A Comparison of Safety and Efficacy of Cefdinir Oral Suspension Versus Azithromycin in Pediatric Subjects With Acute Otitis Media

NCT ID: NCT00645112

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

PHASE4

Total Enrollment

357 participants

Study Classification

INTERVENTIONAL

Study Start Date

2003-11-30

Brief Summary

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To compare the safety and efficacy of cefdinir oral suspension, 7 mg/kg every 12 hours for 5 days, to azithromycin oral suspension 10 mg/kg/day (Day 1) then 5 mg/kg/day (Days 2-5) for a total of 5 days, in children between 6 months and 6 years of age, with AOM.

Detailed Description

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Conditions

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Acute Otitis Media

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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1

Group Type ACTIVE_COMPARATOR

cefdinir (Omnicef)

Intervention Type DRUG

oral suspension, 7 mg/kg every 12 hours for 5 days

2

Group Type ACTIVE_COMPARATOR

azithromycin

Intervention Type DRUG

oral suspension 10 mg/kg QD on Day 1 then 5 mg/kg QD on Days 2-5 for a total of 5 days.

Interventions

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cefdinir (Omnicef)

oral suspension, 7 mg/kg every 12 hours for 5 days

Intervention Type DRUG

azithromycin

oral suspension 10 mg/kg QD on Day 1 then 5 mg/kg QD on Days 2-5 for a total of 5 days.

Intervention Type DRUG

Other Intervention Names

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ABT-198 Omnicef cefdinir

Eligibility Criteria

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Inclusion Criteria

* Clinical diagnosis, documented by medical history and physical examination, is AOM I 1 week.
* Clinical symptoms include \>=1 of the following: Otalgia (earache or pain), this may be expressed as ear pulling or nabbing; Ear fullness; Decreased hearing, this may be based on reports from parents or legally authorized representatives; Discharge from the external auditory canal (following acute perforation of the tympanic membrane).
* At least two (2) of the following signs are present in at least one ear: Full or bulging or perforated tympanic membrane, which may be erythematous (note - since hyperemia may be present in a febrile or crying child, a red tympanic membrane alone is insufficient for the diagnosis of AOM); Loss of tympanic membrane landmarks (opacity of the tympanic membrane); Abnormal tympanic membrane mobility on biphasic pneumatic otoscopy, due to the presence of pus or fluid behind the tympanic membrane and edema of the tympanic membrane. Have evidence of middle ear fluid demonstrated by acoustic reflect tympanometry (ear check) showing values of 3, 4 or 5.
* Generally in good health based on medical history, vital signs, physical exam, and historical laboratory results.
* Subject must be a suitable candidate for oral antibiotic therapy.

Exclusion Criteria

* Previous enrollment in this study.
* Enrollment in any other investigational study using unapproved products or unapproved doses; in the previous four weeks prior to study start.
* Hypersensitivity reactions to cefdinir, other cephalosporins, azithromycin, other macrolide and azalide antibiotics, and/or sensitivity to multiple allergens.
* Presence of tympanostorny tubes or otitis externa at Evaluation 1.
* Systemic treatment with any anti-infective agent within 14 days prior to Evaluation 1 or during the study.
* Treatment with a long-acting injectable antimicrobial agent (e.g., penicillin G benzathine) within 4 weeks prior to study drug administration.
* Concomitant infection that requires additional antimicrobial therapy.
* Evidence of chronic, suppurative otitis media.
* Evidence of perforation of the tympanic membrane \> 24 hours.
* Evidence of a physiologic, anatomic, or immunologic defect, which would interfere with resolution of this episode of acute otitis media.
* Immunocompromised subject (e.g., neutropenic subjects).
* Presence of a disease, complicating factor (e.g., mastoiditis), or structural abnormality that would preclude evaluation of the subject's therapeutic response.
* Any expectation that treatment with probenecid will be expected during the study drug administration period.
* Known significant renal or hepatic impairment.
Minimum Eligible Age

6 Months

Maximum Eligible Age

6 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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Columbiana, Alabama, United States

Site Status

Montgomery, Alabama, United States

Site Status

Ozark, Alabama, United States

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Fresno, California, United States

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Fresno, California, United States

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Marietta, Georgia, United States

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Stone Mountain, Georgia, United States

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Dubuque, Iowa, United States

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Bardstown, Kentucky, United States

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Louisville, Kentucky, United States

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Owensboro, Kentucky, United States

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Cadillac, Michigan, United States

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Kalamazoo, Michigan, United States

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Portage, Michigan, United States

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Richland, Michigan, United States

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Omaha, Nebraska, United States

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Columbus, Ohio, United States

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Huber Heights, Ohio, United States

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Pittsburgh, Pennsylvania, United States

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Reading, Pennsylvania, United States

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Sellersville, Pennsylvania, United States

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Charleston, South Carolina, United States

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Kingsport, Tennessee, United States

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Lake Jackson, Texas, United States

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Salt Lake City, Utah, United States

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Salt Lake City, Utah, United States

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West Jordan, Utah, United States

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West Jordan, Utah, United States

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Vienna, Virginia, United States

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Monroe, Wisconsin, United States

Site Status

Countries

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United States

Other Identifiers

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M03-630

Identifier Type: -

Identifier Source: org_study_id