Moxifloxacin in Pediatric Subjects With Complicated Intra-abdominal Infection (MOXIPEDIA)

This study is ongoing, but not recruiting participants.
Sponsor:
Information provided by (Responsible Party):
Bayer
ClinicalTrials.gov Identifier:
NCT01069900
First received: February 15, 2010
Last updated: July 29, 2014
Last verified: July 2014
  Purpose

The primary focus of the study is the evaluation of the safety of treatment with moxifloxacin in a pediatric population 3 months to <18 years old. Approximately 450 pediatric subjects with a complicated intra-abdominal infection will be enrolled in the study and treated with either moxifloxacin intravenously and orally if switched to oral therapy or ertapenem (intravenously) and, if switched to oral therapy, amoxicillin/clavulanate.


Condition Intervention Phase
Intraabdominal Infections
Drug: Moxifloxacin (Avelox, BAY12-8039)
Drug: Ertapenem, Amoxicillin/clavulanate
Phase 3

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Parallel Assignment
Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor)
Primary Purpose: Treatment
Official Title: A Randomized, Double-blind, Multicenter Trial to Evaluate the Safety and Efficacy of Sequential (Intravenous, Oral) Moxifloxacin Versus Comparator in Pediatric Subjects With Complicated Intra-abdominal Infection

Resource links provided by NLM:


Further study details as provided by Bayer:

Primary Outcome Measures:
  • Primary objective of the trial is to evaluate the safety of treatment with moxifloxacin with a special focus on cardiac and musculoskeletal events. [ Time Frame: Treatment day 5-14 (end of treatment), day 28-42 after EOT (test-of-cure), 3 and 12 months FU ] [ Designated as safety issue: Yes ]

Secondary Outcome Measures:
  • Evaluation of musculoskeletal adverse events [ Time Frame: Treatment day 5-14 (end of treatment), day 28-42 after EOT (test-of-cure), 3 and 12 months FU ] [ Designated as safety issue: Yes ]
  • Evaluation of electrocardiogram profiles obtained on Day 1 and Day 3 pre-treatment and post-treatment [ Time Frame: Treatment day 3 and 5 ] [ Designated as safety issue: Yes ]
  • Evaluation of clinical response at the Test-of-cure visit among subjects with a bacteriologically confirmed complicated intra-abdominal infection [ Time Frame: 28-42 days after end of treatment (test-of-cure) ] [ Designated as safety issue: No ]
  • Evaluation of clinical and bacteriological response to treatment at a "during therapy" visit (Day 3-5) [ Time Frame: Treatment day 3 or 4 or 5 ] [ Designated as safety issue: No ]
  • Evaluation of clinical and bacteriological response to treatment at the End of Treatment visit [ Time Frame: Treatment day 5-14 (end of treatment) ] [ Designated as safety issue: No ]
  • Evaluation of clinical and bacteriological response to treatment at the Test-of-cure visit [ Time Frame: 28-42 days after end of treatment (test-of-cure) ] [ Designated as safety issue: No ]

Enrollment: 459
Study Start Date: July 2010
Estimated Study Completion Date: April 2015
Estimated Primary Completion Date: April 2015 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Arm 1

2 - 5 years: moxifloxacin IV 5 mg/kg q12h not to exceed a total of 400 mg per day for a min. of 3 days; if switched to PO: moxifloxacin PO 5 mg/kg q12h provided as 50 mg tablet(s). Subjects weighing < 20 kg or being unable to swallow tablets cannot be switched to oral treatment and will continue IV treatment (5 mg/kg q12h) for the entire treatment duration.

3 months to < 2 years: moxifloxacin IV 6 mg/kg q 12h not to exceed a total of 400 mg per day for a min. of 3 days; Subjects in this age group cannot be switched to oral treatment and will continue IV treatment for the entire treatment duration.

Total treatment duration all age groups 5-14 days Dosage regimen for other age groups see intervention description

Drug: Moxifloxacin (Avelox, BAY12-8039)
12-17 years, >= 45 kg body weight: moxifloxacin IV 400 mg OD for a min. of 3 days; if switched to PO: moxifloxacin PO 400 mg OD 12-17 years, < 45 kg body weight: moxifloxacin IV 4 mg/kg q12h not to exceed a total of 400 mg per day for a min. of 3 days; if switched to PO: moxifloxacin PO 4 mg/kg q12h provided as 50 mg tablet(s) 6 - 11 years: moxifloxacin IV 4 mg/kg q12h not to exceed a total of 400 mg per day for a min. of 3 days; if switched to PO: moxifloxacin PO 4 mg/kg q12h provided as 50 mg tablet(s)
Active Comparator: Arm 2 Drug: Ertapenem, Amoxicillin/clavulanate
Ertapenem IV 1 g OD for a minimum of 3 days (age 13 to less than 18 years) or IV 15 mg/kg body weight q12h not to exceed 1 g daily (age less than 13 years) If switched to PO: Amoxicillin/clavulanate PO 45 mg amoxicillin/kg body weight q12h not to exceed 875 mg amoxicillin q12h (total treatment duration 5-14 days)

  Eligibility

Ages Eligible for Study:   3 Months to 17 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Hospitalized males or females 3 months to 17 years of age
  • Able to obtain parental or legal guardian written informed consent and assent from subjects as applicable by local laws and regulations
  • Expected duration of treatment with antibiotics is a minimum of 3 days administered IV, for a total of 5 to 14 days administered IV or IV followed by PO
  • If the subject is a female of child-bearing potential she must have a negative pregnancy test at the screening visit or be capable of practicing an adequate method of contraception, and agree to continue the same method for 1 month following the TOC visit. Lactating subjects are not to be included.
  • Subjects may be enrolled upon a surgically (laparotomy, laparoscopy, or percutaneous drainage) confirmed cIAI revealing at least one of the following:

    • Gross peritoneal inflammation with purulent exudate within the abdominal cavity
    • Intra-abdominal abscess
    • Macroscopic intestinal perforation with diffuse peritonitis OR
  • Subjects may be enrolled on the basis of a suspected cIAI, which must be supported with radiological evidence (ultrasound, abdominal plain films, computed tomography [CT], magnetic resonance imaging [MRI]) of gastrointestinal perforation or localized collections of potentially infected material and at least one of the following:

    • Symptoms referable to the abdominal cavity (eg, anorexia, nausea, vomiting or pain)
    • Tenderness (with or without rebound), involuntary guarding, absent or diminished bowel sounds, or abdominal wall rigidity
    • Fever
    • Leukocytosis
  • The subject must be scheduled for a surgical procedure (laparotomy or laparoscopy) or percutaneous drainage.

Exclusion Criteria:

  • Presumed spontaneous bacterial peritonitis
  • All pancreatic processes including pancreatic sepsis, peripancreatic sepsis, or an cIAI secondary to pancreatitis
  • Early acute or suppurative (nonperforated) appendicitis unless there is evidence of an abscess or peritoneal fluid containing pus and micro-organisms suggestive of regional contamination
  • Infections originating from the female genital tract
  • Known severe immunosuppression. Subjects with known mild immunosuppression (eg, Type I or II diabetes mellitus, trauma, or absolute neutrophil count [ANC] between 1000 and 1500 cells/mm3) may be enrolled.
  • Congenital or documented acquired QT prolongation
  • Receiving concomitant treatment with QT prolonging drugs
  • History of tendon disease/disorder related to quinolone treatment
  • Pathogenic organisms suspected or identified (eg, Pseudomonas) which are resistant to any of the study drugs
  • Abnormal musculoskeletal findings at baseline assessment; or chronic musculoskeletal disease (eg, juvenile rheumatoid arthritis); or chronic illness with high risk for chronic or recurrent arthritis or tendinitis (eg, cystic fibrosis, chronic inflammatory bowel disease)
  • History of myasthenia gravis
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01069900

  Show 100 Study Locations
Sponsors and Collaborators
Bayer
Investigators
Study Director: Bayer Study Director Bayer
  More Information

Additional Information:
No publications provided

Responsible Party: Bayer
ClinicalTrials.gov Identifier: NCT01069900     History of Changes
Other Study ID Numbers: 11643, 2009-015578-37, 1962 (Avelox pediatrics)
Study First Received: February 15, 2010
Last Updated: July 29, 2014
Health Authority: Argentina: Administracion Nacional de Medicamentos, Alimentos y Tecnologia Medica
Bulgaria: Bulgarian Drug Agency
Canada: Health Canada
Chile: Instituto de Salud Pública de Chile
Czech Republic: State Institute for Drug Control
Germany: Federal Institute for Drugs and Medical Devices
Greece: National Organization of Medicines
Hungary: National Institute of Pharmacy
Latvia: State Agency of Medicines
Lithuania: State Medicine Control Agency - Ministry of Health
Mexico: Federal Commission for Protection Against Health Risks
Peru: General Directorate of Pharmaceuticals, Devices, and Drugs
Romania: National Medicines Agency
Russia: FSI Scientific Center of Expertise of Medical Application
Ukraine: State Pharmacological Center - Ministry of Health
United States: Food and Drug Administration

Keywords provided by Bayer:
Intra-abdominal infection
Pediatric infection

Additional relevant MeSH terms:
Intraabdominal Infections
Infection
Amoxicillin
Amoxicillin-Potassium Clavulanate Combination
Clavulanic Acids
Clavulanic Acid
Moxifloxacin
Ertapenem
Norgestimate, ethinyl estradiol drug combination
Anti-Bacterial Agents
Anti-Infective Agents
Therapeutic Uses
Pharmacologic Actions
Enzyme Inhibitors
Molecular Mechanisms of Pharmacological Action
Topoisomerase II Inhibitors
Topoisomerase Inhibitors
Antineoplastic Agents
Contraceptives, Oral, Combined
Contraceptives, Oral
Contraceptive Agents, Female
Contraceptive Agents
Reproductive Control Agents
Physiological Effects of Drugs

ClinicalTrials.gov processed this record on August 28, 2014