Comparative Study of the Safety and Efficacy of Clarithromycin Extended-Release Tablets Versus Amoxicillin-Clavulanate for the Treatment of Acute Bacterial Sinusitis

NCT ID: NCT00644553

Last Updated: 2008-03-27

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

437 participants

Study Classification

INTERVENTIONAL

Study Start Date

2003-05-31

Brief Summary

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To compare the safety/tolerability and efficacy of a 14-day course of clarithromycin extended-release tablets (2 x 500 mg QD) with that of a 14-day course of amoxicillin-clavulanate tablets (875/125 mg BID) for the treatment of ambulatory subjects with Acute Bacterial Sinusitis (ABS).

Detailed Description

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Conditions

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Acute Bacterial Sinusitis (ABS)

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Investigators

Study Groups

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A

Group Type ACTIVE_COMPARATOR

Clarithromycin

Intervention Type DRUG

Clarithromycin Extended-Release 500 mg tablet (2 tablets QD)

B

Group Type ACTIVE_COMPARATOR

Amoxicillin

Intervention Type DRUG

Amoxicillin-clavulanate 875/125 mg tablet (1 tablet BID)

Interventions

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Clarithromycin

Clarithromycin Extended-Release 500 mg tablet (2 tablets QD)

Intervention Type DRUG

Amoxicillin

Amoxicillin-clavulanate 875/125 mg tablet (1 tablet BID)

Intervention Type DRUG

Other Intervention Names

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ABT-268 Biaxin amoxicillin-clavulanate

Eligibility Criteria

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Inclusion Criteria

* The female must be non-lactating and at no risk for pregnancy.
* Subject must have a diagnosis of ABS. The diagnosis must be based on the following:

* A sinus radiograph (Water's view) or CT scan with evidence of maxillary opacification or
* Air/fluid levels purulent discharge from the nose
* At least two of the following additional signs and symptoms lasting longer than seven days prior to and no longer than 28 days before Evaluation 1.
* A pre-treatment sample from a sinus puncture or
* Middle meatus endoscopy must be obtained for bacterial aerobic culture
* Susceptibility testing (applicable only for selected investigative sites).
* Subject must be a suitable candidate for oral antibiotic therapy and able to swallow tablets intact.

Exclusion Criteria

* A medical history of hypersensitivity or allergic reactions to clarithromycin, erythromycin, amoxicillin/clavulanate, any penicillin or any of the macrolide antibiotics.
* History of amoxicillin-clavulanate associated cholestatic jaundicehepatic dysfunction.
* Females who are pregnant or lactating.
* Subject has either of the following:

* Chronic sinusitis (signs and symptoms lasting longer than 28 days immediately prior to Evaluation 1)
* Significant anatomical abnormalities of the sinuses any other infection or
* Condition which necessitates use of a concomitant systemic antibiotic.
* Evidence of uncontrolled clinically significant cardiovascular, pulmonary, metabolic, gastrointestinal, neurological, psychiatric or endocrine disease, malignancy, or other abnormality (other than the disease being studied).
* Any underlying condition/disease, that would be likely to interfere with the completion of the course of study drug therapy or follow-up.
* Known significant renal or hepatic impairment (or disease).
* Subject who has taken: a systemic antibiotic within 2 weeks before study drug administration or a long-acting injectable antibiotic (e.g., penicillin G benzathine) within 4 weeks before study drug administration.
* Immunocompromised subjects (e.g., neutropenic subjects).
* Subjects with known HIV infection.
* Treatment with any other investigational drug within 4 weeks prior to study drug administration.
Minimum Eligible Age

12 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Abbott

INDUSTRY

Sponsor Role lead

Responsible Party

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Abbott

Locations

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Birmingham, Alabama, United States

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Phoenix, Arizona, United States

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Clovis, California, United States

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La Jolla, California, United States

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San Luis Obispo, California, United States

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Coeur d'Alene, Idaho, United States

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Charlotte, North Carolina, United States

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Columbus, Ohio, United States

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Eugene, Oregon, United States

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Johnson City, Tennessee, United States

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San Antonio, Texas, United States

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Spokane, Washington, United States

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Kitchener, Ontario, Canada

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Toronto, Ontario, Canada

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Sherbrooke, Quebec, Canada

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Saskatoon, Saskatchewan, Canada

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Athens, , Greece

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Athens, , Greece

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Pátrai, , Greece

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Piraeus, , Greece

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Thessaloniki, , Greece

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Thessaloniki, , Greece

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Budapest, , Hungary

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Budapest, , Hungary

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Budapest, , Hungary

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Budapest, , Hungary

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Salgótarján, , Hungary

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Szombathely, , Hungary

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Veszprém, , Hungary

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Catania, , Italy

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Genova, , Italy

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Padua, , Italy

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Palermo, , Italy

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Pavia, , Italy

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Kaunas, , Lithuania

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Vilnius, , Lithuania

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Vilnius, , Lithuania

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Vilnius, , Lithuania

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Bialystok, , Poland

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Bielsko-Biala, , Poland

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Bydgoszcz, , Poland

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Gliwice, , Poland

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Jelenia Góra, , Poland

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Lublin, , Poland

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Wroclaw, , Poland

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Wroclaw, , Poland

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Bucharest, , Romania

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Bucharest, , Romania

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Badajoz, , Spain

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Barcelona, , Spain

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Madrid, , Spain

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Palma de Mallorca, , Spain

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Valladolid, , Spain

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Countries

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United States Canada Greece Hungary Italy Lithuania Poland Romania Spain

Other Identifiers

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M02-524

Identifier Type: -

Identifier Source: org_study_id