall StudyNOT COMPLETEDL-CsA 10 mg Plus Standard of Care0
Overall StudyNOT COMPLETEDL-CsA 5 mg Plus Standard of Care0
Overall StudyNOT COMPLETEDLiposomal Placebo Plus Standard of Care0

Adverse events18

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherThroat irritationRespiratory, thoracic and mediastinal disordersL-CsA 10 mg Plus Standard of Care121
otherThroat irritationRespiratory, thoracic and mediastinal disordersL-CsA 5 mg Plus Standard of Care121
otherThroat irritationRespiratory, thoracic and mediastinal disordersLiposomal Placebo Plus Standard of Care121
otherCoughRespiratory, thoracic and mediastinal disordersL-CsA 10 mg Plus Standard of Care020
otherCoughRespiratory, thoracic and mediastinal disordersL-CsA 5 mg Plus Standard of Care121
otherCoughRespiratory, thoracic and mediastinal disordersLiposomal Placebo Plus Standard of Care121
otherProductive coughRespiratory, thoracic and mediastinal disordersL-CsA 10 mg Plus Standard of Care020
otherProductive coughRespiratory, thoracic and mediastinal disordersL-CsA 5 mg Plus Standard of Care121
otherProductive coughRespiratory, thoracic and mediastinal disordersLiposomal Placebo Plus Standard of Care020
otherWheezingRespiratory, thoracic and mediastinal disordersL-CsA 10 mg Plus Standard of Care121

Adverse event totals9

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityL-CsA 10 mg Plus Standard of Care02
Total, all-cause mortalityL-CsA 5 mg Plus Standard of Care02
Total, all-cause mortalityLiposomal Placebo Plus Standard of Care02
Total, other adverse eventsL-CsA 10 mg Plus Standard of Care22
Total, other adverse eventsL-CsA 5 mg Plus Standard of Care12
Total, other adverse eventsLiposomal Placebo Plus Standard of Care12
Total, serious adverse eventsL-CsA 10 mg Plus Standard of Care12
Total, serious adverse eventsL-CsA 5 mg Plus Standard of Care02
Total, serious adverse eventsLiposomal Placebo Plus Standard of Care02

Papers0

The papers the trial lists on ClinicalTrials.gov.

None in this release.

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT04107675

GET https://conductscience.org/api/trials/v1/NCT04107675/results?page=2