AzTrials
AzTrials

BronchiectasisPhase 3RESPIRE 2NCT02106832

Ciprofloxacin Dry Powder for Inhalation (DPI) in Non-cystic Fibrosis Bronchiectasis (Non-CF BE)

A Phase 3 study testing Ciprofloxacin (BAYQ3939) dry powder for inhalation in people with Bronchiectasis, run by Bayer at 207 sites in 25 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

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. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Bronchiectasis
What is being tested?
Ciprofloxacin (BAYQ3939) dry powder for inhalation
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
521 participants
Where
207 sitesin 25 countries
Study dates
30 Apr 2014to 19 Oct 2016
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patients with a proven and documented diagnosis of non CF idiopathic or post infectious bronchiectasis
  • Stable pulmonary status and stable regimen of standard treatment at least for the past 4 weeks

Who cannot join

  • 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 locations and contacts

207 sites in 25 countries.

207 sites in 25 countries

United States22 sites
  • Study site

    Asheville, North Carolina, 28801

  • Study site

    Brooklyn, New York, 11229

  • Study site

    Decatur, Georgia, 30033

  • Study site

    Doylestown, Pennsylvania, 18901

  • Study site

    Edinburg, Texas, 78539

  • Study site

    Fountain Valley, California, 90708

  • Study site

    Greenville, South Carolina, 29615

  • Study site

    Kissimmee, Florida, 34741

  • Study site

    La Jolla, California, 92037

  • Study site

    Long Beach, California, 90813

  • Study site

    Miami, Florida, 33126

  • Study site

    Mineola, New York, 11501

  • Study site

    Newport Beach, California, 92663

  • Study site

    Olathe, Kansas, 66061

  • Study site

    Peoria, Arizona, 85381

  • Study site

    Portland, Oregon, 97239

  • Study site

    Rochester, Minnesota, 55905

  • Study site

    San Diego, California, 92120

  • Study site

    Sarasota, Florida, 34239

  • Study site

    Skokie, Illinois, 60076

  • Study site

    Tampa, Florida, 33613

  • Study site

    Tyler, Texas, 75708-3154

Other trials in United States

Russia17 sites
  • Study site

    Arkhangelsk, 163001

  • Study site

    Chelyabinsk, 454076

  • Study site

    Moscow, 105229

  • Study site

    Moscow, 115682

  • Study site

    Moscow, 127015

  • Study site

    Moscow, 129090

  • Study site

    Nizhny Novgorod, 603035

  • Study site

    Novosibirsk, 630047

  • Study site

    Novosibirsk, 630075

  • Study site

    Novosibirsk, 630087

  • Study site

    Saint Petersburg, 194295

  • Study site

    Saint Petersburg, 194356

  • Study site

    Saint Petersburg, 196084

  • Study site

    Tomsk, 634063

  • Study site

    Ufa, 450071

  • Study site

    Voronezh, 394066

  • Study site

    Yaroslavl, 150003

Other trials in Russia

China15 sites
  • Study site

    Beijing, 100029

  • Study site

    Beijing, 100144

  • Study site

    Chengdu, Sichuan, 610041

  • Study site

    Chongqing, 400042

  • Study site

    Fuzhou, Fujian, 350025

  • Study site

    Guangzhou, Guangdong, 510120

  • Study site

    Hohehot, Inner Mongolia, 010050

  • Study site

    Nanchang, Jiangxi, 330006

  • Study site

    Shanghai, 200032

  • Study site

    Shanghai, 200040

  • Study site

    Shanghai, 200433

  • Study site

    Shenyang, Liaoning, 110004

  • Study site

    Suzhou, Jiangsu, 215006

  • Study site

    Wuxi, Jiangsu, 214023

  • Study site

    Yinchuan, Ningxia, 750004

Other trials in China

Poland14 sites
  • Study site

    Bielsko-Biala, 43-300

  • Study site

    Częstochowa, 42-200

  • Study site

    Gorzów Wielkopolski, 66-400

  • Study site

    Grudziądz, 86-300

  • Study site

    Katowice, 40-954

  • Study site

    Kielce, 25-035

  • Study site

    Kielce, 25-734

  • Study site

    Kielce, 25-751

  • Study site

    Krakow, 31-455

  • Study site

    Ksawerów, 95-054

  • Study site

    Mrozy, 05-320

  • Study site

    Ostrowiec Świętokrzyski, 27-400

  • Study site

    Rzeszów, 35-301

  • Study site

    Warsaw, 01-868

Other trials in Poland

Germany12 sites
  • Study site

    Bad Berka, Thuringia, 99437

  • Study site

    Berlin, 10717

  • Study site

    Berlin, 14059

  • Study site

    Frankfurt am Main, Hesse, 60389

  • Study site

    Gelsenkirchen, North Rhine-Westphalia, 45879

  • Study site

    Hamburg, 22767

  • Study site

    Hanover, Lower Saxony, 30173

  • Study site

    Hanover, Lower Saxony, 30625

  • Study site

    Jena, Thuringia, 07740

  • Study site

    Leipzig, Saxony, 04357

  • Study site

    Neu-Isenburg, Hesse, 63263

  • Study site

    Treuenbrietzen, Brandenburg, 14929

Other trials in Germany

Romania11 sites
  • Study site

    Bragadiru, 077025

  • Study site

    Brasov, 500086

  • Study site

    Bucharest, 010457

  • Study site

    Bucharest, 011461

  • Study site

    Bucharest, 030303

  • Study site

    Bucharest, 050159

  • Study site

    Codlea, 505100

  • Study site

    Constanța, 900002

  • Study site

    Iași, 700141

  • Study site

    Ploieşti, 100184

  • Study site

    Timișoara, 300310

Other trials in Romania

South Korea11 sites
  • Study site

    Bucheon-si, Gyeonggido, 420-717

  • Study site

    Daegu, 42415

  • Study site

    Daejeon, Daejeon Gwang''yeogsi, 301-723

  • Study site

    Incheon, 21565

  • Study site

    Incheon Gwangyeogsi,, Incheon Gwang''yeogsi, 403-720

  • Study site

    Seoul, Seoul Teugbyeolsi, 135-720

  • Study site

    Seoul, 03080

  • Study site

    Seoul, 100-032

  • Study site

    Seoul, 120-752

  • Study site

    Seoul, 130-872

  • Study site

    Seoul, 136-705

Other trials in South Korea

Turkey (Türkiye)11 sites
  • Study site

    Ankara, 061100

  • Study site

    Ankara, 06110

  • Study site

    Balcalı, 01330

  • Study site

    Izmir, 35040

  • Study site

    Kampus, 07058

  • Study site

    Konya, 42080

  • Study site

    Maltepe, 34844

  • Study site

    Mersin, 33343

  • Study site

    Pendik, 34890

  • Study site

    Samsun, 55139

  • Study site

    Şehitkamil, 27310

Other trials in Turkey (Türkiye)

Bulgaria10 sites
  • Study site

    Gabrovo, 5300

  • Study site

    Kozloduy, 3320

  • Study site

    Lovech, 5500

  • Study site

    Razgrad, 7200

  • Study site

    Rousse, 7000

  • Study site

    Sevlievo, 5400

  • Study site

    Sliven, 8800

  • Study site

    Sofia, 1000

  • Study site

    Sofia, 1606

  • Study site

    Stara Zagora, 6000

Other trials in Bulgaria

Latvia9 sites
  • Study site

    Daugavpils, LV-5403

  • Study site

    Daugavpils, LV-5410

  • Study site

    Jūrmala, LV-2010

  • Study site

    Krāslava, 5601

  • Study site

    Riga, LV-1001

  • Study site

    Riga, LV-1002

  • Study site

    Riga, LV-1011

  • Study site

    Riga, LV-1038

  • Study site

    Talsi, LV-3201

Other trials in Latvia

Brazil8 sites
  • Study site

    Belo Horizonte, Minas Gerais, 30150-221

  • Study site

    Porto Alegre, Rio Grande do Sul, 90610-000

  • Study site

    Porto Alegre, Rio Grande do Sul, 90880-480

  • Study site

    Porto Alegre, 90035-074

  • Study site

    Recife, Pernambuco, 50920640

  • Study site

    São Paulo, São Paulo, 04266-010

  • Study site

    São Paulo, 01244-030

  • Study site

    São Paulo, 05403-900

Other trials in Brazil

Serbia8 sites
  • Study site

    Belgrade, 11000

  • Study site

    Belgrade, 11080

  • Study site

    Čačak, 32000

  • Study site

    Kamenitz, 21204

  • Study site

    Knez-Selo, 18204

  • Study site

    Kragujevac, 34000

  • Study site

    Sombor, 25000

  • Study site

    Valjevo, 14000

Other trials in Serbia

Australia7 sites
  • Study site

    Adelaide, South Australia, 5041

  • Study site

    Adelaide, South Australia, 5042

  • Study site

    Kogarah, New South Wales, 2217

  • Study site

    Murdoch, Western Australia, 6150

  • Study site

    New Lambton Heights, New South Wales, 2305

  • Study site

    Parkville, Victoria, 3050

  • Study site

    Perth, Western Australia, 6009

Other trials in Australia

Netherlands7 sites
  • Study site

    Alkmaar, 1815 JD

  • Study site

    Assen, 9403 RK

  • Study site

    Groningen, 9728 NT

  • Study site

    Helmond, 5707 HA

  • Study site

    Maastricht, 6229 HX

  • Study site

    Sittard-Geleen, 6162 BG

  • Study site

    Veldhoven, 5500 MB

Other trials in Netherlands

Thailand7 sites
  • Study site

    Bangkok, 10400

  • Study site

    Bangkok, 10700

  • Study site

    Chiang Mai, 50200

  • Study site

    Khon Kaen, 40002

  • Study site

    NakhonRatchasima, 30000

  • Study site

    Phitsanulok, 65000

  • Study site

    Udon Thani, 41000

Other trials in Thailand

Argentina5 sites
  • Study site

    Buenos Aires, Ciudad Auton. de Buenos Aires, C1425DES

  • Study site

    Capital Federal, Ciudad Auton. de Buenos Aires, 1425

  • Study site

    Córdoba, X5003DCE

  • Study site

    Godoy Cruz, Mendoza Province, 5501

  • Study site

    Vicente López, 1638

Other trials in Argentina

Philippines5 sites
  • Study site

    City of San Fernando, 2000

  • Study site

    Manila, 1000

  • Study site

    Manila, 1012

  • Study site

    Quezon City, NCR 1100

  • Study site

    Quezon City, NCR 1104

Other trials in Philippines

Portugal5 sites
  • Study site

    Angra do Heroísmo, Azores, 9701-856

  • Study site

    Faro, 8000-386

  • Study site

    Lisbon, 1649-035

  • Study site

    Lisbon, 1769-001

  • Study site

    Vila Nova de Gaia, Porto District, 4434-502

Other trials in Portugal

Taiwan5 sites
  • Study site

    Chiayi City, 613

  • Study site

    Kaohsiung City, 807

  • Study site

    New Taipei City, 23561

  • Study site

    Taichung, 40447

  • Study site

    Taipei, 10002

Other trials in Taiwan

Czechia4 sites
  • Study site

    Brno, 625 00

  • Study site

    Prague, 121 11

  • Study site

    Prague, 140 46

  • Study site

    Prague, 180 81

Other trials in Czechia

Hong Kong4 sites
  • Study site

    Hong Kong

  • Study site

    Kowloon

  • Study site

    New Territories

  • Study site

    Shatin

Other trials in Hong Kong

South Africa4 sites
  • Study site

    Cape Town, Western Cape, 7500

  • Study site

    Cape Town, Western Cape, 7764

  • Study site

    eManzimtoti, KwaZulu-Natal, 4127

  • Study site

    Johannesburg, Gauteng, 2092

Other trials in South Africa

Austria2 sites
  • Study site

    Graz, 8036

  • Study site

    Salzburg, 5020

Other trials in Austria

Lithuania2 sites
  • Study site

    Klaipėda, LT-92288

  • Study site

    Vilnius, LT-08661

Other trials in Lithuania

Slovakia2 sites
  • Study site

    Bratislava, 821 06

  • Study site

    Prešov, 080 01

Other trials in Slovakia

About this study

Official title: 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.

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.

Read the detailed description

Number of participants with Adverse events will be covered in Adverse Events section.

Conditions
Bronchiectasis
Being tested
Ciprofloxacin (BAYQ3939) dry powder for inhalation, Placebo
Keywords
Ciprofloxacin, Dry Powder for Inhalation, Exacerbation, Bronchiectasis
Medical subject headings
Bronchiectasis

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Ciprofloxacin (BAYQ3939) dry powder for inhalationDrug

    Ciprofloxacin dry powder for inhalation (DPI) 32.5 mg inhaled twice daily in cycles of 28 days on-treatment and 28 days off-treatment.

  • Ciprofloxacin (BAYQ3939) dry powder for inhalationDrug

    Ciprofloxacin DPI 32.5 mg inhaled twice daily in cycles of 14 days on-treatment and 14 days off-treatment.

  • PlaceboDrug

    Matching placebo inhaled twice daily intermittently for 28 days on / 28 days off

  • PlaceboDrug

    Matching placebo inhaled twice daily intermittently for 14 days on / 14 days off

Study groups in NCT02106832
Study groupRoleWhat they receive
Ciprofloxacin DPI 28 Days on/off (Cipro 28)ExperimentalSubjects received ciprofloxacin (BAYQ3939) 32.5 milligram (mg) corresponding to 50 mg dry powder for inhalation (DPI) administered twice daily (BID) (every 12 hours); a treatment cycle consisted of a 28-day on-treatment phase followed by a 28-day off-treatment phase (48 weeks treatment phase = 6 active cycles).
Receives: Drug: Ciprofloxacin (BAYQ3939) dry powder for inhalation
Ciprofloxacin DPI 14 Days on/off (Cipro 14)ExperimentalSubjects received ciprofloxacin 32.5 mg corresponding to 50 mg DPI administered BID (every 12 hours); a treatment cycle consisted of a 14-day on-treatment phase followed by a 14-day off-treatment phase (48 weeks treatment phase = 12 active cycles).
Receives: Drug: Ciprofloxacin (BAYQ3939) dry powder for inhalation
Placebo 28 Days on/off (Placebo 28)Placebo comparatorSubjects received placebo matched to ciprofloxacin 32.5 mg powder (containing 40 mg dry powder) administered BID (every 12 hours); a treatment cycle consisted of a 28-day on-treatment phase followed by a 28-day off-treatment phase (48 weeks treatment phase = 6 cycles).
Receives: Drug: Placebo
Placebo 14 Days on/off (Placebo 14)Placebo comparatorSubjects received placebo matched to ciprofloxacin 32.5 mg powder (containing 40 mg dry powder) administered BID (every 12 hours); a treatment cycle consisted of a 14-day on-treatment phase followed by a 14-day off-treatment phase (48 weeks treatment phase = 12 cycles).
Receives: Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Time to First Exacerbation Event Within 48 Weeks - Cipro 28 vs. Pooled Placebo

    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.

    Measured: Up to Week 48

  2. Time to First Exacerbation Event Within 48 Weeks - Cipro 14 vs. Pooled Placebo

    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.

    Measured: Up to Week 48

Secondary outcomes (7)
  1. 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.

    Measured: Up to Week 48

  2. 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.

    Measured: Up to Week 48

  3. 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.

    Measured: End of treatment (Week 44/46)

  4. 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.

    Measured: Baseline and end of treatment (Week 44/46)

  5. 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.

    Measured: End of treatment (Week 44/46)

  6. 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.

    Measured: Baseline and end of treatment (Week 44/46)

  7. 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).

    Measured: Baseline and end of treatment (Week 44/46)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted8 Apr 2014 (estimated)
  2. Study start30 Apr 2014
  3. Primary completion13 Sep 2016
  4. Study completion19 Oct 2016

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
521 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02106832
Sponsor's protocol ID
15626
Other IDs
2013-004659-19
Acronym
RESPIRE 2
Status last verified
Sep 2017
First submitted
4 Apr 2014
Last updated
2 Oct 2017
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No

Publications

  • Aksamit T, De Soyza A, Bandel TJ, Criollo M, Elborn JS, Operschall E, Polverino E, Roth K, Winthrop KL, Wilson R. RESPIRE 2: a phase III placebo-controlled randomised trial of ciprofloxacin dry powder for inhalation in non-cystic fibrosis bronchiectasis. Eur Respir J. 2018 Jan 25;51(1):1702053. doi: 10.1183/13993003.02053-2017. Print 2018 Jan.

    PubMed 29371384
  • Aksamit T, Bandel TJ, Criollo M, De Soyza A, Elborn JS, Operschall E, Polverino E, Roth K, Winthrop KL, Wilson R. The RESPIRE trials: Two phase III, randomized, multicentre, placebo-controlled trials of Ciprofloxacin Dry Powder for Inhalation (Ciprofloxacin DPI) in non-cystic fibrosis bronchiectasis. Contemp Clin Trials. 2017 Jul;58:78-85. doi: 10.1016/j.cct.2017.05.007. Epub 2017 May 8.

    PubMed 28495619

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Ciprofloxacin (BAYQ3939) dry powder for inhalation in people with Bronchiectasis, run by Bayer at 207 sites in 25 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 2 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 2 Oct 2017. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 207 sites in United States, Russia, China, Poland, Germany and 20 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 1 Sep 2017). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Time to First Exacerbation Event Within 48 Weeks - Cipro 28 vs. Pooled Placebo (time frame: Up to Week 48). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02106832, which also lists 2 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 2 Oct 2017.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in