UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000063082
Receipt number R000072184
Scientific Title Impact of Treatment Changes Due to Erythromycin Supply Interruption on Exacerbations in Patients with Non-Cystic Fibrosis Bronchiectasis: A Multicenter Retrospective Cohort Study
Date of disclosure of the study information 2026/09/28
Last modified on 2026/09/28 19:02:52

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Basic information

Public title

Impact of erythromycin supply interruption on patients with bronchiectasis

Acronym

Erythromycin Supply Interruption and Bronchiectasis

Scientific Title

Impact of Treatment Changes Due to Erythromycin Supply Interruption on Exacerbations in Patients with Non-Cystic Fibrosis Bronchiectasis: A Multicenter Retrospective Cohort Study

Scientific Title:Acronym

Erythromycin Supply Interruption and Bronchiectasis Study

Region

Japan


Condition

Condition

Non-cystic fibrosis bronchiectasis

Classification by specialty

Pneumology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To investigate the impact of discontinuation of erythromycin or switching to another macrolide due to erythromycin supply interruption on bronchiectasis exacerbations in patients with non-cystic fibrosis bronchiectasis who had received erythromycin for at least 12 months.

Basic objectives2

Others

Basic objectives -Others

To explore the clinical characteristics associated with bronchiectasis exacerbations after discontinuation of erythromycin and the patient characteristics associated with switching from erythromycin to another macrolide.
Furthermore, in patients who switched from erythromycin to clarithromycin, the number of bronchiectasis exacerbations before and after the switch will be compared to explore the potential clinical effectiveness of long-term low-dose clarithromycin therapy.

Trial characteristics_1

Others

Trial characteristics_2

Others

Developmental phase

Not applicable


Assessment

Primary outcomes

Number of bronchiectasis exacerbations during the 12 months before and after treatment modification in patients who had received erythromycin for at least 12 months, comparing those who discontinued erythromycin with those who switched to another macrolide.

Key secondary outcomes

1.Time to the first bronchiectasis exacerbation within 12 months before and after treatment modification among patients who had received erythromycin for at least 12 months, comparing the erythromycin discontinuation group with the group switched to another macrolide
2.Number of bronchiectasis exacerbations during the 12 months before and after treatment modification, comparing the erythromycin discontinuation group with the group switched to clarithromycin


Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1.Age 20 years or older.
2.Diagnosis of non-cystic fibrosis bronchiectasis.
3.Treatment with erythromycin for at least 3 months.
4.Discontinuation of erythromycin or switching to another macrolide due to erythromycin supply interruption between July 2024 and August 2025.

Key exclusion criteria

1.Patients who discontinued or changed erythromycin for reasons other than erythromycin supply interruption.
2.Patients receiving long-term antimicrobial therapy for an indication other than bronchiectasis.
3.Patients with less than 3 months of follow-up after erythromycin discontinuation or switching.

Target sample size

120


Research contact person

Name of lead principal investigator

1st name Saiki
Middle name
Last name Yoshimura

Organization

National Hospital Organization Kyoto Medical Center

Division name

Division of Respiratory Medicine, Center for Respiratory Diseases

Zip code

6128555

Address

1-1 Fukakusa-Mukaihata-Cho, Fushimi-Ku, Kyoto, Japan.

TEL

0756419161

Email

syoshimura.kmc@gmail.com


Public contact

Name of contact person

1st name Saiki
Middle name
Last name Yoshimura

Organization

National Hospital Organization Kyoto Medical Center

Division name

Division of Respiratory Medicine, Center for Respiratory Diseases

Zip code

6128555

Address

1-1 Fukakusa-Mukaihata-Cho, Fushimi-Ku, Kyoto, Japan.

TEL

0756419161

Homepage URL


Email

syoshimura.kmc@gmail.com


Sponsor or person

Institute

National Hospital Organization Kyoto Medical Center

Institute

Department

Personal name



Funding Source

Organization

other

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

National Hospital Organization Kyoto Medical Center

Address

1-1 Fukakusa-Mukaihata-Cho, Fushimi-Ku, Kyoto, Japan.

Tel

0756419161

Email

404-rinri@mail.hosp.go.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2026 Year 09 Month 28 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Preinitiation

Date of protocol fixation

2026 Year 09 Month 15 Day

Date of IRB


Anticipated trial start date

2026 Year 09 Month 15 Day

Last follow-up date

2028 Year 09 Month 14 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

None


Management information

Registered date

2026 Year 09 Month 28 Day

Last modified on

2026 Year 09 Month 28 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000072184