Trial Outcomes & Findings for Study to Evaluate the Efficacy and Safety of Moxifloxacin Versus Amoxicillin/Clavulanate in the Treatment of Acute Bacterial Rhinosinusitis (NCT NCT00493038)

NCT ID: NCT00493038

Last Updated: 2014-11-07

Results Overview

Number of patients in the population who met criteria pre-specified in the protocol whose clinical response 1-3 days after treatment was assessed by the investigator as "clinical cure"

Recruitment status

TERMINATED

Study phase

PHASE4

Target enrollment

293 participants

Primary outcome timeframe

At 'Test-of-Cure', Day 1-3 after treatment

Results posted on

2014-11-07

Participant Flow

Enrollment started on 13 Feb 2006 and the last study visit occurred on 20 Jan 2008. The study was conducted at 34 active otorhinolaryngology centers in Italy.

Number of patients screened: 293 Number of patients having at least one observation under study medication: 287 (intention-to-treat population = ITT population) Number of patients adhered to major predefined aspects of the study protocol: 251 (per-protocol population = PP population). Primary population for efficacy was PP.

Participant milestones

Participant milestones
Measure
Moxifloxacin (Avelox, BAY12-8039)
Moxifloxacin (Avelox, BAY12-8039) 400 mg tablets once daily (OD) for 7 days and amoxicillin/clavulanate 1000 mg matching placebo tablets three times daily (TID) for 10 days
Amoxicillin/Clavulanate
Amoxicillin/clavulanate 1000 mg matching tablets three times daily (TID) for 10 days and moxifloxacin 400 mg matching placebo tablets once daily (OD) for 7 days
Treatment
STARTED
147
146
Treatment
Randomization
147
146
Treatment
Treated With Study Medication
145
142
Treatment
Test-of-Cure Visit
123
126
Treatment
COMPLETED
123
126
Treatment
NOT COMPLETED
24
20
Follow-up
STARTED
123
126
Follow-up
COMPLETED
122
126
Follow-up
NOT COMPLETED
1
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Moxifloxacin (Avelox, BAY12-8039)
Moxifloxacin (Avelox, BAY12-8039) 400 mg tablets once daily (OD) for 7 days and amoxicillin/clavulanate 1000 mg matching placebo tablets three times daily (TID) for 10 days
Amoxicillin/Clavulanate
Amoxicillin/clavulanate 1000 mg matching tablets three times daily (TID) for 10 days and moxifloxacin 400 mg matching placebo tablets once daily (OD) for 7 days
Treatment
Adverse Event
8
4
Treatment
Lost to Follow-up
5
3
Treatment
Withdrawal by Subject
11
12
Treatment
Other
0
1
Follow-up
Lost to Follow-up
1
0

Baseline Characteristics

Study to Evaluate the Efficacy and Safety of Moxifloxacin Versus Amoxicillin/Clavulanate in the Treatment of Acute Bacterial Rhinosinusitis

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Moxifloxacin (Avelox, BAY12-8039)
n=145 Participants
Moxifloxacin (Avelox, BAY12-8039) 400 mg tablets once daily (OD) for 7 days and amoxicillin/clavulanate 1000 mg matching placebo tablets three times daily (TID) for 10 days
Amoxicillin/Clavulanate
n=142 Participants
Amoxicillin/clavulanate 1000 mg matching tablets three times daily (TID) for 10 days and moxifloxacin 400 mg matching placebo tablets once daily (OD) for 7 days
Total
n=287 Participants
Total of all reporting groups
Age, Continuous
41.7 years
STANDARD_DEVIATION 13.2 • n=99 Participants
39.7 years
STANDARD_DEVIATION 13.6 • n=107 Participants
40.7 years
STANDARD_DEVIATION 13.4 • n=206 Participants
Age, Customized
<=18 years
0 participants
n=99 Participants
0 participants
n=107 Participants
0 participants
n=206 Participants
Age, Customized
>18 and <65 years
133 participants
n=99 Participants
132 participants
n=107 Participants
265 participants
n=206 Participants
Age, Customized
>=65 years
12 participants
n=99 Participants
10 participants
n=107 Participants
22 participants
n=206 Participants
Sex: Female, Male
Female
63 Participants
n=99 Participants
75 Participants
n=107 Participants
138 Participants
n=206 Participants
Sex: Female, Male
Male
82 Participants
n=99 Participants
67 Participants
n=107 Participants
149 Participants
n=206 Participants

PRIMARY outcome

Timeframe: At 'Test-of-Cure', Day 1-3 after treatment

Population: Per Protocol population: subjects to meet all of the following (1) Clinical evaluation was performed at TOC visit (2) No other systemic antibacterial agent was administered with study drug up to TOC visit (3) Adequate treatment compliance (≥ 80% of study drug taken) (4) Random code not broken (5) No protocol violation affecting treatment efficacy

Number of patients in the population who met criteria pre-specified in the protocol whose clinical response 1-3 days after treatment was assessed by the investigator as "clinical cure"

Outcome measures

Outcome measures
Measure
Moxifloxacin (Avelox, BAY12-8039)
n=121 Participants
Moxifloxacin (Avelox, BAY12-8039) 400 mg tablets once daily (OD) for 7 days and amoxicillin/clavulanate 1000 mg matching placebo tablets three times daily (TID) for 10 days
Amoxicillin/Clavulanate
n=130 Participants
Amoxicillin/clavulanate 1000 mg matching tablets three times daily (TID) for 10 days and moxifloxacin 400 mg matching placebo tablets once daily (OD) for 7 days
Number of Participants With Response (Per-protocol Population)
119 participants
125 participants

SECONDARY outcome

Timeframe: At 'Test-of-Cure', Day 1-3 after treatment

Population: ITT population: participants having at least one observation under study medication

Number of patients in the population who received at least one dose of study medication whose clinical response 1-3 days after treatment was assessed by the investigator as "clinical cure"

Outcome measures

Outcome measures
Measure
Moxifloxacin (Avelox, BAY12-8039)
n=145 Participants
Moxifloxacin (Avelox, BAY12-8039) 400 mg tablets once daily (OD) for 7 days and amoxicillin/clavulanate 1000 mg matching placebo tablets three times daily (TID) for 10 days
Amoxicillin/Clavulanate
n=142 Participants
Amoxicillin/clavulanate 1000 mg matching tablets three times daily (TID) for 10 days and moxifloxacin 400 mg matching placebo tablets once daily (OD) for 7 days
Number of Participants With Response (Intent-to-treat Population)
128 participants
127 participants

SECONDARY outcome

Timeframe: End of Follow-up, Day 24-30 after treatment

Population: PP population at end FU: (1) Clinical evaluation was performed at the TOC visit (2) No other systemic antibacterial agent was administered with study drug up to the TOC visit (3) Adequate treatment compliance (≥80% of study drug taken) (4) Random code not broken (5) No protocol violation affecting treatment efficacy (6) FU assessment available

Number of patients in the population who met criteria pre-specified in the protocol whose clinical response 24-30 days after treatment was assessed by the investigator as "continued clinical cure"

Outcome measures

Outcome measures
Measure
Moxifloxacin (Avelox, BAY12-8039)
n=113 Participants
Moxifloxacin (Avelox, BAY12-8039) 400 mg tablets once daily (OD) for 7 days and amoxicillin/clavulanate 1000 mg matching placebo tablets three times daily (TID) for 10 days
Amoxicillin/Clavulanate
n=124 Participants
Amoxicillin/clavulanate 1000 mg matching tablets three times daily (TID) for 10 days and moxifloxacin 400 mg matching placebo tablets once daily (OD) for 7 days
Number of Participants With Response (Per-protocol Population)
108 participants
117 participants

SECONDARY outcome

Timeframe: At 'Test-of-Cure', Day 1-3 after treatment

Population: Patients valid per protocol with a causative organism cultured.

Bacteriological Efficacy Rate at the 'Test-of-Cure' visit, measured in patients defined as 'microbiologically valid'. A bacteriological success is an eradication without super- or reinfection or presumed eradication.

Outcome measures

Outcome measures
Measure
Moxifloxacin (Avelox, BAY12-8039)
n=21 Participants
Moxifloxacin (Avelox, BAY12-8039) 400 mg tablets once daily (OD) for 7 days and amoxicillin/clavulanate 1000 mg matching placebo tablets three times daily (TID) for 10 days
Amoxicillin/Clavulanate
n=26 Participants
Amoxicillin/clavulanate 1000 mg matching tablets three times daily (TID) for 10 days and moxifloxacin 400 mg matching placebo tablets once daily (OD) for 7 days
Number of Participants With Response (Microbiologically Valid Patients)
Bacteriological success
21 Participants
25 Participants
Number of Participants With Response (Microbiologically Valid Patients)
Failure
0 Participants
1 Participants

SECONDARY outcome

Timeframe: End of Follow-up, Day 24-30 after treatment

Population: Patients valid per protocol with a causative organism cultured.

Bacteriological Efficacy Rate at the End of Follow-up period, measured in patients defined as 'microbiologically valid'. A bacteriological success is an eradication without super- or reinfection or presumed eradication.

Outcome measures

Outcome measures
Measure
Moxifloxacin (Avelox, BAY12-8039)
n=21 Participants
Moxifloxacin (Avelox, BAY12-8039) 400 mg tablets once daily (OD) for 7 days and amoxicillin/clavulanate 1000 mg matching placebo tablets three times daily (TID) for 10 days
Amoxicillin/Clavulanate
n=26 Participants
Amoxicillin/clavulanate 1000 mg matching tablets three times daily (TID) for 10 days and moxifloxacin 400 mg matching placebo tablets once daily (OD) for 7 days
Number of Participants With Response (Microbiologically Valid Patients)
Bacteriological success
19 Participants
23 Participants
Number of Participants With Response (Microbiologically Valid Patients)
Failure
0 Participants
0 Participants
Number of Participants With Response (Microbiologically Valid Patients)
Missing / Indeterminate
2 Participants
3 Participants

Adverse Events

Moxifloxacin (Avelox, BAY12-8039)

Serious events: 1 serious events
Other events: 0 other events
Deaths: 0 deaths

Amoxicillin/Clavulanate

Serious events: 1 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Moxifloxacin (Avelox, BAY12-8039)
n=145 participants at risk
Moxifloxacin (Avelox, BAY12-8039) 400 mg tablets once daily (OD) for 7 days and amoxicillin/clavulanate 1000 mg matching placebo tablets three times daily (TID) for 10 days
Amoxicillin/Clavulanate
n=142 participants at risk
Amoxicillin/clavulanate 1000 mg matching tablets three times daily (TID) for 10 days and moxifloxacin 400 mg matching placebo tablets once daily (OD) for 7 days
Infections and infestations
Sinusitis
0.00%
0/145
0.70%
1/142 • Number of events 1
General disorders
Chest pain
0.69%
1/145 • Number of events 1
0.00%
0/142

Other adverse events

Adverse event data not reported

Additional Information

Therapeutic Area Head

BAYER

Results disclosure agreements

  • Principal investigator is a sponsor employee The results of the trial as well as any discoveries and inventions, are exclusive property of the Promoter. Publications on scientific review, comments or presentations about the study in scientific environment must be agreed between the Sponsor and the investigator who engages to submit to Bayer, any publication by sending one text or presentations at least 60 days before the expected publication for comments and corrections.
  • Publication restrictions are in place

Restriction type: OTHER