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BAY12-8039: 5 Days for Sinusitis vs Placebo

Primary Purpose

Sinusitis

Status
Completed
Phase
Phase 3
Locations
United States
Study Type
Interventional
Intervention
Moxifloxacin (Avelox, BAY12-8039)
Placebo
Sponsored by
Bayer
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Sinusitis focused on measuring Respiratory Tract Infection, Bacterial Sinusitis

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

Subjects must meet all the following criteria at the time of enrollment:

  • Age >/= 18 years
  • Clinical diagnosis of acute bacterial sinusitis with signs and symptoms present for = 7 days but < 28 days as defined by A), radiographic, and B) clinical criteria, as follows:

    • Radiographic Criteria: The presence of one or more of the following on a radiographic paranasal sinus film (Waters' view): - Evidence of air-fluid levels - Opacification
    • Clinical Criteria: The presence of two major symptoms, or the presence of at least one major and one minor symptom as defined in the list below:

      • Major symptoms: - Purulent anterior or posterior nasal discharge - Unilateral facial pain or malar tenderness
      • Minor symptoms: - Frontal headache - Fever (oral = 38.0°C/100.4°F, tympanic = 38.5°C/101.2°F, axillary = 37.5°C/99.5°F) - Culture material obtained by sinus puncture; the aspirated specimen sent for Gram stain, quantitative culture and susceptibility testing prior to initiation of antimicrobial therapy

Exclusion Criteria:

Subjects with one or more of the following criteria will not be eligible for this study:

  • History of chronic sinusitis defined as greater than four weeks of continuous symptoms (subjects with recurrent acute sinusitis will be included)
  • History of sinus surgery (antral sinus puncture is not considered as a surgery)
  • Any symptoms that suggest the subject's current illness is allergic rhinitis (e.g. repetitive sneezing, itchy nose or eyes, provocation by an allergen) and not acute bacterial sinusitis
  • Known bacteremia, meningitis or infection infiltrating the tissues neighboring the sinuses

Sites / Locations

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

Moxifloxacin 400 mg

Placebo

Arm Description

Moxifloxacin 400mg once daily for 5 days

Matching placebo for 5 days

Outcomes

Primary Outcome Measures

Percentage of Subjects With Clinical Cure (Modified Intent-to-Treat (MITT))
The primary efficacy variable was clinical response (CR) at the TOC visit, and was rated as improvement, complete resolution, failure, or indeterminate. Clinical cure, ie, success, was defined as complete resolution or improvement in the signs and symptoms such that no further therapy (antimicrobial, steroid, or irrigation) was required.

Secondary Outcome Measures

Treatment Day When Patients Reached Symptom Improvement as Measured by Patient Reported Data, Using Last Observation Carried Forward (LOCF) Approach
The Sino-Nasal Outcome Test (SNOT-16) was used to assess subject-reported time to symptom improvement. Improvement was defined as a decrease of at least 14 units on the test. This difference is the smallest difference that has been identified as beneficial to subjects.
Treatment Day When Patients Returned to Normal Activities as Measured by Patient Reported Data, Using LOCF Approach
The Activity Impairment Assessment (AIA) questionnaire was used to assess activity impairment at baseline and time to return to normal activities. The AIA was administered prior to first dose, every 24 hours during treatment, and at the TOC visit. Improvement in the AIA total score was defined as a decrease of at least 3 units.
Percentage of Subjects With Clinical Improvement During Therapy
A secondary efficacy variable was clinical response (CR) at the During Therapy visit at day 3 or 4 of treatment. CR was rated as improvement, cure, failure, or indeterminate. Clinical evaluation was based on the presence and severity (mild, moderate, or severe) of several signs and symptoms of acute sinusitis.
Percentage of Subjects With Continued Clinical Cure During Long-Term Follow-Up
A secondary efficacy variable was clinical response (CR) at the Follow-up visit 17-21 days following the start of treatment. CR was rated as continued cure, failure/relapse, or indeterminate. Clinical evaluation was based on the presence and severity (mild, moderate, or severe) of several signs and symptoms of acute sinusitis.

Full Information

First Posted
June 26, 2007
Last Updated
October 31, 2013
Sponsor
Bayer
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1. Study Identification

Unique Protocol Identification Number
NCT00492024
Brief Title
BAY12-8039: 5 Days for Sinusitis vs Placebo
Official Title
Prospective, Multicenter, Randomized, Double-Blind, Placebo Controlled Trial to Evaluate the Efficacy and Safety of Moxifloxacin 400 mg QD for 5 Days Versus Placebo in the Treatment of Acute Bacterial Sinusitis
Study Type
Interventional

2. Study Status

Record Verification Date
November 2013
Overall Recruitment Status
Completed
Study Start Date
January 2005 (undefined)
Primary Completion Date
March 2008 (Actual)
Study Completion Date
March 2008 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Bayer

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of the study is to evaluate the effectiveness and safety of Avelox in a 5 day treatment of adult patients with acute bacterial sinusitis and to measure the amount of time it takes for symptom relief. Avelox is currently not approved for the 5 day treatment of acute bacterial sinusitis, therefore in this study Avelox is considered an investigational drug. In this study Avelox will be compared to placebo.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Sinusitis
Keywords
Respiratory Tract Infection, Bacterial Sinusitis

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
374 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Moxifloxacin 400 mg
Arm Type
Experimental
Arm Description
Moxifloxacin 400mg once daily for 5 days
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Matching placebo for 5 days
Intervention Type
Drug
Intervention Name(s)
Moxifloxacin (Avelox, BAY12-8039)
Intervention Description
Moxifloxacin - 400 mg once a day for 5 days
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Placebo - 380 mg Microcrystalline Cellulose
Primary Outcome Measure Information:
Title
Percentage of Subjects With Clinical Cure (Modified Intent-to-Treat (MITT))
Description
The primary efficacy variable was clinical response (CR) at the TOC visit, and was rated as improvement, complete resolution, failure, or indeterminate. Clinical cure, ie, success, was defined as complete resolution or improvement in the signs and symptoms such that no further therapy (antimicrobial, steroid, or irrigation) was required.
Time Frame
At 'Test-of-Cure' (TOC), Day 1-5 after end of treatment
Secondary Outcome Measure Information:
Title
Treatment Day When Patients Reached Symptom Improvement as Measured by Patient Reported Data, Using Last Observation Carried Forward (LOCF) Approach
Description
The Sino-Nasal Outcome Test (SNOT-16) was used to assess subject-reported time to symptom improvement. Improvement was defined as a decrease of at least 14 units on the test. This difference is the smallest difference that has been identified as beneficial to subjects.
Time Frame
Daily until 'Test-Of-Cure' (Day 1-5 after end of treatment)
Title
Treatment Day When Patients Returned to Normal Activities as Measured by Patient Reported Data, Using LOCF Approach
Description
The Activity Impairment Assessment (AIA) questionnaire was used to assess activity impairment at baseline and time to return to normal activities. The AIA was administered prior to first dose, every 24 hours during treatment, and at the TOC visit. Improvement in the AIA total score was defined as a decrease of at least 3 units.
Time Frame
Daily until 'Test-Of-Cure' (Day 1-5 after end of treatment)
Title
Percentage of Subjects With Clinical Improvement During Therapy
Description
A secondary efficacy variable was clinical response (CR) at the During Therapy visit at day 3 or 4 of treatment. CR was rated as improvement, cure, failure, or indeterminate. Clinical evaluation was based on the presence and severity (mild, moderate, or severe) of several signs and symptoms of acute sinusitis.
Time Frame
Day 3 of treatment
Title
Percentage of Subjects With Continued Clinical Cure During Long-Term Follow-Up
Description
A secondary efficacy variable was clinical response (CR) at the Follow-up visit 17-21 days following the start of treatment. CR was rated as continued cure, failure/relapse, or indeterminate. Clinical evaluation was based on the presence and severity (mild, moderate, or severe) of several signs and symptoms of acute sinusitis.
Time Frame
Day 12 to 26 after end of treatment
Other Pre-specified Outcome Measures:
Title
Percentage of Subjects With Clinical Cure (Per Protocol Population (PP))
Description
The primary efficacy variable was clinical response (CR) at the TOC visit, and was rated as improvement, complete resolution, failure, or indeterminate. Clinical cure, ie, success, was defined as complete resolution or improvement in the signs and symptoms such that no further therapy (antimicrobial, steroid, or irrigation) was required.
Time Frame
At 'Test-of-Cure', Day 1-5 after end of treatment

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Subjects must meet all the following criteria at the time of enrollment: Age >/= 18 years Clinical diagnosis of acute bacterial sinusitis with signs and symptoms present for = 7 days but < 28 days as defined by A), radiographic, and B) clinical criteria, as follows: Radiographic Criteria: The presence of one or more of the following on a radiographic paranasal sinus film (Waters' view): - Evidence of air-fluid levels - Opacification Clinical Criteria: The presence of two major symptoms, or the presence of at least one major and one minor symptom as defined in the list below: Major symptoms: - Purulent anterior or posterior nasal discharge - Unilateral facial pain or malar tenderness Minor symptoms: - Frontal headache - Fever (oral = 38.0°C/100.4°F, tympanic = 38.5°C/101.2°F, axillary = 37.5°C/99.5°F) - Culture material obtained by sinus puncture; the aspirated specimen sent for Gram stain, quantitative culture and susceptibility testing prior to initiation of antimicrobial therapy Exclusion Criteria: Subjects with one or more of the following criteria will not be eligible for this study: History of chronic sinusitis defined as greater than four weeks of continuous symptoms (subjects with recurrent acute sinusitis will be included) History of sinus surgery (antral sinus puncture is not considered as a surgery) Any symptoms that suggest the subject's current illness is allergic rhinitis (e.g. repetitive sneezing, itchy nose or eyes, provocation by an allergen) and not acute bacterial sinusitis Known bacteremia, meningitis or infection infiltrating the tissues neighboring the sinuses
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Bayer Study Director
Organizational Affiliation
Bayer
Official's Role
Study Director
Facility Information:
City
Birmingham
State/Province
Alabama
ZIP/Postal Code
35209
Country
United States
City
Northport
State/Province
Alabama
ZIP/Postal Code
35476
Country
United States
City
Jonesboro
State/Province
Arkansas
ZIP/Postal Code
72401
Country
United States
City
Little Rock
State/Province
Arkansas
ZIP/Postal Code
72205
Country
United States
City
Fresno
State/Province
California
ZIP/Postal Code
93710
Country
United States
City
Fresno
State/Province
California
ZIP/Postal Code
93720
Country
United States
City
Garden Grove
State/Province
California
ZIP/Postal Code
92840
Country
United States
City
Orange
State/Province
California
ZIP/Postal Code
92868
Country
United States
City
Roseville
State/Province
California
ZIP/Postal Code
95678
Country
United States
City
San Diego
State/Province
California
ZIP/Postal Code
92106
Country
United States
City
San Luis Obispo
State/Province
California
ZIP/Postal Code
93405
Country
United States
City
Colorado Springs
State/Province
Colorado
ZIP/Postal Code
80909
Country
United States
City
Bridgeport
State/Province
Connecticut
ZIP/Postal Code
06606
Country
United States
City
Dunnellon
State/Province
Florida
ZIP/Postal Code
34432
Country
United States
City
Hialeah
State/Province
Florida
ZIP/Postal Code
33013
Country
United States
City
North Miami Beach
State/Province
Florida
ZIP/Postal Code
33179
Country
United States
City
Pembroke Pines
State/Province
Florida
ZIP/Postal Code
33024
Country
United States
City
Plantation
State/Province
Florida
ZIP/Postal Code
33324
Country
United States
City
Atlanta
State/Province
Georgia
ZIP/Postal Code
30310
Country
United States
City
Warner Robbins
State/Province
Georgia
ZIP/Postal Code
31093
Country
United States
City
Warner Robins
State/Province
Georgia
ZIP/Postal Code
31088
Country
United States
City
Louisville
State/Province
Kentucky
ZIP/Postal Code
40207
Country
United States
City
Detroit
State/Province
Michigan
ZIP/Postal Code
48202
Country
United States
City
Livonia
State/Province
Michigan
ZIP/Postal Code
48152
Country
United States
City
Portage
State/Province
Michigan
ZIP/Postal Code
49024
Country
United States
City
Butte
State/Province
Montana
ZIP/Postal Code
59701
Country
United States
City
Elizabeth
State/Province
New Jersey
ZIP/Postal Code
07202-3672
Country
United States
City
Lawrenceville
State/Province
New Jersey
ZIP/Postal Code
08698
Country
United States
City
Somerville
State/Province
New Jersey
ZIP/Postal Code
08876
Country
United States
City
Rochester
State/Province
New York
ZIP/Postal Code
14618
Country
United States
City
Charlotte
State/Province
North Carolina
ZIP/Postal Code
28210
Country
United States
City
Raleigh
State/Province
North Carolina
ZIP/Postal Code
27609
Country
United States
City
Cincinnati
State/Province
Ohio
ZIP/Postal Code
45241
Country
United States
City
Dayton
State/Province
Ohio
ZIP/Postal Code
45406
Country
United States
City
Eugene
State/Province
Oregon
ZIP/Postal Code
97404
Country
United States
City
Levittown
State/Province
Pennsylvania
ZIP/Postal Code
19056
Country
United States
City
Norristown
State/Province
Pennsylvania
ZIP/Postal Code
19401
Country
United States
City
Palmyra
State/Province
Pennsylvania
ZIP/Postal Code
17078
Country
United States
City
Clarksville
State/Province
Tennessee
ZIP/Postal Code
37043
Country
United States
City
Austin
State/Province
Texas
ZIP/Postal Code
78705
Country
United States
City
College Station
State/Province
Texas
ZIP/Postal Code
77845
Country
United States
City
El Paso
State/Province
Texas
ZIP/Postal Code
79904
Country
United States
City
Houston
State/Province
Texas
ZIP/Postal Code
77074
Country
United States
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78229
Country
United States
City
Salt Lake City
State/Province
Utah
ZIP/Postal Code
84109
Country
United States
City
Salt Lake City
State/Province
Utah
ZIP/Postal Code
84121
Country
United States
City
West Jordan
State/Province
Utah
ZIP/Postal Code
84084
Country
United States
City
West Jordan
State/Province
Utah
ZIP/Postal Code
84088
Country
United States
City
Tappahannock
State/Province
Virginia
ZIP/Postal Code
22560
Country
United States
City
Bellingham
State/Province
Washington
ZIP/Postal Code
98225
Country
United States
City
Greenfield
State/Province
Wisconsin
ZIP/Postal Code
53228
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
20422704
Citation
Hadley JA, Mosges R, Desrosiers M, Haverstock D, van Veenhuyzen D, Herman-Gnjidic Z. Moxifloxacin five-day therapy versus placebo in acute bacterial rhinosinusitis. Laryngoscope. 2010 May;120(5):1057-62. doi: 10.1002/lary.20878.
Results Reference
result

Learn more about this trial

BAY12-8039: 5 Days for Sinusitis vs Placebo

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