Trial Outcomes & Findings for Study to Evaluate the Safety and Clinical Efficacy of Augmentin® Extra Strength-600 in Children With Acute Otitis Media in India (NCT NCT04600752)

NCT ID: NCT04600752

Last Updated: 2024-06-10

Results Overview

An adverse event (AE) is any untoward medical occurrence in a clinical study participant, temporally associated with the use of a study intervention, whether or not considered related to the study intervention. A treatment emergent AE event has its onset date on or after treatment start date and on or before treatment stop date + 1 day

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

310 participants

Primary outcome timeframe

Up to 28 days

Results posted on

2024-06-10

Participant Flow

This study was an open label, multicenter, non-comparative study. Participants were children aged between 6 months to 12 years, presenting with Acute respiratory tract infections (ARTIs) including Acute otitis media (AOM), Acute bacterial rhinosinusitis (ABRS) and Community acquired bacterial pneumonia (CABP)

Participant milestones

Participant milestones
Measure
Participants With Acute Otitis Media (AOM) Receiving Augmentin (ES)-600
Participants with AOM were administered with Augmentin Extra Strength (ES)-600 at 90/6.4 milligram (mg)/ kilogram (kg)/day administered in two equally divided doses, 12 hours apart with food for 10 days. The formulation Augmentin (ES)-600 is Amoxicillin and potassium clavulanate oral suspension IP 600 mg/42.9 mg per 5 milliliter (mL)
Participants With Acute Bacterial Rhinosinusitis (ABRS) Receiving Augmentin (ES)-600
Participants with ABRS were administered with Augmentin (ES)-600 at 90/6.4 mg/kg/day administered in two equally divided doses, 12 hours apart with food for 10 days. The formulation Augmentin (ES)-600 is Amoxicillin and potassium clavulanate oral suspension IP 600 mg/42.9 mg per 5 milliliter (mL)
Participants With Community Acquired Bacterial Pneumonia (CABP) Receiving Augmentin (ES)-600
Participants with CABP were administered with Augmentin (ES)-600 at 90/6.4 mg/kg/day administered in two equally divided doses, 12 hours apart with food for 10 days. The formulation Augmentin (ES)-600 is Amoxicillin and potassium clavulanate oral suspension IP 600 mg/42.9 mg per 5 milliliter (mL)
Overall Study
STARTED
136
106
68
Overall Study
COMPLETED
133
104
67
Overall Study
NOT COMPLETED
3
2
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Participants With Acute Otitis Media (AOM) Receiving Augmentin (ES)-600
Participants with AOM were administered with Augmentin Extra Strength (ES)-600 at 90/6.4 milligram (mg)/ kilogram (kg)/day administered in two equally divided doses, 12 hours apart with food for 10 days. The formulation Augmentin (ES)-600 is Amoxicillin and potassium clavulanate oral suspension IP 600 mg/42.9 mg per 5 milliliter (mL)
Participants With Acute Bacterial Rhinosinusitis (ABRS) Receiving Augmentin (ES)-600
Participants with ABRS were administered with Augmentin (ES)-600 at 90/6.4 mg/kg/day administered in two equally divided doses, 12 hours apart with food for 10 days. The formulation Augmentin (ES)-600 is Amoxicillin and potassium clavulanate oral suspension IP 600 mg/42.9 mg per 5 milliliter (mL)
Participants With Community Acquired Bacterial Pneumonia (CABP) Receiving Augmentin (ES)-600
Participants with CABP were administered with Augmentin (ES)-600 at 90/6.4 mg/kg/day administered in two equally divided doses, 12 hours apart with food for 10 days. The formulation Augmentin (ES)-600 is Amoxicillin and potassium clavulanate oral suspension IP 600 mg/42.9 mg per 5 milliliter (mL)
Overall Study
Physician Decision
0
0
1
Overall Study
Adverse Event
0
1
0
Overall Study
Withdrawal by Subject
2
1
0
Overall Study
Lack of Efficacy
1
0
0

Baseline Characteristics

Study to Evaluate the Safety and Clinical Efficacy of Augmentin® Extra Strength-600 in Children With Acute Otitis Media in India

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Participants With Acute Otitis Media (AOM) Receiving Augmentin (ES)-600
n=136 Participants
Participants with AOM were administered with Augmentin Extra Strength (ES)-600 at 90/6.4 milligram (mg)/ kilogram (kg)/day administered in two equally divided doses, 12 hours apart with food for 10 days. The formulation Augmentin (ES)-600 is Amoxicillin and potassium clavulanate oral suspension IP 600 mg/42.9 mg per 5 milliliter (mL)
Participants With Acute Bacterial Rhinosinusitis (ABRS) Receiving Augmentin (ES)-600
n=106 Participants
Participants with ABRS were administered with Augmentin (ES)-600 at 90/6.4 mg/kg/day administered in two equally divided doses, 12 hours apart with food for 10 days. The formulation Augmentin (ES)-600 is Amoxicillin and potassium clavulanate oral suspension IP 600 mg/42.9 mg per 5 milliliter (mL)
Participants With Community Acquired Bacterial Pneumonia (CABP) Receiving Augmentin (ES)-600
n=68 Participants
Participants with CABP were administered with Augmentin (ES)-600 at 90/6.4 mg/kg/day administered in two equally divided doses, 12 hours apart with food for 10 days. The formulation Augmentin (ES)-600 is Amoxicillin and potassium clavulanate oral suspension IP 600 mg/42.9 mg per 5 milliliter (mL)
Total
n=310 Participants
Total of all reporting groups
Age, Continuous
3.869 Years
STANDARD_DEVIATION 2.9995 • n=99 Participants
4.404 Years
STANDARD_DEVIATION 3.0134 • n=107 Participants
2.592 Years
STANDARD_DEVIATION 2.0324 • n=206 Participants
3.772 Years
STANDARD_DEVIATION 2.8913 • n=7 Participants
Sex: Female, Male
Female
60 Participants
n=99 Participants
39 Participants
n=107 Participants
16 Participants
n=206 Participants
115 Participants
n=7 Participants
Sex: Female, Male
Male
76 Participants
n=99 Participants
67 Participants
n=107 Participants
52 Participants
n=206 Participants
195 Participants
n=7 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
0 Participants
n=7 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
136 Participants
n=99 Participants
106 Participants
n=107 Participants
68 Participants
n=206 Participants
310 Participants
n=7 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
0 Participants
n=7 Participants
Race/Ethnicity, Customized
Asian
136 Participants
n=99 Participants
106 Participants
n=107 Participants
68 Participants
n=206 Participants
310 Participants
n=7 Participants

PRIMARY outcome

Timeframe: Up to 28 days

Population: Intent to Treat Population (ITT) which included all participants who are enrolled and received at least 1 dose of Augmentin (ES)-600.

An adverse event (AE) is any untoward medical occurrence in a clinical study participant, temporally associated with the use of a study intervention, whether or not considered related to the study intervention. A treatment emergent AE event has its onset date on or after treatment start date and on or before treatment stop date + 1 day

Outcome measures

Outcome measures
Measure
Participants With Acute Otitis Media (AOM) Receiving Augmentin (ES)-600
n=136 Participants
Participants with AOM were administered with Augmentin Extra Strength (ES)-600 at 90/6.4 milligram (mg)/ kilogram (kg)/day administered in two equally divided doses, 12 hours apart with food for 10 days. The formulation Augmentin (ES)-600 is Amoxicillin and potassium clavulanate oral suspension IP 600 mg/42.9 mg per 5 milliliter (mL)
Participants With Acute Bacterial Rhinosinusitis (ABRS) Receiving Augmentin (ES)-600
n=106 Participants
Participants with ABRS were administered with Augmentin (ES)-600 at 90/6.4 mg/kg/day administered in two equally divided doses, 12 hours apart with food for 10 days. The formulation Augmentin (ES)-600 is Amoxicillin and potassium clavulanate oral suspension IP 600 mg/42.9 mg per 5 milliliter (mL)
Participants With Community Acquired Bacterial Pneumonia (CABP) Receiving Augmentin (ES)-600
n=68 Participants
Participants with CABP were administered with Augmentin (ES)-600 at 90/6.4 mg/kg/day administered in two equally divided doses, 12 hours apart with food for 10 days. The formulation Augmentin (ES)-600 is Amoxicillin and potassium clavulanate oral suspension IP 600 mg/42.9 mg per 5 milliliter (mL)
Number of Participants With Treatment-emergent Adverse Events (TEAEs)
10 Participants
3 Participants
3 Participants

SECONDARY outcome

Timeframe: On-therapy (OT) visit (Day 3 to 5)

Population: Intent to Treat Population

Early clinical response was categorized as treatment 'success' or treatment 'failure' at OT Visit (Day 3 to 5). Success was defined as 'clinical cure' that included sufficient resolution or improvement of the signs and symptoms such that no additional antibiotic therapy was indicated or 'improvement' that included improvement in at least 1 presenting signs/symptoms such that no additional antibiotic indicated. Failure is defined as 'Clinical Failure' that included as non-improvement or deterioration in any sign/symptoms after 2 or more days of therapy and additional antibiotic therapy is indicated or 'Unable to Determine' included a valid assessment of clinical outcome could not be made (eg, participant did not attend or consent to clinical examination or lost to follow-up). Participants who were not taking minimum 4 doses in two days were categorized as non evaluable.

Outcome measures

Outcome measures
Measure
Participants With Acute Otitis Media (AOM) Receiving Augmentin (ES)-600
n=136 Participants
Participants with AOM were administered with Augmentin Extra Strength (ES)-600 at 90/6.4 milligram (mg)/ kilogram (kg)/day administered in two equally divided doses, 12 hours apart with food for 10 days. The formulation Augmentin (ES)-600 is Amoxicillin and potassium clavulanate oral suspension IP 600 mg/42.9 mg per 5 milliliter (mL)
Participants With Acute Bacterial Rhinosinusitis (ABRS) Receiving Augmentin (ES)-600
n=106 Participants
Participants with ABRS were administered with Augmentin (ES)-600 at 90/6.4 mg/kg/day administered in two equally divided doses, 12 hours apart with food for 10 days. The formulation Augmentin (ES)-600 is Amoxicillin and potassium clavulanate oral suspension IP 600 mg/42.9 mg per 5 milliliter (mL)
Participants With Community Acquired Bacterial Pneumonia (CABP) Receiving Augmentin (ES)-600
n=68 Participants
Participants with CABP were administered with Augmentin (ES)-600 at 90/6.4 mg/kg/day administered in two equally divided doses, 12 hours apart with food for 10 days. The formulation Augmentin (ES)-600 is Amoxicillin and potassium clavulanate oral suspension IP 600 mg/42.9 mg per 5 milliliter (mL)
Number of Participants With Early Clinical Response at On-therapy (OT) Visit
Success
134 Participants
104 Participants
68 Participants
Number of Participants With Early Clinical Response at On-therapy (OT) Visit
Failure
1 Participants
0 Participants
0 Participants
Number of Participants With Early Clinical Response at On-therapy (OT) Visit
Non Evaluable
1 Participants
2 Participants
0 Participants

SECONDARY outcome

Timeframe: End of therapy visit (Day 12 to 14)

Population: Intent to Treat Population

Primary clinical response at the end-of-therapy visit was categorized as treatment 'success' or treatment 'failure'. Success was defined as 'Clinical Cure' that included sufficient resolution or improvement of the signs and symptoms that no additional antibiotic therapy was indicated or 'Improvement' that included improvement, but incomplete resolution of presenting signs/symptoms and no additional antibiotic indicated. Failure is defined as 'Clinical Failure' that included non-improvement or deterioration in any sign/symptoms after 2 or more days of therapy and additional antibiotic therapy indicated, or 'Unable to determine' defined as a valid assessment of clinical outcome could not be made (e.g., participant did not attend or consent to clinical examination or lost to follow-up). Non-Evaluable is defined as participants who had less than (\<) 80% compliance

Outcome measures

Outcome measures
Measure
Participants With Acute Otitis Media (AOM) Receiving Augmentin (ES)-600
n=136 Participants
Participants with AOM were administered with Augmentin Extra Strength (ES)-600 at 90/6.4 milligram (mg)/ kilogram (kg)/day administered in two equally divided doses, 12 hours apart with food for 10 days. The formulation Augmentin (ES)-600 is Amoxicillin and potassium clavulanate oral suspension IP 600 mg/42.9 mg per 5 milliliter (mL)
Participants With Acute Bacterial Rhinosinusitis (ABRS) Receiving Augmentin (ES)-600
n=106 Participants
Participants with ABRS were administered with Augmentin (ES)-600 at 90/6.4 mg/kg/day administered in two equally divided doses, 12 hours apart with food for 10 days. The formulation Augmentin (ES)-600 is Amoxicillin and potassium clavulanate oral suspension IP 600 mg/42.9 mg per 5 milliliter (mL)
Participants With Community Acquired Bacterial Pneumonia (CABP) Receiving Augmentin (ES)-600
n=68 Participants
Participants with CABP were administered with Augmentin (ES)-600 at 90/6.4 mg/kg/day administered in two equally divided doses, 12 hours apart with food for 10 days. The formulation Augmentin (ES)-600 is Amoxicillin and potassium clavulanate oral suspension IP 600 mg/42.9 mg per 5 milliliter (mL)
Number of Participants With Primary Clinical Response at End of Therapy (EOT)
Success
132 Participants
104 Participants
67 Participants
Number of Participants With Primary Clinical Response at End of Therapy (EOT)
Failure
2 Participants
0 Participants
1 Participants
Number of Participants With Primary Clinical Response at End of Therapy (EOT)
Non Evaluable
2 Participants
2 Participants
0 Participants

SECONDARY outcome

Timeframe: Follow up visit (Day 22 to 28)

Population: Intent to Treat Population

Secondary clinical response at follow-up was categorized as treatment 'success' or treatment 'failure'. Success was defined as 'Persistent clinical cure' that included sufficient resolution of signs/symptoms for those participants who were clinically cured or improved at the end of therapy and no additional antibiotic indicated. Failure was defined as 'Clinical recurrence' that included reappearance of signs/symptoms for those participants who were clinically cured or improved at the end of therapy and additional antibiotic therapy was indicated, or 'Unable to determine' that included valid assessment of clinical outcome could not be made (e.g., participant did not attend end of therapy visit, or extenuating circumstances or lost to follow-up). Participant with missing responses were categorized as 'Missing'.

Outcome measures

Outcome measures
Measure
Participants With Acute Otitis Media (AOM) Receiving Augmentin (ES)-600
n=136 Participants
Participants with AOM were administered with Augmentin Extra Strength (ES)-600 at 90/6.4 milligram (mg)/ kilogram (kg)/day administered in two equally divided doses, 12 hours apart with food for 10 days. The formulation Augmentin (ES)-600 is Amoxicillin and potassium clavulanate oral suspension IP 600 mg/42.9 mg per 5 milliliter (mL)
Participants With Acute Bacterial Rhinosinusitis (ABRS) Receiving Augmentin (ES)-600
n=106 Participants
Participants with ABRS were administered with Augmentin (ES)-600 at 90/6.4 mg/kg/day administered in two equally divided doses, 12 hours apart with food for 10 days. The formulation Augmentin (ES)-600 is Amoxicillin and potassium clavulanate oral suspension IP 600 mg/42.9 mg per 5 milliliter (mL)
Participants With Community Acquired Bacterial Pneumonia (CABP) Receiving Augmentin (ES)-600
n=68 Participants
Participants with CABP were administered with Augmentin (ES)-600 at 90/6.4 mg/kg/day administered in two equally divided doses, 12 hours apart with food for 10 days. The formulation Augmentin (ES)-600 is Amoxicillin and potassium clavulanate oral suspension IP 600 mg/42.9 mg per 5 milliliter (mL)
Number of Participants With Secondary Clinical Response at Follow-up (FU)
Success
130 Participants
104 Participants
66 Participants
Number of Participants With Secondary Clinical Response at Follow-up (FU)
Failure
0 Participants
0 Participants
1 Participants
Number of Participants With Secondary Clinical Response at Follow-up (FU)
Missing
6 Participants
2 Participants
1 Participants

SECONDARY outcome

Timeframe: From OT visit (Day 3 to 5) to FU visit (Day 22-28)

Population: Intent to Treat Population

Protocol-defined diarrhea was defined as a) 3 or more watery stools in one day or b) 4 or more loose/watery stools in one day or c) 2 watery stools per day for two consecutive days or d) 3 loose/watery stools per day for two consecutive days.

Outcome measures

Outcome measures
Measure
Participants With Acute Otitis Media (AOM) Receiving Augmentin (ES)-600
n=136 Participants
Participants with AOM were administered with Augmentin Extra Strength (ES)-600 at 90/6.4 milligram (mg)/ kilogram (kg)/day administered in two equally divided doses, 12 hours apart with food for 10 days. The formulation Augmentin (ES)-600 is Amoxicillin and potassium clavulanate oral suspension IP 600 mg/42.9 mg per 5 milliliter (mL)
Participants With Acute Bacterial Rhinosinusitis (ABRS) Receiving Augmentin (ES)-600
n=106 Participants
Participants with ABRS were administered with Augmentin (ES)-600 at 90/6.4 mg/kg/day administered in two equally divided doses, 12 hours apart with food for 10 days. The formulation Augmentin (ES)-600 is Amoxicillin and potassium clavulanate oral suspension IP 600 mg/42.9 mg per 5 milliliter (mL)
Participants With Community Acquired Bacterial Pneumonia (CABP) Receiving Augmentin (ES)-600
n=68 Participants
Participants with CABP were administered with Augmentin (ES)-600 at 90/6.4 mg/kg/day administered in two equally divided doses, 12 hours apart with food for 10 days. The formulation Augmentin (ES)-600 is Amoxicillin and potassium clavulanate oral suspension IP 600 mg/42.9 mg per 5 milliliter (mL)
Number of Participants With Protocol-defined Diarrhea (PDD) (Due to Study Medication)
0 Participants
1 Participants
0 Participants

Adverse Events

Participants With Acute Otitis Media (AOM) Receiving Augmentin (ES)-600

Serious events: 0 serious events
Other events: 10 other events
Deaths: 0 deaths

Participants With Acute Bacterial Rhinosinusitis (ABRS) Receiving Augmentin (ES)-600

Serious events: 0 serious events
Other events: 3 other events
Deaths: 0 deaths

Participants With Community Acquired Bacterial Pneumonia (CABP) Receiving Augmentin (ES)-600

Serious events: 0 serious events
Other events: 3 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Participants With Acute Otitis Media (AOM) Receiving Augmentin (ES)-600
n=136 participants at risk
Participants with AOM were administered with Augmentin Extra Strength (ES)-600 at 90/6.4 milligram (mg)/ kilogram (kg)/day administered in two equally divided doses, 12 hours apart with food for 10 days. The formulation Augmentin (ES)-600 is Amoxicillin and potassium clavulanate oral suspension IP 600 mg/42.9 mg per 5 milliliter (mL)
Participants With Acute Bacterial Rhinosinusitis (ABRS) Receiving Augmentin (ES)-600
n=106 participants at risk
Participants with ABRS were administered with Augmentin (ES)-600 at 90/6.4 mg/kg/day administered in two equally divided doses, 12 hours apart with food for 10 days. The formulation Augmentin (ES)-600 is Amoxicillin and potassium clavulanate oral suspension IP 600 mg/42.9 mg per 5 milliliter (mL)
Participants With Community Acquired Bacterial Pneumonia (CABP) Receiving Augmentin (ES)-600
n=68 participants at risk
Participants with CABP were administered with Augmentin (ES)-600 at 90/6.4 mg/kg/day administered in two equally divided doses, 12 hours apart with food for 10 days. The formulation Augmentin (ES)-600 is Amoxicillin and potassium clavulanate oral suspension IP 600 mg/42.9 mg per 5 milliliter (mL)
Gastrointestinal disorders
Diarrhoea
3.7%
5/136 • Number of events 5 • All Cause Mortality, Serious Adverse events and Non Serious Adverse events were collected from visit 1 (Day 1) up to follow-up visit (Day 22 to 28)
Intent to Treat Population (ITT) which included all participants who are enrolled and received at least 1 dose of Augmentin (ES)-600
0.94%
1/106 • Number of events 1 • All Cause Mortality, Serious Adverse events and Non Serious Adverse events were collected from visit 1 (Day 1) up to follow-up visit (Day 22 to 28)
Intent to Treat Population (ITT) which included all participants who are enrolled and received at least 1 dose of Augmentin (ES)-600
0.00%
0/68 • All Cause Mortality, Serious Adverse events and Non Serious Adverse events were collected from visit 1 (Day 1) up to follow-up visit (Day 22 to 28)
Intent to Treat Population (ITT) which included all participants who are enrolled and received at least 1 dose of Augmentin (ES)-600
Gastrointestinal disorders
Vomiting
2.2%
3/136 • Number of events 5 • All Cause Mortality, Serious Adverse events and Non Serious Adverse events were collected from visit 1 (Day 1) up to follow-up visit (Day 22 to 28)
Intent to Treat Population (ITT) which included all participants who are enrolled and received at least 1 dose of Augmentin (ES)-600
0.94%
1/106 • Number of events 1 • All Cause Mortality, Serious Adverse events and Non Serious Adverse events were collected from visit 1 (Day 1) up to follow-up visit (Day 22 to 28)
Intent to Treat Population (ITT) which included all participants who are enrolled and received at least 1 dose of Augmentin (ES)-600
2.9%
2/68 • Number of events 2 • All Cause Mortality, Serious Adverse events and Non Serious Adverse events were collected from visit 1 (Day 1) up to follow-up visit (Day 22 to 28)
Intent to Treat Population (ITT) which included all participants who are enrolled and received at least 1 dose of Augmentin (ES)-600
Metabolism and nutrition disorders
Decreased appetite
1.5%
2/136 • Number of events 2 • All Cause Mortality, Serious Adverse events and Non Serious Adverse events were collected from visit 1 (Day 1) up to follow-up visit (Day 22 to 28)
Intent to Treat Population (ITT) which included all participants who are enrolled and received at least 1 dose of Augmentin (ES)-600
0.00%
0/106 • All Cause Mortality, Serious Adverse events and Non Serious Adverse events were collected from visit 1 (Day 1) up to follow-up visit (Day 22 to 28)
Intent to Treat Population (ITT) which included all participants who are enrolled and received at least 1 dose of Augmentin (ES)-600
1.5%
1/68 • Number of events 1 • All Cause Mortality, Serious Adverse events and Non Serious Adverse events were collected from visit 1 (Day 1) up to follow-up visit (Day 22 to 28)
Intent to Treat Population (ITT) which included all participants who are enrolled and received at least 1 dose of Augmentin (ES)-600
Respiratory, thoracic and mediastinal disorders
Cough
0.00%
0/136 • All Cause Mortality, Serious Adverse events and Non Serious Adverse events were collected from visit 1 (Day 1) up to follow-up visit (Day 22 to 28)
Intent to Treat Population (ITT) which included all participants who are enrolled and received at least 1 dose of Augmentin (ES)-600
0.94%
1/106 • Number of events 1 • All Cause Mortality, Serious Adverse events and Non Serious Adverse events were collected from visit 1 (Day 1) up to follow-up visit (Day 22 to 28)
Intent to Treat Population (ITT) which included all participants who are enrolled and received at least 1 dose of Augmentin (ES)-600
0.00%
0/68 • All Cause Mortality, Serious Adverse events and Non Serious Adverse events were collected from visit 1 (Day 1) up to follow-up visit (Day 22 to 28)
Intent to Treat Population (ITT) which included all participants who are enrolled and received at least 1 dose of Augmentin (ES)-600

Additional Information

GSK Response Center

GlaxoSmithKline

Phone: 866-435-7343

Results disclosure agreements

  • Principal investigator is a sponsor employee GSK agreements may vary with individual investigators, but will not prohibit any investigator from publishing. GSK supports the publication of results from all centers of a multi-center trial but requests that reports based on single site data not precede the primary publication of the entire clinical trial.
  • Publication restrictions are in place

Restriction type: OTHER