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| Study Type: | Interventional |
|---|---|
| Study Design: | Allocation: Randomized; Endpoint Classification: Safety/Efficacy Study; Intervention Model: Parallel Assignment; Masking: Double-Blind; Primary Purpose: Treatment |
| Condition: |
Sinusitis |
| Interventions: |
Drug: Moxifloxacin (Avelox, BAY12-8039) Drug: Placebo |
Participant Flow
| Key information relevant to the recruitment process for the overall study, such as dates of the recruitment period and locations |
|---|
| The study was conducted at 37 investigative centers in the United States from January 2005 to March 2008. |
| Significant events and approaches for the overall study following participant enrollment, but prior to group assignment |
|---|
| Modified Intent-to-Treat (MITT): Subjects who received at least 1 dose of study drug with a baseline sinus culture positive for at least 1 of 5 common bacteria that cause sinusitis (73 moxifloxacin [M], 45 placebo [P]). Per protocol (PP): Subjects with a positive baseline culture (as above) meeting a long list of additional criteria (62 M, 42 P). |
| Description | |
|---|---|
| Moxifloxacin 400 mg | Moxifloxacin 400mg once daily for 5 days |
| Placebo | Matching placebo for 5 days |
| Moxifloxacin 400 mg | Placebo | |
|---|---|---|
| STARTED | 251 | 123 |
| COMPLETED | 222 | 101 |
| NOT COMPLETED | 29 | 22 |
| Adverse Event | 3 | 1 |
| Lack of Efficacy | 21 | 20 |
| Lost to Follow-up | 3 | 1 |
| Withdrawal by Subject | 2 | 0 |
| Moxifloxacin 400 mg | Placebo | |
|---|---|---|
| STARTED | 222 | 101 |
| COMPLETED | 221 | 99 |
| NOT COMPLETED | 1 | 2 |
| Lack of Efficacy | 0 | 1 |
| Lost to Follow-up | 1 | 1 |
Baseline Characteristics
| Description | |
|---|---|
| Moxifloxacin 400 mg | Moxifloxacin 400mg once daily for 5 days |
| Placebo | Matching placebo for 5 days |
| Moxifloxacin 400 mg | Placebo | Total | |
|---|---|---|---|
|
Number of Participants
[units: participants] |
251 | 123 | 374 |
|
Age
[units: years] Mean ± Standard Deviation |
40.1 ± 13.8 | 40.3 ± 13.0 | 40.2 ± 13.5 |
|
Gender
[units: participants] |
|||
| Female | 165 | 80 | 245 |
| Male | 86 | 43 | 129 |
|
Causative Organisms Isolated from Pretreatment Specimens at Study Entry
[1] [units: participants] |
|||
| Streptococcus pneumoniae | 32 | 13 | 45 |
| Moraxella catarrhalis | 7 | 12 | 19 |
| Haemophilus influenzae | 28 | 15 | 43 |
| Streptococcus pyogenes | 2 | 2 | 4 |
| Staphylococcus aureus | 11 | 5 | 16 |
| Non causative pathogene | 66 | 32 | 98 |
| No pathogene growth | 109 | 45 | 154 |
|
Location of infection
[2] [units: participants] |
|||
| Left | 82 | 37 | 119 |
| Right | 94 | 46 | 140 |
| Bilateral | 75 | 40 | 115 |
|
Severity of infection
[3] [units: participants] |
|||
| Moderate | 153 | 72 | 225 |
| Severe | 90 | 49 | 139 |
| Mild | 8 | 2 | 10 |
|
Duration of infection
[4] [units: days] Mean ± Standard Deviation |
|||
| Mean±Standard Deviation | 13.2 ± 5.4 | 12.7 ± 4.7 | 13.0 ± 5.1 |
| [1] | Causative organisms identified by pre-therapy sinus puncture (more than one organism was identified for some patients) |
|---|---|
| [2] | Location of sinus infection, left, right, or bilateral |
| [3] | Severity of infection as asessed by the investigator |
| [4] | Subgroup analyses were performed on subjects with differing durations of infection of 7 to 14 days, 15 to 21 days, and 22 to 27 days. |
Outcome Measures
| 1. Primary: | Percentage of Subjects With Clinical Cure (Modified Intent-to-Treat (MITT)) [ Time Frame: At 'Test-of-Cure' (TOC), Day 1-5 after end of treatment ] |
| 2. Secondary: | Treatment Day When Patients Reached Symptom Improvement as Measured by Patient Reported Data, Using Last Observation Carried Forward (LOCF) Approach [ Time Frame: Daily until 'Test-Of-Cure' (Day 1-5 after end of treatment) ] |
| 3. Secondary: | Treatment Day When Patients Returned to Normal Activities as Measured by Patient Reported Data, Using LOCF Approach [ Time Frame: Daily until 'Test-Of-Cure' (Day 1-5 after end of treatment) ] |
| 4. Secondary: | Percentage of Subjects With Clinical Improvement During Therapy [ Time Frame: Day 3 of treatment ] |
| 5. Secondary: | Percentage of Subjects With Continued Clinical Cure During Long-Term Follow-Up [ Time Frame: Day 12 to 26 after end of treatment ] |
| 6. Other Pre-specified: | Percentage of Subjects With Clinical Cure (Per Protocol Population (PP)) [ Time Frame: At 'Test-of-Cure', Day 1-5 after end of treatment ] |
More Information
| Principal Investigators are NOT employed by the organization sponsoring the study. | ||||||
| There IS an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed. | ||||||
The agreement is:
|
| Limitations of the study, such as early termination leading to small numbers of participants analyzed and technical problems with measurement leading to unreliable or uninterpretable data |
|---|
| Confounding factors include concomitant medication for symptomatic relief not standardised, TOC visit occured earlier than for other sinusitis studies, response on placebo underestimated and short-term relief provided by the sinus tap. |
| Responsible Party: | Therapeutic Area Head, Bayer Healthcare Pharmaceuticals |
| ClinicalTrials.gov Identifier: | NCT00492024 History of Changes |
| Other Study ID Numbers: | 11566 |
| Study First Received: | June 26, 2007 |
| Results First Received: | March 19, 2009 |
| Last Updated: | March 25, 2011 |
| Health Authority: | United States: Food and Drug Administration |