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CompletedNCT00930982Updated Dec 12, 2014Results posted

Evaluation of Cipro Inhale in Patients With Non-cystic Fibrosis Bronchiectasis

A Phase 2 interventional study of Ciprofloxacin (Cipro, BAYQ3939) and Placebo in Bronchiectasis, sponsored by Bayer. Completed at 47 sites in 6 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2014-12-12.

Sponsored by Bayer · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
124
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to find out if bacterial load in the airways can be reduced after inhalation of ciprofloxacin for 28 days.

Read the detailed description

Safety issues are addressed in the AE section. There is no standardised and unanimously accepted definition of exacerbation in COPD; 4 definitions are widely used: (1) using a combination of 3 cardinal symptoms: increased dyspnea, sputum volume, and sputum purulence; (2) looking at the presence of the following patterns of symptoms during >=2 consecutive days: either 2 or more of 3 major symptoms (increase in dyspnoea, sputum volume and sputum purulence); or any 1 major symptom together with any 1 minor symptom (increase in nasal discharge, wheeze, sore throat, cough or fever); (3) a sustained worsening of the patient's condition, from the stable state and beyond normal day-to-day variations, that is acute in onset and necessitates a change in regular medication in a patient with underlying COPD; (4) a complex of respiratory events (i.e. cough, wheezing, dyspnoea or sputum production) lasting >=3 days.

02

Conditions studied

  • Bronchiectasis

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Keywords

  • Ciprofloxacin
  • Airway infection
  • Bronchiectasis
03

In context

Bronchiectasis

368 studies on the registry are indexed under Bronchiectasis; 104 are open to participants now.

This study's enrollment of 124 is above the median of 60 across 233 interventional studies indexed under Bronchiectasis.

Browse Bronchiectasis studies →

Lead sponsor

Bayer is the lead sponsor of 1,643 studies on the registry; 57 are open to participants now.

Of its 209 completed or terminated interventional studies of FDA-regulated products, 129 (62%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Patients with a proven and documented diagnosis of non-cystic fibrosis idiopathic or post pneumonic bronchiectasis
  • Stable pulmonary status and stable regimen of standard treatment at least for the past 30 days

Exclusion criteria

Exclusion Criteria:

  • Forced Expiratory Volume 1 \< 35% or > 80%
  • Allergic bronchopulmonary aspergillosis
  • Immunodeficiency disease requiring immunoglobulin replacement
  • Inflammatory bowel disease
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
124 participants (actual)

Study arms

  • Experimental
    Ciprofloxacin Inhale (BAYQ3939)

    32.5 mg ciprofloxacin hydrated corresponding to 50 mg Ciprofloxacin PulmoSphere Inhalation Powder twice daily

    Drug: Ciprofloxacin (Cipro, BAYQ3939)

  • Placebo comparator
    Placebo

    Inhalation of matching placebo twice a day

    Drug: Placebo

Interventions

  • DrugCiprofloxacin (Cipro, BAYQ3939)

    Inhalation of 32,5mg Ciprofloxacin inhaled twice a day

  • DrugPlacebo

    Inhalation of matching placebo twice a day

06

What researchers measure

Primary outcomes

  1. Change From Baseline in Total Bacterial Load in the Sputum at End of Treatment (Day 29).

    Total bacterial load was determined in sputum collected before the inhalation of study drug. Sputum samples were either provided by the participant during the respective study visit, or participants had to bring a sputum sample that had been produced within the 4 hours prior to the visit. Induced sputum samples could be collected if the participant was unable to produce a spontaneously expectorated sputum sample of \> 2 mL. Imputation method: last observation carried forward (LOCF). CFU: colony forming units, log10: decadic logarithm

    Time frame: Baseline and 29 days

Secondary outcomes

  1. Change From Baseline in Forced Expiratory Volume in 1 Second (FEV1)

    Pulmonary function testing (spirometry) was conducted in accordance with American Thoracic Society standards. 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). Imputation method: last observation carried forward (LOCF).

    Time frame: Baseline and up to end of study (planned at Day 84)

  2. Change From Baseline in Forced Vital Capacity (FVC)

    Pulmonary function testing (spirometry) was conducted in accordance with American Thoracic Society standards. FVC was defined as the maximal volume of air exhaled with maximally forced effort from a maximal inspiration, i.e. vital capacity performed with a maximally forced expiratory effort expressed in liters at BTPS. Imputation method: last observation carried forward (LOCF).

    Time frame: Baseline and up to end of study (planned at Day 84)

  3. Time to Exacerbation With Antibiotic Intervention

    Acute exacerbation was defined according to the joint American Thoracic Society/European Respiratory Society criteria. For detailed information with regard to this definition of acute exacerbation, please refer to the detailed description in the protocol section. The time to an acute exacerbation with antibiotic intervention was determined.

    Time frame: Up to end of study (planned at Day 84)

  4. Effect of Ciprofloxacin Inhale Treatment on Health-related Quality of Life (HRQoL) as Measured by the Saint George's Respiratory Questionnaire (SGRQ), Total Score

    Participants completed the Saint George's Respiratory Questionnaire (SGRQ). They were assured that all data would be treated confidentially and that the answers would not have any influence on study drug treatment. Participants completed the questionnaires on their own in a quiet area, without discussing them with study staff or accompanying persons (e.g. friends or relatives) and before being seen by the clinician. The score ranges from 0 to 100 with 100 being the worst possible score.

    Time frame: Up to end of study (planned at Day 84)

  5. Effect of Ciprofloxacin Inhale Treatment on Health-related Quality of Life (HRQoL) as Measured by Chronic Respiratory Questionnaire - Self Administered Standardized (CRQ-SAS)

    Participants completed the Chronic Respiratory Questionnaire - Self Administered Standardized (CRQ-SAS). They were assured that all data would be treated confidentially and that the answers would not have any influence on study drug treatment. Participants completed the questionnaires on their own in a quiet area, without discussing them with study staff or accompanying persons (e.g. friends or relatives) and before being seen by the clinician. The score ranges between 1 and 7, 1 being the worst possible score.

    Time frame: Up to end of study (planned at Day 84)

  6. Change From Baseline in High Sensitive C-reactive Protein (hsCRP)

    High sensitive C-reactive protein (hsCRP) was determined from safety blood samples. Missing or invalid values were replaced with the last valid value available.

    Time frame: Baseline and up to Day 42

  7. Change From Baseline in Absolute Neutrophil Count (ANC)

    Absolute neutrophil count (ANC) was determined from safety blood samples. Missing or invalid values were replaced with the last valid value available.

    Time frame: Baseline and up to Day 42

  8. 24-hour Sputum Volume

    Participants were asked to start 24-hour sputum collection samples 24 hours before coming for the respective study visit. The volume of the completed sample was determined.

    Time frame: Up to end of study (planned at Day 84)

  9. 24-hour Sputum Color (Percentage of Participants With Non-clear Sputum)

    Participants were asked to start 24-hour sputum collection samples 24 hours before coming for the respective study visit. Sputum color was assessed as either 'clear', or as 'yellow', 'green' or 'rust', or an assessment of 'no sputum' was made.

    Time frame: Up to end of study (planned at Day 84)

  10. Microbiological Response of Cipro Inhale Per Participant

    Microbiological response was defined as reduction in bacterial load or eradication (measured as the percentage of participants with positive culture). Missing values were not imputed.

    Time frame: Up to end of study (planned at Day 84)

  11. Microbiological Response of Cipro Inhale Per Pathogen

    Microbiological response was defined as reduction in bacterial load or eradication (measured as the number of participants with positive culture). Missing values were not imputed. Pathogens analyzed: Staphylococcus aureus, Streptococcus pneumoniae, Escherichia coli, Klebsiella pneumoniae, Klebsiella oxytoca, Proteus mirabilis, Serratia marcescens, Pseudomonas aeruginosa, mucoid, Pseudomonas aeruginosa, non mucoid, Stenotrophomonas maltophilia, Achromobacter xylosoxydans, Moraxella catarrhalis, Haemophilus influenzae

    Time frame: Up to end of study (planned at Day 84)

  12. Emergence of New Potential Respiratory Pathogens

    The emergence of new potential respiratory pathogens was evaluated using microbiological analysis. Evaluated was the cumulative number of participants with first appearance of new potential respiratory antigens at each time point. In some cases, participants attended the end of study visit later than Day 84 (up to Day 88).

    Time frame: Up to end of study (planned at Day 84)

  13. Emergence of Resistance Among Baseline Pathogens

    The emergence of resistance (at least two-fold increase of Minimal inhibitory concentration, MIC, vs. baseline values) probably or possibly related to study medication among baseline pathogens was evaluated using microbiological analysis.

    Time frame: Up to end of study (planned at Day 84)

Other outcomes

  1. Change From Baseline in Total Bacterial Load in the Sputum

    Total bacterial load was determined in sputum collected before the inhalation of study drug. Sputum samples were either provided by the participant during the respective study visit, or participants had to bring a sputum sample that had been produced within the 4 hours prior to the visit. Induced sputum samples could be collected if the participant was unable to produce a spontaneously expectorated sputum sample of \> 2 mL on Day 8. Imputation method: last observation carried forward (LOCF). CFU: colony forming units, log10: decadic logarithm

    Time frame: Baseline and up to end of study (planned at Day 84)

07

Results

Posted Jan 30, 2012

Participant flow

Pulmonary stable participants with a proven and documented diagnosis of non-cystic fibrosis bronchiectasis (idiopathic or postpneumonic), and on a stable regimen of standard treatment, were recruited at specialized study sites.

Participant flow — Overall Study
MilestoneCiprofloxacin Inhale (BAYQ3939)Placebo
Started6064
Completed3935
Not completed2129
Withdrew: Adverse event1923
Withdrew: Protocol violation15
Withdrew: Withdrawal by subject11

Outcome measures

PrimaryChange From Baseline in Total Bacterial Load in the Sputum at End of Treatment (Day 29).

Total bacterial load was determined in sputum collected before the inhalation of study drug. Sputum samples were either provided by the participant during the respective study visit, or participants had to bring a sputum sample that had been produced within the 4 hours prior to the visit. Induced sputum samples could be collected if the participant was unable to produce a spontaneously expectorated sputum sample of \> 2 mL. Imputation method: last observation carried forward (LOCF). CFU: colony forming units, log10: decadic logarithm

Time frame:
Baseline and 29 days
Reported as:
Mean · log10 of CFU per gram sputum
Change From Baseline in Total Bacterial Load in the Sputum at End of Treatment (Day 29).
log10 of CFU per gram sputumCiprofloxacin Inhale (BAYQ3939)Placebo
Change From Baseline in Total Bacterial Load in the Sputum at End of Treatment (Day 29).-2.94 ± 3.40-0.32 ± 2.29
Statistical analysis
  • Ciprofloxacin Inhale (BAYQ3939) vs Placebo · ANCOVA · p = < 0.001 (p-value should be \< 0.023 (one-sided) for a significant result as an interim analysis was performed. Results based on the no-interaction model which was defined as primary analysis.) · Difference in least square means: -2.368Least square mean Ciprofloxacin minus placebo
SecondaryChange From Baseline in Forced Expiratory Volume in 1 Second (FEV1)

Pulmonary function testing (spirometry) was conducted in accordance with American Thoracic Society standards. 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). Imputation method: last observation carried forward (LOCF).

Time frame:
Baseline and up to end of study (planned at Day 84)
Reported as:
Mean · Percent of predicted FEV1
Change From Baseline in Forced Expiratory Volume in 1 Second (FEV1)
Percent of predicted FEV1Ciprofloxacin Inhale (BAYQ3939)Placebo
Day 8-0.67 ± 4.50-0.14 ± 5.10
Day 29-0.53 ± 7.88-0.22 ± 9.57
Day 421.19 ± 5.88-0.26 ± 9.88
Day 560.81 ± 5.50-0.24 ± 9.61
Day 840.70 ± 5.69-0.50 ± 7.62
SecondaryChange From Baseline in Forced Vital Capacity (FVC)

Pulmonary function testing (spirometry) was conducted in accordance with American Thoracic Society standards. FVC was defined as the maximal volume of air exhaled with maximally forced effort from a maximal inspiration, i.e. vital capacity performed with a maximally forced expiratory effort expressed in liters at BTPS. Imputation method: last observation carried forward (LOCF).

Time frame:
Baseline and up to end of study (planned at Day 84)
Reported as:
Mean · Percent of predicted FVC
Change From Baseline in Forced Vital Capacity (FVC)
Percent of predicted FVCCiprofloxacin Inhale (BAYQ3939)Placebo
Day 8-0.33 ± 7.930.04 ± 7.32
Day 29-0.76 ± 8.70-1.05 ± 9.12
Day 420.92 ± 8.98-1.09 ± 9.46
Day 560.36 ± 7.45-1.16 ± 9.83
Day 84-0.01 ± 7.57-1.99 ± 8.86
SecondaryTime to Exacerbation With Antibiotic Intervention

Acute exacerbation was defined according to the joint American Thoracic Society/European Respiratory Society criteria. For detailed information with regard to this definition of acute exacerbation, please refer to the detailed description in the protocol section. The time to an acute exacerbation with antibiotic intervention was determined.

Time frame:
Up to end of study (planned at Day 84)
Reported as:
Median · Days
Time to Exacerbation With Antibiotic Intervention
DaysCiprofloxacin Inhale (BAYQ3939)Placebo
Time to Exacerbation With Antibiotic InterventionNA (NA to NA)NA (NA to NA)
SecondaryEffect of Ciprofloxacin Inhale Treatment on Health-related Quality of Life (HRQoL) as Measured by the Saint George's Respiratory Questionnaire (SGRQ), Total Score

Participants completed the Saint George's Respiratory Questionnaire (SGRQ). They were assured that all data would be treated confidentially and that the answers would not have any influence on study drug treatment. Participants completed the questionnaires on their own in a quiet area, without discussing them with study staff or accompanying persons (e.g. friends or relatives) and before being seen by the clinician. The score ranges from 0 to 100 with 100 being the worst possible score.

Time frame:
Up to end of study (planned at Day 84)
Reported as:
Mean · Scores on a scale
Effect of Ciprofloxacin Inhale Treatment on Health-related Quality of Life (HRQoL) as Measured by the Saint George's Respiratory Questionnaire (SGRQ), Total Score
Scores on a scaleCiprofloxacin Inhale (BAYQ3939)Placebo
Day 143.8 ± 20.344.7 ± 18.1
Day 2941.5 ± 21.044.8 ± 19.8
Day 5640.6 ± 20.944.1 ± 18.6
Day 8440.6 ± 18.141.6 ± 17.0
SecondaryEffect of Ciprofloxacin Inhale Treatment on Health-related Quality of Life (HRQoL) as Measured by Chronic Respiratory Questionnaire - Self Administered Standardized (CRQ-SAS)

Participants completed the Chronic Respiratory Questionnaire - Self Administered Standardized (CRQ-SAS). They were assured that all data would be treated confidentially and that the answers would not have any influence on study drug treatment. Participants completed the questionnaires on their own in a quiet area, without discussing them with study staff or accompanying persons (e.g. friends or relatives) and before being seen by the clinician. The score ranges between 1 and 7, 1 being the worst possible score.

Time frame:
Up to end of study (planned at Day 84)
Reported as:
Mean · Total score on a scale
Effect of Ciprofloxacin Inhale Treatment on Health-related Quality of Life (HRQoL) as Measured by Chronic Respiratory Questionnaire - Self Administered Standardized (CRQ-SAS)
Total score on a scaleCiprofloxacin Inhale (BAYQ3939)Placebo
Day 14.88 ± 1.204.96 ± 0.98
Day 294.99 ± 1.214.93 ± 1.21
Day 564.94 ± 1.294.91 ± 1.16
Day 845.01 ± 1.214.99 ± 1.06
SecondaryChange From Baseline in High Sensitive C-reactive Protein (hsCRP)

High sensitive C-reactive protein (hsCRP) was determined from safety blood samples. Missing or invalid values were replaced with the last valid value available.

Time frame:
Baseline and up to Day 42
Reported as:
Median · mg/L
Change From Baseline in High Sensitive C-reactive Protein (hsCRP)
mg/LCiprofloxacin Inhale (BAYQ3939)Placebo
Day 8-0.43 (-4.10 to 0.40)-0.19 (-2.48 to -0.19)
Day 290 (-3.50 to 1.90)0 (-1.92 to 3.10)
Day 42-0.16 (-4.40 to 1.91)0.12 (-2.07 to 3.10)
SecondaryChange From Baseline in Absolute Neutrophil Count (ANC)

Absolute neutrophil count (ANC) was determined from safety blood samples. Missing or invalid values were replaced with the last valid value available.

Time frame:
Baseline and up to Day 42
Reported as:
Mean · giga/L
Change From Baseline in Absolute Neutrophil Count (ANC)
giga/LCiprofloxacin Inhale (BAYQ3939)Placebo
Day 8-0.35 ± 1.59-0.03 ± 1.45
Day 29-0.36 ± 1.690.59 ± 1.97
Day 42-0.28 ± 1.700.24 ± 2.21
Secondary24-hour Sputum Volume

Participants were asked to start 24-hour sputum collection samples 24 hours before coming for the respective study visit. The volume of the completed sample was determined.

Time frame:
Up to end of study (planned at Day 84)
Reported as:
Mean · mL
24-hour Sputum Volume
mLCiprofloxacin Inhale (BAYQ3939)Placebo
Day 124.9 ± 23.630.2 ± 25.2
Day 818.9 ± 22.230.0 ± 24.1
Day 2920.5 ± 25.327.3 ± 32.5
Day 4221.1 ± 24.722.8 ± 21.1
Day 5619.6 ± 24.822.0 ± 24.8
Day 8423.6 ± 28.925.9 ± 22.9
Secondary24-hour Sputum Color (Percentage of Participants With Non-clear Sputum)

Participants were asked to start 24-hour sputum collection samples 24 hours before coming for the respective study visit. Sputum color was assessed as either 'clear', or as 'yellow', 'green' or 'rust', or an assessment of 'no sputum' was made.

Time frame:
Up to end of study (planned at Day 84)
Reported as:
Number · Percentage of participants
24-hour Sputum Color (Percentage of Participants With Non-clear Sputum)
Percentage of participantsCiprofloxacin Inhale (BAYQ3939)Placebo
Day 191.788.9
Day 873.294.9
Day 2975.582.7
Day 4272.888.4
Day 5675.086.5
Day 8466.672.8
SecondaryMicrobiological Response of Cipro Inhale Per Participant

Microbiological response was defined as reduction in bacterial load or eradication (measured as the percentage of participants with positive culture). Missing values were not imputed.

Time frame:
Up to end of study (planned at Day 84)
Reported as:
Number · Percentage of participants
Microbiological Response of Cipro Inhale Per Participant
Percentage of participantsCiprofloxacin Inhale (BAYQ3939)Placebo
Day 1100.0100.0
Day 852.488.2
Day 2965.091.8
Day 4283.386.8
Day 5687.196.4
Day 8485.292.0
SecondaryMicrobiological Response of Cipro Inhale Per Pathogen

Microbiological response was defined as reduction in bacterial load or eradication (measured as the number of participants with positive culture). Missing values were not imputed. Pathogens analyzed: Staphylococcus aureus, Streptococcus pneumoniae, Escherichia coli, Klebsiella pneumoniae, Klebsiella oxytoca, Proteus mirabilis, Serratia marcescens, Pseudomonas aeruginosa, mucoid, Pseudomonas aeruginosa, non mucoid, Stenotrophomonas maltophilia, Achromobacter xylosoxydans, Moraxella catarrhalis, Haemophilus influenzae

Time frame:
Up to end of study (planned at Day 84)
Reported as:
Number · Participants
Microbiological Response of Cipro Inhale Per Pathogen
ParticipantsCiprofloxacin Inhale (BAYQ3939)Placebo
S. aureus Day 1817
S. aureus Day 847
S. aureus Day 29510
S. aureus Day 4269
S. aureus Day 5685
S. aureus Day 8455
S. pneumoniae Day 172
S. pneumoniae Day 824
S. pneumoniae Day 2904
S. pneumoniae Day 4231
S. pneumoniae Day 5612
S. pneumoniae Day 8411
E. coli Day 122
E. coli Day 822
E. coli Day 2921
E. coli Day 4201
E. coli Day 5610
E. coli Day 8410
K. pneumoniae Day 150
K. pneumoniae Day 800
K. pneumoniae Day 2900
K. pneumoniae Day 4201
K. pneumoniae Day 5610
K. pneumoniae Day 8430
K. oxytoca Day 132
K. oxytoca Day 801
K. oxytoca Day 2902
K. oxytoca Day 4201
K. oxytoca Day 5601
K. oxytoca Day 8411
P. mirabilis Day 134
P. mirabilis Day 803
P. mirabilis Day 2901
P. mirabilis Day 4223
P. mirabilis Day 5622
P. mirabilis Day 8422
S. marcescens Day 123
S. marcescens Day 802
S. marcescens Day 2903
S. marcescens Day 4203
S. marcescens Day 5602
S. marcescens Day 8420
P. aeruginosa, mucoid Day 11216
P. aeruginosa, mucoid Day 8715
P. aeruginosa, mucoid Day 29916
P. aeruginosa, mucoid Day 42912
P. aeruginosa, mucoid Day 5666
P. aeruginosa, mucoid Day 8445
P. aeruginosa, non mucoid Day 12019
P. aeruginosa, non mucoid Day 8617
P. aeruginosa, non mucoid Day 291014
P. aeruginosa, non mucoid Day 421212
P. aeruginosa, non mucoid Day 56109
P. aeruginosa, non mucoid Day 84136
S. maltophilia Day 123
S. maltophilia Day 803
S. maltophilia Day 2923
S. maltophilia Day 4221
S. maltophilia Day 5643
S. maltophilia Day 8411
A. xylosoxydans Day 123
A. xylosoxydans Day 822
A. xylosoxydans Day 2921
A. xylosoxydans Day 4220
A. xylosoxydans Day 5611
A. xylosoxydans Day 8402
M. catarrhalis Day 153
M. catarrhalis Day 803
M. catarrhalis Day 2906
M. catarrhalis Day 4212
M. catarrhalis Day 5612
M. catarrhalis Day 8412
H. influenzae Day 11416
H. influenzae Day 8112
H. influenzae Day 29111
H. influenzae Day 4217
H. influenzae Day 5638
H. influenzae Day 8448
SecondaryEmergence of New Potential Respiratory Pathogens

The emergence of new potential respiratory pathogens was evaluated using microbiological analysis. Evaluated was the cumulative number of participants with first appearance of new potential respiratory antigens at each time point. In some cases, participants attended the end of study visit later than Day 84 (up to Day 88).

Time frame:
Up to end of study (planned at Day 84)
Reported as:
Number · Cumulative participants
Emergence of New Potential Respiratory Pathogens
Cumulative participantsCiprofloxacin Inhale (BAYQ3939)Placebo
Day 410
Day 512
Day 722
Day 878
Day 9710
Day 10711
Day 14712
Day 15713
Day 28714
Day 291224
Day 301430
Day 361530
Day 391631
Day 421833
Day 432138
Day 442540
Day 452641
Day 572945
Day 582946
Day 593047
Day 783147
Day 833247
Day 843347
Day 853853
Day 864154
Day 884354
SecondaryEmergence of Resistance Among Baseline Pathogens

The emergence of resistance (at least two-fold increase of Minimal inhibitory concentration, MIC, vs. baseline values) probably or possibly related to study medication among baseline pathogens was evaluated using microbiological analysis.

Time frame:
Up to end of study (planned at Day 84)
Reported as:
Number · Participants
Emergence of Resistance Among Baseline Pathogens
ParticipantsCiprofloxacin Inhale (BAYQ3939)Placebo
Emergence (>= 2* increase of MIC)71
Sustained (>= 2* increase of MIC until end)10
Transient (Increase in MIC with normalization)51
Insufficient follow up10
Other pre-specifiedChange From Baseline in Total Bacterial Load in the Sputum

Total bacterial load was determined in sputum collected before the inhalation of study drug. Sputum samples were either provided by the participant during the respective study visit, or participants had to bring a sputum sample that had been produced within the 4 hours prior to the visit. Induced sputum samples could be collected if the participant was unable to produce a spontaneously expectorated sputum sample of \> 2 mL on Day 8. Imputation method: last observation carried forward (LOCF). CFU: colony forming units, log10: decadic logarithm

Time frame:
Baseline and up to end of study (planned at Day 84)
Reported as:
Mean · log10 of CFU per gram sputum
Change From Baseline in Total Bacterial Load in the Sputum
log10 of CFU per gram sputumCiprofloxacin Inhale (BAYQ3939)Placebo
Day 8-2.87 ± 3.39-0.20 ± 2.15
Day 42-1.86 ± 3.06-0.31 ± 2.08
Day 56-1.86 ± 3.11-0.21 ± 1.89
Day 84-1.37 ± 3.17-0.24 ± 1.77

Adverse events

Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Ciprofloxacin Inhale (BAYQ3939)—4/60 (6.7%)38/60 (63.3%)
Placebo—6/64 (9.4%)36/64 (56.3%)
Most frequent serious events
Most frequent serious events
EventCiprofloxacin Inhale (BAYQ3939)Placebo
BronchiectasisInfections and infestations1/605/64
Oesophageal adenocarcinomaNeoplasms benign, malignant and unspecified (incl cysts and polyps)1/600/64
Complex regional pain syndromeNervous system disorders1/600/64
HallucinationPsychiatric disorders1/600/64
NeutropeniaBlood and lymphatic system disorders0/601/64
SepsisInfections and infestations0/601/64
Catheterisation cardiacInvestigations0/601/64
Renal impairmentRenal and urinary disorders0/601/64
Acute respiratory failureRespiratory, thoracic and mediastinal disorders0/601/64
Most frequent other events
Most frequent other events
EventCiprofloxacin Inhale (BAYQ3939)Placebo
BronchiectasisInfections and infestations22/6022/64
Product taste abnormalGeneral disorders8/607/64
HeadacheNervous system disorders6/606/64
CoughRespiratory, thoracic and mediastinal disorders2/605/64
DysgeusiaNervous system disorders4/601/64
DiarrhoeaGastrointestinal disorders3/602/64
NauseaGastrointestinal disorders3/600/64
BronchospasmRespiratory, thoracic and mediastinal disorders3/603/64

Baseline characteristics

Age, Continuous
Age, Continuous(Years)Ciprofloxacin Inhale (BAYQ3939)PlaceboTotal
Mean64.7 ± 11.861.4 ± 11.963.0 ± 11.9
Sex: Female, Male
Sex: Female, Male(Participants)Ciprofloxacin Inhale (BAYQ3939)PlaceboTotal
Female394382
Male212142
08

Study locations

47 sites
  • Little Rock, Arkansas 72205, United States
  • La Jolla, California 92037, United States
  • Denver, Colorado 80206, United States
  • Farmington, Connecticut 06030, United States
  • Washington, District of Columbia 20007-2197, United States
  • Naples, Florida 34109-0446, United States
  • Michigan City, Indiana 46360, United States
  • Mineola, New York 11501, United States
  • Houston, Texas 77204, United States
  • Tyler, Texas 75708-3154, United States
  • Payson, Utah 84651, United States
  • Concord, New South Wales 2139, Australia
  • South Brisbane, Queensland 4101, Australia
  • Woollongabba, Queensland 4102, Australia
  • Adelaide, South Australia 5000, Australia
  • Adelaide, South Australia 5065, Australia
  • Heidelberg, Victoria 3084, Australia
  • Prahran, Victoria 3181, Australia
  • Nedlands, Western Australia 6009, Australia
  • Löwenstein, Baden-Württemberg 74245, Germany
  • Rüdersdorf, Brandenburg 15562, Germany
  • Frankfurt, Hessen 60596, Germany
  • Gelnhausen, Hessen 63571, Germany
  • Hannover, Niedersachsen 30167, Germany
  • Hannover, Niedersachsen 30625, Germany
  • Witten, Nordrhein-Westfalen 58452, Germany
  • Koblenz, Rheinland-Pfalz 56068, Germany
  • Mainz, Rheinland-Pfalz 55131, Germany
  • Geesthacht, Schleswig-Holstein 21502, Germany
  • Großhansdorf, Schleswig-Holstein 22927, Germany
  • Bad Berka, Thüringen 99437, Germany
  • Berlin, 10961, Germany
  • Berlin, 12203, Germany
  • Berlin, 13507, Germany
  • Berlin, 14059, Germany
  • Santiago de Compostela, A Coruña 15706, Spain
  • Palma de Mallorca, Illes Baleares 07010, Spain
  • Badajoz, 06080, Spain
  • Barcelona, 08036, Spain
  • Uppsala, 751 85, Sweden
  • Bristol, Avon BS2 8HW, United Kingdom
  • Cambridge, Cambridgeshire CB3 8RE, United Kingdom
  • Liverpool, Merseyside L9 7JU, United Kingdom
  • Belfast, North Ireland BT12 7AB, United Kingdom
  • Newcastle Upon Tyne, Tyne and Wear NE7 7DN, United Kingdom
  • Edinburgh, EH16 4SA, United Kingdom
  • Norwich, NR4 7UY, United Kingdom
09

References and documents

Publications

  • Wilson R, Welte T, Polverino E, De Soyza A, Greville H, O'Donnell A, Alder J, Reimnitz P, Hampel B. Ciprofloxacin dry powder for inhalation in non-cystic fibrosis bronchiectasis: a phase II randomised study. Eur Respir J. 2013 May;41(5):1107-15. doi: 10.1183/09031936.00071312. Epub 2012 Sep 27. PubMed 23018904 ↗
10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 12, 2014, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT00930982
Lead sponsor
Bayer
Collaborators
Novartis
Responsible party
Sponsor
First posted
Jul 2, 2009
Start date
Jun 2009
Primary completion
Sep 2010
Completion
Sep 2010
Results posted
Jan 30, 2012
Last update
Dec 12, 2014

Study contacts

Bayer Study Director
study director · Bayer

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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