Title
Study to Proof the Clinical and Bacteriological Non-inferiority of Ampicillin/Amoxicillin Versus Moxifloxacin in Hospitalized Patients With Non-severe Community-acquired Pneumonia
Prospective, Doubleblind, Randomized Multicenter Study to Proof the Clinical and Bacteriological Non-inferiority of Ampicillin/Amoxicillin Versus Moxifloxacin in Hospitalized Patients With Non-severe Community-acquired Pneumonia
Phase
Phase 4Lead Sponsor
University of UlmStudy Type
InterventionalStatus
TerminatedIndication/Condition
Community Acquired PneumoniaIntervention/Treatment
procaine benzylpenicillin moxifloxacin ...Study Participants
290The purpose of this study is to prove the clinical and bacteriological non-inferiority of ampicillin/amoxicillin versus moxifloxacin in hospitalized patients with non-severe community-acquired pneumonia.
intravenous infusion: at least 3 days until to the drug switch (oral use),3 times daily (all 8 hours) 20 ml physiologic saline solution (placebo)(over 30 min) + Moxifloxacin infusion solution(400 mg/250ml) over 60 minutes 20 ml physiologic saline solution (placebo) (over 30 min) 20 ml physiologic saline solution (placebo) (over 30 min) following oral therapy(possible at the earliest day 4): 3 times daily (all 8 hours): 1 capsule Moxifloxacin (400 mg) + 1 capsule Placebo 2 capsules Placebo 2 capsules Placebo Total time of the therapy:at least 7 days, but at most 10 days
intravenous infusion:at least 3 days until to the drug switch (oral use), 3 times daily (all 8 hours) 2 g Ampicillin dissolved in 20 ml aqua (i.v. over 30 min) + 250 ml physiologic saline solution (placebo) (over 60 min) 2 g Ampicillin dissolved in 20 ml aqua (i.v. over 30 min) 2 g Ampicillin dissolved in 20 ml aqua (i.v. over 30 min) following oral therapy(possible at the earliest day 4): 3 times daily (all 8 hours): 2 capsules Amoxicillin (0,5 g) 2 capsules Amoxicillin (0,5 g) 2 capsules Amoxicillin (0,5 g) Total time of the therapy: at least 7 days, but at most 10 days
Inclusion Criteria: Men or women older than 18 years with signed informed consent Women in a childbearing age with sufficient conception protection or if necessary negative pregnancy test Infiltrates appeared newly in the x-ray thorax Breath-conditioned chest pain At least two of the following clinical symptoms of a pneumonia: cough which is newly appeared or increasing, dyspnea mucopurulent or purulent sputum, fever (body temperature >= 37.8 degrees Celsius auricalary and/or >= 38,3°C rectal), positive auscultation Negative legionella antigen test in the urine CRB-65-Index < 3 Exclusion Criteria: Hospitalization within the last 28 days (except for the last 72 h) Participation in another therapy study within the last 4 weeks with studies admission intake of an antibiotic longer than 24 hrs within the last 72 hours before studies admission Patients in the pregnancy and nursing phase Existence of contraindications opposite the examining preparations or other B-Lactam antibiotics or fluorochinolons Patients with a CURB-Index >= 3 Patients with suspicion of retrostenotic Pneumonia because of bronchial obstruction Patients with suspicion of nosocomial Pneumonia Patients with an infection by a known or suspected resistant pathogene