Catalyst

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Top-Line Results Released from Insmed's(INSM) Phase 3 CONVERT Study of Amikacin Liposome Inhalation Suspension (ALIS) in Adult Patients with Treatment-Refractory Nontuberculous Mycobacterial (NTM) Lung Disease

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INSM

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Additional Information

Clinical Data
The global CONVERT study met its primary endpoint of culture conversion by Month 6 with statistical and clinical significance. The study demonstrated that the addition of ALIS to guideline-based therapy (GBT) eliminated evidence of NTM lung disease caused by MAC in sputum by Month 6 in 29% of patients, compared to 9% of patients on GBT alone (p < 0.0001). The trial was powered to detect a treatment effect of 15% between the two treatment groups. The CONVERT study enrolled 336 adult patients with NTM lung disease caused by MAC who were refractory to at least six months of GBT. Patients were randomized 2:1 to receive ALIS plus GBT versus GBT alone. The primary endpoint was the proportion of patients achieving culture conversion by Month 6.

The Company also reported top-line data for several secondary endpoints as of the 6-month timepoint. Top-line data for the 6-minute walk test indicates no statistically significant difference between patients in the two arms. However, an analysis of these data (per a pre-specified endpoint) shows that patients who achieved culture conversion in either arm demonstrated an improvement in 6-minute walk distance when compared to patients who did not culture convert (p=0.0108).  Top-line data for the secondary endpoint of time to conversion demonstrated that patients on GBT took approximately 30% longer to convert when compared to patients on ALIS plus GBT (p < 0.0001). The Company is continuing its analysis of the impact of conversion on a variety of other clinical measures.
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Catalyst Date
Occurred on:
Sep 05, 2017
Related Keywords Phase 3 Study, Convert Study, Inhaled Amikacin Solution, Nontuberculous Mycobacteria Lung Disease