A Phase III Study to Evaluate the Safety, Efficacy and Pharmacokinetics/Pharmacodynamics of BAYQ3939 in Patients With Bacterial Pneumonia

This study is currently recruiting participants.
Verified May 2013 by Bayer
Sponsor:
Information provided by:
Bayer
ClinicalTrials.gov Identifier:
NCT01561794
First received: March 21, 2012
Last updated: May 3, 2013
Last verified: May 2013
  Purpose

The main objective of this study is to investigate the safety, pharmacokinetics (PK) and the relationship between PK and pharmacodynamics (Minimum Inhibitory Concentration [MIC] and Mutant Prevention Concentration [MPC]) of intravenous BAYQ3939 (400 mg BID and 400 mg TID) in hospitalized patients with severe pneumonia or patients who did not respond to other antibiotics used for the treatment of bacterial pneumonia. In addition, the efficacy of the ciprofloxacin, in terms of clinical response and microbiological response, will be investigated, but as a secondary endpoint.


Condition Intervention Phase
Pneumonia, Bacterial
Drug: Ciprofloxacin (Cipro, BAYQ3939)
Phase 3

Study Type: Interventional
Study Design: Endpoint Classification: Safety Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: A Prospective, Non-randomized, Open-label, Non-controlled, Multicenter Study to Evaluate the Safety, Efficacy and Pharmacokinetics/ Pharmacodynamics of BAYQ3939 (400 mg BID and 400 mg TID) in Hospitalized Patients With Severe Bacterial Pneumonia or Bacterial Pneumonia With a Poor Response to Other Antimicrobials

Resource links provided by NLM:


Further study details as provided by Bayer:

Primary Outcome Measures:
  • Safety variables will be summarized using descriptive statistics based on adverse events collection [ Time Frame: Up to 30 (±5) days after the end of treatment ] [ Designated as safety issue: Yes ]
  • AUC (Area under the blood concentration/time curve) [ Time Frame: Within 0-24 hours and 48-72 hours after the first study drug administration ] [ Designated as safety issue: No ]
  • Cmax (Maximum observed concentration) [ Time Frame: Within 0-24 hours and 48-72 hours after the first study drug administration ] [ Designated as safety issue: No ]
  • AUC/MIC (Minimum inhibitory concentration) [ Time Frame: Within 0-24 hours and 48-72 hours after the first study drug administration ] [ Designated as safety issue: No ]
  • Cmax/MIC [ Time Frame: Within 0-24 hours and 48-72 hours after the first study drug administration ] [ Designated as safety issue: No ]
  • AUC/MPC (Mutant prevention concentration) [ Time Frame: Within 0-24 hours and 48-72 hours after the first study drug administration ] [ Designated as safety issue: No ]
  • Cmax/MPC [ Time Frame: Within 0-24 hours and 48-72 hours after the first study drug administration ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Clinical response rate based on resolution of signs and symptoms [ Time Frame: Up to 13 days after the first study drug administration ] [ Designated as safety issue: No ]
  • Microbiological response rate, assessed as eradication rate based on microbiologically evaluable patients [ Time Frame: Up to 23 days after the first study drug administration ] [ Designated as safety issue: No ]
  • Test of cure rate based on resolution of signs, symptoms, and the clinical response [ Time Frame: Up to 23 days after the first study drug administration ] [ Designated as safety issue: No ]

Estimated Enrollment: 30
Study Start Date: May 2012
Estimated Study Completion Date: April 2014
Estimated Primary Completion Date: April 2014 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Arm 1 Drug: Ciprofloxacin (Cipro, BAYQ3939)
(1) Community-acquired pneumonia (CAP): 400 mg BID, i.e. every 12 ± 1 hours (For those with Ccr > 60 mL/min, 400 mg TID, i.e. every 8 ± 1 hours may be considered at the discretion of investigators) for 7 to 14 days.
Drug: Ciprofloxacin (Cipro, BAYQ3939)
(2) Hospital-acquired pneumonia (HAP): For the patient with Ccr > 60 mL/min, 400 mg TID, i.e. every 8 ± 1hours for 7 to 14 days For the patient with 30 ≤Ccr ≤60 mL/min, 400 mg BID, i.e. every 12 ± 1hours for 7 to 14 days

  Eligibility

Ages Eligible for Study:   20 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Males and non-pregnant, non-lactating females, 20 years of age or older. Women of childbearing potential and men must agree to use adequate contraception when sexually active.
  • Within 48 hours prior to the first study drug administration, all patients should have the pathogens identified with appropriate specimens (e.g., sputum, tracheal aspirate, bronchoalveolar lavage [BAL], protected brushing specimen [PBS]), or should have appropriate specimens highly likely to identify the pathogens sampled.
  • The following severe bacterial pneumonia meeting the diagnostic criteria of pneumonia

    • Community acquired pneumonia: PORT score III, IV or V#,
    • Hospital acquired pneumonia [HAP]-Group B* and with a low risk for multidrug-resistant pathogens
    • Patient with HAP-Group A* whose pathogen is suspected to be Pseudomonas aeruginosa
    • Hospitalized patients with bacterial pneumonia with a poor response to other antimicrobials Note: The patients should be limited to CAP patients with PORT score III, IV or V and HAP patients with Group A or B who don't respond to or have a poor response to other antimicrobials over 3 day's treatment.

Exclusion Criteria:

  • Creatinine clearance (Ccr) < 60 mL/min or nephrotic syndrome
  • Patient with chronic treatment of immunosuppressive drug
  • Decompensated congestive heart failure
  • Subject who received more than 24 hours of an antibacterial drug for the current infection
  • Patient who requires Intensive Care Unit (ICU) management [In case subjects who don't correspond to the severity for ICU management need to be admitted to ICU due to a circumstance of the site (e.g. shortage of hospital beds), those subjects shall not be excluded]
  • Patients with infections other than pneumonia
  • Primary, solitary lung abscess, or empyema
  • Viral, fungal, mycobacterial, or atypical pneumonia as a primary diagnosis
  • Known or suspected bacteremia secondary to Staphylococcus aureus
  • Known causative microorganisms other than indication (microorganisms) of the study drug, or positive in urinary antigen test of Streptococcus pneumonia
  • Infection that necessitates the use of a concomitant antibacterial agent in addition to study medication
  • Known bronchial obstruction or a history of post-obstructive pneumonia
  • Known primary lung cancer
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01561794

Contacts
Contact: Bayer Clinical Trials Contact clinical-trials-contact@bayerhealthcare.com

Locations
Japan
Recruiting
Nagakute, Aichi, Japan, 480-1195
Not yet recruiting
Kobe, Hyogo, Japan, 650-0047
Recruiting
Kahoku-gun, Ishikawa, Japan, 920-0293
Not yet recruiting
Yokohama, Kanagawa, Japan, 232-0024
Not yet recruiting
Isahaya, Nagasaki, Japan, 859-0497
Not yet recruiting
Isahaya, Nagasaki, Japan, 854-8501
Recruiting
Sasebo, Nagasaki, Japan, 857-8511
Not yet recruiting
Unzen, Nagasaki, Japan, 854-0301
Not yet recruiting
Yufu, Oita, Japan, 879-5593
Not yet recruiting
Kishiwada, Osaka, Japan, 596-8501
Recruiting
Ureshino, Saga, Japan, 843-0393
Recruiting
Hamamatsu, Shizuoka, Japan, 434-8511
Recruiting
Nagasaki, Japan, 852-8511
Not yet recruiting
Nagasaki, Japan, 852-8501
Not yet recruiting
Nagasaki, Japan, 850-8555
Recruiting
Niigata, Japan, 950-1197
Not yet recruiting
Niigata, Japan, 950-2087
Not yet recruiting
Niigata, Japan, 951-8520
Not yet recruiting
Okayama, Japan, 700-8607
Recruiting
Osaka, Japan, 543-0035
Sponsors and Collaborators
Bayer
Investigators
Study Director: Bayer Study Director Bayer
  More Information

Additional Information:
No publications provided

Responsible Party: Head Medical Development Japan, Bayer Yakuhin Ltd.
ClinicalTrials.gov Identifier: NCT01561794     History of Changes
Other Study ID Numbers: 15992
Study First Received: March 21, 2012
Last Updated: May 3, 2013
Health Authority: Japan: Pharmaceuticals and Medical Devices Agency

Keywords provided by Bayer:
Ciprofloxacin
Bacterial pneumonia
Community Acquired Pneumonia (CAP)
Hospital Acquired Pneumonia (HAP)
400 mg BID/TID

Additional relevant MeSH terms:
Pneumonia, Bacterial
Pneumonia
Bacterial Infections
Lung Diseases
Respiratory Tract Diseases
Respiratory Tract Infections
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 May 16, 2013