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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

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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 [3]Guilin Med Univ, Dept Resp Med, Affiliated Hosp, Guangxi, Peoples R China [4]Gen Hosp Shenyang Mil Area Command, Dept Resp Med, Shenyang, Liaoning, Peoples R China [5]Peking Univ, Inst Clin Pharmacol, Hosp 1, Beijing, Peoples R China [6]Far Eastern Mem Hosp, Dept Internal Med, New Taipei, Taiwan [7]Cent Hosp Jinan, Dept Resp Med, Jinan, Shandong, Peoples R China [8]Capital Med Univ, Beijing Chao Yang Hosp, Dept Resp Med, Beijing, Peoples R China [9]Cheng Ching Gen Hosp, Dept Chest Med, Taichung, Taiwan [10]Cent S Univ, Xiangya Hosp 3, Dept Resp Med, Changsha, Hunan, Peoples R China [11]Peking Univ, Dept Resp Med, Peoples Hosp, Beijing, Peoples R China [12]TaiGen Biotechnol Co Ltd, Taipei, Taiwan [13]China Med Univ, Shengjing Hosp, Dept Resp Med, Shenyang, Liaoning, Peoples R China [14]Shanghai Univ Tradit Chinese Med, Putuo Hosp, Dept Resp Med, Shanghai, Peoples R China [15]Zhejiang Univ, Affiliated Hosp 1, Dept Resp Med, Zhejiang, Peoples R China [16]Guangzhou Red Cross Hosp, Dept Resp Med, Guangzhou, Guangdong, Peoples R China [17]Fudan Univ, Dept Resp Med, Huadong Hosp, Shanghai, Peoples R China [18]Cent Hosp Changsha, Dept Resp Med, Changsha, Hunan, Peoples R China [19]Tongji Univ, East Hosp, Dept Resp Med, Shanghai, Peoples R China [20]Gansu Prov Peoples Hosp, Dept Resp Med, Lanzhou, Gansu, Peoples R China [21]Jiangxi Prov Peoples Hosp, Dept Resp Med, Nanchang, Jiangxi, Peoples R China [22]Sichuan Univ, West China Hosp, Ctr Infect Dis, Chengdu, Sichuan, Peoples R China [23]Shanxi Med Univ, Affiliated Hosp 1, Dept Resp Med, Taiyuan, Shanxi, Peoples R China [24]Wenzhou Med Univ, Affiliated Hosp 2, Dept Resp Med, Wenzhou, Zhejiang, Peoples R China [25]Hainan Prov Peoples Hosp, Dept Resp Med, Haikou, Hainan, Peoples R China [26]Wuhan Gen Hosp Guangzhou Command, Dept Resp Med, Wuhan, Hubei, Peoples R China [27]Peoples Hosp Shenzhen, Dept Resp Med, Shenzhen, Guangdong, Peoples R China [28]Hainan Med Univ, Affiliated Hosp, Dept Resp Med, Haikou, Hainan, Peoples R China [29]Second Artillery Gen Hosp, Dept Resp Med, Beijing, Peoples R China [30]Hunan Prov Peoples Hosp, Dept Resp Med, Changsha, Hunan, Peoples R China [31]Capital Med Univ, Dept Resp Med, Beijing Anzhen Hosp, Beijing, Peoples R China [32]Nanjing Gen Hosp, Dept Resp Med, Nanjing, Jiangsu, Peoples R China [33]Hubei Univ Med, Taihe Hosp, Dept Resp Med, Shiyan, Hubei, Peoples R China [34]Nanchang Univ, Dept Resp Med, Affiliated Hosp 2, Nanchang, Jiangxi, Peoples R China [35]Changzheng Hosp, Dept Resp Med, Shanghai, Peoples R China [36]Third Mil Med Univ, Daping Hosp, Dept Resp Med, Chongqing, Peoples R China [37]Zhongshan Univ, Affiliated Hosp 2, Dept Resp Med, Zhongshan, Guangdong, Peoples R China [38]Fujian Med Univ, Affiliated Hosp 1, Dept Resp Med, Fuzhou, Fujian, Peoples R China [39]Chongqing Med Univ, Dept Infect Dis, Affiliated Hosp 1, Chongqing, Peoples R China [40]Lanzhou Univ, Affiliated Hosp 2, Dept Resp Med, Lanzhou, Gansu, Peoples R China [41]Xinjiang Med Univ, Affiliated Hosp 1, Dept Resp Med, Xinjiang, Peoples R China [42]Shanghai Jiao Tong Univ, Affiliated Peoples Hosp 6, Dept Resp Med, Shanghai, Peoples R China [43]Peking Union Med Coll Hosp, Dept Resp Med, Beijing, Peoples R China [44]Wuhan Univ, Peoples Hosp, Dept Resp Med, Wuhan, Hubei, Peoples R China [45]Chi Mei Med Ctr, Dept Med Res, Tainan, Taiwan [46]Triserv Gen Hosp, Dept Internal Med, Div Pulm Med, Taipei, Taiwan [47]Chung Shan Med Univ Hosp, Dept Internal Med, Div Chest, Taichung, Taiwan [48]Taichung Vet Gen Hosp, Dept Internal Med, Taichung, Taiwan [49]Kaohsiung Chang Gung Mem Hosp, Div Pulm & Crit Care Med, Dept Internal Med, Kaohsiung, Taiwan [50]China Med Univ Hosp, Dept Internal Med, Div Infect Dis, Taipei, Taiwan [51]Cheng Hsin Gen Hosp, Taipei, Taiwan [52]E Da Hosp, Sect Infect Dis, Dept Med, Kaohsiung, Taiwan [53]Natl Taiwan Univ Hosp, Dept Internal Med, Taipei, Taiwan [54]Ditmanson Med Fdn, Dept Internal Med, Chia Yi Christian Hosp, Chiayi, Taiwan [55]Taipei Vet Gen Hosp, Dept Chest Med, Taipei, Taiwan
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关键词: Clinical outcome Community-acquired pneumonia Levofloxacin Nemonoxacin Randomized controlled trial Safety

摘要:
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.

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出版当年[2018]版:
大类 | 3 区 生物
小类 | 3 区 传染病学 3 区 微生物学 4 区 免疫学
最新[2025]版:
大类 | 3 区 医学
小类 | 3 区 免疫学 3 区 传染病学 3 区 微生物学
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出版当年[2017]版:
Q3 INFECTIOUS DISEASES Q3 MICROBIOLOGY Q4 IMMUNOLOGY
最新[2023]版:
Q1 INFECTIOUS DISEASES Q1 MICROBIOLOGY Q2 IMMUNOLOGY

影响因子: 最新[2023版] 最新五年平均 出版当年[2017版] 出版当年五年平均 出版前一年[2016版] 出版后一年[2018版]

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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.
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