• Scand. J. Infect. Dis. · Jan 2001

    Randomized Controlled Trial Multicenter Study Comparative Study Clinical Trial

    A prospective, randomized, multicenter comparative study of clinafloxacin versus a ceftriaxone-based regimen in the treatment of hospitalized patients with community-acquired pneumonia.

    • W Petermann, J Alegre-Martin, I Odenholt, M J Phillips, P A Willcox, K Tack, U Trostmann, and L Welling.
    • Bruederkrankenaus St. Josef, Chefarzt der Medizinischen Abteilung. Paderborn. Germany.
    • Scand. J. Infect. Dis. 2001 Jan 1; 33 (11): 832-7.

    AbstractIn an open-label, phase 3, randomized, multicenter study, clinafloxacin (200 mg/d) was compared to ceftriaxone (2 g/d; with or without erythromycin) in 527 patients with acute community-acquired bacterial pneumonia (CAP). Primary efficacy parameters were clinical cure rate and microbiologic eradication rates (by pathogen and by patient) determined 5-9 d post-therapy (test of cure; TOC). Clinical cure rates at TOC for the 2 treatment groups were equivalent in the intention-to-treat (clinafloxacin 79.3, ceftriaxone 78.6%), clinically evaluable (clinafloxacin 88.1, ceftriaxone 85.0%), modified intention-to-treat (clinafloxacin 82.6, ceftriaxone 86.9%) and microbiologically evaluable populations (clinafloxacin 86.2, ceftriaxone 86.2%). Microbiologic eradication rates were similar in the 2 treatment groups. Both drugs were tolerated. Treatment of hospitalized CAP patients with clinafloxacin is a reasonable choice, especially when a resistant pathogen is anticipated.

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