PMID- 26709158 OWN - NLM STAT- MEDLINE DCOM- 20161213 LR - 20161230 IS - 1099-0496 (Electronic) IS - 1099-0496 (Linking) VI - 51 IP - 4 DP - 2016 Apr TI - One-year safety and efficacy of tobramycin powder for inhalation in patients with cystic fibrosis. PG - 372-8 LID - 10.1002/ppul.23358 [doi] AB - This is an integrated analysis of data from patients with cystic fibrosis (CF) aged 6-21 years who were treated with up to seven cycles of tobramycin powder for inhalation (TIP(TM) ) over a period of at least 1 year. Safety and key efficacy endpoints were analyzed. RESULTS: The improvement in lung function and decrease in sputum P. aeruginosa (Pa) density from baseline were sustained over the 1-year treatment period. The number of adverse events (AEs) was low and did not increase with additional cycles of TIP treatment. Some increase in tobramycin minimum inhibitory concentration (MIC) was observed, but there was no significant increase in emergence of resistant strains based on the parenteral breakpoint for tobramycin. CONCLUSION: Efficacy of TIP was maintained for up to seven cycles. Long-term treatment with TIP was generally safe and well tolerated with no increase in AEs. CI - (c) 2015 Wiley Periodicals, Inc. FAU - Konstan, Michael W AU - Konstan MW AD - Case Western Reserve University School of Medicine and Rainbow Babies and Children's Hospital, Cleveland, Ohio. FAU - Flume, Patrick A AU - Flume PA AD - Medical University of South Carolina, Charleston, South Carolina. FAU - Galeva, Ivanka AU - Galeva I AD - Alexandrovska Hospital, Medical University, Sofia, Bulgaria. FAU - Wan, Robert AU - Wan R AD - Novartis Pharmaceuticals Corporation, East Hanover, New Jersey. FAU - Debonnett, Laurie M AU - Debonnett LM AD - Novartis Pharmaceuticals Corporation, East Hanover, New Jersey. FAU - Maykut, Robert J AU - Maykut RJ AD - Novartis Pharmaceuticals Corporation, East Hanover, New Jersey. FAU - Angyalosi, Gerhild AU - Angyalosi G AD - Novartis Pharma AG, Basel, Switzerland. LA - eng PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20151227 PL - United States TA - Pediatr Pulmonol JT - Pediatric pulmonology JID - 8510590 RN - 0 (Anti-Bacterial Agents) RN - 0 (Powders) RN - VZ8RRZ51VK (Tobramycin) SB - IM MH - Administration, Inhalation MH - Adolescent MH - Anti-Bacterial Agents/*therapeutic use MH - Child MH - Cystic Fibrosis/*complications/microbiology/physiopathology MH - Double-Blind Method MH - Female MH - Humans MH - Male MH - Microbial Sensitivity Tests MH - Powders MH - Pseudomonas Infections/*drug therapy/etiology MH - Pseudomonas aeruginosa/*drug effects MH - Sputum/*drug effects/microbiology MH - Tobramycin/*therapeutic use MH - Treatment Outcome MH - Young Adult OTO - NOTNLM OT - Cystic fibrosis OT - Pseudomonas aeruginosa OT - forced expiratory volume in one second OT - long-term safety OT - tobramycin powder for inhalation EDAT- 2015/12/29 06:00 MHDA- 2016/12/15 06:00 CRDT- 2015/12/29 06:00 PHST- 2015/05/05 00:00 [received] PHST- 2015/10/30 00:00 [revised] PHST- 2015/11/29 00:00 [accepted] PHST- 2015/12/29 06:00 [entrez] PHST- 2015/12/29 06:00 [pubmed] PHST- 2016/12/15 06:00 [medline] AID - 10.1002/ppul.23358 [doi] PST - ppublish SO - Pediatr Pulmonol. 2016 Apr;51(4):372-8. doi: 10.1002/ppul.23358. Epub 2015 Dec 27.