E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
long term treatment of chronic lung infections caused by Pseudomonas aeruginosa in patients with cystic fibrosis |
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MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 8.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10011763 |
E.1.2 | Term | Cystic fibrosis lung |
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E.1.3 | Condition being studied is a rare disease | Yes |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
Primary objective of the study is to investigate the safety and tolerability of inhaled ciprofloxacin given as single inhalation dose to pediatric CF patients. |
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E.2.2 | Secondary objectives of the trial |
Secondary objective of the study is to investigate the pharmacokinetics of ciprofloxacin in plasma, urine and sputum after inhalative administration in order to show that an exposure needed for an assumed effective treatment of P. aeruginosa can be reached in the lung of pediatric CF patients. |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
- Male or female subjects with cystic fibrosis confirmed by genetic testing and/or by sweat test; - Colonization with P. aeruginosa confirmed in sputum in the past 12 months; - 12 to 17 years of age; - Normal body weight: BMI between 15 and 30 kg/m2; - Subjects who are able to understand and follow instructions and who are able to participate in the study for the entire period; - Women who are willing to use a method of contraception with a failure rate < 1% during the course of the study until the follow-up examination. These methods of contraception according to the note for guidance on non-clinical safety studies for the conduct of human trials for pharmaceuticals (CPMP/ICH/286/95, modification) include consistent and correct use of hormone containing implants and injectables, combined oral contraceptives, hormone containing intrauterine devices, surgical sterilization, sexual abstinence and vasectomy or condom use by their partners. - Subjects and legal representatives must have given their written informed consent to participate in the study after receiving adequate previous information and prior to any study specific procedures.
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E.4 | Principal exclusion criteria |
- Participation in another clinical trial with antibiotic treatment during the preceding 2 weeks; - Subjects with relevant conspicuous findings in medical history and pre-study examination not related to the underlying disease; - Patients with FEV1 < 50%; - Subjects with Burkholderia cepacia colonization of their respiratory tract; - Subjects with acute pulmonary aspergillosis; - Subjects on a lung transplant list; - Subjects with acute pulmonary exacerbations; - Subjects with severe liver cirrhosis; - Massive hemoptysis in the preceding 4 weeks; - Donation of more than 150 mL of blood in the preceding 4 weeks; - Blood donation of approximately 500 mL in the preceding 3 months; - A history of relevant diseases of vital organs, of the central nervous system, or other organs not related to the underlying disease; - Subjects with a medical disorder, condition or history of such that would impair the subject's ability to participate or complete this study in the opinion of the investigator or the sponsor; - Febrile illness within 1 week before the start of the study; - Subjects with a history of severe allergies, non-allergic drug reactions, or multiple drug allergies; - Subjects with hypersensitivity to the investigational drug or to other quinolones and/ or to inactive constituents; - Regular daily consumption of more than 1 L of usual beer or the equivalent quantity of approximately 40 g of alcohol in another form; - Regular daily consumption of more than 1 L of xanthine-containing beverages; - Non-smoker; - Use of medication within the 5 days preceding the study which could interfere with the investigational drug; - Relevant deviation from the normal range in the clinical examination not related to the underlying disease; - Relevant deviation from the normal range in clinical chemistry, hematology, or urinalysis not related to the underlying disease; - Resting heart rate in the awake subject below 45 BPM; - Systolic blood pressure below 100 mmHg or above 145 mmHg; - Diastolic blood pressure above 95 mmHg; - Relevant pathological changes in the ECG such as a second or third-degree AV block, prolongation of the QRS complex over 120 msec or of the QT / QTc-interval over 450 msec for men and over 470 msec for women; - Concomitant inhalative therapy with antibiotics and/or concomitant systemic therapy with fluoroquinolones (see Section 4.5.7). - Woman of childbearing potential not using safe and highly effective contraception methods as described in Section 4.2.2.
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E.5 End points |
E.5.1 | Primary end point(s) |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | No |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | No |
E.6.6 | Pharmacokinetic | Yes |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | Yes |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | Yes |
E.7.1.3.1 | Other trial type description |
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E.7.2 | Therapeutic exploratory (Phase II) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | No |
E.8.1.1 | Randomised | Information not present in EudraCT |
E.8.1.2 | Open | Information not present in EudraCT |
E.8.1.3 | Single blind | Information not present in EudraCT |
E.8.1.4 | Double blind | Information not present in EudraCT |
E.8.1.5 | Parallel group | Information not present in EudraCT |
E.8.1.6 | Cross over | Information not present in EudraCT |
E.8.1.7 | Other | Information not present in EudraCT |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | Information not present in EudraCT |
E.8.2.2 | Placebo | Information not present in EudraCT |
E.8.2.3 | Other | Information not present in EudraCT |
E.8.3 |
The trial involves single site in the Member State concerned
| Yes |
E.8.4 | The trial involves multiple sites in the Member State concerned | No |
E.8.4.1 | Number of sites anticipated in Member State concerned | 1 |
E.8.5 | The trial involves multiple Member States | No |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | No |
E.8.6.2 | Trial being conducted completely outside of the EEA | Information not present in EudraCT |
E.8.7 | Trial has a data monitoring committee | No |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 0 |
E.8.9.1 | In the Member State concerned months | 2 |
E.8.9.1 | In the Member State concerned days | 0 |