check_circleStudy Completed

Disease, Pulmonary

Study to evaluate the safety and pharmacokinetics of inhaled ciprofloxacin in patients with mild to moderate chronic obstructive pulmonary disease (COPD)

Trial purpose

Objectives of the study are to investigate the safety, tolerability and levels of ciprofloxacin in the lung after single and multiple inhalative administration to patients with mild to moderate COPD (stage I-II according to GOLD Criteria).

Key Participants Requirements

Sex

Both

Age

35 Years
  • - Adult patients with COPD (Stage I or II according to the GOLD Classification), 35 years of age or older
    - Airway obstruction with a post-bronchodilator Forced Expiratory Volume (FEV1) > or equal 50% of predicted normal and a post-bronchodilator FEV1 / Forced Vital Capacity (FVC) < 70%.
    - Current or ex-smokers with a smoking history of more than 10 pack-years
    - Body mass index (BMI) between 18 and 33 kg/m2
    - Written informed consent to participate in the study after receiving adequate previous information and prior to any study specific procedures
  • - Significant disease other than COPD as bronchial asthma, cystic fibrosis or clinically evident bronchiectasis
    - Total blood eosinophil count >/=600/mm3.
    - Thoracotomy with pulmonary resection
    - Regular use of daytime oxygen therapy
    - Completion of a pulmonary rehabilitation program in the six weeks prior to the pre-study examination or current participation in a rehabilitation program
    - Hypersensitivity to the investigational drug or to other quinolones and/or to inactive constituents of the inhalation powder
    - Hypersensitivity of the bronchial system to inhalation of nebulized drugs or saline solution
    - Acute pulmonary exacerbation
    - Patients with a history of severe allergies, non-allergic drug reactions, or multiple drug allergies
    - Concomitant inhalative therapy with antibiotics and/or concomitant systemic therapy with fluoroquinolones
    - Oral beta-adrenergics, beta blockers
    - Long acting anti-cholinergics within 2 weeks prior to pre-study examination
    - Inhaled or oral steroids
    - Methylxanthines: 24-hour washout of short-acting theophylline and 48-hour washout of long-acting theophylline prior to pre-study examination
    - Antihistamines, antileukotrienes prescribed for asthma
    - oral cromolyn sodium or oral nedocromil sodium

Trial summary

Enrollment Goal
25
Trial Dates
April 2009 - September 2009
Phase
Phase 1
Could I Receive a placebo
Yes
Products
Ciprofloxacin DPI (BAYQ3939)
Accepts Healthy Volunteer
No

Where to participate

StatusInstitutionLocation
Completed
CRS Clinical-Research-Services Mannheim GmbHMannheim, 68167, Germany

Primary Outcome

  • Vital signs: evaluated by heart rate, blood pressure, clinical laboratory
    date_rangeTime Frame:
    Within 28 days after first treatment
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    Safety Issue:
    yes
  • Electrocardiogram: evaluated by shape and time intervals
    date_rangeTime Frame:
    Within 28 days after first treatment
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    Safety Issue:
    yes
  • Pulmonary function test evaluated by FEV1
    date_rangeTime Frame:
    Within 28 days after first treatment
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    Safety Issue:
    yes
  • Pulse oximetry by peripheral oxygen concentration
    date_rangeTime Frame:
    Within 12 days after first treatment
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    Safety Issue:
    yes

Secondary Outcome

  • Determination of ciprofloxacin concentration in blood
    date_rangeTime Frame:
    Within 14 days after first treatment
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    Safety Issue:
    no
  • Determination of ciprofloxacin concentration in urine
    date_rangeTime Frame:
    Within 14 days after first treatment
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    Safety Issue:
    no
  • Determination of ciprofloxacin concentration in sputum
    date_rangeTime Frame:
    Within 14 days after first treatment
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    Safety Issue:
    no
  • Determination of ciprofloxacin concentration in oral rinsing fluid
    date_rangeTime Frame:
    Within 7 days after first treatment
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    Safety Issue:
    no

Trial design

Randomized, single-blinded, placebo-controlled study to evaluate the safety and tolerability, the pulmonary deposition and pharmacokinetics of ciprofloxacin in patients with mild to moderate chronic obstructive pulmonary disease (GOLD I - II), following inhalation of Ciprofloxacin PulmoSphere Inhalation Powder.
Trial Type
Interventional
Intervention Type
Drug
Trial Purpose
Treatment
Allocation
Randomized
Blinding
Single Blind
Assignment
Parallel Assignment
Trial Arms
4