check_circleStudy Completed

Bronchiectasis

Ciprofloxacin dry powder for inhalation in non-cystic fibrosis bronchiectasis (non–CF BE)

Trial purpose

The purpose of this study is to evaluate if the time to first pulmonary exacerbation of bronchiectasis or its frequency can be prolonged by inhalation of ciprofloxacin for 28 days every other 28 days or for 14 days every other 14 days over 48 weeks.

Key Participants Requirements

Sex

Both

Age

18 - N/A
  • - Patients with a proven and documented diagnosis of non Cystic Fibrosis (CF) idiopathic or post infectious bronchiectasis
    - Stable pulmonary status and stable regimen of standard treatment at least for the past 4 weeks
  • - Forced expiratory volume in 1 second (FEV1) <30% or >90% predicted
    - Active allergic bronchopulmonary aspergillosis
    - Active and actively treated non tuberculosis mycobacterial (NTM) infection or tuberculosis
    - Primary diagnosis of Chronic obstructive pulmonary disease (COPD)

Trial summary

Enrollment Goal
416
Trial Dates
May 2013 - March 2016
Phase
Phase 3
Could I Receive a placebo
Yes
Products
Ciprofloxacin DPI (BAYQ3939)
Accepts Healthy Volunteer
No

Where to participate

StatusInstitutionLocation
Completed
Newcastle Upon Tyne, NE7 7DN, United Kingdom
Completed
Exeter, EX2 5DW, United Kingdom
Completed
Belfast, BT12 7AB, United Kingdom
Completed
Plymouth, PL6 8DH, United Kingdom
Completed
Torbay, TQ2 7AA, United Kingdom
Completed
London, SW3 6NP, United Kingdom
Terminated
Manchester, M23 9LT, United Kingdom
Completed
Pisa, 56124, Italy
Completed
Pavia, 27040, Italy
Completed
Benevento, 82037, Italy
Completed
Varese, 21049, Italy
Terminated
Bari, 70020, Italy
Completed
Cagliari, 09126, Italy
Completed
ADELAIDE, 5041, Australia
Completed
Hannover, 30625, Germany
Completed
Hannover, 30173, Germany
Completed
Berlin, 10717, Germany
Completed
Berlin, 10969, Germany
Terminated
Heidelberg, 69126, Germany
Completed
Barcelona, 08036, Spain
Completed
Sant Boi de Llobregat, 08830, Spain
Completed
Geesthacht, 21502, Germany
Completed
Koblenz, 56068, Germany
Completed
Berlin, 12203, Germany
Completed
CLERMONT FERRAND, 63000, France
Completed
MONTPELLIER, 34059, France
Terminated
Terrassa, 08221, Spain
Terminated
Pontevedra, 36071, Spain
Completed
L'Hospitalet, 08907, Spain
Completed
Santiago de Compostela, 15706, Spain
Completed
Barcelona, 08041, Spain
Terminated
Madrid, 28034, Spain
Completed
Madrid, 28006, Spain
Terminated
Badalona, 08916, Spain
Completed
Pozuelo de Alarcón, 28223, Spain
Completed
Oviedo, 33006, Spain
Completed
Elda, 03600, Spain
Terminated
Valencia, 46017, Spain
Completed
Hellerup, 2900, Denmark
Completed
Naestved, 4700, Denmark
Completed
Fukuoka, 811-1394, Japan
Completed
Sakai, 591-8555, Japan
Completed
Koshi, 861-1196, Japan
Completed
Nakagun, 319-1113, Japan
Completed
Kiyose, 204-8585, Japan
Completed
Matsusaka, 515-8544, Japan
Completed
Tsu, 514-1101, Japan
Completed
Hamamatsu, 434-8511, Japan
Completed
Toon, 791-0281, Japan
Completed
Mitaka, 181-8611, Japan
Completed
Frankston, 3199, Australia
Completed
Adelaide, 5000, Australia
Completed
Toorak Gardens, 5065, Australia
Completed
Box Hill, 3128, Australia
Completed
Woolloongabba, 4102, Australia
Completed
Woodville, 5011, Australia
Completed
NIMES, 30900, France
Completed
TOULON, 83000, France
Completed
Cairns, 4870, Australia
Completed
Parkville, 3050, Australia
Completed
PRAHRAN, 3181, Australia
Completed
Kogarah, 2217, Australia
Completed
Christchurch, 8011, New Zealand
Completed
Wellington, 6021, New Zealand
Completed
Hamilton, 3240, New Zealand
Completed
Auckland, 1051, New Zealand
Completed
Auckland, 1640, New Zealand
Completed
Tauranga, 3110, New Zealand
Terminated
Wellington, 6021, New Zealand
Completed
Dunedin, New Zealand
Completed
Los Angeles, 90048, United States
Completed
Lawrenceville, 30046, United States
Completed
Valencia, 46026, Spain
Completed
Winter Park, 32789, United States
Completed
Richmond, 23225, United States
Completed
Tacoma, 98405, United States
Completed
Chesterfield, 63017, United States
Completed
Michigan City, 46360, United States
Completed
Phoenix, 85006-2611, United States
Completed
Hazard, 41701, United States
Completed
Miami, 33136, United States
Terminated
Torrance, United States
Terminated
Houston, 77030, United States
Terminated
Ventura, 93003, United States
Completed
Tyler, 75708-3154, United States
Terminated
New York, 10016, United States
Completed
Abingdon, 24210, United States
Terminated
Philadelphia, 19140, United States
Completed
Waterbury, 06708-2513, United States
Terminated
Summit, 07901, United States
Completed
Flagstaff, 86001, United States
Terminated
McKinney, 75069, United States
Terminated
Scottsdale, 85258, United States
Completed
Fort Smith, 72901, United States
Terminated
Marietta, 30060, United States
Completed
Washington, 20007-2197, United States
Terminated
Farmington, 06030, United States
Completed
New Hyde Park, 11042, United States
Completed
Charleston, 29425, United States
Completed
Orlando, 32803, United States
Completed
Kingwood, 77339, United States
Completed
Portland, 97239-3011, United States
Completed
Houston, 77043, United States
Terminated
Jasper, 35501, United States
Terminated
Philadelphia, 19104, United States
Completed
Rehovot, 7610001, Israel
Completed
Ashkelon, 7827804, Israel
Completed
Jerusalem, 9112001, Israel
Completed
Ramat Gan, 5262000, Israel
Completed
Afula, 1834111, Israel
Completed
Haifa, 3109601, Israel
Completed
Haifa, 3436212, Israel
Completed
Beer Sheva, 8410101, Israel
Completed
Tel Aviv, 6423906, Israel
Completed
Petah Tikva, 4941492, Israel
Completed
Cambridge, CB23 3RE, United Kingdom
Completed
Londonderry, BT47 6SB, United Kingdom
Completed
Trieste, 34149, Italy
Completed
Roma, 00168, Italy
Terminated
Weston, 33331, United States
Terminated
Chicago, 60637, United States
Completed
Catania, 95123, Italy
Terminated
Vicente López, 1638, Argentina
Completed
Buenos Aires, C1425DES, Argentina
Completed
Godoy Cruz, 5501, Argentina
Completed
Verona, 37126, Italy
Completed
Murdoch, 6150, Australia
Completed
Riga, LV-1002, Latvia
Completed
Daugavpils, LV-5410, Latvia
Completed
Kraslava, 5601, Latvia
Terminated
Jurmala, LV-2010, Latvia
Completed
Riga, LV-1011, Latvia
Completed
Riga, LV-1038, Latvia
Completed
Daugavpils, LV-5403, Latvia
Completed
Talsu, 3201, Latvia
Completed
Riga, LV-1001, Latvia
Terminated
Celebration, 34747, United States
Completed
Celebration, 34747, United States
Completed
Shrewsbury, SY3 8XQ, United Kingdom
Completed
Madrid, 28040, Spain
Terminated
Cáceres, 10003, Spain
Completed
Bratislava, 821 06, Slovakia
Completed
Presov, 080 01, Slovakia
Completed
Hamburg, 22767, Germany
Completed
Cottbus, 03050, Germany
Completed
Jena, 07740, Germany
Completed
Neu-Isenburg, 63263, Germany
Completed
Frankfurt, 60389, Germany
Terminated
Aarhus C, 8000, Denmark
Completed
Roskilde, 4000, Denmark
Terminated
Spokane, 99202-1334, United States
Completed
Dundee, DD1 9SY, United Kingdom
Completed
Fort Worth, 76104, United States

Primary Outcome

  • Time to First Exacerbation Event Within 48 Weeks
    Time to first exacerbation was defined as the time from randomization until the visit at which the first qualifying exacerbation is recorded by the investigator. Exacerbation events are defined as exacerbations with systemic antibiotic use and presence of fever or malaise / fatigue and worsening of at least three signs/symptoms.
    date_rangeTime Frame:
    Up to Week 48
    enhanced_encryption
    Safety Issue:
    No

Secondary Outcome

  • Number of participants with exacerbation events with worsening of at least three signs/symptoms over 48 weeks
    For this outcome measure, exacerbation events were defined as exacerbations with systemic antibiotic use and presence of fever or malaise / fatigue and worsening of at least three signs/symptoms over 48 weeks.
    date_rangeTime Frame:
    Up to Week 48
    enhanced_encryption
    Safety Issue:
    No
  • Number of participants with exacerbation events with worsening of at least one sign/symptom over 48 weeks
    For this outcome measure, exacerbation events were defined as exacerbations with systemic antibiotic use and worsening of at least one sign/symptom over 48 weeks.
    date_rangeTime Frame:
    Up to Week 48
    enhanced_encryption
    Safety Issue:
    No
  • Percentage of Participants With Pathogen Eradication at End of Treatment (Week 44/46)
    Pathogen eradication was defined as a negative culture result for all pre-specified pathogens at end of treatment (week 44 or 46 depending on treatment regimen) that were present in the participant at baseline. There was no imputation for participants who discontinued the study prematurely.
    date_rangeTime Frame:
    End of treatment (Week 44/46)
    enhanced_encryption
    Safety Issue:
    No
  • Mean Change From Baseline in Patient Reported Outcome Saint George's Respiratory Questionnaire (SGRQ) Symptoms Component Score at End of Treatment (Week 44/46)
    The SGRQ was a validated, disease-specific instrument that measures health-related quality of life (HRQoL) in adults with chronic obstructive pulmonary disease (COPD) and asthma and was later validated for use in bronchiectasis. The SGRQ covers 3 dimensions: symptoms, activity and impact on daily life. To determine the outcome, a score ranging from 1 to 100 was calculated for each individual domain and for the total score, and smaller scores indicate better health status. For this outcome measure, the symptoms component score was reported.
    date_rangeTime Frame:
    Baseline and end of treatment (Week 44/46)
    enhanced_encryption
    Safety Issue:
    No
  • Percentage of Participants With Occurrence of New Pathogens Present at End of Treatment (Week 44/46)
    New pathogens were any of the pre-specified organisms not cultured before start of study medication. There was no imputation for participants who discontinued the study prematurely.
    date_rangeTime Frame:
    End of treatment (Week 44/46)
    enhanced_encryption
    Safety Issue:
    No
  • Mean Change From Baseline in Patient Reported Outcome Quality of Life Questionnaire for Bronchiectasis (QoL-B) Respiratory Symptoms Domain Score at End of Treatment (Week 44/46)
    The QoL-B was a disease-specific questionnaire developed for non-Cystic fibrosis Bronchiectasis. It covers 8 dimensions: physical functioning, role functioning, emotional functioning, social functioning, vitality, treatment burden, health perceptions, and respiratory symptoms. Each dimension was scored separately on a scale of 0 to 100, and higher scores represent better outcomes. For this outcome measure, the respiratory symptoms domain score was reported.
    date_rangeTime Frame:
    Baseline and end of treatment (Week 44/46)
    enhanced_encryption
    Safety Issue:
    No
  • Mean Change From Baseline in Forced Expiratory Volume in One Second (FEV1) at End of Treatment (Week 44/46)
    FEV1 was defined as the maximal volume of air exhaled in the first second of a forced expiration from a position of full inspiration, expressed in liters at body temperature and ambient pressure saturated with water vapor (BTPS).
    date_rangeTime Frame:
    Baseline and end of treatment (Week 44/46)
    enhanced_encryption
    Safety Issue:
    No

Trial design

Randomized, double-blind, placebo-controlled, multicenter study comparing Ciprofloxacin DPI 32.5 mg BID (twice a day) intermittently administered for 28 days on / 28 days off or 14 days on / 14 days off versus placebo to evaluate the time to first pulmonary exacerbation and frequency of exacerbations in subjects with non–cystic fibrosis bronchiectasis.
Trial Type
Interventional
Intervention Type
Drug
Trial Purpose
Treatment
Allocation
Randomized
Blinding
Double Blind
Assignment
Parallel Assignment
Trial Arms
4