Pneumonia Clinical Trial
Official title:
A Study of Avelox for Treatment of Elderly Patients With Community Acquired Pneumonia
Verified date | November 2014 |
Source | Bayer |
Contact | n/a |
Is FDA regulated | No |
Health authority | United States: Food and Drug Administration |
Study type | Interventional |
This study was to assess the safety of sequential intravenous (IV)/oral (PO) moxifloxacin (Avelox®) compared with sequential IV/PO levofloxacin (Levaquin®) in the treatment of elderly subjects (aged ≥ 65 years) with community-acquired pneumonia (CAP) who required initial IV therapy. This study also included an assessment of the clinical and bacteriologic effectiveness of both drugs.
Status | Completed |
Enrollment | 401 |
Est. completion date | April 2004 |
Est. primary completion date | April 2004 |
Accepts healthy volunteers | No |
Gender | Both |
Age group | 65 Years and older |
Eligibility |
Inclusion Criteria: - Presence of radiological evidence of a new or progressive infiltrate(s) consistent with bacterial pneumonia and at least 2 of the following: - Productive cough with purulent or mucopurulent sputum/tracheobronchial secretions or change in the character of sputum (increased volume or purulence) - Dyspnea or tachypnea - Rigors or chills- Pleuritic chest pain - Auscultatory findings on pulmonary examination of rales/crackles and/or evidence of pulmonary consolidation- Fever or hypothermia - White blood cell count >/= 10000/mm3 or >/= 15% immature neutrophils, regardless of the peripheral WBC count, or leukopenia with total WBC count < 4500/mm3 Exclusion Criteria: - Known hypersensitivity to fluoroquinolones- Presence of end-organ damage or shock with need for vasopressors for > 4 hours at the time of study entry - Need for mechanical ventilation at study entry - Implanted cardiac defibrillator.- Significant bradycardia with heart rate < 50 beats/minute. - Hospitalized for > 48 hours before developing pneumonia. - Systemic antibacterial therapy for more than 24 hours within 7 days of enrollment unless the patient was deemed a treatment failure after receiving greater than 72 hours of a non-fluoroquinolone antibiotic. - Co-existent disease considered likely to affect the outcome of the study (e.g. active lung cancer, connective tissue disease affecting the lungs, bronchiectasis). - Mechanical endobronchial obstruction (e.g. endobronchial tumor). - Known or suspected active tuberculosis or endemic fungal infection - Neutropenia (neutrophil count < 1000/Microliter). - Chronic treatment (equal or longer than 2 weeks) with known immunosuppressant therapy (including treatment with > 15 mg/day of systemic prednisone or equivalent). - Patient with known HIV infection and a CD4 count < 200/mm3 . - Known severe hepatic insufficiency . - Renal impairment with a baseline measured or calculated serum creatinine clearance < 20 mL/min. If a recent value for a 24 hour creatinine clearance is not available then the creatinine clearance should be calculated using the Cockcroft-Gault formula . - Known prolongation of the QT interval or use of Class IA or Class III antiarrhythmics (e.g., quinidine, procainamide, amiodarone, sotalol). - Uncorrected hypokalemia. - Previous history of tendinopathy with quinolones. - Previously entered in this study.- Participated in any clinical investigational drug study within 4 weeks of screening. - Known or suspected concomitant bacterial infection requiring additional systemic antibacterial treatment. - Patients with a history of a hypersensitivity reaction to multivitamin infusion (MVI) or pre-existing hypervitaminosis. |
Allocation: Randomized, Endpoint Classification: Safety Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Primary Purpose: Treatment
Country | Name | City | State |
---|---|---|---|
n/a |
Lead Sponsor | Collaborator |
---|---|
Bayer |
United States, Puerto Rico,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Incidence of a composite safety end point (including cardiac arrest, sustained and non-sustained ventricular tachycardia), based on digital Holter ECG recordings | First 72 hours of study participation | Yes | |
Secondary | Incidence of a composite safety end point (including atrial fibrillation sustained and unsustained supraventricular tachycardia, third degree AV block and long RR pauses), based on Holter | First 72 hours of study participation | Yes | |
Secondary | Adverse Events Collection | Up to 7-14 days post-therapy | Yes | |
Secondary | Clinical Response | Day 3-5 during treament, 7-14 days post-therapy | No | |
Secondary | Mortality attributable to pneumonia | 7-14 days post-therapy | Yes | |
Secondary | Bacteriological Response | 7-14 days post-therapy | No | |
Secondary | Overall cost of hospitalization | Up to 7-14 days post-therapy | No |
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