Status:

COMPLETED

Ciprofloxacin Versus an Aminoglycoside Followed by Ciprofloxacin for Bubonic Plague

Lead Sponsor:

University of Oxford

Collaborating Sponsors:

Hôpital Universitaire Joseph Raseta Befelatanana CHU d'Antananarivo

Institut Pasteur de Madagascar

Conditions:

Plague, Bubonic

Plague, Pneumonic

Eligibility:

All Genders

Phase:

PHASE3

Brief Summary

The primary objective of this trial is to test the hypothesis that ciprofloxacin monotherapy given (orally, intravenously, or combination) for 10 days is non-inferior to an aminoglycoside (given on da...

Detailed Description

An individually randomised, open label, non-inferiority trial of ciprofloxacin versus an aminoglycoside and ciprofloxacin in patients with bubonic plague. We are using a non-inferiority design since t...

Eligibility Criteria

Inclusion

  • Inclusion Criteria for randomisation to the bubonic plague treatment trial:
  • Bubonic plague
  • Patients of any age AND
  • Recent onset (\< 10 days) of fever (uncorrected axillary temperature ≥ 37.5C) or history of fever AND
  • One or more buboes (tender lymph node swelling) AND
  • Residence or travel to a plague endemic area in Madagascar within 14 days of the onset of symptoms AND
  • Patients identified as clinically suspected of plague by health personnel (doctors or paramedics)
  • Exclusion Criteria to the bubonic plague treatment trial:
  • Known allergy to aminoglycosides or fluoroquinolones
  • Tendinitis
  • Myasthenia gravis
  • Theophylline or warfarin use
  • Already treated for bubonic or pneumonic plague in the preceeding 3 months
  • Women who report being pregnant
  • Inclusion of patients to the pneumonic plague observational cohort:
  • • Suspected, probable and confirmed cases of pneumonic plague

Exclusion

    Key Trial Info

    Start Date :

    February 15 2020

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ACTUAL

    End Date :

    February 5 2025

    Estimated Enrollment :

    222 Patients enrolled

    Trial Details

    Trial ID

    NCT04110340

    Start Date

    February 15 2020

    End Date

    February 5 2025

    Last Update

    March 6 2025

    Active Locations (1)

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    1

    Professor Mamy Randria

    Antananarivo, Madagascar