A Phase III Study to Evaluate the Efficacy and Safety of Intravenous Infusion of Nemonoxacin in Treating CAP

NCT ID: NCT02205112

Last Updated: 2021-10-25

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

598 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-06-30

Study Completion Date

2017-05-15

Brief Summary

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The purpose of this study is to evaluate the efficacy, safety and pharmacokinetics of intravenous nemonoxacin compared with intravenous moxifloxacin in adult patients with community-acquired pneumonia (CAP).

Detailed Description

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Community-acquired Pneumonia (CAP) remains a leading cause of death in both developing and developed countries. In the choice of antibacterial agents used to treat CAP, fluoroquinolones have received considerable attention because of their wide spectrum of bactericidal activity. TG-873870 (Nemonoxacin), a non-fluorinated quinolone (NFQ), is a selective bacterial topoisomerase inhibitor.

This study will evaluate the clinical efficacy, microbiological efficacy and safety of Intravenous nemonoxacin compared with Intravenous levofloxacin in adult patients with community-acquired pneumonia.

Besides, the populationpharmacokinetics (PPK) of nemonoxacin in adult patients with CAP after continuous IV Infusion and the pharmacokinetic (PK)/pharmacodynamic (PD)are to be determined.

Conditions

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Community-acquired Pneumonia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Nemonoxacin 500 mg

Nemonoxacin 500mg/250mL, intravenous administration, once daily for 7\~14 days

Group Type EXPERIMENTAL

Nemonoxacin

Intervention Type DRUG

Levofloxacin 500mg

Levofloxacin: 500mg/100mL, intravenous administration, once daily for 7\~14 days

Group Type ACTIVE_COMPARATOR

Levofloxacin

Intervention Type DRUG

Interventions

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Nemonoxacin

Intervention Type DRUG

Levofloxacin

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Ages between 18 and 80;
2. Weighs between 40 \~ 100 kg, and BMI ≥ 18 kg/m2;
3. Must have a clinical diagnosis of CAP
4. Chest X-ray and /or CT scan show new or persist/progressive infiltrates
5. Patients with PORT/PSI score II, III or IV.
6. If female, non-lactating and at no risk or pregnancy (post-menopausal or must use adequate birth control)
7. Male must use a reliable form of contraception.
8. Able to receive an intravenous infusion of the drug
9. Able to provide an adequate sputum and blood samples
10. Able to provide written informed consent

Exclusion Criteria

1. Patients with PORT/PSI score I or VI.
2. Severe CAP is present if a patient needs invasive mechanical ventilation or requires vasopressors.
3. Healthcare-associated pneumonia, hospital-acquired pneumonia, or hospitalized within 14 days before enrollment
4. Virus pneumonia, aspiration pneumonia, ventilator associated pneumonia, or intersstitial lung disease
5. Bronchial bostruction (exclusive of COPD), bronchiectasis, cystic fibrosis, known or suspected pneumocystis pneumonia, known or suspected tuberculosis, primary empyema thoracis, lung abscess, known or suspected lung cancer, or lung disease associated with autoimmune disorders.
6. Medical history of QT prolongation, require the treatment of arrhythmia using class IA or class III drugs, or NYHA functional class \>/= III
7. Clinically significant findings on 12-lead ECG, QTc interval\>450ms or potassium is \< 3.5 mmol/L or lower limit of normal at Screening
8. Immunocompromising illness, such as HIV infection
9. Fatal progressive disease or neurodegenerative diseases that prevent patients from effectively clearing pulmonary secretions
10. Have medical history of seizure, alcohol or drug abuse, suicide tendency, or psychosis that can effect the compliance
11. Have diseases that may affect intravenous infusion.
12. Active hepatitis or decompensated cirrhosis with ascites (Child-Pugh score 10-15/class C);
13. Renal Insufficiency or creatinine \>/= 1.1 ULN within 24 hr before first dose
14. ALT or AST \>/= 3x ULN, or BUN \>/= 30 mg/dL within 24 hr before first dose
15. Neutrophil \< 1000 mm3 within 24 hr before first dose
16. Received systemic antibiotics within 72 hr before first dose
17. Received probenecid within 24 hr before first dose or require the treatment with probenecid during study
18. Received quinolones or fluoroquinolones within 14 days before first dose
19. Received any investigational drugs within 30 days before first dose
20. Require the treatment with other systemic antibiotics during study
21. Patients who are being or will be on a long-term medication (over 2 weeks) of steroids (20mg/day)
22. Medical history of hypersensitivity to any quinolone, fluoroquinolone-associated tendinitis and tendon rupture, or myasthenia gravis
23. Current condition or abnormality that, in the opinion of the investigator, would compromise the safety of the subject or the quality of the data
24. Participated and received the study medication in previous clinical trials
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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TaiGen Biotechnology Co., Ltd.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Baotou Central Hospital

Baotou, , China

Site Status

Aerospace Center Hospital

Beijing, , China

Site Status

Affiliated Beijing Anzhen Hospital of Capital Medical University

Beijing, , China

Site Status

Affiliated Beijing Chaoyang Hospital of Capital Medical University

Beijing, , China

Site Status

Chinese People's Liberation Army General Hospital

Beijing, , China

Site Status

Institute of Clinical Pharmacology, Peking University

Beijing, , China

Site Status

Peking University People's Hospital

Beijing, , China

Site Status

Changsha Central Hospital

Changsha, , China

Site Status

The Third Changsha Hotpital

Changsha, , China

Site Status

The Third Xiangya Hospital of Central South University

Changsha, , China

Site Status

Daping Hospital

Chongqing, , China

Site Status

Guangxi Zhuang Autonomous Region People's Hospital

Guangxi, , China

Site Status

First Affiliated Hospital of Guangzhou Medical University

Guangzhou, , China

Site Status

Guilin Medical School Affiliated Hospital

Guilin, , China

Site Status

Hainan General Hospital

Haikou, , China

Site Status

Sir Run Run Shaw Hospital Zhejiang University School of Medicine

Hangzhou, , China

Site Status

The Second Affiliated Hospital of Zhejiang University

Hangzhou, , China

Site Status

The First Hospital of Anhui Medical University

Hefei, , China

Site Status

The Affilated Hospital of Inner Mongolia Medical University

Hohhot, , China

Site Status

The First Hospital of Jilin University

Jilin, , China

Site Status

The Fourth Hospital of Jilin University

Jilin, , China

Site Status

Jinan Central Hospital

Jinan, , China

Site Status

The Second Hospital of Shandong University

Jinan, , China

Site Status

Gansu Provincial People's Hospital

Lanzhou, , China

Site Status

Jiangxi Provincial People's Hospital

Nanchang, , China

Site Status

Second Subsidiary Hospital of Nanchang Medical College

Nanchang, , China

Site Status

General Hospital of Nanjing Military Command

Nanjing, , China

Site Status

Institute of Antibiotics, Huashan Hospital, Fundan University

Shanghai, , China

Site Status

Huadong Hospital Affiliated to Fudan University

Shanghai, , China

Site Status

Shanghai East Hospital of Tongji University

Shanghai, , China

Site Status

Shanghai Pulmonary Hospital

Shanghai, , China

Site Status

General Hospital of Shenyang Military

Shenyang, , China

Site Status

Shengjing Hospital

Shenyang, , China

Site Status

Shenzhen People's Hospital

Shenzhen, , China

Site Status

The Second People's Hospital of Shenzhen

Shenzhen, , China

Site Status

General Hospital of Chengdu Military Region

Sichuan, , China

Site Status

West China Center of Medical Sciences of Sichuan University

Sichuan, , China

Site Status

First Hospital of Shanxi Medical University

Taiyuan, , China

Site Status

Wuxi People's Hospital

Wuxi, , China

Site Status

Tangdu Hospital

Xi'an, , China

Site Status

The First Affilated Hospital of Xiamen University

Xiamen, , China

Site Status

Northern Jiangsu People's Hospital

Yangzhou, , China

Site Status

The First Affiliated Hospital,College of Medicine,Zhejiang University

Zhejiang, , China

Site Status

Changhua Christian Hospital

Chang-hua, , Taiwan

Site Status

Chiayi Chang Gung Memorial Hospital

Chiayi City, , Taiwan

Site Status

NTUH Hsin-Chu Branch

Hsinchu, , Taiwan

Site Status

Hualien Tzu Chi Hospital

Hualien City, , Taiwan

Site Status

Kaohsiung Chang Gung Memorial Hospital

Kaohsiung City, , Taiwan

Site Status

Kaohsiung Medical University Chung-Ho Memorial Hospital

Kaohsiung City, , Taiwan

Site Status

Kaohsiung Veterans General Hospital

Kaohsiung City, , Taiwan

Site Status

Keelung Chang Gung Memorial Hospital

Keelung, , Taiwan

Site Status

Far Eastern Memorial Hospital

New Taipei City, , Taiwan

Site Status

MacKay Memorial Hospital

New Taipei City, , Taiwan

Site Status

China Medical University Hospital

Taichung, , Taiwan

Site Status

Chung Shan Medical University Hospital

Taichung, , Taiwan

Site Status

Taichung Veterans General Hospital

Taichung, , Taiwan

Site Status

Chi Mei Hospital, Liouying

Tainan City, , Taiwan

Site Status

National Taiwan University Hospital

Taipei, , Taiwan

Site Status

Taipei Medical University - Shuang Ho Hospital

Taipei, , Taiwan

Site Status

Taipei Medical University Hospital

Taipei, , Taiwan

Site Status

Taipei Municipal Wanfang Hospital

Taipei, , Taiwan

Site Status

Tri-Service General Hospital

Taipei, , Taiwan

Site Status

NTUH Yun-Lin Branch

Yuli, , Taiwan

Site Status

Countries

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China Taiwan

Other Identifiers

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TG-873870-C-6

Identifier Type: -

Identifier Source: org_study_id