The Optimization of Mycoplasm Pneumonia Antibiotic Therapy
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Purpose
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.
| Condition | Intervention |
|---|---|
|
Mycoplasma Pneumonia |
Drug: Moxifloxacin Drug: Cephalosporins and azithromycin |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | The Optimization of Mycoplasm Pneumonia Antibiotic Therapy: Multi-centre, Prospective, Randomized Controlled Study |
- Time to resolution of fever (defined as the period from start of study-drug to relief of fever) [ Time Frame: one year ] [ Designated as safety issue: No ]
- Time to resolution of fever (defined as the period from onset to relief of fever) [ Time Frame: one year ] [ Designated as safety issue: No ]
- Time to resolution of respiratory symptoms(defined as the period from start of study-drug to relief of symptoms) [ Time Frame: one year ] [ Designated as safety issue: No ]
- Time to resolution of respiratory symptoms(defined as the period from onset to relief of symptoms) [ Time Frame: one year ] [ Designated as safety issue: No ]
- Proportion of antibiotics change [ Time Frame: one year ] [ Designated as safety issue: No ]
- Duration of antibiotics [ Time Frame: one year ] [ Designated as safety issue: No ]
- Proportion of resolution of fever after antibiotics therapy for 24 hours [ Time Frame: one year ] [ Designated as safety issue: No ]
- Proportion of resolution of fever after antibiotics therapy for 72 hours [ Time Frame: one year ] [ Designated as safety issue: No ]
- Antibiotic-related adverse reaction [ Time Frame: one year ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 208 |
| Study Start Date: | October 2010 |
| Estimated Study Completion Date: | December 2011 |
| Estimated Primary Completion Date: | December 2011 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: Moxifloxacin |
Drug: Moxifloxacin
0.4 Qd for 7days
|
| Experimental: Cephalosporins and azithromycin |
Drug: Cephalosporins and azithromycin
cefuroxime 1.5 bid for 7 days plus azithromycin 0.5 qd for 7 days
|
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.
Eligibility| Ages Eligible for Study: | 18 Years to 60 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
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
Contacts and Locations| Contact: Bin Cao, Doctor | 86-010-85231167 | caobin1999@gmail.com |
| Contact: Li Gu, Doctor | 86-010-85231514 | guliangel@yahoo.com.cn |
| China, Beijing | |
| Capital Medical University affiliated Beijing Chaoyang Hospital, Beijing Respiratory Medicine Insititute | Recruiting |
| Beijing, Beijing, China, 100020 | |
| Contact: Bin Cao, Doctor 86-010-85231167 caobin1999@yahoo.com.cn | |
| Study Chair: | Bin Cao, Doctor | Capital Medical University affiliated Beijing Chaoyang Hospital, Beijing Respiratory Medicine Insititute |
More Information
No publications provided
| Responsible Party: | Chen Wang, Capital Medical University Affiliated Beijing Chaoyang Hospital |
| ClinicalTrials.gov Identifier: | NCT01259141 History of Changes |
| Other Study ID Numbers: | MP201011 |
| Study First Received: | December 13, 2010 |
| Last Updated: | December 13, 2010 |
| Health Authority: | China: Beijing Municipal Science and Technology Commission |
Keywords provided by Capital Medical University:
|
macrolide- resistant Mycoplasma pneumoniae, Mycoplasm pneumonia antibiotic therapy |
Additional relevant MeSH terms:
|
Pleurisy Pleuropneumonia Mycoplasma Infections Pneumonia, Mycoplasma Pneumonia Lung Diseases Respiratory Tract Diseases Pleural Diseases Respiratory Tract Infections Mycoplasmatales Infections Gram-Negative Bacterial Infections Bacterial Infections Pneumonia, Bacterial Anti-Bacterial Agents |
Azithromycin Cephalosporins Moxifloxacin Norgestimate, ethinyl estradiol drug combination Anti-Infective Agents Therapeutic Uses Pharmacologic Actions Contraceptives, Oral, Combined Contraceptives, Oral Contraceptive Agents, Female Contraceptive Agents Reproductive Control Agents Physiological Effects of Drugs |
ClinicalTrials.gov processed this record on May 22, 2013