The Optimization of Mycoplasm Pneumonia Antibiotic Therapy
Primary Purpose
Mycoplasma Pneumonia
Status
Completed
Phase
Not Applicable
Locations
China
Study Type
Interventional
Intervention
Moxifloxacin
Cephalosporins and azithromycin
Sponsored by
About this trial
This is an interventional treatment trial for Mycoplasma Pneumonia focused on measuring macrolide- resistant Mycoplasma pneumoniae,, Mycoplasm pneumonia antibiotic therapy
Eligibility Criteria
Inclusion Criteria:
- Confirmed community acquired pneumonia
- 60ys≥age≥18 ys
- Respiratory symptom (cough accompanied by little or no sputum)
- New infiltration showed by chest radiology(x-ray or CT)
- Lung signs was not obvious
- White blood cell<10,000/mm3
- Without underlying diseases or mild
Exclusion Criteria:
- Age<18ys or >60ys
- Pregnancy or breast-feeding
- Over one week after the onset of symptoms
- HIV infection
- Recent 90-day hospitalized history(length of stay greater than 2 days)
- Live in nursing homes or rehabilitation hospitals
- Taken macrolides or quinolones medicines before enrollment
Sites / Locations
- Capital Medical University affiliated Beijing Chaoyang Hospital, Beijing Respiratory Medicine Insititute
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Experimental
Arm Label
Moxifloxacin
Cephalosporins and azithromycin
Arm Description
Outcomes
Primary Outcome Measures
Time to resolution of fever (defined as the period from start of study-drug to relief of fever)
usually duration of fever is about one to two weeks
Time to resolution of fever (defined as the period from onset to relief of fever)
usually duration of fever is about one to two weeks
Secondary Outcome Measures
Time to resolution of respiratory symptoms(defined as the period from start of study-drug to relief of symptoms)
Time to resolution of respiratory symptoms(defined as the period from onset to relief of symptoms)
Proportion of antibiotics change
Duration of antibiotics
Proportion of resolution of fever after antibiotics therapy for 24 hours
Proportion of resolution of fever after antibiotics therapy for 72 hours
Antibiotic-related adverse reaction
Full Information
NCT ID
NCT01259141
First Posted
December 13, 2010
Last Updated
July 25, 2015
Sponsor
Capital Medical University
1. Study Identification
Unique Protocol Identification Number
NCT01259141
Brief Title
The Optimization of Mycoplasm Pneumonia Antibiotic Therapy
Official Title
The Optimization of Mycoplasm Pneumonia Antibiotic Therapy: Multi-centre, Prospective, Randomized Controlled Study
Study Type
Interventional
2. Study Status
Record Verification Date
July 2015
Overall Recruitment Status
Completed
Study Start Date
October 2010 (undefined)
Primary Completion Date
December 2014 (Actual)
Study Completion Date
December 2014 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Capital Medical University
4. Oversight
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
Mycoplasma pneumoniae, an important pathogen of community acquired pneumonia,are becoming more and more resistant to macrolide. The study aim is to optimize anti-infection therapy.
Detailed Description
Mycoplasma pneumoniae was one of important atypical pathogens of community acquired pneumonia. As lack of cell wall, β-lactam medicines were invalid, however, macrolides, tetracyclines and quinolones were effective. But from 2001, many countries reported macrolide- resistant Mycoplasma pneumoniae. Typically, erythromycin was first-line antibiotic medicine. With the resistance increasing, Mycoplasm pneumonia treatment will become more and more difficult. Thus, optimization of Mycoplasm pneumonia antibiotic therapy is very important.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Mycoplasma Pneumonia
Keywords
macrolide- resistant Mycoplasma pneumoniae,, Mycoplasm pneumonia antibiotic therapy
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
208 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Moxifloxacin
Arm Type
Experimental
Arm Title
Cephalosporins and azithromycin
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
Moxifloxacin
Intervention Description
0.4 Qd for 7days
Intervention Type
Drug
Intervention Name(s)
Cephalosporins and azithromycin
Intervention Description
cefuroxime 1.5 bid for 7 days plus azithromycin 0.5 qd for 7 days
Primary Outcome Measure Information:
Title
Time to resolution of fever (defined as the period from start of study-drug to relief of fever)
Description
usually duration of fever is about one to two weeks
Time Frame
one month
Title
Time to resolution of fever (defined as the period from onset to relief of fever)
Description
usually duration of fever is about one to two weeks
Time Frame
one month
Secondary Outcome Measure Information:
Title
Time to resolution of respiratory symptoms(defined as the period from start of study-drug to relief of symptoms)
Time Frame
one year
Title
Time to resolution of respiratory symptoms(defined as the period from onset to relief of symptoms)
Time Frame
one year
Title
Proportion of antibiotics change
Time Frame
one year
Title
Duration of antibiotics
Time Frame
one year
Title
Proportion of resolution of fever after antibiotics therapy for 24 hours
Time Frame
one year
Title
Proportion of resolution of fever after antibiotics therapy for 72 hours
Time Frame
one year
Title
Antibiotic-related adverse reaction
Time Frame
one year
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Confirmed community acquired pneumonia
60ys≥age≥18 ys
Respiratory symptom (cough accompanied by little or no sputum)
New infiltration showed by chest radiology(x-ray or CT)
Lung signs was not obvious
White blood cell<10,000/mm3
Without underlying diseases or mild
Exclusion Criteria:
Age<18ys or >60ys
Pregnancy or breast-feeding
Over one week after the onset of symptoms
HIV infection
Recent 90-day hospitalized history(length of stay greater than 2 days)
Live in nursing homes or rehabilitation hospitals
Taken macrolides or quinolones medicines before enrollment
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Bin Cao, Doctor
Organizational Affiliation
Capital Medical University affiliated Beijing Chaoyang Hospital, Beijing Respiratory Medicine Insititute
Official's Role
Study Chair
Facility Information:
Facility Name
Capital Medical University affiliated Beijing Chaoyang Hospital, Beijing Respiratory Medicine Insititute
City
Beijing
State/Province
Beijing
ZIP/Postal Code
100020
Country
China
12. IPD Sharing Statement
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The Optimization of Mycoplasm Pneumonia Antibiotic Therapy
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