Trial Outcomes & Findings for A Study of Incidence of Musculoskeletal Disorders in Children Who Have Received Levofloxacin or a Standard Non-Fluoroquinolone Therapy for Acute Bacterial Infection (NCT NCT00210639)

NCT ID: NCT00210639

Last Updated: 2014-04-21

Results Overview

The criteria used to assess Musculoskeletal Adverse Event is based on system organ class "Musculoskeletal and connective tissue disorders" of MedDRA 13.0.

Recruitment status

COMPLETED

Target enrollment

2233 participants

Primary outcome timeframe

Musculoskeletal Disorder (MSD) Follow-Up phase (ie, up to 5 years after their first dose of antimicrobial therapy, yearly visits for 4 additional years)

Results posted on

2014-04-21

Participant Flow

For this study, a total of 2233 participants were enrolled; 1620 participants from 2 otitis media studies (LOFBO-OTMD-001, LOFBO-OTMD-002) and 613 from a community acquired pneumonia study (LOFBIV-PCAP-003).

Only 207 participants out of 2233 participants were required for yearly follow-up during the Musculoskeletal Disorder (MSD) follow-up phase.

Participant milestones

Participant milestones
Measure
Levofloxacin
Participants who received levofloxacin in the previous studies.
Comparator
Participants who received comparator in the previous studies.
Overall Study
STARTED
124
83
Overall Study
COMPLETED
61
41
Overall Study
NOT COMPLETED
63
42

Reasons for withdrawal

Reasons for withdrawal
Measure
Levofloxacin
Participants who received levofloxacin in the previous studies.
Comparator
Participants who received comparator in the previous studies.
Overall Study
Lost to Follow-up
37
29
Overall Study
Withdrawal by Subject
8
1
Overall Study
Other
18
12

Baseline Characteristics

A Study of Incidence of Musculoskeletal Disorders in Children Who Have Received Levofloxacin or a Standard Non-Fluoroquinolone Therapy for Acute Bacterial Infection

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Levofloxacin
n=124 Participants
Participants who received levofloxacin in the previous studies.
Comparator
n=83 Participants
Participants who received comparator in the previous studies.
Total
n=207 Participants
Total of all reporting groups
Age, Continuous
3.9 years
STANDARD_DEVIATION 2.52 • n=5 Participants
3.5 years
STANDARD_DEVIATION 2.46 • n=7 Participants
3.7 years
STANDARD_DEVIATION 2.50 • n=5 Participants
Sex: Female, Male
Female
48 Participants
n=5 Participants
40 Participants
n=7 Participants
88 Participants
n=5 Participants
Sex: Female, Male
Male
76 Participants
n=5 Participants
43 Participants
n=7 Participants
119 Participants
n=5 Participants
Region of Enrollment
ARGENTINA
16 participants
n=5 Participants
11 participants
n=7 Participants
27 participants
n=5 Participants
Region of Enrollment
BRAZIL
8 participants
n=5 Participants
4 participants
n=7 Participants
12 participants
n=5 Participants
Region of Enrollment
CHILE
10 participants
n=5 Participants
12 participants
n=7 Participants
22 participants
n=5 Participants
Region of Enrollment
COSTA RICA
27 participants
n=5 Participants
15 participants
n=7 Participants
42 participants
n=5 Participants
Region of Enrollment
ISRAEL
2 participants
n=5 Participants
0 participants
n=7 Participants
2 participants
n=5 Participants
Region of Enrollment
MEXICO
0 participants
n=5 Participants
1 participants
n=7 Participants
1 participants
n=5 Participants
Region of Enrollment
PANAMA
0 participants
n=5 Participants
1 participants
n=7 Participants
1 participants
n=5 Participants
Region of Enrollment
UNITED STATES
61 participants
n=5 Participants
39 participants
n=7 Participants
100 participants
n=5 Participants
AgeCategorical
<2 YEARS
16 participants
n=5 Participants
14 participants
n=7 Participants
30 participants
n=5 Participants
AgeCategorical
2-<6 YEARS
95 participants
n=5 Participants
62 participants
n=7 Participants
157 participants
n=5 Participants
AgeCategorical
6-<12 YEARS
9 participants
n=5 Participants
5 participants
n=7 Participants
14 participants
n=5 Participants
AgeCategorical
12-<17 YEARS
4 participants
n=5 Participants
2 participants
n=7 Participants
6 participants
n=5 Participants

PRIMARY outcome

Timeframe: Musculoskeletal Disorder (MSD) Follow-Up phase (ie, up to 5 years after their first dose of antimicrobial therapy, yearly visits for 4 additional years)

Population: Participants (207) who were followed up during the MSD Follow-Up Phase.

The criteria used to assess Musculoskeletal Adverse Event is based on system organ class "Musculoskeletal and connective tissue disorders" of MedDRA 13.0.

Outcome measures

Outcome measures
Measure
Levofloxacin
n=124 Participants
Participants who received levofloxacin in the previous studies.
Comparator
n=83 Participants
Participants who received comparator in the previous studies.
Musculoskeletal Adverse Events During the Musculoskeletal Disorder Follow-up Phase
3 Participants
3 Participants

Adverse Events

Levofloxacin

Serious events: 2 serious events
Other events: 3 other events
Deaths: 0 deaths

Comparator

Serious events: 3 serious events
Other events: 6 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Levofloxacin
n=124 participants at risk
Participants who received levofloxacin in the previous studies.
Comparator
n=83 participants at risk
Participants who received comparator in the previous studies.
Gastrointestinal disorders
Inguinal Hernia
0.81%
1/124 • 5 years
0.00%
0/83 • 5 years
Infections and infestations
Infectious Mononucleosis
0.81%
1/124 • 5 years
0.00%
0/83 • 5 years
Infections and infestations
Otitis Media Chronic
0.00%
0/124 • 5 years
1.2%
1/83 • 5 years
Surgical and medical procedures
Surgery
0.00%
0/124 • 5 years
1.2%
1/83 • 5 years
Surgical and medical procedures
Tonsillectomy
0.00%
0/124 • 5 years
1.2%
1/83 • 5 years

Other adverse events

Other adverse events
Measure
Levofloxacin
n=124 participants at risk
Participants who received levofloxacin in the previous studies.
Comparator
n=83 participants at risk
Participants who received comparator in the previous studies.
Musculoskeletal and connective tissue disorders
Arthralgia
0.81%
1/124 • 5 years
0.00%
0/83 • 5 years
Musculoskeletal and connective tissue disorders
Bone Pain
0.81%
1/124 • 5 years
0.00%
0/83 • 5 years
Musculoskeletal and connective tissue disorders
Hypermobility Syndrome
0.81%
1/124 • 5 years
0.00%
0/83 • 5 years
Musculoskeletal and connective tissue disorders
Musculoskeletal Pain
0.81%
1/124 • 5 years
0.00%
0/83 • 5 years
Musculoskeletal and connective tissue disorders
Synovitis
0.81%
1/124 • 5 years
0.00%
0/83 • 5 years
Musculoskeletal and connective tissue disorders
Tendon Disorder
0.81%
1/124 • 5 years
0.00%
0/83 • 5 years
Musculoskeletal and connective tissue disorders
Pain in Extremity
0.00%
0/124 • 5 years
1.2%
1/83 • 5 years
Musculoskeletal and connective tissue disorders
Patellofemoral Pain Syndrome
0.00%
0/124 • 5 years
1.2%
1/83 • 5 years
Injury, poisoning and procedural complications
Upper Limb Fracture
0.00%
0/124 • 5 years
2.4%
2/83 • 5 years
Nervous system disorders
Spastic Paralysis
0.00%
0/124 • 5 years
1.2%
1/83 • 5 years
Surgical and medical procedures
Otoplasty
0.00%
0/124 • 5 years
1.2%
1/83 • 5 years

Additional Information

Director, Clinical Research

Janssen R&D US

Phone: 1 609 730-3158

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: GT60