Avelox for Treatment of Elderly Patients With Community Acquired Pneumonia

NCT ID: NCT00665327

Last Updated: 2014-11-18

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

401 participants

Study Classification

INTERVENTIONAL

Study Start Date

2002-11-30

Study Completion Date

2004-04-30

Brief Summary

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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.

Detailed Description

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Conditions

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Pneumonia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Arm 1

Group Type EXPERIMENTAL

Avelox (Moxifloxacin, BAY12-8039)

Intervention Type DRUG

Moxifloxacin 400 mg IV QD for a minimum of two doses followed by moxifloxacin 400 mg PO QD for a total treatment duration of 7 to 14 days

Arm 2

Group Type ACTIVE_COMPARATOR

Levofloxacin

Intervention Type DRUG

Levofloxacin 500 mg IV QD for a minimum of two doses followed by Levofloxacin 500 mg PO QD for a total treatment duration of 7 to 14 days. For patients who have a documented or calculated creatinine clearance of 20 - 49 ml/minute, the IV and PO dose of Levofloxacin will be a 500 mg loading dose followed by 250 mg QD for a total treatment duration of 7 to 14 days

Interventions

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Avelox (Moxifloxacin, BAY12-8039)

Moxifloxacin 400 mg IV QD for a minimum of two doses followed by moxifloxacin 400 mg PO QD for a total treatment duration of 7 to 14 days

Intervention Type DRUG

Levofloxacin

Levofloxacin 500 mg IV QD for a minimum of two doses followed by Levofloxacin 500 mg PO QD for a total treatment duration of 7 to 14 days. For patients who have a documented or calculated creatinine clearance of 20 - 49 ml/minute, the IV and PO dose of Levofloxacin will be a 500 mg loading dose followed by 250 mg QD for a total treatment duration of 7 to 14 days

Intervention Type DRUG

Eligibility Criteria

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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.
Minimum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Bayer

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Bayer Study Director

Role: STUDY_DIRECTOR

Bayer

Locations

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Mobile, Alabama, United States

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Tucson, Arizona, United States

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Tucson, Arizona, United States

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Brea, California, United States

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Fullerton, California, United States

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La Jolla, California, United States

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Madera, California, United States

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Bridgeport, Connecticut, United States

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Farmington, Connecticut, United States

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Stamford, Connecticut, United States

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Brandon, Florida, United States

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Jacksonville, Florida, United States

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Orlando, Florida, United States

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Sarasota, Florida, United States

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Tampa, Florida, United States

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Austell, Georgia, United States

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Blue Ridge, Georgia, United States

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Columbus, Georgia, United States

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Fort Gordon, Georgia, United States

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Marietta, Georgia, United States

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Honolulu, Hawaii, United States

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Coeur d'Alene, Idaho, United States

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Elk Grove Village, Illinois, United States

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Springfield, Illinois, United States

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Fort Wayne, Indiana, United States

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Indianapolis, Indiana, United States

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Indianapolis, Indiana, United States

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Lexington, Kentucky, United States

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New Orleans, Louisiana, United States

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New Orleans, Louisiana, United States

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New Orleans, Louisiana, United States

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Shreveport, Louisiana, United States

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Cumberland, Maryland, United States

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Kalamazoo, Michigan, United States

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Royal Oak, Michigan, United States

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Duluth, Minnesota, United States

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Columbia, Missouri, United States

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St Louis, Missouri, United States

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Anaconda, Montana, United States

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Omaha, Nebraska, United States

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Holmdel, New Jersey, United States

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Neptune City, New Jersey, United States

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Newark, New Jersey, United States

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Albany, New York, United States

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Johnson City, New York, United States

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Kingston, New York, United States

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Manhasset, New York, United States

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Mineola, New York, United States

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New York, New York, United States

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New York, New York, United States

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Syracuse, New York, United States

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Chapel Hill, North Carolina, United States

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Elizabeth City, North Carolina, United States

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Winston-Salem, North Carolina, United States

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Winston-Salem, North Carolina, United States

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Akron, Ohio, United States

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Columbus, Ohio, United States

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Dayton, Ohio, United States

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Lima, Ohio, United States

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Tulsa, Oklahoma, United States

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Allentown, Pennsylvania, United States

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Beaver, Pennsylvania, United States

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Hershey, Pennsylvania, United States

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Philadelphia, Pennsylvania, United States

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Summerville, South Carolina, United States

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Jackson, Tennessee, United States

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Knoxville, Tennessee, United States

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Memphis, Tennessee, United States

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El Paso, Texas, United States

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San Antonio, Texas, United States

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San Antonio, Texas, United States

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San Antonio, Texas, United States

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San Antonio, Texas, United States

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Salt Lake City, Utah, United States

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Lynchburg, Virginia, United States

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Norfolk, Virginia, United States

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San Juan, , Puerto Rico

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Countries

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United States Puerto Rico

Other Identifiers

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10872

Identifier Type: -

Identifier Source: org_study_id