Revised dosing of Ciprofloxacin for patients with impaired renal function: a bioequivalence study

2024-520379-28-00 Therapeutic use (Phase IV) Ongoing, recruiting

Start 24 Jan 2025 · Status Ongoing, recruiting · 1 EU/EEA countries · 3 sites

Overview

Sponsor-declared trial summary

Phase Therapeutic use (Phase IV)
Status Ongoing, recruiting
Participants planned 58
Countries 1
Sites 3

bacterial infection

To assess bioequivalence of ciprofloxacin between patients with impaired renal function (eGFR < 30 ml/min/1.73m2) receiving the revised reduced doses (test, 750 mg orally once daily or 600 mg intravenously once daily) and patients with adequate renal function receiving regular doses (reference, 500mg orally twice daily…

Key facts

Sponsor
Amsterdam UMC Stichting
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Bacterial Infections and Mycoses [C01]
Trial duration
24 Jan 2025 → ongoing
Decision date (initial)
2025-01-24
Transition trial
Yes
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No

External identifiers

EU CT number
2024-520379-28-00
EudraCT number
2019-005021-79

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Therapy, Bioequivalence, Pharmacokinetic

To assess bioequivalence of ciprofloxacin between patients with impaired renal function (eGFR < 30 ml/min/1.73m2) receiving the revised reduced doses (test, 750 mg orally once daily or 600 mg intravenously once daily) and patients with adequate renal function receiving regular doses (reference, 500mg orally twice daily or 400 mg intravenously twice daily), by investigating whether drug exposure in the first 24 hours of treatment (AUC024) is bioequivalent between both patient groups (test/reference).

Conditions and MedDRA coding

bacterial infection

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 3

  1. being treated with ciprofloxacin intravenously (iv) or orally (po) as part of standard care - age ≥ 18 years
  2. being admitted to general wards of the Amsterdam UMC – location AMC or the OLVG- location Oost or Noordwest Ziekenhuisgroep
  3. informed consent is obtained

Exclusion criteria 3

  1. receiving renal replacement therapy (i.e. haemodialysis, peritoneal dialysis, continuous venovenous hemofiltration or another way of renal replacement therapy), during the first 48 hours of treatment with ciprofloxacin
  2. patients with cystic fibrosis (CF)
  3. informed consent is not obtained

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Drug exposure in the first 24 hours of treatment (AUC0- 24)

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

Ciprofloxacin Hydrochloride

SCP12479042 · ATC

Active substance
Ciprofloxacin Hydrochloride
Route of administration
ORAL
Max daily dose
1500 mg milligram(s)
Max total dose
4500 mg milligram(s)
Max treatment duration
3 Day(s)
Authorisation status
Authorised
ATC code
J01MA02 — CIPROFLOXACIN
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Amsterdam UMC Stichting

Sponsor organisation
Amsterdam UMC Stichting
Address
De Boelelaan 1117
City
Amsterdam
Postcode
1081 HV
Country
Netherlands

Scientific contact point

Organisation
Amsterdam UMC Stichting
Contact name
Dr. R.M. van Hest

Public contact point

Organisation
Amsterdam UMC Stichting
Contact name
Dr. R.M. van Hest

Locations

1 EU/EEA country · 3 investigational sites

By country

CountryMS statusPlanned subjectsSites
Netherlands Ongoing, recruiting 58 3
Rest of world 0

Investigational sites

Netherlands

3 sites · Ongoing, recruiting
Amsterdam UMC Stichting
Department of Pharmacy and Clinical Pharmacology, De Boelelaan 1117, 1081 HV, Amsterdam
Olvg
Department of Internal Medicine, Division of Infectious Diseases, Oosterpark 9, 1091, Amsterdam
Noordwest Ziekenhuisgroep Stichting
Department of Internal Medicine, Division of Infectious Diseases, Wilhelminalaan 12, 1815 JD, Alkmaar

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Netherlands 2025-01-24 2025-01-24

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 6 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) D1_Protocol 2024 520379 28 00 5
Recruitment arrangements (for publication) Blank document 1
Subject information and informed consent form (for publication) L1_SIS and ICF adequate renal function 3
Subject information and informed consent form (for publication) L1_SIS and ICF impaired renal function AmsterdamUMC OLVG 2
Subject information and informed consent form (for publication) L1_SIS and ICF impaired renal function NWZ 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC Ciprofloxacine oraal en intraveneus 1

Application history

1 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2025-01-09 Netherlands Acceptable
2025-01-24
2025-01-24