Page last updated: 2024-10-25

ciprofloxacin and Lung Diseases

ciprofloxacin has been researched along with Lung Diseases in 46 studies

Ciprofloxacin: A broad-spectrum antimicrobial carboxyfluoroquinoline.
ciprofloxacin : A quinolone that is quinolin-4(1H)-one bearing cyclopropyl, carboxylic acid, fluoro and piperazin-1-yl substituents at positions 1, 3, 6 and 7, respectively.

Lung Diseases: Pathological processes involving any part of the LUNG.

Research Excerpts

ExcerptRelevanceReference
"This phase II, randomised, double-blind, multicentre study (NCT00930982) investigated the safety and efficacy of ciprofloxacin dry powder for inhalation (DPI) in patients with non-cystic fibrosis bronchiectasis."9.17Ciprofloxacin dry powder for inhalation in non-cystic fibrosis bronchiectasis: a phase II randomised study. ( Alder, J; De Soyza, A; Greville, H; Hampel, B; O'Donnell, A; Polverino, E; Reimnitz, P; Welte, T; Wilson, R, 2013)
"In order to evaluate the clinical efficacy and safety of oral ciprofloxacin in the treatment of acute pulmonary exacerbations of cystic fibrosis and trace the possible development of resistance over time, three trials were conducted."9.06Use of ciprofloxacin in cystic fibrosis patients. ( Bosso, JA, 1989)
"Ciprofloxacin has potent in vitro activity against Pseudomonas aeruginosa and Pseudomonas cepacia strains isolated from cystic fibrosis patients."9.06Ciprofloxacin monotherapy for acute pulmonary exacerbations of cystic fibrosis. ( Blumer, JL; Goldfarb, J; Myers, CM; Reed, MD; Stern, RC; Yamashita, TS, 1987)
"Twenty adult patients with cystic fibrosis who were experiencing acute pulmonary exacerbations were enrolled in a randomized, controlled trial comparing oral ciprofloxacin with intravenous tobramycin plus azlocillin."9.06Ciprofloxacin versus tobramycin plus azlocillin in pulmonary exacerbations in adult patients with cystic fibrosis. ( Black, PG; Bosso, JA; Matsen, JM, 1987)
" We report an 18-year-old young woman with cystic fibrosis who experienced a pronounced decline in renal function after oral treatment with ciprofloxacin for 3 weeks."7.71Ciprofloxacin-induced acute renal failure in a patient with cystic fibrosis. ( Bald, M; Nikolaizik, W; Ratjen, F; Wingen, AM, 2001)
"The mechanisms of persistence to ciprofloxacin in nine sets of Pseudomonas aeruginosa strains isolated during ciprofloxacin therapy of chronic lung infections in cystic fibrosis patients were studied."7.68Persistence mechanisms in Pseudomonas aeruginosa from cystic fibrosis patients undergoing ciprofloxacin therapy. ( Bryan, LE; Diver, JM; Rabin, HR; Schollaardt, T; Thorson, C, 1991)
"Twenty patients (17-27 yr) with cystic fibrosis were given ciprofloxacin at 30 pulmonary infectious exacerbations."7.67Comparison of efficacy and tolerance of intravenously and orally administered ciprofloxacin in cystic fibrosis patients with acute exacerbations of lung infection. ( Hjelte, L; Lindblad, A; Ljungberg, B; Malmborg, AS; Nilsson-Ehle, I; Strandvik, B, 1989)
"Ciprofloxacin is a major advance in the treatment of bronchopulmonary infection in patients with cystic fibrosis."6.66Ciprofloxacin therapy in cystic fibrosis. ( Davidson, S; Nakatomi, M; Neu, HC; Ores, C; Scully, BE, 1987)
"Levofloxacin was the most potent antibiotic against all cystic fibrosis isolates tested, with MIC(90)s ranging from 8 to 32 microg/ml."5.36In vitro pharmacodynamics of levofloxacin and other aerosolized antibiotics under multiple conditions relevant to chronic pulmonary infection in cystic fibrosis. ( Burns, JL; Dudley, MN; Griffith, DC; King, P; Lomovskaya, O, 2010)
"Ciprofloxacin was administered orally (15 mg/kg of body weight) or intravenously (6 mg/kg) twice a day for at least 10 days during separate treatment periods."5.28Increased oral bioavailability of ciprofloxacin in cystic fibrosis patients. ( Christensson, BA; Hjelte, L; Lindblad, A; Ljungberg, B; Malmborg, AS; Nilsson-Ehle, I; Strandvik, B, 1992)
"This phase II, randomised, double-blind, multicentre study (NCT00930982) investigated the safety and efficacy of ciprofloxacin dry powder for inhalation (DPI) in patients with non-cystic fibrosis bronchiectasis."5.17Ciprofloxacin dry powder for inhalation in non-cystic fibrosis bronchiectasis: a phase II randomised study. ( Alder, J; De Soyza, A; Greville, H; Hampel, B; O'Donnell, A; Polverino, E; Reimnitz, P; Welte, T; Wilson, R, 2013)
"In order to evaluate the clinical efficacy and safety of oral ciprofloxacin in the treatment of acute pulmonary exacerbations of cystic fibrosis and trace the possible development of resistance over time, three trials were conducted."5.06Use of ciprofloxacin in cystic fibrosis patients. ( Bosso, JA, 1989)
"Ciprofloxacin has potent in vitro activity against Pseudomonas aeruginosa and Pseudomonas cepacia strains isolated from cystic fibrosis patients."5.06Ciprofloxacin monotherapy for acute pulmonary exacerbations of cystic fibrosis. ( Blumer, JL; Goldfarb, J; Myers, CM; Reed, MD; Stern, RC; Yamashita, TS, 1987)
"Twenty adult patients with cystic fibrosis who were experiencing acute pulmonary exacerbations were enrolled in a randomized, controlled trial comparing oral ciprofloxacin with intravenous tobramycin plus azlocillin."5.06Ciprofloxacin versus tobramycin plus azlocillin in pulmonary exacerbations in adult patients with cystic fibrosis. ( Black, PG; Bosso, JA; Matsen, JM, 1987)
" In cystic fibrosis-associated acute exacerbations of chronic pseudomonal pneumonitis, the outcome of oral ciprofloxacin therapy was very satisfactory in the six major studies reported (approximately 85% improvement rates)."4.77Clinical utility of new quinolones in treatment of osteomyelitis and lower respiratory tract infections. ( Bayer, AS, 1989)
" Neutropenia and thrombocytopenia associated with cefoxitin developed in 33 (51%) and 4 (6%) patients, respectively."3.75Antibiotic treatment of Mycobacterium abscessus lung disease: a retrospective analysis of 65 patients. ( Jeon, K; Kim, BJ; Kim, CK; Koh, WJ; Kook, YH; Kwon, OJ; Lee, NY; Lee, SH; Park, YK, 2009)
" We report an 18-year-old young woman with cystic fibrosis who experienced a pronounced decline in renal function after oral treatment with ciprofloxacin for 3 weeks."3.71Ciprofloxacin-induced acute renal failure in a patient with cystic fibrosis. ( Bald, M; Nikolaizik, W; Ratjen, F; Wingen, AM, 2001)
"The mechanisms of persistence to ciprofloxacin in nine sets of Pseudomonas aeruginosa strains isolated during ciprofloxacin therapy of chronic lung infections in cystic fibrosis patients were studied."3.68Persistence mechanisms in Pseudomonas aeruginosa from cystic fibrosis patients undergoing ciprofloxacin therapy. ( Bryan, LE; Diver, JM; Rabin, HR; Schollaardt, T; Thorson, C, 1991)
"Twenty patients (17-27 yr) with cystic fibrosis were given ciprofloxacin at 30 pulmonary infectious exacerbations."3.67Comparison of efficacy and tolerance of intravenously and orally administered ciprofloxacin in cystic fibrosis patients with acute exacerbations of lung infection. ( Hjelte, L; Lindblad, A; Ljungberg, B; Malmborg, AS; Nilsson-Ehle, I; Strandvik, B, 1989)
"Ciprofloxacin is a major advance in the treatment of bronchopulmonary infection in patients with cystic fibrosis."2.66Ciprofloxacin therapy in cystic fibrosis. ( Davidson, S; Nakatomi, M; Neu, HC; Ores, C; Scully, BE, 1987)
" Ciprofloxacin dosed in identical fashion displayed rapid clearance with a half-life of approximately 30 min."1.48Macrophage-targeted drugamers with enzyme-cleavable linkers deliver high intracellular drug dosing and sustained drug pharmacokinetics against alveolar pulmonary infections. ( Chen, J; Convertine, AJ; Lee, B; Ratner, DM; Skerrett, SJ; Srinivasan, S; Stayton, PS; Su, FY; West, TE, 2018)
"Sepsis is a life-threatening disease resulted from a dysregulated host immune response to bacterial infections, continuing to cause high morbidity and mortality worldwide."1.48Bioresponsive Nanoparticles Targeted to Infectious Microenvironments for Sepsis Management. ( Gao, J; Wang, Z; Zhang, CY, 2018)
"Levofloxacin was the most potent antibiotic against all cystic fibrosis isolates tested, with MIC(90)s ranging from 8 to 32 microg/ml."1.36In vitro pharmacodynamics of levofloxacin and other aerosolized antibiotics under multiple conditions relevant to chronic pulmonary infection in cystic fibrosis. ( Burns, JL; Dudley, MN; Griffith, DC; King, P; Lomovskaya, O, 2010)
"Pulmonary nocardiosis is an infrequent but insidious disease in transplant patients."1.31Treatment of pulmonary nocardiosis in heart-transplant patients: importance of susceptibility studies. ( Adinolfi, LE; Andreana, A; Casillo, R; Durante Mangoni, E; Farina, C; Gambardella, M; Sarnataro, G; Tripodi, MF; Utili, R, 2001)
"Ciprofloxacin MICs were 0."1.30In-vitro investigation of the antibacterial activity of agents which may be used for the oral treatment of lung infections in CF patients. ( Hamilton, VE; Richards, RM; Thomas, MR, 1998)
"The signs of pneumonic plague in sacred baboons infected by aerosol are: fever, hurried breathing, depression and constantly increasing bacteremia."1.29[Standardization of conditions for the evaluation of effectiveness of antibacterial drugs in pneumonic plague in sacred baboons]. ( Mironin, AV; Paramonov, VE; Romanov, VE; Shabalin, BA; Vasil'ev, NT, 1995)
"Ciprofloxacin was administered orally (15 mg/kg of body weight) or intravenously (6 mg/kg) twice a day for at least 10 days during separate treatment periods."1.28Increased oral bioavailability of ciprofloxacin in cystic fibrosis patients. ( Christensson, BA; Hjelte, L; Lindblad, A; Ljungberg, B; Malmborg, AS; Nilsson-Ehle, I; Strandvik, B, 1992)
"We studied the pharmacokinetic parameters of four fluoroquinolones--ofloxacin, ciprofloxacin, temafloxacin and sparfloxacin--in a mouse model of Streptococcus pneumoniae-infected lung."1.28Pharmacokinetics of four fluoroquinolones in an animal model of infected lung. ( Azoulay-Dupuis, E; Bergogne-Bérézin, E; Pocidalo, JJ; Vallée, E, 1991)
"Amikacin and imipenem were the two most effective single agents studied."1.28Therapy of pulmonary nocardiosis in immunocompromised mice. ( Aulicino, TM; Berkowitz, LB; duBouchet, L; Gombert, ME, 1990)

Research

Studies (46)

TimeframeStudies, this research(%)All Research%
pre-19909 (19.57)18.7374
1990's16 (34.78)18.2507
2000's10 (21.74)29.6817
2010's9 (19.57)24.3611
2020's2 (4.35)2.80

Authors

AuthorsStudies
Takeda, S1
Nakai, T1
Wakai, Y1
Ikeda, F1
Hatano, K1
King, P1
Lomovskaya, O1
Griffith, DC1
Burns, JL1
Dudley, MN1
Arauzo, B1
Lobera, MP1
Monzon, A1
Santamaria, J1
Wang, W1
Yang, J1
Wu, X1
Wan, B1
Wang, H1
Yu, F1
Guo, Y1
Su, FY1
Srinivasan, S1
Lee, B1
Chen, J1
Convertine, AJ1
West, TE1
Ratner, DM1
Skerrett, SJ1
Stayton, PS1
Zhang, CY1
Gao, J1
Wang, Z1
Haque, S1
Feeney, O1
Meeusen, E1
Boyd, BJ1
McIntosh, MP1
Pouton, CW1
Whittaker, M1
Kaminskas, LM1
Patsche, CB1
Svensson, E1
Wejse, C1
Jeon, K1
Kwon, OJ1
Lee, NY1
Kim, BJ1
Kook, YH1
Lee, SH1
Park, YK1
Kim, CK1
Koh, WJ1
Lieberman, TD1
Michel, JB1
Aingaran, M1
Potter-Bynoe, G1
Roux, D1
Davis, MR1
Skurnik, D1
Leiby, N1
LiPuma, JJ1
Goldberg, JB1
McAdam, AJ1
Priebe, GP1
Kishony, R1
Veach, RA1
Zienkiewicz, J1
Collins, RD1
Hawiger, J1
Fernández-Olmos, A1
García-Castillo, M1
Maiz, L1
Lamas, A1
Baquero, F2
Cantón, R2
Wilson, R1
Welte, T1
Polverino, E1
De Soyza, A1
Greville, H1
O'Donnell, A1
Alder, J1
Reimnitz, P1
Hampel, B1
Van Zonneveld, M1
Droogh, JM1
Fieren, MW1
Gyssens, IC1
Van Gelder, T1
Weimar, W1
Cobos, N1
de Gracia, J1
Honorato, J1
Gartner, S1
Alvarez, A1
Salcedo, A1
Oliver, A1
García-Quetglas, E1
Caruso, E1
Castro, JM1
Chamoles, N1
Galimberti, R1
Jorge, L1
Rohwedder, R1
Shitrit, D1
Baum, GL1
Priess, R1
Lavy, A1
Shitrit, AB1
Raz, M1
Shlomi, D1
Daniele, B1
Kramer, MR1
Leus, B1
Devreese, K1
van den Bossche, J1
Malfait, R1
Polianskaia, GG1
Sizova, LS1
Efremova, TN1
Fridlianskaia, II1
Le Huec, JC1
Schaeverbeke, T1
Chauveaux, D1
Moinard, M1
Rivel, J1
Le Rebeller, A1
Lobo, IM1
Silva, NF1
Assef, MC1
Mangini, C1
Silva, ML1
Bortoletto, ML1
Mendonça, JS1
Levi, GC1
Koul, PA1
Wani, JI1
Wahid, A1
Shah, P1
Orenstein, DM1
Pattishall, EN1
Noyes, BE1
Kurland, G1
Hartigan, ER1
Yu, VL2
Fukuoka, Y1
Ikeda, Y1
Yamashiro, Y1
Takahata, M1
Todo, Y1
Narita, H1
Romanov, VE1
Vasil'ev, NT1
Shabalin, BA1
Mironin, AV1
Paramonov, VE1
Frederiksen, B1
Koch, C1
Høiby, N1
Benator, DA1
Kan, V1
Gordin, FM1
Richards, RM1
Hamilton, VE1
Thomas, MR1
Wolfe, J1
Turenne, C1
Alfa, M1
Harding, G1
Thibert, L1
Kabani, A1
Bald, M1
Ratjen, F1
Nikolaizik, W1
Wingen, AM1
Parienti, JJ1
Ramakers, M1
Charbonneau, P1
Tripodi, MF1
Adinolfi, LE1
Andreana, A1
Sarnataro, G1
Durante Mangoni, E1
Gambardella, M1
Casillo, R1
Farina, C1
Utili, R1
Christensson, BA1
Nilsson-Ehle, I2
Ljungberg, B2
Lindblad, A2
Malmborg, AS2
Hjelte, L2
Strandvik, B2
Singh, N1
Diver, JM1
Schollaardt, T1
Rabin, HR1
Thorson, C1
Bryan, LE1
Vallée, E1
Azoulay-Dupuis, E1
Pocidalo, JJ1
Bergogne-Bérézin, E1
Arvieux, C1
Charasse, C1
Guilhem, I1
Rivalan, J1
Le Pogamp, P1
Ramée, MP1
Gombert, ME1
Berkowitz, LB1
Aulicino, TM1
duBouchet, L1
Bosso, JA2
Bayer, AS1
Nakamura, S1
Minami, A1
Nakata, K1
Kurobe, N1
Kouno, K1
Sakaguchi, Y1
Kashimoto, S1
Yoshida, H1
Kojima, T1
Ohue, T1
Goldfarb, J1
Stern, RC1
Reed, MD1
Yamashita, TS1
Myers, CM1
Blumer, JL1
Black, PG1
Matsen, JM1
Rubio, TT1
Scully, BE1
Nakatomi, M1
Ores, C1
Davidson, S1
Neu, HC1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Randomized, Placebo-controlled, Double-blind, Multi-center Study to Evaluate the Safety and Efficacy of Ciprofloxacin Inhale Compared to Placebo in Patients With Non-cystic Fibrosis Bronchiectasis[NCT00930982]Phase 2124 participants (Actual)Interventional2009-06-30Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Change From Baseline in Total Bacterial Load in the Sputum at End of Treatment (Day 29).

Total bacterial load was determined in sputum collected before the inhalation of study drug. Sputum samples were either provided by the participant during the respective study visit, or participants had to bring a sputum sample that had been produced within the 4 hours prior to the visit. Induced sputum samples could be collected if the participant was unable to produce a spontaneously expectorated sputum sample of > 2 mL. Imputation method: last observation carried forward (LOCF). CFU: colony forming units, log10: decadic logarithm (NCT00930982)
Timeframe: Baseline and 29 days

Interventionlog10 of CFU per gram sputum (Mean)
Ciprofloxacin Inhale (BAYQ3939)-2.94
Placebo-0.32

Time to Exacerbation With Antibiotic Intervention

Acute exacerbation was defined according to the joint American Thoracic Society/European Respiratory Society criteria. For detailed information with regard to this definition of acute exacerbation, please refer to the detailed description in the protocol section. The time to an acute exacerbation with antibiotic intervention was determined. (NCT00930982)
Timeframe: Up to end of study (planned at Day 84)

InterventionDays (Median)
Ciprofloxacin Inhale (BAYQ3939)NA
PlaceboNA

24-hour Sputum Color (Percentage of Participants With Non-clear Sputum)

Participants were asked to start 24-hour sputum collection samples 24 hours before coming for the respective study visit. Sputum color was assessed as either 'clear', or as 'yellow', 'green' or 'rust', or an assessment of 'no sputum' was made. (NCT00930982)
Timeframe: Up to end of study (planned at Day 84)

,
InterventionPercentage of participants (Number)
Day 1Day 8Day 29Day 42Day 56Day 84
Ciprofloxacin Inhale (BAYQ3939)91.773.275.572.875.066.6
Placebo88.994.982.788.486.572.8

24-hour Sputum Volume

Participants were asked to start 24-hour sputum collection samples 24 hours before coming for the respective study visit. The volume of the completed sample was determined. (NCT00930982)
Timeframe: Up to end of study (planned at Day 84)

,
InterventionmL (Mean)
Day 1Day 8Day 29Day 42Day 56Day 84
Ciprofloxacin Inhale (BAYQ3939)24.918.920.521.119.623.6
Placebo30.230.027.322.822.025.9

Change From Baseline in Absolute Neutrophil Count (ANC)

Absolute neutrophil count (ANC) was determined from safety blood samples. Missing or invalid values were replaced with the last valid value available. (NCT00930982)
Timeframe: Baseline and up to Day 42

,
Interventiongiga/L (Mean)
Day 8Day 29Day 42
Ciprofloxacin Inhale (BAYQ3939)-0.35-0.36-0.28
Placebo-0.030.590.24

Change From Baseline in Forced Expiratory Volume in 1 Second (FEV1)

Pulmonary function testing (spirometry) was conducted in accordance with American Thoracic Society standards. 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). Imputation method: last observation carried forward (LOCF). (NCT00930982)
Timeframe: Baseline and up to end of study (planned at Day 84)

,
InterventionPercent of predicted FEV1 (Mean)
Day 8Day 29Day 42Day 56Day 84
Ciprofloxacin Inhale (BAYQ3939)-0.67-0.531.190.810.70
Placebo-0.14-0.22-0.26-0.24-0.50

Change From Baseline in Forced Vital Capacity (FVC)

Pulmonary function testing (spirometry) was conducted in accordance with American Thoracic Society standards. FVC was defined as the maximal volume of air exhaled with maximally forced effort from a maximal inspiration, i.e. vital capacity performed with a maximally forced expiratory effort expressed in liters at BTPS. Imputation method: last observation carried forward (LOCF). (NCT00930982)
Timeframe: Baseline and up to end of study (planned at Day 84)

,
InterventionPercent of predicted FVC (Mean)
Day 8Day 29Day 42Day 56Day 84
Ciprofloxacin Inhale (BAYQ3939)-0.33-0.760.920.36-0.01
Placebo0.04-1.05-1.09-1.16-1.99

Change From Baseline in High Sensitive C-reactive Protein (hsCRP)

High sensitive C-reactive protein (hsCRP) was determined from safety blood samples. Missing or invalid values were replaced with the last valid value available. (NCT00930982)
Timeframe: Baseline and up to Day 42

,
Interventionmg/L (Median)
Day 8Day 29Day 42
Ciprofloxacin Inhale (BAYQ3939)-0.430-0.16
Placebo-0.1900.12

Change From Baseline in Total Bacterial Load in the Sputum

Total bacterial load was determined in sputum collected before the inhalation of study drug. Sputum samples were either provided by the participant during the respective study visit, or participants had to bring a sputum sample that had been produced within the 4 hours prior to the visit. Induced sputum samples could be collected if the participant was unable to produce a spontaneously expectorated sputum sample of > 2 mL on Day 8. Imputation method: last observation carried forward (LOCF). CFU: colony forming units, log10: decadic logarithm (NCT00930982)
Timeframe: Baseline and up to end of study (planned at Day 84)

,
Interventionlog10 of CFU per gram sputum (Mean)
Day 8Day 42Day 56Day 84
Ciprofloxacin Inhale (BAYQ3939)-2.87-1.86-1.86-1.37
Placebo-0.20-0.31-0.21-0.24

Effect of Ciprofloxacin Inhale Treatment on Health-related Quality of Life (HRQoL) as Measured by Chronic Respiratory Questionnaire - Self Administered Standardized (CRQ-SAS)

Participants completed the Chronic Respiratory Questionnaire - Self Administered Standardized (CRQ-SAS). They were assured that all data would be treated confidentially and that the answers would not have any influence on study drug treatment. Participants completed the questionnaires on their own in a quiet area, without discussing them with study staff or accompanying persons (e.g. friends or relatives) and before being seen by the clinician. The score ranges between 1 and 7, 1 being the worst possible score. (NCT00930982)
Timeframe: Up to end of study (planned at Day 84)

,
InterventionTotal score on a scale (Mean)
Day 1Day 29Day 56Day 84
Ciprofloxacin Inhale (BAYQ3939)4.884.994.945.01
Placebo4.964.934.914.99

Effect of Ciprofloxacin Inhale Treatment on Health-related Quality of Life (HRQoL) as Measured by the Saint George's Respiratory Questionnaire (SGRQ), Total Score

Participants completed the Saint George's Respiratory Questionnaire (SGRQ). They were assured that all data would be treated confidentially and that the answers would not have any influence on study drug treatment. Participants completed the questionnaires on their own in a quiet area, without discussing them with study staff or accompanying persons (e.g. friends or relatives) and before being seen by the clinician. The score ranges from 0 to 100 with 100 being the worst possible score. (NCT00930982)
Timeframe: Up to end of study (planned at Day 84)

,
InterventionScores on a scale (Mean)
Day 1Day 29Day 56Day 84
Ciprofloxacin Inhale (BAYQ3939)43.841.540.640.6
Placebo44.744.844.141.6

Emergence of New Potential Respiratory Pathogens

The emergence of new potential respiratory pathogens was evaluated using microbiological analysis. Evaluated was the cumulative number of participants with first appearance of new potential respiratory antigens at each time point. In some cases, participants attended the end of study visit later than Day 84 (up to Day 88). (NCT00930982)
Timeframe: Up to end of study (planned at Day 84)

,
InterventionCumulative participants (Number)
Day 4Day 5Day 7Day 8Day 9Day 10Day 14Day 15Day 28Day 29Day 30Day 36Day 39Day 42Day 43Day 44Day 45Day 57Day 58Day 59Day 78Day 83Day 84Day 85Day 86Day 88
Ciprofloxacin Inhale (BAYQ3939)1127777771214151618212526292930313233384143
Placebo022810111213142430303133384041454647474747535454

Emergence of Resistance Among Baseline Pathogens

The emergence of resistance (at least two-fold increase of Minimal inhibitory concentration, MIC, vs. baseline values) probably or possibly related to study medication among baseline pathogens was evaluated using microbiological analysis. (NCT00930982)
Timeframe: Up to end of study (planned at Day 84)

,
InterventionParticipants (Number)
Emergence (>= 2* increase of MIC)Sustained (>= 2* increase of MIC until end)Transient (Increase in MIC with normalization)Insufficient follow up
Ciprofloxacin Inhale (BAYQ3939)7151
Placebo1010

Microbiological Response of Cipro Inhale Per Participant

Microbiological response was defined as reduction in bacterial load or eradication (measured as the percentage of participants with positive culture). Missing values were not imputed. (NCT00930982)
Timeframe: Up to end of study (planned at Day 84)

,
InterventionPercentage of participants (Number)
Day 1Day 8Day 29Day 42Day 56Day 84
Ciprofloxacin Inhale (BAYQ3939)100.052.465.083.387.185.2
Placebo100.088.291.886.896.492.0

Microbiological Response of Cipro Inhale Per Pathogen

Microbiological response was defined as reduction in bacterial load or eradication (measured as the number of participants with positive culture). Missing values were not imputed. Pathogens analyzed: Staphylococcus aureus, Streptococcus pneumoniae, Escherichia coli, Klebsiella pneumoniae, Klebsiella oxytoca, Proteus mirabilis, Serratia marcescens, Pseudomonas aeruginosa, mucoid, Pseudomonas aeruginosa, non mucoid, Stenotrophomonas maltophilia, Achromobacter xylosoxydans, Moraxella catarrhalis, Haemophilus influenzae (NCT00930982)
Timeframe: Up to end of study (planned at Day 84)

,
InterventionParticipants (Number)
S. aureus Day 1S. aureus Day 8S. aureus Day 29S. aureus Day 42S. aureus Day 56S. aureus Day 84S. pneumoniae Day 1S. pneumoniae Day 8S. pneumoniae Day 29S. pneumoniae Day 42S. pneumoniae Day 56S. pneumoniae Day 84E. coli Day 1E. coli Day 8E. coli Day 29E. coli Day 42E. coli Day 56E. coli Day 84K. pneumoniae Day 1K. pneumoniae Day 8K. pneumoniae Day 29K. pneumoniae Day 42K. pneumoniae Day 56K. pneumoniae Day 84K. oxytoca Day 1K. oxytoca Day 8K. oxytoca Day 29K. oxytoca Day 42K. oxytoca Day 56K. oxytoca Day 84P. mirabilis Day 1P. mirabilis Day 8P. mirabilis Day 29P. mirabilis Day 42P. mirabilis Day 56P. mirabilis Day 84S. marcescens Day 1S. marcescens Day 8S. marcescens Day 29S. marcescens Day 42S. marcescens Day 56S. marcescens Day 84P. aeruginosa, mucoid Day 1P. aeruginosa, mucoid Day 8P. aeruginosa, mucoid Day 29P. aeruginosa, mucoid Day 42P. aeruginosa, mucoid Day 56P. aeruginosa, mucoid Day 84P. aeruginosa, non mucoid Day 1P. aeruginosa, non mucoid Day 8P. aeruginosa, non mucoid Day 29P. aeruginosa, non mucoid Day 42P. aeruginosa, non mucoid Day 56P. aeruginosa, non mucoid Day 84S. maltophilia Day 1S. maltophilia Day 8S. maltophilia Day 29S. maltophilia Day 42S. maltophilia Day 56S. maltophilia Day 84A. xylosoxydans Day 1A. xylosoxydans Day 8A. xylosoxydans Day 29A. xylosoxydans Day 42A. xylosoxydans Day 56A. xylosoxydans Day 84M. catarrhalis Day 1M. catarrhalis Day 8M. catarrhalis Day 29M. catarrhalis Day 42M. catarrhalis Day 56M. catarrhalis Day 84H. influenzae Day 1H. influenzae Day 8H. influenzae Day 29H. influenzae Day 42H. influenzae Day 56H. influenzae Day 84
Ciprofloxacin Inhale (BAYQ3939)8456857203112220115000133000013002222000021279964206101210132022412222105001111411134
Placebo1771095524412122110000010021211143132232332016151612651917141296333131321012336222161211788

Reviews

4 reviews available for ciprofloxacin and Lung Diseases

ArticleYear
Antimicrobial therapy for pulmonary pathogenic colonisation and infection by Pseudomonas aeruginosa in cystic fibrosis patients.
    Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases, 2005, Volume: 11, Issue:9

    Topics: Amikacin; Anti-Bacterial Agents; Anti-Infective Agents; Bronchopneumonia; Cefepime; Ceftazidime; Cep

2005
Mycobacterium szulgai infection of the lung: case report and review of an unusual pathogen.
    The American journal of the medical sciences, 1997, Volume: 313, Issue:6

    Topics: Anti-Bacterial Agents; Ciprofloxacin; Drug Therapy, Combination; Ethambutol; Humans; Isoniazid; Lung

1997
Successful treatment of pulmonary infection due to Mycobacterium chelonae: case report and review.
    Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 1992, Volume: 14, Issue:1

    Topics: Amikacin; Cefoxitin; Ciprofloxacin; Drug Therapy, Combination; Female; Humans; Lung Diseases; Middle

1992
Clinical utility of new quinolones in treatment of osteomyelitis and lower respiratory tract infections.
    European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology, 1989, Volume: 8, Issue:12

    Topics: Animals; Anti-Infective Agents; Bacterial Infections; Ciprofloxacin; Cross Infection; Cystic Fibrosi

1989

Trials

7 trials available for ciprofloxacin and Lung Diseases

ArticleYear
Ciprofloxacin dry powder for inhalation in non-cystic fibrosis bronchiectasis: a phase II randomised study.
    The European respiratory journal, 2013, Volume: 41, Issue:5

    Topics: Administration, Inhalation; Aged; Anti-Bacterial Agents; Bacterial Load; Bronchiectasis; Ciprofloxac

2013
Antibiotic treatment of initial colonization with Pseudomonas aeruginosa postpones chronic infection and prevents deterioration of pulmonary function in cystic fibrosis.
    Pediatric pulmonology, 1997, Volume: 23, Issue:5

    Topics: Adolescent; Adult; Anti-Bacterial Agents; Anti-Infective Agents; Carrier State; Child; Child, Presch

1997
Use of ciprofloxacin in cystic fibrosis patients.
    The American journal of medicine, 1989, Nov-30, Volume: 87, Issue:5A

    Topics: Adult; Ciprofloxacin; Cystic Fibrosis; Drug Resistance, Microbial; Female; Humans; Lung Diseases; Ma

1989
Ciprofloxacin monotherapy for acute pulmonary exacerbations of cystic fibrosis.
    The American journal of medicine, 1987, Apr-27, Volume: 82, Issue:4A

    Topics: Adolescent; Adult; Ciprofloxacin; Clinical Trials as Topic; Cystic Fibrosis; Female; Humans; Kinetic

1987
Ciprofloxacin versus tobramycin plus azlocillin in pulmonary exacerbations in adult patients with cystic fibrosis.
    The American journal of medicine, 1987, Apr-27, Volume: 82, Issue:4A

    Topics: Adult; Anti-Bacterial Agents; Azlocillin; Bacterial Infections; Ciprofloxacin; Clinical Trials as To

1987
Ciprofloxacin: comparative data in cystic fibrosis.
    The American journal of medicine, 1987, Apr-27, Volume: 82, Issue:4A

    Topics: Adolescent; Adult; Azlocillin; Ciprofloxacin; Clinical Trials as Topic; Cystic Fibrosis; Drug Therap

1987
Ciprofloxacin therapy in cystic fibrosis.
    The American journal of medicine, 1987, Apr-27, Volume: 82, Issue:4A

    Topics: Adolescent; Adult; Azlocillin; Child; Ciprofloxacin; Clinical Trials as Topic; Cystic Fibrosis; Drug

1987

Other Studies

35 other studies available for ciprofloxacin and Lung Diseases

ArticleYear
In vitro and in vivo activities of a new cephalosporin, FR264205, against Pseudomonas aeruginosa.
    Antimicrobial agents and chemotherapy, 2007, Volume: 51, Issue:3

    Topics: Animals; beta-Lactamases; Burns; Cephalosporins; Drug Resistance, Multiple, Bacterial; Lung Diseases

2007
In vitro pharmacodynamics of levofloxacin and other aerosolized antibiotics under multiple conditions relevant to chronic pulmonary infection in cystic fibrosis.
    Antimicrobial agents and chemotherapy, 2010, Volume: 54, Issue:1

    Topics: Aerosols; Anti-Bacterial Agents; Bacteria; Biofilms; Chronic Disease; Ciprofloxacin; Colony Count, M

2010
Dry powder formulation for pulmonary infections: Ciprofloxacin loaded in chitosan sub-micron particles generated by electrospray.
    Carbohydrate polymers, 2021, Dec-01, Volume: 273

    Topics: A549 Cells; Administration, Inhalation; Anti-Bacterial Agents; Chitosan; Ciprofloxacin; Humans; Lung

2021
Difference in drug susceptibility distribution and clinical characteristics between
    Journal of medical microbiology, 2021, Volume: 70, Issue:5

    Topics: Adult; Aged; Anti-Bacterial Agents; China; Ciprofloxacin; Clarithromycin; Cough; Doxycycline; Drug R

2021
Macrophage-targeted drugamers with enzyme-cleavable linkers deliver high intracellular drug dosing and sustained drug pharmacokinetics against alveolar pulmonary infections.
    Journal of controlled release : official journal of the Controlled Release Society, 2018, 10-10, Volume: 287

    Topics: Administration, Inhalation; Animals; Anti-Bacterial Agents; Ciprofloxacin; Delayed-Action Preparatio

2018
Bioresponsive Nanoparticles Targeted to Infectious Microenvironments for Sepsis Management.
    Advanced materials (Deerfield Beach, Fla.), 2018, Volume: 30, Issue:43

    Topics: Amides; Animals; Anti-Bacterial Agents; Anti-Inflammatory Agents, Non-Steroidal; Bacterial Proteins;

2018
Local inflammation alters the lung disposition of a drug loaded pegylated liposome after pulmonary dosing to rats.
    Journal of controlled release : official journal of the Controlled Release Society, 2019, 08-10, Volume: 307

    Topics: Animals; Anti-Bacterial Agents; Bleomycin; Bronchoalveolar Lavage Fluid; Ciprofloxacin; Cytokines; I

2019
Disseminated Mycobacterium celatum disease with prolonged pulmonary involvement.
    International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases, 2014, Volume: 26

    Topics: Aged; Anti-Bacterial Agents; Azithromycin; Ciprofloxacin; Clarithromycin; Drug Therapy, Combination;

2014
Antibiotic treatment of Mycobacterium abscessus lung disease: a retrospective analysis of 65 patients.
    American journal of respiratory and critical care medicine, 2009, Nov-01, Volume: 180, Issue:9

    Topics: Adult; Amikacin; Anti-Bacterial Agents; Anti-Infective Agents; Cefoxitin; Chemical and Drug Induced

2009
Parallel bacterial evolution within multiple patients identifies candidate pathogenicity genes.
    Nature genetics, 2011, Nov-13, Volume: 43, Issue:12

    Topics: Adaptation, Biological; Anti-Bacterial Agents; Bacteremia; Burkholderia; Burkholderia Infections; Ci

2011
Lethality in a murine model of pulmonary anthrax is reduced by combining nuclear transport modifier with antimicrobial therapy.
    PloS one, 2012, Volume: 7, Issue:1

    Topics: Active Transport, Cell Nucleus; Animals; Anthrax; Anti-Infective Agents; Cell-Penetrating Peptides;

2012
In vitro prevention of Pseudomonas aeruginosa early biofilm formation with antibiotics used in cystic fibrosis patients.
    International journal of antimicrobial agents, 2012, Volume: 40, Issue:2

    Topics: Bacterial Typing Techniques; Biofilms; Ciprofloxacin; Cystic Fibrosis; Female; Humans; Levofloxacin;

2012
Yersinia pseudotuberculosis bacteraemia in a kidney transplant patient.
    Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association, 2002, Volume: 17, Issue:12

    Topics: Anti-Infective Agents; Bacteremia; Ciprofloxacin; Cyclosporine; Humans; Immunosuppressive Agents; Ki

2002
Penetration of ciprofloxacin into human lung tissue after oral and i.v. dosing.
    Journal of chemotherapy (Florence, Italy), 1989, Volume: 1, Issue:4 Suppl

    Topics: Administration, Oral; Anti-Infective Agents; Ciprofloxacin; Humans; Injections, Intravenous; Kinetic

1989
Pulmonary Mycobacterium kansasii infection in Israel, 1999-2004: clinical features, drug susceptibility, and outcome.
    Chest, 2006, Volume: 129, Issue:3

    Topics: Adult; Antibiotics, Antitubercular; Ciprofloxacin; Clarithromycin; Cycloserine; Ethambutol; Ethionam

2006
Factor V inhibitor: case report.
    Blood coagulation & fibrinolysis : an international journal in haemostasis and thrombosis, 2006, Volume: 17, Issue:7

    Topics: Aged; Anti-Bacterial Agents; beta-Lactams; Blood Coagulation Tests; Ciprofloxacin; Disease Progressi

2006
[A cytogenetic study of the Chinese hamster lung cell line V-79 infected with Mycoplasma arginini and decontaminated using ciprofloxacin].
    Tsitologiia, 1994, Volume: 36, Issue:8

    Topics: Animals; Cell Line; Chromosome Aberrations; Ciprofloxacin; Cricetinae; Cricetulus; Drug Evaluation,

1994
[Epicondylitis induced by fluoroquinolones in athletes. Apropos of 2 cases].
    Journal de chirurgie, 1994, Volume: 131, Issue:10

    Topics: Ciprofloxacin; Humans; Lung Diseases; Magnetic Resonance Spectroscopy; Male; Middle Aged; Orchitis;

1994
Oral ciprofloxacin for treatment of severe infections.
    International journal of clinical pharmacology research, 1993, Volume: 13, Issue:2

    Topics: Administration, Oral; Adult; Aged; Aged, 80 and over; Bacteremia; Bacterial Infections; Ciprofloxaci

1993
Pulmonary manifestations of multidrug-resistant typhoid fever.
    Chest, 1993, Volume: 104, Issue:1

    Topics: Adolescent; Adult; Child; Ciprofloxacin; Drug Resistance, Microbial; Female; Humans; India; Lung Dis

1993
Safety of ciprofloxacin in children with cystic fibrosis.
    Clinical pediatrics, 1993, Volume: 32, Issue:8

    Topics: Administration, Oral; Adolescent; Alkaline Phosphatase; Child; Ciprofloxacin; Cystic Fibrosis; Drug

1993
In vitro and in vivo antibacterial activities of T-3761, a new quinolone derivative.
    Antimicrobial agents and chemotherapy, 1993, Volume: 37, Issue:3

    Topics: Animals; Anti-Infective Agents; Bacterial Infections; Ciprofloxacin; Fluoroquinolones; Lung Diseases

1993
[Standardization of conditions for the evaluation of effectiveness of antibacterial drugs in pneumonic plague in sacred baboons].
    Antibiotiki i khimioterapiia = Antibiotics and chemoterapy [sic], 1995, Volume: 40, Issue:6

    Topics: Animals; Anti-Bacterial Agents; Anti-Infective Agents; Body Temperature Regulation; Ciprofloxacin; D

1995
In-vitro investigation of the antibacterial activity of agents which may be used for the oral treatment of lung infections in CF patients.
    The Journal of antimicrobial chemotherapy, 1998, Volume: 42, Issue:2

    Topics: Administration, Oral; Anti-Bacterial Agents; Ciprofloxacin; Cystic Fibrosis; Drug Therapy, Combinati

1998
Mycobacterium branderi from both a hand infection and a case of pulmonary disease.
    Journal of clinical microbiology, 2000, Volume: 38, Issue:10

    Topics: Chromatography, High Pressure Liquid; Ciprofloxacin; Clarithromycin; DNA, Ribosomal; Drug Therapy, C

2000
Ciprofloxacin-induced acute renal failure in a patient with cystic fibrosis.
    The Pediatric infectious disease journal, 2001, Volume: 20, Issue:3

    Topics: Acute Kidney Injury; Adolescent; Anti-Infective Agents; Ciprofloxacin; Creatinine; Cystic Fibrosis;

2001
Short-course empiric antibiotic therapy for patients with pulmonary infiltrates in the intensive care unit.
    American journal of respiratory and critical care medicine, 2001, Jul-01, Volume: 164, Issue:1

    Topics: Anti-Infective Agents; Ciprofloxacin; Drug Resistance, Microbial; Humans; Intensive Care Units; Lung

2001
Treatment of pulmonary nocardiosis in heart-transplant patients: importance of susceptibility studies.
    Clinical transplantation, 2001, Volume: 15, Issue:6

    Topics: Adult; Anti-Bacterial Agents; Bronchoalveolar Lavage; Ciprofloxacin; Female; Heart Transplantation;

2001
Increased oral bioavailability of ciprofloxacin in cystic fibrosis patients.
    Antimicrobial agents and chemotherapy, 1992, Volume: 36, Issue:11

    Topics: Administration, Oral; Adolescent; Adult; Biological Availability; Ciprofloxacin; Cystic Fibrosis; Dr

1992
Persistence mechanisms in Pseudomonas aeruginosa from cystic fibrosis patients undergoing ciprofloxacin therapy.
    Antimicrobial agents and chemotherapy, 1991, Volume: 35, Issue:8

    Topics: Bacterial Outer Membrane Proteins; beta-Lactamases; Carbon Radioisotopes; Chloramphenicol O-Acetyltr

1991
Pharmacokinetics of four fluoroquinolones in an animal model of infected lung.
    The Journal of antimicrobial chemotherapy, 1991, Volume: 28 Suppl C

    Topics: Animals; Anti-Infective Agents; Ciprofloxacin; Disease Models, Animal; Fluoroquinolones; Lung Diseas

1991
[Acute kidney failure due to tubulo-interstitial nephropathy after treatment with ciprofloxacin].
    Presse medicale (Paris, France : 1983), 1991, Oct-26, Volume: 20, Issue:34

    Topics: Acute Kidney Injury; Aged; Ciprofloxacin; Humans; Lung Diseases; Male

1991
Therapy of pulmonary nocardiosis in immunocompromised mice.
    Antimicrobial agents and chemotherapy, 1990, Volume: 34, Issue:9

    Topics: Amikacin; Animals; Anti-Bacterial Agents; Ceftriaxone; Ciprofloxacin; Cortisone; Female; Humans; Imi

1990
Comparison of efficacy and tolerance of intravenously and orally administered ciprofloxacin in cystic fibrosis patients with acute exacerbations of lung infection.
    Scandinavian journal of infectious diseases. Supplementum, 1989, Volume: 60

    Topics: Administration, Oral; Adolescent; Adult; Biological Availability; Ciprofloxacin; Cystic Fibrosis; Dr

1989
In vitro and in vivo antibacterial activities of AT-4140, a new broad-spectrum quinolone.
    Antimicrobial agents and chemotherapy, 1989, Volume: 33, Issue:8

    Topics: Animals; Anti-Infective Agents; Bacteria; Bacterial Infections; Ciprofloxacin; Enoxacin; Fluoroquino

1989