A Study of the Safety and Effectiveness of Oral Levofloxacin Compared With Cefuroxime Axetil in the Treatment of Adults With Persistent Bronchitis Experiencing Rapid Onset of Severe Worsening of Symptoms Caused by Bacteria

Last updated: June 8, 2011
Sponsor: Johnson & Johnson Pharmaceutical Research & Development, L.L.C.
Overall Status: Completed

Phase

3

Condition

Bronchitis

Treatment

N/A

Clinical Study ID

NCT00269932
CR005497
  • Ages > 18
  • All Genders

Study Summary

The purpose of this study is to evaluate the safety and effectiveness of levofloxacin, an antibiotic, compared with cefuroxime axetil, another antibiotic, in the treatment of adults with chronic bronchitis experiencing rapid onset of worsening of symptoms caused by bacteria.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Diagnosis of chronic obstructive lung disease (chronic bronchitis and/or emphysema)with rapid onset of worsening of symptoms caused by bacterial infection

  • recent increase in cough

  • change in type or amount of sputum (the mucus produced on coughing)

  • findings during the physical examination of clinical signs and symptoms of chronicobstructive lung disease

  • received previous antibiotic treatment if the previous treatment lasted for 24 hoursor less, or if the previous treatment lasted longer than 24 hours but there was noimprovement or stabilization of the disease.

Exclusion

Exclusion Criteria:

  • Illness requiring antibiotic treatment by injection into a vein, beneath the skin, orinto a muscle, or patient has a requirement for a second antibiotic medication takenorally in addition to the study drug

  • infection due to bacteria known (prior to the start of the study) to be resistant tothe study drugs

  • previous allergic or serious adverse reaction to antibiotics similar to the studydrugs

  • diagnosis of pneumonia determined by x-ray at the start of the trial

  • has cystic fibrosis, seizure disorders, kidney disease, or an unstable psychiatriccondition.

Study Design

Total Participants: 485
Study Start date:
August 01, 1993
Estimated Completion Date:
May 31, 1994

Study Description

This is a randomized, open-label, parallel group, multicenter study to determine the safety and effectiveness of 500 mg of levofloxacin (once daily for 5 - 7 days) compared with 250 mg of cefuroxime axetil (every 12 hours for 10 days) in adults with chronic bronchitis experiencing rapid onset of severe worsening of symptoms caused by bacteria. The study consists of 3 visits: one visit for screening and enrollment, and 2 visits for assessment of safety and effectiveness (one visit on Days 3 - 5 of the study and one visit [post-therapy] 5

  • 7 days after the last dose of the study drug). The total duration of patient participation in the study is approximately 2 weeks. The primary efficacy assessment is the clinical response 5 - 7 days after the last dose of study drug, (categorized as cured, improved, or failed) based upon changes in signs and symptoms. Safety evaluations (incidence of adverse events, physical examination, laboratory tests) are performed throughout the study. The study hypothesis is that treatment with levofloxacin is at least as effective and as well tolerated as treatment with cefuroxime axetil in adult patients with chronic bronchitis experiencing sudden worsening of symptoms caused by bacterial infection. Levofloxacin 500 mg by mouth once daily for 5 - 7 days, or cefuroxime axetil 250 mg by mouth every 12 hours for 10 days