Safety, Tolerability and Efficacy of MP-376 Given for 28 Days to Cystic Fibrosis (CF) Patients

NCT ID: NCT00677365

Last Updated: 2024-12-27

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

151 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-06-30

Study Completion Date

2009-06-30

Brief Summary

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Patients with cystic fibrosis (CF) suffer from chronic infections of the lower respiratory tract that can be caused by one or multiple bacteria, including Pseudomonas aeruginosa, which has been particularly problematic to eradicate and been implicated as the major cause of morbidity and mortality in CF patients. Aerosol delivery of antibiotics directly to the lung increases the local concentrations of antibiotic at the site of infection resulting in improved antimicrobial effects compared to systemic administration. Bacterial resistance to current aerosol antibiotic treatments indicate a need for improved therapies to treat CF patients with pulmonary infections caused by multi-drug resistant Pseudomonas aeruginosa and other bacteria. High concentrations of MP-376 delivered directly to the lung are projected to have antimicrobial effects on even the most resistant organisms.

Detailed Description

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This trial will be a double-blind, placebo-controlled study to evaluate the safety, tolerability and efficacy of levofloxacin administered as MP-376 of three dosage regimens given for 28 days by the aerosol route to CF patients.

Study with completed results acquired from Horizon in 2024.

Conditions

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Cystic Fibrosis (CF)

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Placebo

Placebo inhaled either once or twice daily via the PARI eFlow nebulizer for 28 days

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

same frequency as study drug using the same nebulizer

MP-376 120 mg QD

MP-376 120 mg inhaled Once Daily (QD) via the PARI eFlow nebulizer for 28 days

Group Type EXPERIMENTAL

MP-376

Intervention Type DRUG

3 dose regimens of MP-376 administered twice daily (BID) or once daily (QD) for 28 days

MP-376 240 mg QD

MP-376 240 mg inhaled QD bia the PARI eFlow nebulizer for 28 days

Group Type EXPERIMENTAL

MP-376

Intervention Type DRUG

3 dose regimens of MP-376 administered twice daily (BID) or once daily (QD) for 28 days

MP-376 240 mg BID

MP-376 240 mg inhaled twice daily (BID) via the PARI eFlow nebulizer for 28 days

Group Type EXPERIMENTAL

MP-376

Intervention Type DRUG

3 dose regimens of MP-376 administered twice daily (BID) or once daily (QD) for 28 days

Interventions

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MP-376

3 dose regimens of MP-376 administered twice daily (BID) or once daily (QD) for 28 days

Intervention Type DRUG

Placebo

same frequency as study drug using the same nebulizer

Intervention Type DRUG

Other Intervention Names

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Levofloxacin Inhalation Solution Aeroquin

Eligibility Criteria

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Inclusion Criteria

* \> 16 years of age
* Confirmed Diagnosis of Cystic Fibrosis
* Positive sputum culture for P. aeruginosa within the past 18 months
* Patients are able to elicit a forced expiratory volume in 1 second (FEV1) \>/= 25% but \</= 85% of predicted value at screening
* Have received at least 3 courses of inhaled antimicrobials over the preceding 12 months
* Clinically stable with no changes in health status within the last 30 days
* Able to reproducibly produce sputum and perform spirometry

Exclusion Criteria

* Use of any nebulized or systemic antibiotics within 30 days prior to baseline
* History of hypersensitivity to fluoroquinolones or intolerance with aerosol medication
* Evidence of acute upper within 10 days or lower respiratory infections within 30 days prior to dosing
* Creatine clearance \< 50mg/ml, aspartate transaminase (AST), alanine transaminase (ALT) or total bilirubin \>/= 3 x upper limit of normal (ULN) at Screening
Minimum Eligible Age

16 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Amgen

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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MD

Role: STUDY_DIRECTOR

Amgen

Locations

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Mobile, Alabama, United States

Site Status

Phoenix, Arizona, United States

Site Status

Tucson, Arizona, United States

Site Status

Little Rock, Arkansas, United States

Site Status

Childrens Hospital

Los Angeles, California, United States

Site Status

Los Angeles, California, United States

Site Status

Oakland, California, United States

Site Status

Orange, California, United States

Site Status

Palo Alto, California, United States

Site Status

Sacramento, California, United States

Site Status

San Diego, California, United States

Site Status

Miami, Florida, United States

Site Status

Orlando, Florida, United States

Site Status

Chicago, Illinois, United States

Site Status

Oak Lawn, Illinois, United States

Site Status

Park Ridge, Illinois, United States

Site Status

Iowa City, Iowa, United States

Site Status

Louisville, Kentucky, United States

Site Status

Boston, Massachusetts, United States

Site Status

Ann Arbor, Michigan, United States

Site Status

Kalamazoo, Michigan, United States

Site Status

Minneapolis, Minnesota, United States

Site Status

Las Vegas, Nevada, United States

Site Status

Morristown, New Jersey, United States

Site Status

Albany, New York, United States

Site Status

Valhalla, New York, United States

Site Status

Cincinnati, Ohio, United States

Site Status

Columbus, Ohio, United States

Site Status

Dayton, Ohio, United States

Site Status

Oklahoma CF Center

Oklahoma City, Oklahoma, United States

Site Status

Oklahoma City, Oklahoma, United States

Site Status

Philadelphia, Pennsylvania, United States

Site Status

Pittsburgh, Pennsylvania, United States

Site Status

Charleston, South Carolina, United States

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Columbia, South Carolina, United States

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Memphis, Tennessee, United States

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San Antonio, Texas, United States

Site Status

Tyler, Texas, United States

Site Status

Salt Lake City, Utah, United States

Site Status

Berlin, , Germany

Site Status

Essen, , Germany

Site Status

Frankfurt, , Germany

Site Status

Gerlingen, , Germany

Site Status

Gieben, , Germany

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Kiel, , Germany

Site Status

München, , Germany

Site Status

Tübingen, , Germany

Site Status

Amsterdam, , Netherlands

Site Status

Groesbeek, , Netherlands

Site Status

Rotterdam, , Netherlands

Site Status

Countries

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United States Germany Netherlands

References

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Geller DE, Flume PA, Staab D, Fischer R, Loutit JS, Conrad DJ; Mpex 204 Study Group. Levofloxacin inhalation solution (MP-376) in patients with cystic fibrosis with Pseudomonas aeruginosa. Am J Respir Crit Care Med. 2011 Jun 1;183(11):1510-6. doi: 10.1164/rccm.201008-1293OC. Epub 2011 Feb 25.

Reference Type DERIVED
PMID: 21471106 (View on PubMed)

Other Identifiers

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2008-001728-30

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

Mpex-204

Identifier Type: -

Identifier Source: org_study_id