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Study to Evaluate the Efficacy and Safety of Moxifloxacin Versus Amoxicillin/Clavulanate in the Treatment of Acute Bacterial Rhinosinusitis

Information source: Bayer
Information obtained from ClinicalTrials.gov on August 08, 2008
Link to the current ClinicalTrials.gov record.

Condition(s) targeted: Sinusitis; Bacterial Infections

Intervention: Avelox (Moxifloxacin, BAY12-8039) (Drug)

Phase: Phase 4

Status: Recruiting

Sponsored by: Bayer

Official(s) and/or principal investigator(s):
Bayer Study Manager, Study Director, Affiliation: Bayer

Overall contact:
Bayer Clinical Trials Contact, Email: clinical-trials-contact@bayerhealthcare.com

Summary

This is a clinical study organized to collect clinical data to better define the activity of some antimicrobials already marketed in Italy and in the rest of the world for the treatment of acute bacterial rhinosinusitis.

Clinical Details

Official title: Prospective, Multicenter, Randomized, Double Blind, Parallel Arm Study to Evaluate the Efficacy and Safety of Moxifloxacin 400 mg OD for 7 Days Versus a Standard Antibiotic Therapy for 10 Days in the Treatment of Acute Bacterial Rhinosinusitis

Study design: Treatment, Randomized, Double-Blind, Active Control, Parallel Assignment, Safety Study

Primary outcome: To evaluate the microbiological response at the test of cure visit (specimen collected by the means of a microendoscope)

Secondary outcome: To evaluate the microbiological efficacy of moxifloxacin and amoxicillin/clavulanate at TOC and FU in the microbiologically valid population (subgroup with positive baseline culture from middle meatus specimen)

Detailed description: Number of arms: 2

(Group A: Moxifloxacin 400 mg tablets OD for 7 days and amoxicillin/clavulanate 1000 mg matching placebo tablets TID for 10 days; Group B: Amoxicillin/clavulanate 1000 mg tablets TID for 10 days and Moxifloxacin 400 mg matching placebo tablets OD for 7 days.)

Eligibility

Minimum age: 18 Years. Maximum age: N/A. Gender(s): Both.

Criteria:

Inclusion Criteria:

- Age > 18 years

- Clinical diagnosis of acute rhinosinusitis with signs and symptoms present for >/= 5 -

7 days but < 28 days

- Clinical diagnosis will be confirmed by nasal endoscopic examination

Exclusion Criteria:

- History of chronic sinusitis defined as greater than four weeks of continuous symptoms

(subject with history of sinus surgery may be included; subjects with recurrent acute sinusitis may be included).

- Any symptoms that suggest the subject's current illness is allergic rhinitis (e. g.

repetitive sneezing, itchy nose or eyes, provocation by an allergen) and not acute bacterial sinusitis

- Known bacteremia, meningitis or infection infiltrating the tissues neighboring the

sinuses

- Known immunodeficiency diseases including, but not limited to: neutropenia (neutrophil

count <1000/mm3), HIV infection (CD4+ T-cell count of < 200/mm3). Note: HIV testing is not required.

- Received systemic antibacterial therapy likely to be effective in the treatment of

acute bacterial sinusitis for more than 24 hours within 5/6 days of enrollment

- Requirement for concomitant systemic antibacterial therapy with agents other than

those specified in this protocol

- Currently receiving topical nasal corticosteroids, unless they have been on a stable

dose for > 4 weeks prior to enrollment

- Requirement for concomitant therapy with systemic corticosteroids

- Pregnant or breast feeding

- Of childbearing potential in whom pregnancy cannot be excluded by a negative pregnancy

test and who are not using a reliable barrier method of contraception

- Received an investigational drug in the past 30 days

- Previously enrolled in this study

- Unable to take oral medication

- History of allergy to quinolone antibiotics or related compounds and beta-lactams

- History of tendinopathy associated with quinolones

- Known to have congenital or sporadic syndromes of QTc prolongation or receiving

concomitant medication reported to increase the QTc interval (e. g. amiodarone, sotalol, disopyramide, quinidine, procainamide, terfenadine)

- Uncorrected hypokalemia

- End stage liver cirrhosis (class Child-Pugh C)

- Severe renal impairment requiring dialysis

- Diagnosis of rapidly fatal illness with a life expectancy of less than 6 months

Locations and Contacts

Bayer Clinical Trials Contact, Email: clinical-trials-contact@bayerhealthcare.com

Bayer Clinical Research Center, ask Contact, Italy; Recruiting
Additional Information

Click here and search for drug information provided by the FDA

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Starting date: February 2006
Last updated: August 14, 2007

Page last updated: August 08, 2008

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