check_circleStudy Completed

Cystic Fibrosis

Study to Evaluate the Safety and Efficacy of Ciprofloxacin (Inhaled) in Patients With Cystic Fibrosis

Trial purpose

To evaluate the change in forced expiratory volume (FEV1) from baseline to Day 28-30 between Cipro Inhale-treated and placebo-treated subjects after a 4-week treatment period.

Key Participants Requirements

Sex

Both

Age

12 Years
  • - Subjects, or their legal representative(s), must have given their written informed consent to participate in the study after receiving adequate previous information and prior to any study specific procedures
    - Children (12 - 17 years) or adults >/=18 years
    - Documented diagnosis Cystic Fibrosis (CF):
     -- documented sweat chloride >/=60 mEq/L by quantitative pilocarpine iontophoresis test (QPIT) or nasal potential difference
     -- either homozygous for ΔF508 genetic mutation or a compound heterozygous for 2 known CF mutations
     -- and clinical findings consistent with CF
    - Chronic colonization with P. aeruginosa defined as a positive respiratory tract culture (sputum or throat swab) within 12 months prior to screening and at screening (Note: subjects with negative culture at screening can, at the discretion of the investigator, be rescreened at a later date)
    - Ability to perform reproducible pulmonary function tests
    - Ability to produce sputum (noninduced)
    - Stable pulmonary status, FEV1 >/=35% to - Room air oximetry >/=88% saturation
    - Off antibiotics (except macrolide) and Cipro (oral) for at least 30 days prior to the administration of study drug for pulmonary exacerbation
    - Stable regimen of standard CF treatment including chest physiotherapies and exercise regimens should not change during the 30 days prior to the administration of study drug and during the study (including macrolide administration unchanged in the previous 30 days)
    - Subjects who are able to understand and follow instructions and who are able to participate in the study for the entire period
    - Women who are willing to use an adequate method of contraception for 3 months after receiving the study drug. Adequate methods of contraception include vasectomy or condom use by their partners, diaphragm with spermicidal gel, coil (intrauterine device), surgical sterilization or oral contraceptive
  • - Findings on screening history and physical examination unrelated to CF that could potentially affect the efficacy measurements (eg, chest surgery)
    - Subjects with colonization of Pseudomonas aeruginosa and a CIPRO MIC of >/=256 µg/ml or mg/l
    - Burkholderia cepacia complex colonization of their respiratory tract within the past 12 months (documented by screen laboratory)
    - Known aspergillosis (unless asymptomatic). Patients with invasive disease, ABPA with IGE > 500 mg/dL will be excluded
    - Transaminase level >3x upper limit of normal (ULN)
    - Massive hemoptysis (>/=300 cc or requiring blood transfusion) in the preceding 4 weeks
    - Intravenous antibiotic treatment for pulmonary exacerbation in the past 30 days
    - Subjects with a medical disorder, condition or history of such that would impair the subject's ability to participate or complete this study in the opinion of the investigator or the sponsor
    - Febrile illness within 1 week before the start of the study
    - Active treatment for nontuberculosis mycobacteria
    - Exposure to any investigational drug within 30 days
    - Any history of allergic reaction to fluoroquinolones or other quinolones
    - On oral steroids >20 mg/day for longer than 14 days in the past 3 months
    - Creatinine >/=2x ULN

Trial summary

Enrollment Goal
288
Trial Dates
May 2008 - January 2011
Phase
Phase 2
Could I Receive a placebo
Yes
Products
Ciprofloxacin DPI (BAYQ3939)
Accepts Healthy Volunteer
No

Where to participate

StatusInstitutionLocation
Completed
Klinikum Innenstadt der Ludwigs-Maximilians-UniversitätMünchen, 80336, Germany
Terminated
Birmingham Heartlands HospitalBirmingham, B9 5SS, United Kingdom
Completed
Morristown Memorial HospitalMorristown, 07962, United States
Completed
Medical University of South CarolinaCharleston, 29425, United States
Completed
Jasper ClinicKalamazoo, 49007, United States
Completed
Louisville Pulmonary CareLouisville, 40207, United States
Completed
Akron Children's HospitalAkron, 44308-1062, United States
Completed
Children's Memorial HospitalChicago, 60614, United States
Completed
Monmouth Medical CenterLong Branch, 07740, United States
Terminated
Children's Hospital of Los AngelesLos Angeles, 90027, United States
Terminated
Children's Hospital of Orange CountyOrange, 92868, United States
Completed
Georgia Health Sciences UniversityAugusta, 30912-4005, United States
Completed
Toledo Children's HospitalToledo, 43606, United States
Completed
University of California, San FranciscoSan Francisco, 94143, United States
Terminated
Klinikum der Johann Wolfgang Goethe Universität FrankfurtFrankfurt, 60590, Germany
Completed
Charité Campus Benjamin FranklinBerlin, 12200, Germany
Completed
Klinikum der Johann Wolfgang Goethe Universität FrankfurtFrankfurt, 60590, Germany
Terminated
Belfast City HospitalBelfast, BT12 7AB, United Kingdom
Terminated
Papworth HospitalCambridge, CB3 8RE, United Kingdom
Completed
Southampton General HospitalSouthampton, SO16 6YD, United Kingdom
Completed
Alamo Clinical Research AssociatesSan Antonio, 78212, United States
Completed
University of Utah Medical CenterSalt Lake City, 84132, United States
Completed
University of Wisconsin - MadisonMadison, 53792, United States
Completed
Children's Lung Specialists, Ltd.Las Vegas, 89107, United States
Completed
Office of Dr. Santiago Reyes, MDOklahoma City, 73112, United States
Completed
Pediatric Pulmonary & Asthma InstituteSomerville, 08876, United States
Completed
Loyola University Medical CenterMaywood, 60153, United States
Completed
Ventura County Medical CenterVentura, 93003, United States
Completed
Tufts-New England Medical CenterBoston, 02111, United States
Completed
Albany Medical CollegeAlbany, 12208, United States
Completed
University of Virginia Health SystemCharlottesville, 22908, United States
Completed
University of Arkansas for Medical SciencesLittle Rock, 72205, United States
Completed
University of Miami School of MedicineMiami, 33136, United States
Completed
University of Southern CaliforniaLos Angeles, 90033, United States
Completed
Rush University Medical CenterChicago, 60612, United States
Completed
University of Arizona Medical CenterTucson, 85724, United States
Completed
University of Michigan Health SystemAnn Arbor, 48109, United States
Completed
Cincinnati Children's Hospital Medical CenterCincinnati, 45229-3039, United States
Completed
Penn Presbyterian Medical CenterPhiladelphia, 19104-4283, United States
Completed
Duke University Medical CenterDurham, 27710, United States
Completed
Riley Hospital for ChildrenIndianapolis, 46202, United States
Completed
Saint Barnabas Medical CenterLivingston, 07039, United States
Completed
Long Island Jewish Medical CenterNew Hyde Park, 11040, United States
Completed
Nemours Children's Clinic - JacksonvilleJacksonville, 32207, United States
Terminated
Hartford HospitalHartford, 06102, United States
Completed
Penn State Milton S. Hershey Medical CenterHershey, 17033-0850, United States
Completed
OU Children's PhysiciansOklahoma City, 73104, United States
Completed
University of Mississippi Medical CenterJackson, 39216, United States
Completed
Phoenix Children's HospitalPhoenix, 85016, United States
Completed
Children's Hospital and Regional Medical CenterSeattle, 98105, United States
Completed
Children's Hospital BostonBoston, 02115, United States
Completed
Nemour's Children's Clinic - OrlandoOrlando, 32801, United States
Completed
Indiana UniversityIndianapolis, 46202, United States
Completed
Janeway Children’s Health and Rehabilitation CentreSt. John's, A1B 3V6, Canada
Completed
McMaster University Health Science CentreHamilton, L8S 4J9, Canada
Completed
Skånes UniversitetssjukhusLund, 221 85, Sweden
Terminated
Oslo Universitetssykehus HF, UllevålOslo, 0407, Norway
Terminated
Lady Davis Carmel Medical CenterHaifa, Israel
Completed
Office of Dr. Brian Lyttle, MDLondon, N6A 5B8, Canada
Terminated
Montreal Chest InstituteMontreal, H2X 2P4, Canada
Completed
Akademiska barnsjukhusetUppsala, 751 85, Sweden
Completed
SU/ÖstraGöteborg, 416 85, Sweden
Completed
H:S RigshospitaletCopenhagen, 2100, Denmark
Completed
Chaim Sheba Medical CenterTel Hashomer, Israel
Completed
Hadassah University Hospital Mount ScopusJerusalem, Israel
Terminated
Rabin Medical Center - Beilinson CampusPetach Tikva, Israel
Completed
Brisbane Mater Misericordiae HospitalSouth Brisbane, 4101, Australia
Completed
The Prince Charles HospitalChermside, 4032, Australia
Completed
Schneider Children's Medical CenterPetach Tikva, Israel
Completed
Rambam Medical CenterHaifa, Israel
Completed
Sir Charles Gairdner HospitalNedlands, 6009, Australia
Completed
Royal Adelaide HospitalAdelaide, 5000, Australia
Completed
Royal Children's Hospital MelbourneParkville, 3052, Australia
Terminated
Royal Children's Hospital BrisbaneBrisbane, 4029, Australia
Completed
Central Florida Pulmonary Group, PAOrlando, 32803, United States
Completed
Yale University School of MedicineNew Haven, 06520, United States
Completed
Arnold Palmer Hospital for ChildrenOrlando, 32806, United States
Terminated
East Tennessee Children's HospitalKnoxville, 37916, United States
Terminated
Iowa city, 52242-1089, United States
Completed
St. Christopher's Hospital for ChildrenPhiladelphia, 19134, United States
Terminated
Valhalla, 10595, United States
Terminated
Tulsa, 74145, United States
Completed
Children's Asthma Respiratory & Exercise SpecialistsGlenview, 60025, United States
Completed
Rady Children's Hospital–San DiegoSan Diego, 92123-4282, United States
Completed
Kentucky ClinicLexington, 40536-0284, United States
Completed
The Children's HospitalAurora, 80045, United States
Completed
Austin Children's Chest AssociatesAustin, 78723, United States
Completed
Universitätsklinikum Leipzig AöRLeipzig, 04103, Germany
Terminated
Southern California Institute for Respiratory Diseases, Inc.Los Angeles, 90048, United States
Completed
Monash Medical CentreClayton, 3168, Australia

Primary Outcome

  • Change from baseline in Forced expiratory volume in 1 second (FEV1) at Day 28‑30
    date_rangeTime Frame:
    Baseline and End of treatment (Day 28-30)
    enhanced_encryption
    Safety Issue:
    No

Secondary Outcome

  • Change from baseline in FEV1 at Visits 4, 5, and Follow-up Visits 8 and 9
    date_rangeTime Frame:
    Baseline and Visit 4 (Day 7-9), Visit 5 (Day 14-16), Visit 8 (Day 41-45), and Visit 9 (Day 56 -60).
    enhanced_encryption
    Safety Issue:
    No
  • Change from baseline in P. aeruginosa density in the sputum at visits 4, 5, 7, 8 and 9
    date_rangeTime Frame:
    Baseline and Visit 4 (Day 7-9), Visit 5 (Day 14-16), Visit 7 (Day 28-30), Visit 8 (Day 41-45), and Visit 9 (Day 56 -60).
    enhanced_encryption
    Safety Issue:
    No
  • Time to first pulmonary exacerbations requiring intervention
    date_rangeTime Frame:
    Up to visit 9 (Day 56-60)
    enhanced_encryption
    Safety Issue:
    No
  • Change from baseline in forced vital capacity (FVC) at visits 4, 5, 7, 8 and 9
    date_rangeTime Frame:
    Baseline and Visit 4 (Day 7-9), Visit 5 (Day 14-16), Visit 7 (Day 28-30), Visit 8 (Day 41-45), and Visit 9 (Day 56 -60).
    enhanced_encryption
    Safety Issue:
    No
  • Change from baseline in forced expiratory flow (FEF 25-75% ) at visits 4, 5, 7, 8 and 9
    date_rangeTime Frame:
    Baseline and Visit 4 (Day 7-9), Visit 5 (Day 14-16), Visit 7 (Day 28-30), Visit 8 (Day 41-45), and Visit 9 (Day 56 -60).
    enhanced_encryption
    Safety Issue:
    No
  • Number of participants developing ciprofloxacin-resistant mucoid P.aeruginosa isolates
    date_rangeTime Frame:
    Baseline and up to visit 9 (day 56-60)
    enhanced_encryption
    Safety Issue:
    Yes
  • Number of participants developing ciprofloxacin-resistant non-mucoid P.aeruginosa isolates
    date_rangeTime Frame:
    Baseline and up to visit 9 (day 56-60)
    enhanced_encryption
    Safety Issue:
    Yes
  • Effect of ciprofloxacin DPI treatment on quality of life measured by Cystic Fibrosis Quality of Life Questionnaire Revised (CFQ-R), Respiratory scale
    date_rangeTime Frame:
    Baseline and Visit 7 (Day 28-30) and Visit 9 (Day 56 -60)
    enhanced_encryption
    Safety Issue:
    No
  • Plasma concentrations of ciprofloxacin from selected participants during treatment
    date_rangeTime Frame:
    Up to visit 7 (Day 28-30)
    enhanced_encryption
    Safety Issue:
    No
  • Sputum concentrations of ciprofloxacin from selected participants during treatment
    date_rangeTime Frame:
    Up to visit 7 (Day 28-30
    enhanced_encryption
    Safety Issue:
    No
  • Number of participants with occurrence of drug induced Bronchospasms
    date_rangeTime Frame:
    Up to visit 9 (Day 56-60)
    enhanced_encryption
    Safety Issue:
    No

Trial design

Randomized, double-blind, placebo-controlled, multicenter study to evaluate the safety and efficacy of inhaled ciprofloxacin compared to placebo in subjects with cystic fibrosis
Trial Type
Interventional
Intervention Type
Drug
Trial Purpose
Treatment
Allocation
Randomized
Blinding
Double Blind
Assignment
Parallel Assignment
Trial Arms
4