Lung DiseasesPhase 3NCT00473460
Intermittent Moxifloxacin Therapy For The Prevention Of Acute Exacerbations In Patients With Chronic Bronchitis
A Phase 3 study testing Avelox (Moxifloxacin, BAY12-8039) in people with Lung Diseases and Bronchitis, Chronic, run by Bayer at 78 sites in 15 countries.
Trial summary
Moxifloxacin, is being tested at approximately 60 study centres in 15 countries to determine if this drug, when taken periodically in addition to the patients normal treatment, is effective at reducing the number of flare-ups of chronic bronchitis he has. Read more about this study
- Who is it for?
- Ages 45 to 90 years
- Conditions the study is for
- Lung Diseases, Bronchitis, Chronic
- What is being tested?
- Avelox (Moxifloxacin, BAY12-8039)
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 1,404 participants
- Where
- 78 sitesin 15 countries
- Study dates
- Oct 2004to Jan 2007
- Phase
- Phase 3
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 45 to 90 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Male or female out-patients >/= 45 years
- Subjects suffering from chronic bronchitis
- FEV1</= 70% and FEV1/FVC </= 70% predicted from age, height and sex
- No documented episode of AECB (requiring treatment) within 6 weeks of randomization and not experiencing an exacerbation at the time of screening
- Sputum production on most days, even when exacerbation free
- Subjects presented with at least two documented (i.e. requiring antibiotics and/or systemic steroid administration) acute exacerbation episodes during the last 12 monthsIf receiving chronic therapy with inhaled long acting bronchodilators and/or inhaled or systemic steroids, the treatment must have remained stable for the preceding 6 weeks prior to screening
- Smoking history of at least 20 pack-years
- Subjects willing and able to give fully informed written consent
Who cannot join
- Subjects with contra-indications to moxifloxacin- Known bronchial carcinoma, pulmonary tuberculosis, cystic fibrosis, documented chronic bronchial asthma or diffuse bronchiectasis- Subjects who are actively participating in intensive pulmonary rehabilitation programs
- Subjects with a known history of chronic colonization of pathogenic organisms resistant to moxifloxacin, e.g. Pseudomonas spp, MRSA
- No systemic or inhaled antibiotic therapy during the 6 weeks prior to screening and any long term antibiotic usage
- Subjects requiring home ventilatory support for COPD and those who have a tracheostomy in situ (subjects requiring home/potable oxygen therapy or CPAP for sleep apnea can be included)
Trial locations and contacts
78 sites in 15 countries.
78 sites in 15 countries
United States11 sites
Study site
Bay Pines, Florida, 33744
Study site
Buffalo, New York, 14215-1129
Study site
Dallas, Texas, 75216-7167
Study site
Houston, Texas, 77024
Study site
Houston, Texas, 77030
Study site
Kansas City, Missouri, 64128-2295
Study site
Long Beach, California, 90822-5201
Study site
Los Angeles, California, 90073-1003
Study site
Richmond, Virginia, 23249-0002
Study site
San Antonio, Texas, 78284-5799
Study site
Tucson, Arizona, 85723
Germany11 sites
Study site
Bad Segeberg, Schleswig-Holstein, 23795
Study site
Berlin, State of Berlin, 10717
Study site
Berlin, State of Berlin, 10969
Study site
Berlin, State of Berlin, 12043
Study site
Gelnhausen, Hesse, 63571
Study site
Hamburg, Free and Hanseatic City of Hamburg, 20535
Study site
Hanover, Lower Saxony, 30159
Study site
Kaufbeuren, Bavaria, 87600
Study site
Neuwied, Rhineland-Palatinate, 56564
Study site
Rotenburg (Wümme), Lower Saxony, 27356
Study site
Witten, North Rhine-Westphalia, 58452
South Africa9 sites
Study site
Bloemfontein, Free State, 9300
Study site
Bloemfontein, Free State, 9301
Study site
Cape Town, Western Cape, 7531
Study site
Cape Town, Western Cape, 7569
Study site
Durban, KwaZulu-Natal, 4091
Study site
Johannesburg, Gauteng, 2057
Study site
Paarl, Western Cape, 7646
Study site
Pretoria, Gauteng, 0040
Study site
Pretoria, Gauteng, 0157
United Kingdom8 sites
Study site
Birmingham, West Midlands, B15 2TH
Study site
Bristol, Avon, BS10 5NB
Study site
Leeds, West Yorkshire, LS9 7TF
Study site
London, Greater London, E1 2AT
Study site
London, Greater London, E2 9JX
Study site
London, Greater London, NW3 2QG
Study site
London, Greater London, SW17 0QT
Study site
London, Greater London, SW3 6NP
France6 sites
Study site
Arras, 62000
Study site
Mont-de-Marsan, 40000
Study site
Nice, 06000
Study site
Orthez, 64300
Study site
Rosiers-d'Égletons, 19300
Study site
Strasbourg, 67000
Spain6 sites
Study site
Badalona, Barcelona, 08916
Study site
Barcelona, Barcelona, 08036
Study site
Madrid, Madrid, 28040
Study site
Ronda, Málaga, 29400
Study site
Valencia, Valencia, 46009
Study site
Valladolid, Valladolid, 47010
Argentina4 sites
Study site
Buenos Aires, Buenos Aires F.D., 1416
Study site
Buenos Aires, Buenos Aires F.D., 1426
Study site
Buenos Aires, Buenos Aires F.D., C1120AAF
Study site
San Juan Bautista, Buenos Aires, 1888
Brazil4 sites
Study site
Juiz de Fora, Minas Gerais, 36036-110
Study site
Porto Alegre, Rio Grande do Sul, 90610-000
Study site
São Paulo, São Paulo, 04023-900
Study site
São Paulo, São Paulo, 05403-900
Israel4 sites
Study site
Afula, Israel, 18101
Study site
Ashkelon, Israel, 78306
Study site
Bat Yam, Israel, 59512
Study site
Tel Aviv, Israel, 64239
Italy4 sites
Study site
Ferrara, 44100
Study site
Milan, 20123
Study site
Milan, 20157
Study site
Pavia, 27100
Mexico4 sites
Study site
Chihuahua City, Chihuahua, 31350
Study site
Guadalajara, Jalisco, 44280
Study site
Mérida, Yucatán, 97001
Study site
Mérida, Yucatán, 97070
Andorra1 site
Study site
Les Escaldes
About this study
Official title: A Double-blind, Randomized, Placebo-controlled Study to Investigate Chronic Intermittent-pulse-therapy of Moxifloxacin as a Prevention of Acute in Exacerbation Out-patients With Chronic Bronchitis.
Moxifloxacin, is being tested at approximately 60 study centres in 15 countries to determine if this drug, when taken periodically in addition to the patients normal treatment, is effective at reducing the number of flare-ups of chronic bronchitis he has. Approximately 1132 subjects will participate, and it is expected that the study will run for 2 years in order to reach that goal. The patients individual involvement in the study will be 17 months. Moxifloxacin will be compared to a placebo drug (no active ingredients). The study medication (moxifloxacin or placebo) will be taken in addition to the patients normal medication for chronic bronchitis. In addition to the first clinic visit, called a screening visit, the patient will be required to come back to the clinic for ten more study visits, every 8 weeks. At the first visit the study co-ordinator will provide him with the dates for all the visits. Over a period of 48 weeks the patient will return to the clinic on 6 occasions where he will receive the study medication which he will take for five days, in addition to his normal treatment for chronic bronchitis. After this time the patient will enter a follow up period for 24 weeks, where he will come to the clinic for assessments and continue to take his normal medication but not receive the study drug. A complete medical history will be taken at the first visit, including the patients past and current smoking habit. A breath test will be performed to assess how well his lungs are functioning. In addition, he will also be asked to provide a sputum sample for a microbiological examination to identify any bacteria present in the sample. The patient must be able to provide a sputum sample at the screening visit. If the patient meets all the inclusion / exclusion criteria for the study, he will be allocated randomly to one of the following treatment groups at the second visit.- Treatment group 1: Receives moxifloxacin orally once daily for five days.- Treatment group 2: Receives a matching placebo once daily for five days.In between each visit (four weeks after your clinic visit), the study site co-ordinator will contact the patient to check on his well being. If the patient or the doctor decides to stop the patients participation in the trial for any reason, the patient will be required to return to the clinic for a physical examination, take a breath test, provide a sputum sample (if possible) and have a blood sample taken.
- Conditions
- Lung Diseases, Bronchitis, Chronic
- Being tested
- Avelox (Moxifloxacin, BAY12-8039), Placebo
- Keywords
- Chronic bronchitis, Chronic obstructive pulmonary disease, Acute exacerbation of chronic bronchitis, Prevention therapy, Antibiotics, Fluoroquinolone, Moxifloxacin, AECB
- Medical subject headings
- Lung Diseases, Bronchitis, Chronic, Pulmonary Disease, Chronic Obstructive
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Avelox (Moxifloxacin, BAY12-8039)Drug
Avelox (Moxifloxacin, BAY12-8039), 400 mg capsules orally once daily for 5 days every 8 weeks
PlaceboDrug
Matching placebo capsules orally once daily for 5 days every 8 weeks.
| Study group | Role | What they receive |
|---|---|---|
| Arm 1 | Experimental | Not described Receives: Drug: Avelox (Moxifloxacin, BAY12-8039) |
| Arm 2 | Placebo comparator | Not described Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of exacerbations after 48 weeks of intermittent pulse treatment
Measured: After 48 weeks of treatment
Secondary outcomes (9)
Impact of treatment on the health related Quality of Life in St. George's Respiratory Questionaire (SGRQ) scores
Measured: At week 48
Deterioration in lung function test (PFEV1)
Measured: At week 48
Frequency of hospitalisation
Measured: At week 48
Mortality rates
Measured: At week 48
Time of first exacerbation
Measured: Through to week 48
Frequency of acute exacerbation of chronic bronchitis
Measured: At week 24 and 72 (end of follow-up)
Time to next exacerbation from last pulsed dose
Measured: At week 48
Length of exacerbations
Measured: Through to week 48
Percentage of exacerbation free time
Measured: Through to week 48
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted15 May 2007 (estimated)
- Study startOct 2004
- Primary completionJan 2007
- Study completionJan 2007
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Lung DiseasesStudies of the same condition, open and under way.
- More trials run by BayerThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 1,404 participants (actual)
Sponsor and investigators
- Lead sponsor
- Bayer
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Bayer Study Director, Study director, Bayer
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00473460
- Sponsor's protocol ID
- 11229
- Other IDs
- EudraCT No: 2004-000404-40
- Status last verified
- Oct 2014
- First submitted
- 14 May 2007
- Last updated
- 28 Oct 2014
- Results posted
- No
- Data monitoring committee
- No
Publications
Sethi S, Jones PW, Theron MS, Miravitlles M, Rubinstein E, Wedzicha JA, Wilson R; PULSE Study group. Pulsed moxifloxacin for the prevention of exacerbations of chronic obstructive pulmonary disease: a randomized controlled trial. Respir Res. 2010 Jan 28;11(1):10. doi: 10.1186/1465-9921-11-10.
PubMed 20109213
Study at a glance
From the registry record, last updated by the sponsor on 28 Oct 2014. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Double-blind, Randomized, Placebo-controlled Study to Investigate Chronic Intermittent-pulse-therapy of Moxifloxacin as a Prevention of Acute in Exacerbation Out-patients With Chronic Bronchitis.
- ClinicalTrials.gov ID
- NCT00473460
- Acronym / sponsor ID
- 11229
- Conditions
- Lung Diseases, Bronchitis, Chronic
- Keywords
- Chronic bronchitis, Chronic obstructive pulmonary disease, Acute exacerbation of chronic bronchitis, Prevention therapy, Antibiotics, Fluoroquinolone, Moxifloxacin, AECB
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 1,404 participants (actual)
- Lead sponsor
- BayerIndustry (pharma, biotech, devices)
- Study start
- Oct 2004
- Primary completion
- Jan 2007 (actual)
- Study completion
- Jan 2007 (actual)
- First posted
- 15 May 2007 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Moxifloxacin, is being tested at approximately 60 study centres in 15 countries to determine if this drug, when taken periodically in addition to the patients normal treatment, is effective at reducing the number of flare-ups of chronic bronchitis he has. Approximately 1132 subjects will participate, and it is expected that the study will run for 2 years in order to reach that goal. The patients individual involvement in the study will be 17 months. Moxifloxacin will be compared to a placebo drug (no active ingredients). The study medication (moxifloxacin or placebo) will be taken in addition to the patients normal medication for chronic bronchitis. In addition to the first clinic visit, called a screening visit, the patient will be required to come back to the clinic for ten more study visits, every 8 weeks. At the first visit the study co-ordinator will provide him with the dates for all the visits. Over a period of 48 weeks the patient will return to the clinic on 6 occasions where he will receive the study medication which he will take for five days, in addition to his normal treatment for chronic bronchitis. After this time the patient will enter a follow up period for 24 weeks, where he will come to the clinic for assessments and continue to take his normal medication but not receive the study drug. A complete medical history will be taken at the first visit, including the patients past and current smoking habit. A breath test will be performed to assess how well his lungs are functioning. In addition, he will also be asked to provide a sputum sample for a microbiological examination to identify any bacteria present in the sample. The patient must be able to provide a sputum sample at the screening visit. If the patient meets all the inclusion / exclusion criteria for the study, he will be allocated randomly to one of the following treatment groups at the second visit.- Treatment group 1: Receives moxifloxacin orally once daily for five days.- Treatment group 2: Receives a matching placebo once daily for five days.In between each visit (four weeks after your clinic visit), the study site co-ordinator will contact the patient to check on his well being. If the patient or the doctor decides to stop the patients participation in the trial for any reason, the patient will be required to return to the clinic for a physical examination, take a breath test, provide a sputum sample (if possible) and have a blood sample taken.
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Arm 1 | Experimental | Drug: Avelox (Moxifloxacin, BAY12-8039) |
| Arm 2 | Placebo comparator | Drug: Placebo |
Who may qualify
- Ages
- 45 to 90 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (8 listed)
- Male or female out-patients >/= 45 years
- Subjects suffering from chronic bronchitis
- FEV1</= 70% and FEV1/FVC </= 70% predicted from age, height and sex
- No documented episode of AECB (requiring treatment) within 6 weeks of randomization and not experiencing an exacerbation at the time of screening
- Sputum production on most days, even when exacerbation free
Key exclusion criteria (4 listed)
- Subjects with contra-indications to moxifloxacin- Known bronchial carcinoma, pulmonary tuberculosis, cystic fibrosis, documented chronic bronchial asthma or diffuse bronchiectasis- Subjects who are actively participating in intensive pulmonary rehabilitation programs
- Subjects with a known history of chronic colonization of pathogenic organisms resistant to moxifloxacin, e.g. Pseudomonas spp, MRSA
- No systemic or inhaled antibiotic therapy during the 6 weeks prior to screening and any long term antibiotic usage
- Subjects requiring home ventilatory support for COPD and those who have a tracheostomy in situ (subjects requiring home/potable oxygen therapy or CPAP for sleep apnea can be included)
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Avelox (Moxifloxacin, BAY12-8039)Avelox (Moxifloxacin, BAY12-8039), 400 mg capsules orally once daily for 5 days every 8 weeks | Drug | Arm 1 |
| PlaceboMatching placebo capsules orally once daily for 5 days every 8 weeks. | Drug | Arm 2 |
Primary outcome
Number of exacerbations after 48 weeks of intermittent pulse treatment
Time frame: After 48 weeks of treatment
9 secondary outcomes
Impact of treatment on the health related Quality of Life in St. George's Respiratory Questionaire (SGRQ) scores
Time frame: At week 48
Deterioration in lung function test (PFEV1)
Time frame: At week 48
Frequency of hospitalisation
Time frame: At week 48
Mortality rates
Time frame: At week 48
Time of first exacerbation
Time frame: Through to week 48
Frequency of acute exacerbation of chronic bronchitis
Time frame: At week 24 and 72 (end of follow-up)
Time to next exacerbation from last pulsed dose
Time frame: At week 48
Length of exacerbations
Time frame: Through to week 48
Percentage of exacerbation free time
Time frame: Through to week 48
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 28 Oct 2014.
- Derived from this study: PubMed 20109213Sethi S, Jones PW, Theron MS, Miravitlles M, Rubinstein E, Wedzicha JA, Wilson R; PULSE Study group. Pulsed moxifloxacin for the prevention of exacerbations of chronic obstructive pulmonary disease: a randomized controlled trial. Respir Res. 2010 Jan 28;11(1):10. doi: 10.1186/1465-9921-11-10.
- Click here and search for information on EMALink provided by the sponsor.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Bayer Study Director study director
Bayer
78 sites in 15 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Avelox (Moxifloxacin, BAY12-8039) in people with Lung Diseases and Bronchitis, Chronic, run by Bayer at 78 sites in 15 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 8 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 28 Oct 2014. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 78 sites in United States, Germany, South Africa, United Kingdom, France and 10 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Number of exacerbations after 48 weeks of intermittent pulse treatment (time frame: After 48 weeks of treatment). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT00473460, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 28 Oct 2014.