Efficacy and Safety of Cefditoren Pivoxil Versus Ciprofloxacin in Acute Uncomplicated Cystitis

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00598403
Recruitment Status : Completed
First Posted : January 21, 2008
Last Update Posted : June 29, 2010
Information provided by:
Tedec-Meiji Farma, S.A.

Brief Summary:
The main objective of the study is to comparatively assess the efficacy and tolerability of the drugs under study in the treatment of acute uncomplicated cystitis.

Condition or disease Intervention/treatment Phase
Urinary Tract Infections Drug: cefditoren pivoxil Drug: Ciprofloxacin Phase 3

Detailed Description:
Urinary tract infections (UTI) are one of the most frequent reasons of surgery visits in Primary Care. More than 95 percent of UTIs are monomicrobial, although the microorganisms implied are varied, and the range of effective drugs could be extensive. The species most frequently isolated is Escherichia coli, with prevalence ranking between 85 and 90 percent of documented cases. E. coli has developed resistance to different antibiotics. Cefditoren is situated as a good candidate for the treatment of uncomplicated UTIs due to its spectrum of activity against E. coli. The study has been designed in accordance with the guidelines and recommendations in force to assess the efficacy of cefditoren pivoxil against ciprofloxacin, a drug which despite the increasing rate of resistance in some countries, continues to be a drug of choice for the treatment of uncomplicated UTIs.

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 611 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double (Participant, Investigator)
Primary Purpose: Treatment
Official Title: Multicentre, Prospective, Comparative, Randomized, Double-blind, Double-dummy Study to Assess the Efficacy and Safety of Cefditoren Pivoxil vs. Ciprofloxacin in Uncomplicated Acute Cystitis
Study Start Date : November 2007
Actual Primary Completion Date : December 2009
Actual Study Completion Date : June 2010

Resource links provided by the National Library of Medicine

Arm Intervention/treatment
Experimental: 1
Cefditoren pivoxil
Drug: cefditoren pivoxil
400 mg, oral, single dose during 3 days
Other Name: Meiact, Spectracef, Telo

Active Comparator: 2
Drug: Ciprofloxacin
250 mg, oral, twice a day for 3 days
Other Name: Ciprofloxacino Mabo

Primary Outcome Measures :
  1. Microbiological efficacy [ Time Frame: 5-9 days post-therapy ]

Secondary Outcome Measures :
  1. Clinical efficacy [ Time Frame: 5-9 days post-therapy ]

Information from the National Library of Medicine

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, Learn About Clinical Studies.

Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   Female
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Non-pregnant adult females (>= 18)
  • Clinical signs and symptoms of uncomplicated acute cystitis (dysuria, urgency, frequency, suprapubic pain) with symptoms starting <=72 hours prior the study entry
  • Positive pre-treatment clean-catch midstream urine culture (>= 103 CFU/ml) and pyuria (10 leukocytes/mm3 or more than 5 leukocytes/field 40x magnification) within the 48 hours prior to inclusion in the study
  • In vitro susceptibility testing of the isolated uropathogen to the drugs under study
  • Written informed consent

Exclusion Criteria:

  • Males
  • Woman who are pregnant, nursing or not using a medically accepted, effective method of birth control
  • Three or more episodes of uncomplicated acute infections of the urinary tract during the past 12 months
  • Symptoms starting >4 days prior to admission
  • Body temperature >= 38.3ºC, back pain, chills or other manifestations suggestive of upper urinary infection
  • Evidence of structural or functional alterations of the urinary tract, such as calculi, stenosis, primary renal disease (eg. polycystic renal disease) or neurogenic bladder
  • Underlying disease predisposing to complicated urinary tract infections such as diabetes mellitus, immunosuppression, leucopenia, heart insufficiency, liver impairment and neoplastic processes

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT00598403

General Hospital of Chest Disease of Athens
Athens, Greece
General Hospital of Thessaloniki
Thessaloniki, Greece
CS Rincón de Loix
Benidorm, Alicante, Spain, 03500
CAP Cornella
Cornella de Llobregat, Barcelona, Spain, 08940
CAP 17 setembre
El Prat de Llobregat, Barcelona, Spain, 08820
CAP Bartomeu Fabres Anglada
Gava, Barcelona, Spain, 08850
CAP Amadeu Torner
Hospitalet de Llobregat, Barcelona, Spain, 08902
CAP Florida Nord
Hospitalet de Llobregat, Barcelona, Spain, 08905
CAP Dr. Vicens Papaceit
La Roca del Valles, Barcelona, Spain, 08430
CAP Les Bases-Manresa 3
Manresa, Barcelona, Spain, 08243
CAP La Riera
Mataro, Barcelona, Spain, 08302
CAP El Maresme
Mataro, Barcelona, Spain, 08303
CAP Navas-Balsareny
Navas, Barcelona, Spain, 08670
CAP Remei
Vic, Barcelona, Spain, 08500
CS San Telmo
Jerez de la frontera, Cadiz, Spain, 11408
CS Cabra
Cabra, Cordoba, Spain, 14940
CS Lucena
Lucena, Cordoba, Spain, 14900
CS Rute
Rute, Cordoba, Spain, 14960
CS Billabona
Billabona, Guipuzcoa, Spain, 20150
CS Legazpi
Legazpi, Guipuzcoa, Spain, 20230
CS Monzón Urbano
Monzon, Huesca, Spain, 22400
CS Basurto
Bilbao, Vizcaya, Spain, 48013
CS Cabo Huertas
Alicante, Spain, 03540
CAP El Clot
Barcelona, Spain, 08018
Fundacion Puigvert
Barcelona, Spain, 08025
CS Sagasta Ruiseñores
Zaragoza, Spain, 50006
CS Torrero La Paz
Zaragoza, Spain, 50007
CS Torre Ramona
Zaragoza, Spain, 50013
CS Arrabal
Zaragoza, Spain, 50015
CS Bombarda
Zaragoza, Spain, 50017
Sponsors and Collaborators
Tedec-Meiji Farma, S.A.
Principal Investigator: Jose L Ballve
Principal Investigator: Josep R Toll
Principal Investigator: Rosa Viñas
Principal Investigator: Rosaura Figueras
Principal Investigator: Joan Palou
Principal Investigator: Gabriel Martín
Principal Investigator: Ramon Pons
Principal Investigator: Manel Terns
Principal Investigator: Josep L Fernandez
Principal Investigator: Pere Toran
Principal Investigator: Pilar Montero
Principal Investigator: Bingen Uriondo
Principal Investigator: Pablo Daza
Principal Investigator: Jesus Zorita
Principal Investigator: Ander Larrazabal
Principal Investigator: Natividad Gonzalez
Principal Investigator: Jose F Magdalena
Principal Investigator: Fernando Martin
Principal Investigator: Jose Porta
Principal Investigator: Mª Rosa Magallon
Principal Investigator: Mª Sol Reixa
Principal Investigator: Jesus Torrecilla
Principal Investigator: Isabel Blasco
Principal Investigator: Antonio Hidalgo
Principal Investigator: Alicia Alvarez
Principal Investigator: Gabriel Romera
Principal Investigator: Estrella Castro
Principal Investigator: Manuel M Ortega
Principal Investigator: Salvador Pertusa
Principal Investigator: Manuel Ramirez
Principal Investigator: Aggelos Pefanis
Principal Investigator: Chatzimouratidis
Principal Investigator: Jose V Vaquer
Principal Investigator: Nicolas Salvador
Principal Investigator: Jose L Pardo
Principal Investigator: Joaquin Aracil
Principal Investigator: Mª Jesus Barreda
Principal Investigator: Artemio Alvarez
Principal Investigator: Vicente Lopez
Principal Investigator: Panagiotis Gargalianos
Principal Investigator: Dolores M Maestre

Responsible Party: Mercedes Gimeno/ R&D Director, Tedec-Meiji Farma, S.A. Identifier: NCT00598403     History of Changes
Other Study ID Numbers: TM-ME1207/311
First Posted: January 21, 2008    Key Record Dates
Last Update Posted: June 29, 2010
Last Verified: June 2010

Keywords provided by Tedec-Meiji Farma, S.A.:

Additional relevant MeSH terms:
Urinary Tract Infections
Urologic Diseases
Urinary Bladder Diseases
Cefditoren pivoxil
Anti-Bacterial Agents
Anti-Infective Agents
Topoisomerase II Inhibitors
Topoisomerase Inhibitors
Enzyme Inhibitors
Molecular Mechanisms of Pharmacological Action
Antineoplastic Agents
Cytochrome P-450 CYP1A2 Inhibitors
Cytochrome P-450 Enzyme Inhibitors