New Drug Application Submitted for Linhaliq as Treatment of Pseudomonas Aeruginosa Infection in NCFBE Patients

New Drug Application Submitted for Linhaliq as Treatment of Pseudomonas Aeruginosa Infection in NCFBE Patients

The pharmaceutical company Aradigm has submitted a new drug application (NDA) to the U.S. Food and Drug Administration (FDA) for Linhaliq (ciprofloxacin) as a treatment for non-cystic fibrosis bronchiectasis (NCFBE) in patients with chronic lung infections with Pseudomonas aeruginosa, according to a press release.

The NDA is supported by positive results from the Phase 3 ORBIT-4 pivotal clinical trial (NCT02104245) and data from the Phase 3 ORBIT-3 (NCT01515007) and the Phase 2b ORBIT-2 trials. Additional preclinical and clinical data from Aradigm and other publicly available sources are expected to provide additional supporting evidence for Linhaliq’s NDA designation.

Previously known as Pulmaquin, Linhaliq is composed of a mixture of encapsulated and free forms of the widely used antibiotic ciprofloxacin. This antibiotic is often used to treat acute lung infections caused by bacteria, including P. aeruginosa.

Phase 3 clinical trials included a total of 582 patients with NCFBE who received once-daily Linhaliq or a placebo in six cycles of 28 days of treatment plus 28 days off treatment. This regimen was followed by a 28-day, open-label extension in which all patients received Linhaliq.

Overall, the investigative treatment was shown to increase the time for a first pulmonary exacerbation in NCFBE patients compared with the placebo-treated group. In addition, Linhaliq significantly reduced the density of P. aeruginosa bacteria by the end of the first treatment period (the first 28 days). This effect was found to be consistent throughout all of the remaining treatment cycles.

The results of the Phase 3 trials also demonstrated that Linhaliq was generally safe and well-tolerated by patients. The treatment did not induce significant changes in patients’ lung function or airway irritation compared with a placebo. The rates of treatment-related adverse events were similar in Linhaliq and placebo-treated patients.

The FDA granted Linhaliq orphan drug designation for the management of bronchiectasis and qualified infectious disease product (QIDP) designation for the treatment of NCFBE patients with chronic P. aeruginosa lung infections. The FDA also granted fast track designation to Linhaliq.

Aradigm also will submit a marketing authorization application to the European Union for Linhaliq as a treatment for patients with NCFBE who have chronic P. aeruginosa lung infections.

Alice Melão Editor
Alice Melão Editor


  1. Shelley Robertson says:

    Hi , can I ask I have p aeruginosa infection and have been treated for 4 weeks with cirprofloxacin , every time I stop the tablets , this comes back , my doctor has taken me off this tablet to say it just has to work its way out and has put me on doxy daily , I am frightened that this will affect my bronchiectasis and damage more of my lung …. could you give me abit of advice

  2. Nina Rulofs says:

    In bronchiectasis, chance is very small that it will just ‘work its way out’. If it is sensitive to doxy, that will help. But if the pseudomonas is resistant, it won’t work. You may need different oral antibiotics – dependent on the resistance pattern of the but [this is assessed from a sputum culture]. Some people get inhaled tobramycin, but I think doctors try to keep this as a last resort. Other people may get outpatient intravenous antibiotics. Pseudomonas is a very difficult bug, in bronchiectasis you often can’t get rid of it, but you can manage it/ keep it under control with frequent antibiotics. I’m not an expert on this though.

  3. Christine Thomas says:

    Hello, I have been inhaling colomycin twice a day for the past three months to treat my Bronchiectasis. My concern is how long should I be on this and should I have mucus tests to see how the antibiotic is working. I haven’t seen my consultant since last September and I feel a bit isolated.

    • Mary Ann says:

      I can understand why you feel a bit isolated. Doctors don’t want to deal with it. I had complained to my GP for months about chills and some nausea. He wrote it off as anxiety and told me not to come back for a month until I saw a psychiatrist.
      I even had an appt with my Pulmo doctor and told him I felt like I did when I had thrush in my esophagus….I felt awful at that time and had my first bronchoscopy showing the thrush. This pulmo doctor sent me along with a new liquid albuterol for nebulizer. That was it.
      Finally, I told him about 6 weeks later that I couldn’t expel any mucus at all and then he said it was time for a sputum test that verified the Pseudomonas. I would be lying if I said that I am not concerned for my future. I have been on Cipro (750 mg 2X a day) for 11 days and have 3 more days to go. I don’t think it has done anything but hurt my bones more. I can’t use the nebulizer with the albuterol because it doesn’t work for me anymore. All I can do is walk around the house with an Aerobika and hopefully move mucus, but nothing significant comes out. I would never have believed this would happen because I was told several times that my Bx was minor. The only one I can go to for help is my Lord.
      The chills have gone away, thank the Lord. However, since I am not expelling mucus, I can’t imagine any normalcy in life. I don’t go out anymore. I stay at home, try to do exercises for my hands that have been affected in the joints, do exercises for my hip that has deterioration, ride a stationary (sp?) bike when I can for 5 to 10 minutes at a time, and that is about it for my life now….have a great family of 3 daughters and 10 grandchildren, but they don’t get it. They think it is just an infection cured by Cipro. Ya, anywhere else, yes, but with Bx, no.
      All I do is pray for a miracle drug within the next year or so. I am on the internet researching and this is what I came up with: Ciprofloxacin.
      Blessings to those of you looking for a cure. So much progress has been made for heart patients with bypasses and stents, etc., but those of us with lung issues are left behind. There are no surgeries to help us. I hope I will live long enough for a cure, but the clock is ticking toward 71 in a less than a month. I just continue to read my Bible and get myself ready for my final home.

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