Status:
COMPLETED
Efficacy and Safety of Sequential IV/PO Moxifloxacin in Comparison to IV Levofloxacin Plus IV Ceftriaxone Followed by PO Levofloxacin, in the Treatment of Patients With Community-acquired Pneumonia
Lead Sponsor:
Bayer
Conditions:
Pneumonia
Eligibility:
All Genders
18+ years
Phase:
PHASE3
Brief Summary
Sequential therapy with intravenous to oral moxifloxacin, was tested at 69 study centres in 17 countries to determine if this treatment regimen is safe and effective in treating hospitalized adult pat...
Eligibility Criteria
Inclusion
- Patients aged 18 years or above
- All of the following signs and symptoms of pneumonia:
- Fever (core/ rectal/ tympanic temperature \>/= 38.5°C or axillary/ oral/ cutaneous temperature \>/= 38.0°C) or hypothermia (core/ rectal/ tympanic temperature \</= 35.5°C or axillary/ oral/ cutaneous temperature \</= 35.0°C)
- White blood cell (WBC) count \> 10,000/µL, or \>/= 15% immature neutrophils (bands), regardless of the peripheral WBC count, or total WBC count \< 4,500/µL
- The presence of at least 2 of the following symptoms: - Cough- Purulent sputum production
- Dyspnoea or tachypnoea (respiratory rate \> 20 breaths/minute)
- Rigors and/or chills- Chest pain
- Auscultatory findings on pulmonary examination of rales/crackles and/or evidence of pulmonary consolidationAND
- Radiological evidence of (an) infiltrate(s) consistent with bacterial pneumonia at baseline or within 24 hours following enrolment
- Fine score \>/= 71 (i.e. Pneumonia PSI risk Class III, IV or V, requiring hospitalisation for the treatment of CAP)
- Written informed consent obtained from the patient or a next-of-kin
Exclusion
- Known hypersensitivity to fluoroquinolones, or other quinolones, and/or to beta-lactams, or any of the excipients
- Female patients who are pregnant or lactating
- History of tendon disease/disorder related to quinolone treatment
- Known congenital or documented-acquired QT prolongation; concomitant use of drugs, reported to increase the QT interval; uncorrected hypokalaemia; clinically relevant bradycardia; clinically relevant heart failure with reduced left
- ventricular ejection fraction; previous history of symptomatic arrhythmias
- History of epilepsy- Known glucose-6-phosphate dehydrogenase deficiency
- Known severe impaired liver function (i.e. Child Pugh C), (refer to Section 10.4 for definition) or transaminases increase \> 5 fold ULN- Hospitalisation for \> 48 hours before developing pneumonia, or discharge from hospital \< 30 days prior- Systemic antibacterial therapy for more than 24 hours within 14 days of enrolment
- Patients requiring concomitant systemic antibacterial agents
- Known structural lung disease (e.g. cystic fibrosis, bronchiectasis, or lung cancer), or other known conditions (e.g. malnutrition) predisposing to infection with nosocomial-like organisms such as Pseudomonas aeruginosa
- Lung abscess, pleural empyema, risk factors for aspiration pneumonia (e.g. recent stroke, head injury, dementia)
- Known rapidly fatal underlying disease (death expected within 6 months)
- Known or suspected active tuberculosis or endemic fungal infection- Neutropenia (neutrophil count \< 1,000/µL) caused by immunosuppressive therapy or malignancy
- Patients known to have AIDS (CD4 count \< 200/µL) or HIV-seropositive patients receiving HAART
- Previous enrolment in this study
- Participation in any clinical investigational drug study within the previous 4 weeks
- Patient with pre-terminal renal failure (creatinine clearance \< 10 mL/min) and patients undergoing haemodialysis
Key Trial Info
Start Date :
January 1 2004
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
July 1 2005
Estimated Enrollment :
738 Patients enrolled
Trial Details
Trial ID
NCT00431678
Start Date
January 1 2004
End Date
July 1 2005
Last Update
December 17 2014
Active Locations (95)
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1
Vicente López, Buenos Aires, Argentina, B1602DOH
2
Buenos Aires, Buenos Aires F.D., Argentina, C1118AAT
3
Buenos Aires, Buenos Aires F.D., Argentina, C1120AAF
4
Buenos Aires, Buenos Aires F.D., Argentina, C1180AAX