Ciprofloxacin Dry Powder for Inhalation (DPI) in Non-cystic Fibrosis Bronchiectasis (Non-CF BE) (RESPIRE 2)
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.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Locations
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Córdoba, Argentina, X5003DCE
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Vicente López, Argentina, 1638
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Ciudad Auton. de Buenos Aires
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Buenos Aires, Ciudad Auton. de Buenos Aires, Argentina, C1425DES
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Capital Federal, Ciudad Auton. de Buenos Aires, Argentina, 1425
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Mendoza
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Godoy Cruz, Mendoza, Argentina, 5501
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New South Wales
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Kogarah, New South Wales, Australia, 2217
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New Lambton Heights, New South Wales, Australia, 2305
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South Australia
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Adelaide, South Australia, Australia, 5042
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Adelaide, South Australia, Australia, 5041
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Victoria
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Parkville, Victoria, Australia, 3050
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Western Australia
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Murdoch, Western Australia, Australia, 6150
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Perth, Western Australia, Australia, 6009
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Graz, Austria, 8036
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Salzburg, Austria, 5020
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Porto Alegre, Brazil, 90035-074
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Sao Paulo, Brazil, 05403-900
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Sao Paulo, Brazil, 01244-030
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Minas Gerais
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Belo Horizonte, Minas Gerais, Brazil, 30150-221
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Pernambuco
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Recife, Pernambuco, Brazil, 50920640
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Rio Grande do Sul
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Porto Alegre, Rio Grande do Sul, Brazil, 90610-000
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Porto Alegre, Rio Grande do Sul, Brazil, 90880-480
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Sao Paulo
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São Paulo, Sao Paulo, Brazil, 04266-010
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Gabrovo, Bulgaria, 5300
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Kozloduy, Bulgaria, 3320
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Lovech, Bulgaria, 5500
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Razgrad, Bulgaria, 7200
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Ruse, Bulgaria, 7000
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Sevlievo, Bulgaria, 5400
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Sliven, Bulgaria, 8800
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Sofia, Bulgaria, 1606
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Sofia, Bulgaria, 1000
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Stara Zagora, Bulgaria, 6000
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Beijing, China, 100029
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Beijing, China, 100144
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Chongqing, China, 400042
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Shanghai, China, 200032
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Shanghai, China, 200040
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Shanghai, China, 200433
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Fujian
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Fuzhou, Fujian, China, 350025
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Guangdong
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Guangzhou, Guangdong, China, 510120
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Inner Mongolia
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Hohehot, Inner Mongolia, China, 010050
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Jiangsu
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Suzhou, Jiangsu, China, 215006
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Wuxi, Jiangsu, China, 214023
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Jiangxi
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Nanchang, Jiangxi, China, 330006
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Liaoning
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Shenyang, Liaoning, China, 110004
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Ningxia
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Yinchuan, Ningxia, China, 750004
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Sichuan
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Chengdu, Sichuan, China, 610041
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Brno, Czechia, 625 00
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Prague 4, Czechia, 140 46
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Praha 2, Czechia, 121 11
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Praha 8, Czechia, 180 81
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Berlin, Germany, 14059
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Berlin, Germany, 10717
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Hamburg, Germany, 22767
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Brandenburg
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Treuenbrietzen, Brandenburg, Germany, 14929
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Hessen
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Frankfurt, Hessen, Germany, 60389
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Neu-Isenburg, Hessen, Germany, 63263
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Niedersachsen
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Hannover, Niedersachsen, Germany, 30625
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Hannover, Niedersachsen, Germany, 30173
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Nordrhein-Westfalen
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Gelsenkirchen, Nordrhein-Westfalen, Germany, 45879
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Sachsen
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Leipzig, Sachsen, Germany, 04357
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Thüringen
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Bad Berka, Thüringen, Germany, 99437
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Jena, Thüringen, Germany, 07740
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Hong Kong, Hong Kong
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Kowloon, Hong Kong
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New Territories, Hong Kong
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Shatin, Hong Kong
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Daegu, Korea, Republic of, 42415
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Incheon, Korea, Republic of, 21565
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Seoul, Korea, Republic of, 03080
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Seoul, Korea, Republic of, 120-752
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Seoul, Korea, Republic of, 130-872
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Seoul, Korea, Republic of, 136-705
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Seoul, Korea, Republic of, 100-032
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Daejeon Gwang''yeogsi
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Daejeon, Daejeon Gwang''yeogsi, Korea, Republic of, 301-723
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Gyeonggido
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Bucheon, Gyeonggido, Korea, Republic of, 420-717
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Incheon Gwang''yeogsi
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Incheon Gwangyeogsi,, Incheon Gwang''yeogsi, Korea, Republic of, 403-720
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Seoul Teugbyeolsi
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Seoul, Seoul Teugbyeolsi, Korea, Republic of, 135-720
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Daugavpils, Latvia, LV-5403
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Daugavpils, Latvia, LV-5410
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Jurmala, Latvia, LV-2010
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Kraslava, Latvia, 5601
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Riga, Latvia, LV-1002
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Riga, Latvia, LV-1038
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Riga, Latvia, LV-1001
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Riga, Latvia, LV-1011
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Talsi, Latvia, LV-3201
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Klaipeda, Lithuania, LT-92288
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Vilnius, Lithuania, LT-08661
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Alkmaar, Netherlands, 1815 JD
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Assen, Netherlands, 9403 RK
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Groningen, Netherlands, 9728 NT
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Helmond, Netherlands, 5707 HA
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Maastricht, Netherlands, 6229 HX
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Sittard-Geleen, Netherlands, 6162 BG
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Veldhoven, Netherlands, 5500 MB
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City of San Fernando, Philippines, 2000
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Manila, Philippines, 1000
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Manila, Philippines, 1012
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Quezon City, Philippines, NCR 1100
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Quezon City, Philippines, NCR 1104
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Bielsko-Biala, Poland, 43-300
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Czestochowa, Poland, 42-200
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Gorzow Wielkopolski, Poland, 66-400
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Grudziadz, Poland, 86-300
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Katowice, Poland, 40-954
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Kielce, Poland, 25-734
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Kielce, Poland, 25-035
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Kielce, Poland, 25-751
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Krakow, Poland, 31-455
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Ksawerow, Poland, 95-054
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Mrozy, Poland, 05-320
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Ostrowiec Swietokrzyski, Poland, 27-400
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Rzeszow, Poland, 35-301
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Warszawa, Poland, 01-868
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Faro, Portugal, 8000-386
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Lisboa, Portugal, 1769-001
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Lisboa, Portugal, 1649-035
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Porto
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Vila Nova de Gaia, Porto, Portugal, 4434-502
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Região Autónoma dos Açores
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Angra do Heroísmo, Região Autónoma dos Açores, Portugal, 9701-856
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Bragadiru, Romania, 077025
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Brasov, Romania, 500086
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Bucharest, Romania, 030303
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Bucharest, Romania, 011461
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Bucharest, Romania, 010457
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Bucharest, Romania, 050159
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Codlea, Romania, 505100
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Constanta, Romania, 900002
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Iasi, Romania, 700141
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Ploiesti, Romania, 100184
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Timisoara, Romania, 300310
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Arkhangelsk, Russian Federation, 163001
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Chelyabinsk, Russian Federation, 454076
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Moscow, Russian Federation, 105229
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Moscow, Russian Federation, 115682
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Moscow, Russian Federation, 129090
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Moscow, Russian Federation, 127015
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Nizhny Novgorod, Russian Federation, 603035
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Novosibirsk, Russian Federation, 630087
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Novosibirsk, Russian Federation, 630047
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Novosibirsk, Russian Federation, 630075
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St. Petersburg, Russian Federation, 196084
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St. Petersburg, Russian Federation, 194295
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St. Petersburg, Russian Federation, 194356
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Tomsk, Russian Federation, 634063
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Ufa, Russian Federation, 450071
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Voronezh, Russian Federation, 394066
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Yaroslavl, Russian Federation, 150003
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Belgrade, Serbia, 11000
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Belgrade, Serbia, 11080
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Cacak, Serbia, 32000
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Knez Selo, Serbia, 18204
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Kragujevac, Serbia, 34000
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Sombor, Serbia, 25000
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Sremska Kamenica, Serbia, 21204
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Valjevo, Serbia, 14000
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Bratislava, Slovakia, 821 06
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Presov, Slovakia, 080 01
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Gauteng
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Johannesburg, Gauteng, South Africa, 2092
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Kwazulu-Natal
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Amanzimtoti, Kwazulu-Natal, South Africa, 4127
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Western Cape
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Cape Town, Western Cape, South Africa, 7500
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Cape Town, Western Cape, South Africa, 7764
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Chiayi, Taiwan, 613
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Kaohsiung, Taiwan, 807
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New Taipei City,, Taiwan, 23561
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Taichung, Taiwan, 40447
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Taipei, Taiwan, 10002
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Bangkok, Thailand, 10400
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Bangkok, Thailand, 10700
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Chiangmai, Thailand, 50200
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Khon Kaen, Thailand, 40002
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NakhonRatchasima, Thailand, 30000
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Phitsanulok, Thailand, 65000
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Udonthani, Thailand, 41000
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Ankara, Turkey, 061100
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Ankara, Turkey, 06110
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Balcali, Turkey, 01330
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Izmir, Turkey, 35040
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Kampus, Turkey, 07058
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Konya, Turkey, 42080
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Maltepe, Turkey, 34844
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Mersin, Turkey, 33343
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Pendik, Turkey, 34890
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Samsun, Turkey, 55139
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Sehitkamil, Turkey, 27310
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Arizona
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Peoria, Arizona, United States, 85381
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California
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Fountain Valley, California, United States, 90708
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La Jolla, California, United States, 92037
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Long Beach, California, United States, 90813
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Newport Beach, California, United States, 92663
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San Diego, California, United States, 92120
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Florida
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Kissimmee, Florida, United States, 34741
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Miami, Florida, United States, 33126
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Sarasota, Florida, United States, 34239
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Tampa, Florida, United States, 33613
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Georgia
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Decatur, Georgia, United States, 30033
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Illinois
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Skokie, Illinois, United States, 60076
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Kansas
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Olathe, Kansas, United States, 66061
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Minnesota
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Rochester, Minnesota, United States, 55905
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New York
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Brooklyn, New York, United States, 11229
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Mineola, New York, United States, 11501
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North Carolina
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Asheville, North Carolina, United States, 28801
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Oregon
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Portland, Oregon, United States, 97239
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Pennsylvania
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Doylestown, Pennsylvania, United States, 18901
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South Carolina
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Greenville, South Carolina, United States, 29615
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Texas
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Edinburg, Texas, United States, 78539
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Tyler, Texas, United States, 75708-3154
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- 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
Exclusion Criteria:
- 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)
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: QUADRUPLE
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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EXPERIMENTAL: Ciprofloxacin DPI 28 Days on/off (Cipro 28)
Subjects 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).
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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 DPI 32.5 mg inhaled twice daily in cycles of 14 days on-treatment and 14 days off-treatment.
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EXPERIMENTAL: Ciprofloxacin DPI 14 Days on/off (Cipro 14)
Subjects 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).
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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 DPI 32.5 mg inhaled twice daily in cycles of 14 days on-treatment and 14 days off-treatment.
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PLACEBO_COMPARATOR: Placebo 28 Days on/off (Placebo 28)
Subjects 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).
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Matching placebo inhaled twice daily intermittently for 28 days on / 28 days off
Matching placebo inhaled twice daily intermittently for 14 days on / 14 days off
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PLACEBO_COMPARATOR: Placebo 14 Days on/off (Placebo 14)
Subjects 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).
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Matching placebo inhaled twice daily intermittently for 28 days on / 28 days off
Matching placebo inhaled twice daily intermittently for 14 days on / 14 days off
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Time to First Exacerbation Event Within 48 Weeks - Cipro 28 vs. Pooled Placebo
Time Frame: Up to Week 48
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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.
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Up to Week 48
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Time to First Exacerbation Event Within 48 Weeks - Cipro 14 vs. Pooled Placebo
Time Frame: Up to Week 48
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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.
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Up to Week 48
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Number of Participants With Exacerbation Events With Worsening of at Least Three Signs/Symptoms Over 48 Weeks
Time Frame: Up to Week 48
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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.
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Up to Week 48
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Number of Participants With Exacerbation Events With Worsening of at Least One Sign/Symptom Over 48 Weeks
Time Frame: Up to Week 48
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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.
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Up to Week 48
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Percentage of Participants With Pathogen Eradication at End of Treatment (Week 44/46)
Time Frame: End of treatment (Week 44/46)
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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.
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End of treatment (Week 44/46)
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Mean Change From Baseline in Patient Reported Outcome Saint George's Respiratory Questionnaire (SGRQ) Symptoms Component Score at End of Treatment (Week 44/46)
Time Frame: Baseline and end of treatment (Week 44/46)
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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.
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Baseline and end of treatment (Week 44/46)
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Percentage of Participants With Occurrence of New Pathogens Present at End of Treatment (Week 44/46)
Time Frame: End of treatment (Week 44/46)
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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.
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End of treatment (Week 44/46)
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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)
Time Frame: Baseline and end of treatment (Week 44/46)
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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.
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Baseline and end of treatment (Week 44/46)
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Mean Change From Baseline in Forced Expiratory Volume in One Second (FEV1) at End of Treatment (Week 44/46)
Time Frame: Baseline and end of treatment (Week 44/46)
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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).
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Baseline and end of treatment (Week 44/46)
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Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Publications and helpful links
General 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.
- 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.
Study record dates
Study Major Dates
Study Start (ACTUAL)
Study Start
Primary Completion (ACTUAL)
Primary Completion
Study Completion (ACTUAL)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (ESTIMATE)
First Posted
Study Record Updates
Last Update Posted (ACTUAL)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Respiratory Tract Diseases
- Bronchial Diseases
- Bronchiectasis
- Molecular Mechanisms of Pharmacological Action
- Anti-Infective Agents
- Enzyme Inhibitors
- Antineoplastic Agents
- Topoisomerase II Inhibitors
- Topoisomerase Inhibitors
- Anti-Bacterial Agents
- Cytochrome P-450 Enzyme Inhibitors
- Cytochrome P-450 CYP1A2 Inhibitors
- Ciprofloxacin
Other Study ID Numbers
Other Study ID Numbers
- 15626
- 2013-004659-19 (EUDRACT_NUMBER)
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.