Study to Proof the Clinical and Bacteriological Non-inferiority of Ampicillin/Amoxicillin Versus Moxifloxacin in Hospitalized Patients With Non-severe Community-acquired Pneumonia

NCT ID: NCT00887276

Last Updated: 2014-12-17

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

TERMINATED

Clinical Phase

PHASE4

Total Enrollment

290 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-11-30

Study Completion Date

2011-01-31

Brief Summary

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The purpose of this study is to prove the clinical and bacteriological non-inferiority of ampicillin/amoxicillin versus moxifloxacin in hospitalized patients with non-severe community-acquired pneumonia.

Detailed Description

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Conditions

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Community Acquired Pneumonia

Keywords

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Ampicillin Amoxicillin Moxifloxacin Community-Acquired Pneumonia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Moxifloxacin

Group Type ACTIVE_COMPARATOR

Moxifloxacin

Intervention Type DRUG

intravenous infusion: at least 3 days until to the drug switch (oral use),3 times daily (all 8 hours)

1. 20 ml physiologic saline solution (placebo)(over 30 min) + Moxifloxacin infusion solution(400 mg/250ml) over 60 minutes
2. 20 ml physiologic saline solution (placebo) (over 30 min)
3. 20 ml physiologic saline solution (placebo) (over 30 min)

following oral therapy(possible at the earliest day 4): 3 times daily (all 8 hours):

1. 1 capsule Moxifloxacin (400 mg) + 1 capsule Placebo
2. 2 capsules Placebo
3. 2 capsules Placebo

Total time of the therapy:at least 7 days, but at most 10 days

Ampicillin; Amoxicillin

Group Type ACTIVE_COMPARATOR

Ampicillin;Amoxicillin

Intervention Type DRUG

intravenous infusion:at least 3 days until to the drug switch (oral use), 3 times daily (all 8 hours)

1. 2 g Ampicillin dissolved in 20 ml aqua (i.v. over 30 min) + 250 ml physiologic saline solution (placebo) (over 60 min)
2. 2 g Ampicillin dissolved in 20 ml aqua (i.v. over 30 min)
3. 2 g Ampicillin dissolved in 20 ml aqua (i.v. over 30 min)

following oral therapy(possible at the earliest day 4): 3 times daily (all 8 hours):

1. 2 capsules Amoxicillin (0,5 g)
2. 2 capsules Amoxicillin (0,5 g)
3. 2 capsules Amoxicillin (0,5 g)

Total time of the therapy: at least 7 days, but at most 10 days

Interventions

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Moxifloxacin

intravenous infusion: at least 3 days until to the drug switch (oral use),3 times daily (all 8 hours)

1. 20 ml physiologic saline solution (placebo)(over 30 min) + Moxifloxacin infusion solution(400 mg/250ml) over 60 minutes
2. 20 ml physiologic saline solution (placebo) (over 30 min)
3. 20 ml physiologic saline solution (placebo) (over 30 min)

following oral therapy(possible at the earliest day 4): 3 times daily (all 8 hours):

1. 1 capsule Moxifloxacin (400 mg) + 1 capsule Placebo
2. 2 capsules Placebo
3. 2 capsules Placebo

Total time of the therapy:at least 7 days, but at most 10 days

Intervention Type DRUG

Ampicillin;Amoxicillin

intravenous infusion:at least 3 days until to the drug switch (oral use), 3 times daily (all 8 hours)

1. 2 g Ampicillin dissolved in 20 ml aqua (i.v. over 30 min) + 250 ml physiologic saline solution (placebo) (over 60 min)
2. 2 g Ampicillin dissolved in 20 ml aqua (i.v. over 30 min)
3. 2 g Ampicillin dissolved in 20 ml aqua (i.v. over 30 min)

following oral therapy(possible at the earliest day 4): 3 times daily (all 8 hours):

1. 2 capsules Amoxicillin (0,5 g)
2. 2 capsules Amoxicillin (0,5 g)
3. 2 capsules Amoxicillin (0,5 g)

Total time of the therapy: at least 7 days, but at most 10 days

Intervention Type DRUG

Other Intervention Names

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Avalox Ampicillin Ratiopharm Amoxicillin ratiopharm

Eligibility Criteria

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Inclusion Criteria

* Men or women older than 18 years with signed informed consent
* Women in a childbearing age with sufficient conception protection or if necessary negative pregnancy test
* Infiltrates appeared newly in the x-ray thorax
* Breath-conditioned chest pain
* At least two of the following clinical symptoms of a pneumonia:

* cough which is newly appeared or increasing,
* dyspnea
* mucopurulent or purulent sputum,
* fever (body temperature \>= 37.8 degrees Celsius auricalary and/or \>= 38,3°C rectal), positive auscultation
* Negative legionella antigen test in the urine
* CRB-65-Index \< 3

Exclusion Criteria

* Hospitalization within the last 28 days (except for the last 72 h)
* Participation in another therapy study within the last 4 weeks with studies admission
* intake of an antibiotic longer than 24 hrs within the last 72 hours before studies admission
* Patients in the pregnancy and nursing phase
* Existence of contraindications opposite the examining preparations or other B-Lactam antibiotics or fluorochinolons
* Patients with a CURB-Index \>= 3
* Patients with suspicion of retrostenotic Pneumonia because of bronchial obstruction
* Patients with suspicion of nosocomial Pneumonia
* Patients with an infection by a known or suspected resistant pathogene
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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CAPNETZ Stiftung

OTHER

Sponsor Role collaborator

University of Ulm

OTHER

Sponsor Role lead

Responsible Party

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University of Ulm

Principal Investigators

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Tobias Welte, Prof.

Role: PRINCIPAL_INVESTIGATOR

Hannover Medical School

Locations

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Charité - Universitätsmedizin Berlin ,Campus Virchow-Klinikum ,Medizinische Klinik : Infektiologie u. Pneumologie

Berlin, , Germany

Site Status

HELIOS-Klinikum Emil von Behring ,Lungenklinik Heckeshorn

Berlin, , Germany

Site Status

Klinikum der Ruhr Universität , Berufsgenossenschaftliches Universitätsklinikum Bergmannsheil, Medizinische Klinik III

Bochum, , Germany

Site Status

Medizinische Hochschule Hannover, Abteilung für Pneumologie

Hanover, , Germany

Site Status

Universitätsklinikum-Schleswig-Holstein, Campus Lübeck, Zentralklinikum, MK III, Studienzentrum Pneumologie-Infektiologie-Onkologie,

Lübeck, , Germany

Site Status

Brüderkrankenhaus St. Josef , Innere Abteilung

Paderborn, , Germany

Site Status

Diakoniekrankenhaus Rotenburg gGmbH, Lungenklinik Unterstedt , Zentrum für Pneumologie

Rotenburg (Wümme), , Germany

Site Status

Universitätsklinikum Ulm Sektion Pneumologie/Klinik für Innere Medizin II

Ulm, , Germany

Site Status

Countries

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Germany

Related Links

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Other Identifiers

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EudraCT number: 2005-000771-18

Identifier Type: -

Identifier Source: org_study_id