Moxifloxacin Versus Ceftriaxone in the Treatment of Primary Pyogenic Liver Abscess

NCT ID: NCT00895089

Last Updated: 2015-12-02

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

24 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-05-31

Study Completion Date

2011-12-31

Brief Summary

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This clinical trial compares the use of moxifloxacin versus ceftriaxone in the treatment of primary pyogenic liver abscess. The trial will include nonpregnant adults presenting with primary liver abscess based on clinical diagnosis and computed tomography. The trial aims to determine whether the use of moxifloxacin can effectively treat primary pyogenic liver abscess and shorten hospitalization. This regimen has the additional benefit of avoiding nephrotoxic agents, such as aminoglycosides, used frequently in treatment of pyogenic liver abscess. Development of antibiotic resistance to colonized bacteria in the gastrointestinal tract will also be evaluated using stool cultures.

Detailed Description

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Conditions

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Liver Abscess

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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A: Moxifloxacin

Moxifloxacin 400mg IV once daily for 14 days, then 400mg PO once daily for 7 days.

Group Type EXPERIMENTAL

Moxifloxacin (Avelox)

Intervention Type DRUG

moxifloxacin 400 mg IV qd for 14 days, followed by moxifloxacin 400 mg po qd for another 1 week

B: Ceftriaxone

Ceftriaxone 2gm IV every 12 hours for 14 days, then cephalexin 1gm PO every 6 hours for 7 days.

Group Type ACTIVE_COMPARATOR

ceftriaxone

Intervention Type DRUG

ceftriaxone 2 gm IV q 12 h for 14 days, followed by cephalexin 1 gm PO q 6 h for 1 week

Interventions

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Moxifloxacin (Avelox)

moxifloxacin 400 mg IV qd for 14 days, followed by moxifloxacin 400 mg po qd for another 1 week

Intervention Type DRUG

ceftriaxone

ceftriaxone 2 gm IV q 12 h for 14 days, followed by cephalexin 1 gm PO q 6 h for 1 week

Intervention Type DRUG

Other Intervention Names

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Avelox Rocephin Cefin

Eligibility Criteria

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Inclusion Criteria

* Age greater or equal to 20 years.
* Clinical diagnosis of liver abscess, supported by an abdominal CT scan, documenting the presence of liver abscess, in the absence of biliary tract stones (except for gallstones without biliary tract dilatation), biliary tract dilatation and biliary tract tumors. Clinical diagnosis of liver abscess includes symptoms of fever, chills, right upper quadrant abdominal pain or knocking tenderness.
* Read, understood and signed informed consent form.

Exclusion Criteria

* Presence of septic metastatic infections to the CNS or eye at presentation.
* Cultures positive for an organism resistant to study drugs.
* APACHE II score greater or equal to 20.
* Co-existent disease considered likely to affect the outcome of the study (e.g., biliary tract stones and malignancy).
* Patients with ruptured liver abscess
* Severe hepatic insufficiency (Child-Pugh C) or elevated serum transaminases (GPT) to greater than 5 times the upper limit of normal.
* Patients who are pregnant or lactating.
* Known hypersensitivity to b-lactams or fluoroquinolones.
* Known prolongation of the QT interval.
* Patients with uncorrected hypokalemia.
* Patients receiving class IA (e.g., quinidine, procainamide) or class III (e.g., amiodarone, sotalol) antiarrhythmic agents
* Severe, life-threatening disease with a life expectancy of less than 2 months.
* Pre-treatment with a systemic antibacterial agent for \> 24 hours prior to enrollment within 5 days prior to enrollment.
* Participated in any clinical investigational drug study within 4 weeks of screening.
* Previously entered in this study.
Minimum Eligible Age

20 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Bayer

INDUSTRY

Sponsor Role collaborator

Kaohsiung Veterans General Hospital.

OTHER

Sponsor Role lead

Responsible Party

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Susan Shin-Jung Lee

Attending physician

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Susan Shin-Jung Lee, M.D., M.Sc

Role: PRINCIPAL_INVESTIGATOR

Kaohsiung Veterans General Hospital.

Locations

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Kaohsiung Veterans General Hospital

Kaohsiung City, , Taiwan

Site Status

Countries

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Taiwan

References

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Yu WL, Chan KS, Ko WC, Lee CC, Chuang YC. Lower prevalence of diabetes mellitus in patients with Klebsiella pneumoniae primary liver abscess caused by isolates of K1/K2 than with non-K1/K2 capsular serotypes. Clin Infect Dis. 2007 Dec 1;45(11):1529-30; author reply 1532-3. doi: 10.1086/523006. No abstract available.

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Other Identifiers

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VGHKS98-CT2-20

Identifier Type: -

Identifier Source: org_study_id