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Clinical Trial Finder
Anti-Infective Completed with Results
Levofloxacin Inhalation Solution (Aeroquin™) compared to placebo in people with Cystic Fibrosis (MPEX 207)
This phase 3 study evaluated the safety and effectiveness of the aerosolized form of the antibiotic, levofloxacin, (AEROQUIN™) in people with CF. Participants in this study were randomized to receive either inhaled levofloxacin or placebo twice a day for 28 days. People with CF have chronic infections of the lower respiratory tract that can be caused by one or multiple bacteria, including Pseudomonas aeruginosa, which has been particularly difficult to eradicate. Aerosol delivery of antibiotics directly to the lung increases the concentration of antibiotic at the site of infection which may improve antimicrobial effects compared to delivering these orally or intravenously.
Eligibility
See other primary eligibility criteria for more information.
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Age:
12 Years and Older -
Mutation(s):
No Mutation Requirement -
FEV1% Predicted:
25 to 85%
For more information about the results of this study and where it was conducted, visit ClinicalTrials.gov.
Other Primary Eligibility Criteria
Participants in the MPEX 204 study are not eligible for this study.
Study Results
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What We Learned:
Inhaled levofloxacin was generally well-tolerated; however, the study did not demonstrate a benefit after 28 days of treatment on reducing or delaying pulmonary exacerbations.
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Primary Findings:
Effectiveness:
Participants were recruited for this study between October 2010 and May 2012. The study enrolled 335 participants, aged 12 years and older. Participants were randomized to receive inhaled levofloxacin (N=220) or placebo (N=110). Of those entering the trial, 95.5% of participants who received inhaled levofloxacin and 99.1% of placebo participants completed the trial. Reasons for withdrawing from the study were similar between both treatment groups. The primary efficacy endpoint for the study was the time to an exacerbation of CF lung disease. No significant difference in time to pulmonary exacerbation was seen between the treatment groups. Therefore, the study did not achieve its primary endpoint of demonstrating superiority of inhaled levofloxacin over placebo in the time to a pulmonary exacerbation.
Additional evaluations indicated that lung function (absolute change in FEV1% predicted) in inhaled levofloxacin treated participants showed an average improvement of 1.3% over placebo; however no difference was identified between the treatment groups on quality of life scores (CFQR-Q).
Safety:
The adverse event profile was similar for both the inhaled levofloxacin and placebo groups; however, inhaled levofloxacin treated participants complained more frequently about the taste of the medication.
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Citation:
J Cyst Fibros 2016;DOI 10.1016/j.jcf.2015.12.004 [Epub ahead of print]
For current information about the overall development status of this drug, please check the Drug Development Pipeline.
Study Design
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Study Type: ?more info
Interventional -
Randomized Study: ?more info
Yes -
Placebo Controlled: ?more info
Yes -
Length of Participation:
2 months -
Number of Study Visits:
6
Additional Information
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Phase: ?more info
Phase Three -
Study Sponsor: ?more info
Mpex -
Study Drugs:
Eligibility
See other primary eligibility criteria for more information.
-
Age:
12 Years and Older -
Mutation(s):
No Mutation Requirement -
FEV1% Predicted:
25 to 85% -
Pseudomonas Status:
Positive Respiratory Cultures Required
For more information about the results of this study and where it was conducted, visit ClinicalTrials.gov.
Other Primary Eligibility Criteria
Participants in the MPEX 204 study are not eligible for this study.
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