Study of Long-Term Antibiotic Treatment in Reactive Arthritis
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Purpose
This is a randomized, double-blind, placebo-controlled trial of the effect of 3-month treatment with the combination of 200 mg ofloxacin twice daily and 150 mg roxithromycin twice daily on clinical course of recent-onset reactive arthritis. Patients are followed-up at regular intervals until 6 months. The main outcome measure is recovery from arthritis, and secondary outcome measures include swollen and tender joint counts, Ritchie index, joint pain, serum C-reactive protein level and blood erythrocyte sedimentation rate. The study will also address the safety and tolerability of long-term antibiotic treatment. 56 patients are enrolled and the enrollment of patients has been completed.
| Condition | Intervention |
|---|---|
|
Reactive Arthritis |
Drug: ofloxacin and roxithromycin Drug: placebo |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Investigator, Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | Double-Blind, Placebo-Controlled Study of Three-Month Treatment With the Combination of Ofloxacin and Roxithromycin in Recent-Onset Reactive Arthritis |
- Proportion of patients recovered from arthritis [ Time Frame: 6 months ] [ Designated as safety issue: No ]
- Swollen joint count [ Time Frame: 6 months ] [ Designated as safety issue: No ]
- Tender joint count [ Time Frame: 6 months ]
- Ritchie index [ Time Frame: 6 months ] [ Designated as safety issue: No ]
- Joint pain (visual analogue scale) [ Time Frame: 6 months ] [ Designated as safety issue: No ]
- Serum C-reactive protein level [ Time Frame: 6 months ] [ Designated as safety issue: No ]
- Blood erythrocyte sedimentation rate [ Time Frame: 6 months ] [ Designated as safety issue: No ]
| Enrollment: | 56 |
| Study Start Date: | November 1993 |
| Study Completion Date: | June 1998 |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: 1
ofloxacin and roxithromycin
|
Drug: ofloxacin and roxithromycin
150 mg roxithromycin tablet twice daily and 200mg ofloxacin tablet twice daily for 3 months
Other Name: Tarivid and Surlid
|
|
Placebo Comparator: 2
placebo
|
Drug: placebo
placebo tablets identical to ofloxacin and roxithromycin twice daily for 3 months
|
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Diagnosis of acute reactive arthritis
- Preceding infection confirmed by positive culture and/or serology, or with a history of urethritis or gastroenteritis within the preceding 2 months
- Age 18 or older
Exclusion Criteria:
- Allergy to quinolones or macrolides
- Treatment with systemic corticosteroids within 2 weeks
- Serum creatinine level elevated over the reference limit
- Alanine aminotransferase or alkaline phosphatase levels elevated over twice the reference limit
- Current or planned pregnancy, or lack of contraception
- Known HIV positivity
- Blood leukocyte count less than 4.0x109/l
- Blood platelet count less than 100x109/l
- Lack of co-operation.
Contacts and Locations| Finland | |
| Division of Rheumatology, Department of Medicine | |
| Helsinki, Finland, 00029 | |
| Peijas Hospital | |
| Vantaa, Finland, 01400 | |
| Principal Investigator: | Marjatta Leirisalo-Repo, MD | Division of Rheumatology, Department of Medicine, Helsinki University Central Hospital |
More Information
No publications provided
| ClinicalTrials.gov Identifier: | NCT00621387 History of Changes |
| Other Study ID Numbers: | 121-853-93 |
| Study First Received: | February 11, 2008 |
| Last Updated: | February 11, 2008 |
| Health Authority: | Finland: Finnish Medicines Agency |
Keywords provided by Helsinki University:
|
reactive arthritis antibiotics |
Additional relevant MeSH terms:
|
Arthritis Arthritis, Reactive Joint Diseases Musculoskeletal Diseases Arthritis, Infectious Infection Spondylarthropathies Spondylarthritis Spondylitis Spinal Diseases Bone Diseases |
Anti-Bacterial Agents Ofloxacin Roxithromycin Anti-Infective Agents Therapeutic Uses Pharmacologic Actions Nucleic Acid Synthesis Inhibitors Enzyme Inhibitors Molecular Mechanisms of Pharmacological Action Anti-Infective Agents, Urinary Renal Agents |
ClinicalTrials.gov processed this record on May 23, 2013