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Finafloxacin 300 mg Twice a Day (b.i.d.) Versus Ciprofloxacin 250 mg Twice a Day (b.i.d) in Patients With Lower Uncomplicated UTI (uUTI) (FLUT)

Primary Purpose

Urinary Tract Infections

Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
Finafloxacin
Ciprofloxacin
Sponsored by
MerLion Pharmaceuticals GmbH
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Urinary Tract Infections focused on measuring uncomplicated Urinary Tract Infection in Women, Antibacterial Chemotherapy, Proof-of-Concept

Eligibility Criteria

18 Years - 55 Years (Adult)FemaleDoes not accept healthy volunteers

Inclusion Criteria:

  1. Female patients between 18 and 55 years with uUTI.
  2. Two of the following sign and symptoms of uUTI: dysuria, frequency, urgency, miction pain, suprapubic pain, gross hematuria, turbid urine or malodorous urine.
  3. Able to supply a mid-stream, clean catch urine sample for microbiological analysis.
  4. The result of the dipstick should indicate a high probability of the required number of bacteria.
  5. Be able to communicate with the study personnel.
  6. Has given written consent to participate in the study.

Exclusion Criteria:

  1. Female patients having signs and symptoms of upper urinary tract infection (e.g. fever, flank pain) indicating complicated UTI.
  2. Male patients
  3. History or evidence of other functional or anatomical abnormalities of the urinary tract (e.g. acute pyelonephritis), diabetes mellitus and immunosuppression.
  4. Recurrent cystitis with more than 3 episodes in the past 12 months.
  5. Clinical symptoms for more than 7 days before Baseline.
  6. Psychiatric, neurological or behavior disorders.
  7. Clinically significant serious unstable physical illness.
  8. Known uncontrolled condition of hypertension or symptomatic hypotension, known ischemic heart disease or history of myocardial infarction (within 12 months prior study enrolment), coronary artery bypass surgery or percutaneous transluminal coronary angioplasty.
  9. Existence of any surgical or medical condition which might interfere with the distribution, metabolism or excretion of the drug, i.e. impaired renal or hepatic function, diabetes mellitus, chronic symptoms of pronounced constipation or diarrhea or conditions associated with total or partial obstruction of the urinary tract.
  10. Antibiotic intake 2 weeks before study enrolment.
  11. Failed UTI therapy within 2 months before study inclusion.
  12. Expectancy of concomitant administration of antibiotics, sucralfate or divalent and trivalent cations such as iron or antacids containing magnesium, aluminium or calcium intake during the course of the study.
  13. Clinically abnormal vital signs, ECG findings and safety laboratory results at Baseline.
  14. Known hypersensitivity or contraindication to the use of fluoroquinolones.
  15. History of tendon lesions or ruptures during quinolone treatment.
  16. Any malignant disease or a history of malignant neoplasm other than carcinoma in situ of the cervix or basal cell carcinoma of the skin, within the last 5 years before Baseline.
  17. Current diagnosis or history of substance abuse.
  18. Exposure to any of the investigational drugs 30 days prior to Baseline.
  19. Pregnant or nursing woman, or woman of childbearing potential who is not using an effective contraceptive method during the study, e.g. oral (stable doses for at least 3 months prior to Baseline) or injectable (stable doses for at least 2 months prior to Baseline) contraceptives, intrauterine devices (for at least 2 months prior Baseline), double-barrier method, contraceptive patch, female sterilization or condoms.
  20. The patient, planned to be enrolled is an employee of any involved study investigator or any involved institution including the study sponsor.
  21. Inability or lacking motivation to participate in the study.

Sites / Locations

  • Medical practice, Dr. J. Hein (Principal Study Investigator)
  • National University Hospital

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

1

2

Arm Description

Group I: Finafloxacin tablets + Ciprofloxacin placebo capsule

Group II: Ciprofloxacin capsule + Finafloxacin placebo tablets

Outcomes

Primary Outcome Measures

Bacteriological eradication of the initial pathogen.

Secondary Outcome Measures

Clinical cure: Absence of signs or symptoms of uUTI.

Full Information

First Posted
July 25, 2008
Last Updated
June 10, 2009
Sponsor
MerLion Pharmaceuticals GmbH
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1. Study Identification

Unique Protocol Identification Number
NCT00722735
Brief Title
Finafloxacin 300 mg Twice a Day (b.i.d.) Versus Ciprofloxacin 250 mg Twice a Day (b.i.d) in Patients With Lower Uncomplicated UTI (uUTI)
Acronym
FLUT
Official Title
A Double-Blind, Double-Dummy, Prospective, Randomized Multiple-Site Study of Oral Finafloxacin 300 mg b.i.d. Versus Oral Ciprofloxacin 250 mg b.i.d. in Patients With Lower Uncomplicated UTI (uUTI) With a Treatment Duration of 3 Days
Study Type
Interventional

2. Study Status

Record Verification Date
October 2008
Overall Recruitment Status
Completed
Study Start Date
October 2008 (undefined)
Primary Completion Date
April 2009 (Actual)
Study Completion Date
April 2009 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
MerLion Pharmaceuticals GmbH

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
To compare the bacteriological eradication rates of Finafloxacin and Ciprofloxacin in female patients with uUTI.
Detailed Description
Patients with clinical signs and symptoms of uUTI who have a high probability of the required number of bacteria in their urine, measured by positive test for nitrite and /or leucocyte esterase by means of a dipstick will be enrolled in this study. Only these patients with bacterial count equal or more than 10e5 cfu/mL will be included in the efficacy analysis. At Baseline, patients will be randomly assigned (2:1) to receive Finafloxacin 300 mg or Ciprofloxacin 250 mg, following a double-dummy design, ie Group 1 will receive Finafloxacin tablets + Ciprofloxacin placebo capsule while Group II will receive Ciprofloxacin capsule + Finafloxacin placebo tablets. The treatment will last in total 3 days. The microbiological results will be compared with the baseline microbiology. If the concentration of initial pathogen in the urine is equal or more than 10e3 cfu/mL in the post-therapy culture compared with the baseline , this will define a bacteriological eradication. Microbiological assessment will be performed as well. Evaluation of the bacteria reinfection or relapse will be performed, based on the microbiology results. The status of clinical improvement and cure will be considered additionally.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Urinary Tract Infections
Keywords
uncomplicated Urinary Tract Infection in Women, Antibacterial Chemotherapy, Proof-of-Concept

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
36 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
1
Arm Type
Experimental
Arm Description
Group I: Finafloxacin tablets + Ciprofloxacin placebo capsule
Arm Title
2
Arm Type
Active Comparator
Arm Description
Group II: Ciprofloxacin capsule + Finafloxacin placebo tablets
Intervention Type
Drug
Intervention Name(s)
Finafloxacin
Intervention Description
Finafloxacin tablets, 300 mg b.i.d., oral administration; Ciprofloxacin placebo capsule, 1 capsule b.i.d.,oral administration; duration: 3 days
Intervention Type
Drug
Intervention Name(s)
Ciprofloxacin
Intervention Description
Finafloxacin placebo, 6 tablets b.i.d., oral administration; Ciprofloxacin capsule, 250 mg b.i.d., oral administration; duration: 3 days
Primary Outcome Measure Information:
Title
Bacteriological eradication of the initial pathogen.
Time Frame
4-6 days
Secondary Outcome Measure Information:
Title
Clinical cure: Absence of signs or symptoms of uUTI.
Time Frame
10-14 days

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
55 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Female patients between 18 and 55 years with uUTI. Two of the following sign and symptoms of uUTI: dysuria, frequency, urgency, miction pain, suprapubic pain, gross hematuria, turbid urine or malodorous urine. Able to supply a mid-stream, clean catch urine sample for microbiological analysis. The result of the dipstick should indicate a high probability of the required number of bacteria. Be able to communicate with the study personnel. Has given written consent to participate in the study. Exclusion Criteria: Female patients having signs and symptoms of upper urinary tract infection (e.g. fever, flank pain) indicating complicated UTI. Male patients History or evidence of other functional or anatomical abnormalities of the urinary tract (e.g. acute pyelonephritis), diabetes mellitus and immunosuppression. Recurrent cystitis with more than 3 episodes in the past 12 months. Clinical symptoms for more than 7 days before Baseline. Psychiatric, neurological or behavior disorders. Clinically significant serious unstable physical illness. Known uncontrolled condition of hypertension or symptomatic hypotension, known ischemic heart disease or history of myocardial infarction (within 12 months prior study enrolment), coronary artery bypass surgery or percutaneous transluminal coronary angioplasty. Existence of any surgical or medical condition which might interfere with the distribution, metabolism or excretion of the drug, i.e. impaired renal or hepatic function, diabetes mellitus, chronic symptoms of pronounced constipation or diarrhea or conditions associated with total or partial obstruction of the urinary tract. Antibiotic intake 2 weeks before study enrolment. Failed UTI therapy within 2 months before study inclusion. Expectancy of concomitant administration of antibiotics, sucralfate or divalent and trivalent cations such as iron or antacids containing magnesium, aluminium or calcium intake during the course of the study. Clinically abnormal vital signs, ECG findings and safety laboratory results at Baseline. Known hypersensitivity or contraindication to the use of fluoroquinolones. History of tendon lesions or ruptures during quinolone treatment. Any malignant disease or a history of malignant neoplasm other than carcinoma in situ of the cervix or basal cell carcinoma of the skin, within the last 5 years before Baseline. Current diagnosis or history of substance abuse. Exposure to any of the investigational drugs 30 days prior to Baseline. Pregnant or nursing woman, or woman of childbearing potential who is not using an effective contraceptive method during the study, e.g. oral (stable doses for at least 3 months prior to Baseline) or injectable (stable doses for at least 2 months prior to Baseline) contraceptives, intrauterine devices (for at least 2 months prior Baseline), double-barrier method, contraceptive patch, female sterilization or condoms. The patient, planned to be enrolled is an employee of any involved study investigator or any involved institution including the study sponsor. Inability or lacking motivation to participate in the study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jasper Hein, MD
Official's Role
Principal Investigator
Facility Information:
Facility Name
Medical practice, Dr. J. Hein (Principal Study Investigator)
City
Marburg
ZIP/Postal Code
35037
Country
Germany
Facility Name
National University Hospital
City
Singapore
ZIP/Postal Code
119074
Country
Singapore

12. IPD Sharing Statement

Citations:
PubMed Identifier
29339393
Citation
Vente A, Bentley C, Luckermann M, Tambyah P, Dalhoff A. Early Clinical Assessment of the Antimicrobial Activity of Finafloxacin Compared to Ciprofloxacin in Subsets of Microbiologically Characterized Isolates. Antimicrob Agents Chemother. 2018 Mar 27;62(4):e02325-17. doi: 10.1128/AAC.02325-17. Print 2018 Apr.
Results Reference
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Finafloxacin 300 mg Twice a Day (b.i.d.) Versus Ciprofloxacin 250 mg Twice a Day (b.i.d) in Patients With Lower Uncomplicated UTI (uUTI)

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