Safety and efficacy of oral nemonoxacin versus levofloxacin in treatment of community-acquired pneumonia: A phase 3, multicenter, randomized, double-blind, double-dummy, active-controlled, non-inferiority trial
Background/Purpose: Nemonoxacin is a novel nonfluorinated quinolone with excellent in vitro activity against most pathogens in community-acquired pneumonia (CAP), especially Gram-positive isolates. The purpose of this study was to assess the efficacy and safety of nemonoxacin compared with levofloxacin in patients with CAP. Methods: A phase 3, multicenter, randomized (2:1) controlled trial was conducted in adult CAP patients receiving nemonoxacin 500 mg or levofloxacin 500 mg orally once daily for 7-10 days. Clinical, microbiological response and adverse events were assessed. Non-inferiority was determined in terms of clinical cure rate of nemonoxacin compared with that of levofloxacin in a modified intention-to-treat (mITT) population. NCT registration number: NCT01529476. Results: A total of 527 patients were randomized and treated with nemonoxacin (n = 356) or levofloxacin (n = 171). The clinical cure rate at test-of-cure visit was 94.3% (300/318) for nemonoxacin and 93.5% (143/153) for levofloxacin in the mITT population [difference (95% CI), 0.9% (-3.8%, 5.5%)]. The microbiological success rate was 92.1% (105/114) for nemonoxacin and 91.7% (55/60) for levofloxacin in the bacteriological mITT population [difference (95% CI), 0.4% (-8.1%, 9.0%)]. The incidence of adverse events (AEs) was comparable between nemonoxacin (33.1%, 118/356) and levofloxacin (33.3%, 57/171) (P > 0.05). Conclusion: Nemonoxacin 500 mg once daily for 7-10 days is as effective and safe as levofloxacin for treating adult CAP patients in terms of clinical cure rates, microbiological success rates, and safety profile. identifier: NCT01529476. Copyright (C) 2018, Taiwan Society of Microbiology. Published by Elsevier Taiwan LLC.
基金:
Major Research and Development Project of Innovative Drugs under the auspices of Ministry of Science and Technology of China [2008ZX09312-010, 2012ZX09303004-001]; TaiGen Biotechnology Co., Ltd.
第一作者机构:[1]Fudan Univ, Huashan Hosp, Inst Antibiot, 12 Middle Wulumuqi Rd, Shanghai 200040, Peoples R China[2]Minist Hlth, China Key Lab Clin Pharmacol Antibiot, Shanghai, Peoples R China
通讯作者:
通讯机构:[1]Fudan Univ, Huashan Hosp, Inst Antibiot, 12 Middle Wulumuqi Rd, Shanghai 200040, Peoples R China[2]Minist Hlth, China Key Lab Clin Pharmacol Antibiot, Shanghai, Peoples R China[*1]Institute of Antibiotics, Huashan Hospital, Fudan University, 12 Middle Wulumuqi Road, Shanghai 200040, China.
推荐引用方式(GB/T 7714):
Yuan Jinyi,Mo Biwen,Ma Zhuang,et al.Safety and efficacy of oral nemonoxacin versus levofloxacin in treatment of community-acquired pneumonia: A phase 3, multicenter, randomized, double-blind, double-dummy, active-controlled, non-inferiority trial[J].JOURNAL OF MICROBIOLOGY IMMUNOLOGY AND INFECTION.2019,52(1):35-44.doi:10.1016/j.jmii.2017.07.011.
APA:
Yuan, Jinyi,Mo, Biwen,Ma, Zhuang,Lv, Yuan,Cheng, Shih-Lung...&Su, Wei-Juin.(2019).Safety and efficacy of oral nemonoxacin versus levofloxacin in treatment of community-acquired pneumonia: A phase 3, multicenter, randomized, double-blind, double-dummy, active-controlled, non-inferiority trial.JOURNAL OF MICROBIOLOGY IMMUNOLOGY AND INFECTION,52,(1)
MLA:
Yuan, Jinyi,et al."Safety and efficacy of oral nemonoxacin versus levofloxacin in treatment of community-acquired pneumonia: A phase 3, multicenter, randomized, double-blind, double-dummy, active-controlled, non-inferiority trial".JOURNAL OF MICROBIOLOGY IMMUNOLOGY AND INFECTION 52..1(2019):35-44