Status:

COMPLETED

A Study of the Safety and Effectiveness of Levofloxacin Compared With Imipenem/Cilastatin in Patients With Pneumonia Acquired During Hospitalization

Lead Sponsor:

Johnson & Johnson Pharmaceutical Research & Development, L.L.C.

Collaborating Sponsors:

PriCara, Unit of Ortho-McNeil, Inc.

Conditions:

Nosocomial Pneumonia

Eligibility:

All Genders

18+ years

Phase:

PHASE3

Brief Summary

The purpose of this study is to compare the safety and effectiveness of levofloxacin with imipenem/cilastatin in the treatment of hospital-acquired pneumonia

Detailed Description

Despite advances in prevention and treatment, hospital-acquired pneumonia remains a significant problem as the second most common infection acquired in the hospital and the most deadly (20%-50% of pat...

Eligibility Criteria

Inclusion

  • Diagnosis of hospital-acquired pneumonia as follows: hospitalization \>= 48 but \<= 72 hours, identification of a bacteria commonly found in hospital-acquired infections, absence of pneumonia on initial chest x-ray, normal white blood cell count, and diagnosis other than infection upon admission to hospital OR hospitalized \>= 72 hours OR discharged from a hospital \<= 48 hours after a hospitalization of \>= 72 hours AND chest x-ray findings consistent with infection AND abnormal temperature (high or low) or abnormal white blood cell count
  • Specimen from respiratory tract is available for laboratory analysis
  • APACHE score \<= 35
  • Have received at least 72 hours of treatment with antibiotics administered intravenously (through a vein) and have failed that treatment providing the previous drugs were not levofloxacin or imipenem/cilastatin and there is evidence of failure (specimen from respiratory tract documenting original bacteria causing pneumonia is still present or presence of a new bacteria causing pneumonia acquired in the hospital, continued abnormal temperature or worsening of x-ray findings and at least 1 of the following: increased white blood cell count or decrease in breathing ability/increase in oxygen requirements)
  • Have received treatment with antibiotics administered intravenously (through a vein) for \< 24 hours within 72 hours prior to study entry
  • Hospitalized for \>= 72 hours and develop acute signs and symptoms of pneumonia while on antibiotic(s) for another reason, providing that the previous antibiotic(s) were not levofloxacin or imipenem/cilastatin, no antibiotics have been given for the pneumonia and the previous antibiotic(s) can be discontinued

Exclusion

  • Infection due to a bacteria that is know to be resistant to levofloxacin or imipenem or certain other drugs that may be used during the study
  • Have received treatment with antibiotics administered intravenously for \> 24 hours within 72 hours prior to study entry
  • Previous allergic or serious adverse reaction to any of the drugs used in this study or to a drug similar to those used in this study
  • Cystic fibrosis or other lung disorder or an infection not treatable with antibiotics
  • Significantly decreased kidney function
  • Pre-infection terminal illness (such as cancer)
  • Decreased white blood cell count

Key Trial Info

Start Date :

December 1 1997

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

June 1 2001

Estimated Enrollment :

438 Patients enrolled

Trial Details

Trial ID

NCT00236834

Start Date

December 1 1997

End Date

June 1 2001

Last Update

June 10 2011

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