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A Multicenter, Randomized, Double-Blind, Double-Dummy Trial of Azithromycin SR Compared With Clarithromycin Extended Release for the Treatment of Pneumonia in Adult Patients

Phase 3
Completed
Conditions
Pneumonia
Interventions
Registration Number
NCT00643227
Lead Sponsor
Pfizer
Brief Summary

The study was performed to confirm that a single, 2.0 g oral dose of azithromycin sustained release (SR) at least as effective as 7 days of clarithromycin extended release (ER), 1.0 g by mouth once daily, when used to treat adults with mild to moderate community acquired pneumonia (CAP), and that both treatments were safe.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
504
Inclusion Criteria

Outpatients with a diagnosis of pneumonia, as demonstrated by a productive cough and at least 2 of the following signs and symptoms: rales and/or evidence of pulmonary consolidation; dyspnea or tachypnea; elevated body temperature; or elevated total peripheral white blood cell count (WBC >10,000/mm3) or greater than 15% immature neutrophils were included. Patients were to have a chest radiograph demonstrating evidence of a new infiltrate or consolidation, and a Modified Fine Risk score of ≤ 70 (Fine Class I and II).

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Exclusion Criteria

Patients who were treated with any systemic antibiotic of greater than 1 dose or 1 combination dose (such as cephalosporin and macrolide) within the previous 7 days, or the likelihood of receiving other systemic antibiotics during participation in the study; were hospitalized in the previous 14 days or had an infection acquired in the hospital, and who were residents of a long-term care facility were excluded.

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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
1clarithromycin extended release (ER)-
2azithromycin SR-
Primary Outcome Measures
NameTimeMethod
sponsor assessment of clinical response (clinical cure rate) in the Clinical Per Protocol populationTest of Cure (TOC) visit (Day 14-21)
Secondary Outcome Measures
NameTimeMethod
bacteriologic response (eradication rate) in the Bacteriological Per Protocol populationTOC visit
investigator assessment of clinical response in the Clinical Per Protocol populationTOC visit
sponsor assessment of clinical response by baseline pathogenEnd of Treatment (EOT) visit (Day 8-11) and TOC visit
sponsor assessment of clinical response in the non-primary populationEOT visit and TOC visit
sponsor assessment of clinical responses in the Clinical Per Protocol populationEOT visit and Long-Term Follow-Up (LTFU) visit (Day 28-35)
susceptibilities of baseline pathogensStudy endpoint
adverse eventsContinuous
vital signsBaseline, On-Treatment (OT) visit (Day 3-5), and TOC visit
physical examinationBaseline
clinical laboratory assessments (blood chemistry and hematology)Baseline and TOC visit

Trial Locations

Locations (1)

Pfizer Investigational Site

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