Study in COPD (Chronic Obstructive Pulmonary Disease) Subjects to Investigate Safety, Tolerability, and Pharmacokinetics of Ciprofloxacin After Single Dose Inhalations of 50 mg and 75 mg Ciprofloxacin Inhalation Powder

This study has been completed.
Sponsor:
Information provided by (Responsible Party):
Bayer
ClinicalTrials.gov Identifier:
NCT01168895
First received: July 19, 2010
Last updated: April 10, 2014
Last verified: April 2014
  Purpose

The purpose of this study is to compare the safety and pharmacokinetics of ciprofloxacin after inhalation of single 52.5 and 48.75 mg doses in COPD patients. In this study the 48.75 mg dose will be administered for the first time using a new high dose strength (i.e. one capsule containing 75 mg powder = 48.75 mg ciprofloxacin) formulation. Safety investigations will focus on local tolerability in the lung and evaluate whether the patient can inhale the higher amount of powder compared to the lower dose strength. Pharmacokinetics is to see how the body absorbs, distributes, breaks down and gets rid of the study drug. Results from this study will be used to decide whether the new dose strength is suitable for larger clinical trials planned for the COPD patients population.


Condition Intervention Phase
Infection
Pulmonary Disease, Chronic Obstructive
Drug: Cipro Inhale (Ciprofloxacin, BAYQ3939)
Phase 1

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Safety Study
Intervention Model: Crossover Assignment
Masking: Double Blind (Subject, Caregiver, Investigator)
Primary Purpose: Treatment
Official Title: Randomized, Double-blind, Cross-over Study in COPD Subjects to Investigate Safety, Tolerability, and Pharmacokinetics of Ciprofloxacin After Single Dose Inhalations of 50 mg and 75 mg Ciprofloxacin Inhalation Powder

Resource links provided by NLM:


Further study details as provided by Bayer:

Primary Outcome Measures:
  • Determination of ciprofloxacin pharmacokinetics derived from drug concentrations in blood, urine and sputum [ Time Frame: Within 24 hours after treatment ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Adverse events collection [ Time Frame: Within 30 days ] [ Designated as safety issue: Yes ]

Enrollment: 12
Study Start Date: July 2010
Study Completion Date: September 2010
Primary Completion Date: September 2010 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Arm 1 Drug: Cipro Inhale (Ciprofloxacin, BAYQ3939)
32.5 mg ciprofloxacin corresponding to 50 mg Ciprofloxacin Pulmosphere inhalation powder will be given as single dose inhalation
Experimental: Arm 2 Drug: Cipro Inhale (Ciprofloxacin, BAYQ3939)
48.75 mg ciprofloxacin corresponding to 75 mg Ciprofloxacin Pulmosphere inhalation powder will be given as single dose inhalation

  Eligibility

Ages Eligible for Study:   40 Years to 75 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Adult subjects with COPD, 40 - 75 years of age
  • All subjects must have a diagnosis of COPD and must have airway obstruction with a post-bronchodilator Forced Expiratory Volume in 1 sec (FEV1) of >/= 30% and <= 80% of predicted and a post-bronchodilator FEV1 / Forced Vital Capacity (FVC) of </= 70%
  • Subjects must be current or ex-smokers with a smoking history of more than 10 pack-years
  • Subjects must be able to perform technically acceptable pulmonary function tests during the study period as required in the protocol
  • Subjects must be able to produce an sufficient amount of sputum during sputum induction at screening

Exclusion Criteria:

  • Subjects with a significant respiratory disease other than COPD.
  • Exacerbation within 8 weeks prior to screening
  • Subjects with more than 1 COPD exacerbation within 12 months prior to screening
  • Subjects must have an FEV1 of at least one Liter
  • Subjects with a history or physician's diagnosis of asthma. If a patient has a total blood eosinophil count >/= 0.6 x 10^9/L source documentation is required to verify that the increased eosinophil count is related to a non-asthmatic condition.
  • Subjects with hypersensitivity to the ciprofloxacin or to other quinolones and/or to inactive constituents of the inhalation powder
  • Subjects with known hypersensitivity of the bronchial system to inhalation of nebulized drugs or saline solution
  • Subjects with a history of cystic fibrosis
  • Subjects with clinically evident bronchiectasis
  • Subjects taking any:

    • Oral beta-adrenergic drugs or non cardioselective beta blockers,
    • Oral glucocorticoids,
    • Antihistamines or antileukotrienes prescribed for asthma,
    • Oral cromolyn sodium or oral nedocromil sodium,
    • Concomitant inhalative therapy with antibiotics and / or concomitant systemic therapy with fluoroquinolones
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01168895

Locations
Germany
Großhansdorf, Schleswig-Holstein, Germany, 22927
Sponsors and Collaborators
Bayer
Investigators
Study Director: Bayer Study Director Bayer
  More Information

Additional Information:
No publications provided

Responsible Party: Bayer
ClinicalTrials.gov Identifier: NCT01168895     History of Changes
Other Study ID Numbers: 14972, 2010-018521-19
Study First Received: July 19, 2010
Last Updated: April 10, 2014
Health Authority: Germany: Federal Institute for Drugs and Medical Devices

Keywords provided by Bayer:
75 mg dose strength
Safety
Pharmacokinetics

Additional relevant MeSH terms:
Respiratory Aspiration
Chronic Disease
Lung Diseases
Respiration Disorders
Pulmonary Disease, Chronic Obstructive
Lung Diseases, Obstructive
Respiratory Tract Diseases
Signs and Symptoms, Respiratory
Signs and Symptoms
Disease Attributes
Pathologic Processes
Ciprofloxacin
Nucleic Acid Synthesis Inhibitors
Enzyme Inhibitors
Molecular Mechanisms of Pharmacological Action
Pharmacologic Actions
Anti-Infective Agents
Therapeutic Uses

ClinicalTrials.gov processed this record on April 17, 2014