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amoxicillin-potassium clavulanate combination

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Description

Amoxicillin-Potassium Clavulanate Combination: A fixed-ratio combination of amoxicillin trihydrate and potassium clavulanate. [Medical Subject Headings (MeSH), National Library of Medicine, extracted Dec-2023]

Cross-References

ID SourceID
PubMed CID9808901
MeSH IDM0029678

Synonyms (1)

Synonym
amoxicillin-potassium clavulanate combination

Research Excerpts

Toxicity

ExcerptReferenceRelevance
" The incidence of adverse events was higher in the co-amoxiclav-treated patients (31% versus 15% in the ceftibuten group) as was the incidence of severe events (10% for co-amoxiclav-treated patients versus < 1% in the ceftibuten group)."( The efficacy and safety of once-daily ceftibuten compared with co-amoxiclav in the treatment of acute bacterial sinusitis.
De Abate, CA; Dennington, ML; Perrotta, RJ; Ziering, RM, 1992
)
0.28
" Nevertheless, treatment with loracarbef resulted in the lowest rate of discontinuation of therapy due to drug-related adverse events."( Efficacy and safety of loracarbef in the treatment of pneumonia.
Hyslop, DL, 1992
)
0.28
" Thirteen out of 181 (7%) patients treated with cefuroxime axetil experienced drug-related adverse events, including 4% with diarrhoea."( A comparison of the efficacy and safety of cefuroxime axetil and augmentin in the treatment of upper respiratory tract infections.
Brown, GW; Cox, DM; Hebblethwaite, EM, 1987
)
0.27
" Adverse clinical events were reported in 13% (24) of cefprozil-treated patients and 20% (36) of amoxycillin/clavulanate-treated patients."( Comparative efficacy and safety of cefprozil and amoxycillin/clavulanate in the treatment of acute otitis media in children.
Berche, P; Bingen, E; Boucot, I; Gehanno, P; Gres, JJ; Lambert-Zechovsky, N; Rollin, C, 1994
)
0.29
" Clinical adverse events related to the trial medication were reported by 40 (21%) of 189 patients in the fleroxacin group and by 16 (17%) of 95 patients in the AMX/CP group."( Comparative efficacy and safety of oral fleroxacin and amoxicillin/clavulanate potassium in skin and soft tissue infections.
Tassler, H, 1993
)
0.29
" Treatment-related or possibly treatment-related adverse events were recorded in 11 of 243 (4."( Multicentre comparative study of the efficacy and safety of azithromycin compared with amoxicillin/clavulanic acid in the treatment of paediatric patients with otitis media.
Principi, N, 1995
)
0.29
"This study demonstrated that CFX has comparable clinical efficacy and a better adverse events profile than A/C when used to treat AOM of childhood."( Comparison of the efficacy, safety and acceptability of cefixime and amoxicillin/clavulanate in acute otitis media.
Gooch, WM; Philips, A; Rhoades, R; Rosenberg, R; Schaten, R; Starobin, S, 1997
)
0.3
" Rates of adverse events and treatment discontinuations due to adverse events were examined."( Comparative effectiveness and safety of cefdinir and amoxicillin-clavulanate in treatment of acute community-acquired bacterial sinusitis. Cefdinir Sinusitis Study Group.
Gwaltney, JM; Keyserling, C; Leigh, A; Rivas, P; Savolainen, S; Scheld, WM; Schenk, P; Sydnor, A; Tack, KJ, 1997
)
0.3
" Adverse events were reported in 10% of the patients treated with azithromycin, and 11."( An open, multicentre, comparative study of the efficacy and safety of azithromycin and co-amoxiclav in the treatment of upper and lower respiratory tract infections in children. The Paediatric Azithromycin Study Group.
Lauvau, DV; Verbist, L,
)
0.13
" Both drugs were well tolerated and produced similar incidences of adverse events, which were mostly gastrointestinal."( A comparison of the efficacy, tolerability and safety of azithromycin and co-amoxiclav in the treatment of sinusitis in adults.
Clement, PA; de Gandt, JB,
)
0.13
" Hepatic dysfunction is a rare adverse reaction associated with this combination antibiotic."( An unusual case of amoxicillin/clavulanic acid-related hepatotoxicity.
Ehrinpreis, MN; Mutchnick, MG; Nathani, MG; Tynes, DJ, 1998
)
0.3
" The adverse event rate was non-significantly lower in the piperacillin/ tazobactam group compared to the co-amoxiclav/aminoglycoside group (2% vs."( Efficacy, safety, and tolerance of piperacillin/tazobactam compared to co-amoxiclav plus an aminoglycoside in the treatment of severe pneumonia.
Grossenbacher, M; Imhof, E; Speich, R; Vogt, M; Zimmerli, W, 1998
)
0.3
" Patients from 23 geographically diverse sites were evaluated for clinical outcomes and/or adverse events at Days 3 to 5, Days 15 to 19 and 4 to 6 weeks posttherapy."( Safety and efficacy of azithromycin in the treatment of community-acquired pneumonia in children.
Campbell, M; Cassell, GH; Hammerschlag, MR; Harris, JA; Kolokathis, A, 1998
)
0.3
" Treatment-related adverse events occurred in 11."( Safety and efficacy of azithromycin in the treatment of community-acquired pneumonia in children.
Campbell, M; Cassell, GH; Hammerschlag, MR; Harris, JA; Kolokathis, A, 1998
)
0.3
" There was no significant difference between the two groups in the incidence or severity of adverse events or in the number of discontinuations because of adverse events."( Comparison of the efficacy, safety and tolerability of azithromycin and co-amoxiclav in the treatment of acute periapical abscesses.
Adriaenssen, CF,
)
0.13
" The adverse event profile was comparable between treatment groups."( The efficacy and safety of a new ciprofloxacin suspension compared with co-amoxiclav tablets in the treatment of acute exacerbations of chronic bronchitis.
Berrisoul, F; Kearsley, N; Kubin, R; Kuss, A; Read, RC; Torres, A, 1999
)
0.3
" Both treatment regimens were well tolerated, with most adverse events being of a mild-moderate and transient nature."( Efficacy and safety of amoxycillin/clavulanate (Augmentin) twice daily versus three times daily in the treatment of acute otitis media in children. The Augmentin 454 Study Group.
Damrikarnlert, L; Jauregui, AC; Kzadri, M, 2000
)
0.31
" The appearance of any adverse events was classified as associated or not associated with the medication of the study."( Efficacy and safety of cefdinir in the treatment of maxillary sinusitis.
Schenk, P; Steurer, M, 2000
)
0.31
"01) more related adverse events were found in the co-amoxiclav group."( Efficacy, safety and tolerability of 3 day azithromycin versus 10 day co-amoxiclav in the treatment of children with acute lower respiratory tract infections.
de Groot, R; Ferwerda, A; Hop, WC; Kouwenberg, JM; Moll, HA; Robben, SG; Tjon Pian Gi, CV, 2001
)
0.31
"There is a growing body of evidence that amoxicillin-clavulanic acid may induce severe adverse effects in patients."( Amoxicillin-clavulanic acid therapy may be associated with severe side effects -- review of the literature.
Gresser, U, 2001
)
0.31
"A medline search of case reports and reviews on amoxicillin-clavulanic acid induced adverse effects was performed."( Amoxicillin-clavulanic acid therapy may be associated with severe side effects -- review of the literature.
Gresser, U, 2001
)
0.31
"5 weeks after onset of drug administration (average); three of 153 patients did not survive the adverse event."( Amoxicillin-clavulanic acid therapy may be associated with severe side effects -- review of the literature.
Gresser, U, 2001
)
0.31
"Amoxicillin-clavulanic acid which is marketed for treatment of respiratory infections and sinusitis/otitis may in some cases induce severe adverse effects and death in patients of different age, especially if they are on multidrug regimens."( Amoxicillin-clavulanic acid therapy may be associated with severe side effects -- review of the literature.
Gresser, U, 2001
)
0.31
" Rx appears to be active and safe in the therapy of ENT diseases exhibiting similar effects on the reduction of signs and symptoms as Amx but with better compliance because of once-a-day administration."( A multicenter study on the clinical efficacy and safety of roxithromycin in the treatment of ear-nose-throat infections: comparison with amoxycillin/clavulanic acid.
Benazzo, M; Mira, E, 2001
)
0.31
" Both regimens were well tolerated, with no differences in adverse events between the groups."( The efficacy and safety of oral pharmacokinetically enhanced amoxycillin-clavulanate 2000/125 mg, twice daily, versus oral amoxycillin-clavulanate 1000/125 mg, three times daily, for the treatment of bacterial community-acquired pneumonia in adults.
Chidiac, C; Garau, J; Petitpretz, P; Rouffiac, E; Soriano, F; Stevenson, K, 2002
)
0.31
" The drug was well tolerated by the patients and no severe adverse effects were observed."( Efficacy and safety of sequential amoxicillin-clavulanate in the treatment of anaerobic lung infections.
Carratalà, J; Dorca, J; Fernández-Sabé, N; Gudiol, F; Manresa, F; Rosón, B; Tubau, F, 2003
)
0.32
" Amoxicillin-clavulanate 2,000/125 mg twice daily was shown to be as clinically effective as amoxicillin-clavulanate 875/125 mg twice daily for 7 days in the treatment of adult patients with community-acquired pneumonia, without a noted increase in the reported rate of adverse events."( Double-blind, randomized study of the efficacy and safety of oral pharmacokinetically enhanced amoxicillin-clavulanate (2,000/125 milligrams) versus those of amoxicillin-clavulanate (875/125 milligrams), both given twice daily for 7 days, in treatment of
Berkowitz, E; File, TM; Kozak, R; Kurz, H; Lode, H; Xie, H, 2004
)
0.32
" Both therapies were well tolerated, with a similar incidence of adverse events."( Efficacy and safety of pharmacokinetically enhanced amoxicillin-clavulanate at 2,000/125 milligrams twice daily for 5 days versus amoxicillin-clavulanate at 875/125 milligrams twice daily for 7 days in the treatment of acute exacerbations of chronic bronc
Breton, J; Sethi, S; Wynne, B, 2005
)
0.33
" In spite of statements about the safe use of drugs in lactation by the American Academy of Pediatrics, medical professionals remain confused regarding the management of drug therapy in nursing mothers, and this can lead to suboptimal prescribing and poor compliance."( The safety of amoxicillin/clavulanic acid and cefuroxime during lactation.
Benyamini, L; Berkovitch, M; Bortnik, O; Braunstein, R; Bulkowstein, M; Merlob, P; Stahl, B; Zimmerman, D, 2005
)
0.33
" The adverse events ratio for the two groups was the same (p=0."( Efficacy and safety of Sultamicillin (Ampicillin/Sulbactan) and Amoxicillin/Clavulanic acid in the treatment of upper respiratory tract infections in adults--an open-label, multicentric, randomized trial.
Ferreira, JB; Kós, AO; Mocellin, M; Pignatari, SS; Piltcher, OB; Pinheiro, SD; Rapoport, PB; Sakano, E,
)
0.13
"Ampicillin/Sulbactan is as safe and efficient as Amoxicillin/Clavulanate in the empiric treatment of upper respiratory infections in adults."( Efficacy and safety of Sultamicillin (Ampicillin/Sulbactan) and Amoxicillin/Clavulanic acid in the treatment of upper respiratory tract infections in adults--an open-label, multicentric, randomized trial.
Ferreira, JB; Kós, AO; Mocellin, M; Pignatari, SS; Piltcher, OB; Pinheiro, SD; Rapoport, PB; Sakano, E,
)
0.13
" Adverse drug reactions (ADRs) were reported in 106 (23."( [Efficacy and safety of potassium clavulanate/amoxicillin (CLAVAMOX) dry syrup in children with otitis media].
Asano, S; Ito, R; Kawai, M; Kudo, F; Nagata, T; Ohwaki, I; Sugita, R; Yamanaka, N, 2007
)
0.34
" Both treatment regimens were well tolerated: the overall incidence of adverse events was 34/136 (25."( Efficacy and safety of azithromycin 1 g once daily for 3 days in the treatment of community-acquired pneumonia: an open-label randomised comparison with amoxicillin-clavulanate 875/125 mg twice daily for 7 days.
Cepparulo, M; Confalonieri, M; Dal Negro, R; Ligia, GP; Mos, L; Paris, R; Perna, G; Rastelli, V; Todisco, T, 2008
)
0.35
" Except for this serious adverse event, both the study medications were safe and well tolerated in the study population."( Comparative evaluation of efficacy and safety of cefotaxime-sulbactam with amoxicillin-clavulanic acid in children with lower respiratory tract infections.
Chandurkar, N; Daga, S; Deshpande, A; Kulkarni, M; Pareek, A, 2008
)
0.35
" It is important to review the adverse events profile related to antibiotic exposure during the clinical development of drugs that are or have been recently included in the therapeutic armamentarium."( Safety profile of cefditoren. A pooled analysis of data from clinical trials in community-acquired respiratory tract infections.
Aguilar, L; Coronel, P; Gimenez, MJ; Gimeno, M; Granizo, JJ; Prieto, J, 2009
)
0.35
" Adverse events considered by investigators as related during antibiotic exposure were considered."( Safety profile of cefditoren. A pooled analysis of data from clinical trials in community-acquired respiratory tract infections.
Aguilar, L; Coronel, P; Gimenez, MJ; Gimeno, M; Granizo, JJ; Prieto, J, 2009
)
0.35
"This study analysing reported adverse events from clinical trials showed an adverse events profile of cefditoren similar to those of standard antibiotics used in the treatment of respiratory tract infections."( Safety profile of cefditoren. A pooled analysis of data from clinical trials in community-acquired respiratory tract infections.
Aguilar, L; Coronel, P; Gimenez, MJ; Gimeno, M; Granizo, JJ; Prieto, J, 2009
)
0.35
"Parenteral amoxycillin/clavulanate is a safe and effective antibiotic as the monotherapy for prevention of SSI following intra-abdominal surgery."( Efficacy and safety of parenteral amoxycillin/ clavulanate for prevention of surgical site infection following abdominal surgery.
Chinswangwatanakul, V; Leelaratsamee, A; Lohsiriwat, D; Lohsiriwat, V, 2009
)
0.35
"5 mg given twice daily for ten days was shown to be clinically effective and safe in the treatment of community-acquired pneumonia in adult patients."( The efficacy and safety of amoxicillin-clavulanic acid 1000/125mg twice daily extended release (XR) tablet for the treatment of bacterial community-acquired pneumonia in adults.
Jain, S; Keshvani, A; Kulkarni, KP; Prabhudesai, PP, 2011
)
0.37
" A similar proportion of patients (ITT population) experienced any adverse events in both treatment groups (MXF: 30."( Efficacy and safety of IV/PO moxifloxacin and IV piperacillin/tazobactam followed by PO amoxicillin/clavulanic acid in the treatment of diabetic foot infections: results of the RELIEF study.
Alder, J; Arvis, P; Dryden, M; Gyssens, IC; Kujath, P; Nathwani, D; Reimnitz, P; Schaper, NC, 2013
)
0.39
" Physical examination, evaluation of complaints, collection of data on adverse reactions, and bacteriological analysis of urine were performed after enrollment in the study at visit 2 (day 10 +/- 1) and 3 (day 35 +/- 2)."( [The efficacy and safety of cefixime and amoxicillin/clavulanate in the treatment of asymptomatic bacteriuria in pregnant women: a randomized, prospective, multicenter study].
Dovgan', EV; Filippenko, NG; Gustovarova, TA; Khlybova, SV; Kozyrev, IuV; Likhikh, DG; Novoselova, AV; Rafal'skiĭ, VV,
)
0.13
"Initial antibiotic treatment for acute appendicitis has been shown to be safe in adults; so far, not much is known about the safety and efficacy of this treatment in children."( Initial antibiotic treatment for acute simple appendicitis in children is safe: Short-term results from a multicenter, prospective cohort study.
Cense, HA; Gorter, RR; Heij, HA; In 't Hof, KH; Kneepkens, CM; Offringa, M; van der Lee, JH; Wijnen, MH, 2015
)
0.42
" Adverse events were defined as major complications of antibiotic treatment, such as allergic reactions, perforated appendicitis, and recurrent appendicitis."( Initial antibiotic treatment for acute simple appendicitis in children is safe: Short-term results from a multicenter, prospective cohort study.
Cense, HA; Gorter, RR; Heij, HA; In 't Hof, KH; Kneepkens, CM; Offringa, M; van der Lee, JH; Wijnen, MH, 2015
)
0.42
" None of the patients suffered from an adverse event or a recurrent appendicitis."( Initial antibiotic treatment for acute simple appendicitis in children is safe: Short-term results from a multicenter, prospective cohort study.
Cense, HA; Gorter, RR; Heij, HA; In 't Hof, KH; Kneepkens, CM; Offringa, M; van der Lee, JH; Wijnen, MH, 2015
)
0.42
" Drug-related adverse events were reported in 19% of patients (5/27 patients)."( [Efficacy and safety of clavulanic acid/amoxicillin (1: 14) dry syrup in the treatment of children with acute bacterial rhinosinusitis].
Motoyama, H; Sugita, R; Yamamoto, S; Yarita, M, 2015
)
0.42
" Based on spirometry and reported side effects, inhalation of nebulized amoxicillin clavulanic acid seems to be safe and well tolerated, both in stable patients with COPD as in those experiencing a severe exacerbation."( Safety and Tolerability of Nebulized Amoxicillin-Clavulanic Acid in Patients with COPD (STONAC 1 and STONAC 2).
Assink, MD; Brusse-Keizer, MG; de Saegher, ME; Kuijvenhoven, JC; Movig, KL; Nijdam, LC; van der Palen, J; van der Valk, PD, 2016
)
0.43
"In the retrospective cohort, the primary outcomes were treatment failure and adverse events 14 days after diagnosis."( Association of Broad- vs Narrow-Spectrum Antibiotics With Treatment Failure, Adverse Events, and Quality of Life in Children With Acute Respiratory Tract Infections.
Barkman, D; Bell, L; Bryan, M; Conaboy, K; Fiks, AG; Gerber, JS; Localio, AR; Odeniyi, F; Ross, RK; Szymczak, JE; Wasserman, R; Zaoutis, TE, 2017
)
0.46
" Broad-spectrum treatment was associated with a higher risk of adverse events documented by the clinician (3."( Association of Broad- vs Narrow-Spectrum Antibiotics With Treatment Failure, Adverse Events, and Quality of Life in Children With Acute Respiratory Tract Infections.
Barkman, D; Bell, L; Bryan, M; Conaboy, K; Fiks, AG; Gerber, JS; Localio, AR; Odeniyi, F; Ross, RK; Szymczak, JE; Wasserman, R; Zaoutis, TE, 2017
)
0.46
"Among children with acute respiratory tract infections, broad-spectrum antibiotics were not associated with better clinical or patient-centered outcomes compared with narrow-spectrum antibiotics, and were associated with higher rates of adverse events."( Association of Broad- vs Narrow-Spectrum Antibiotics With Treatment Failure, Adverse Events, and Quality of Life in Children With Acute Respiratory Tract Infections.
Barkman, D; Bell, L; Bryan, M; Conaboy, K; Fiks, AG; Gerber, JS; Localio, AR; Odeniyi, F; Ross, RK; Szymczak, JE; Wasserman, R; Zaoutis, TE, 2017
)
0.46
" It is worth mentioning that central neurotoxicity is a rare side effect of metronidazole use but reversible."( Reversible metronidazole-induced neurotoxicity after 10 weeks of therapy.
AlDhaleei, W; AlMarzooqi, A; Gaber, N, 2018
)
0.48
"The aims of this study were to determine the side effect frequency and serum and urine drug concentrations of amoxicillin-clavulanic acid in cats with and without azotemic chronic kidney disease (azCKD)."( Pilot study of side effects and serum and urine concentrations of amoxicillin-clavulanic acid in azotemic and non-azotemic cats.
Benson, KK; Daniels, JB; Dowers, KL; Gustafson, DL; Langston, CE; Lunghofer, PJ; Quimby, JM; Sieberg, LG, 2020
)
0.56
" When using amoxicillin/clavulanate in the elderly, the risk of adverse drug reaction may be greater."( Multiple-dose pharmacokinetics and safety of amoxicillin/clavulanate in healthy elderly subjects.
Choi, Y; Chung, JY; Jang, K; Lee, SW; Yoon, SH, 2020
)
0.56
" Safety assessments including clinical laboratory tests, physical examination, vital signs, and adverse event (AE) monitoring were performed throughout the study."( Multiple-dose pharmacokinetics and safety of amoxicillin/clavulanate in healthy elderly subjects.
Choi, Y; Chung, JY; Jang, K; Lee, SW; Yoon, SH, 2020
)
0.56
"5 mg was safe and well-tolerated, the systemic exposure of amoxicillin and clavulanate was higher in elderly subjects than in younger subjects."( Multiple-dose pharmacokinetics and safety of amoxicillin/clavulanate in healthy elderly subjects.
Choi, Y; Chung, JY; Jang, K; Lee, SW; Yoon, SH, 2020
)
0.56
"Resistance, prolonged therapy, and more adverse reactions made amoxicillin less preferred for treating otitis media."( Efficacy and safety of azithromycin and amoxicillin/clavulanate for otitis media in children: a systematic review and meta-analysis of randomized controlled trials.
Dawit, G; Makonnen, E; Mequanent, S, 2021
)
0.62
"Pediatric acute bacterial rhinosinusitis (ABRS) is often treated with oral antibiotics, with limited insight into adverse effects (AEs) across drug classes."( Antibiotic adverse effects in pediatric acute rhinosinusitis: Systematic review and meta-analysis.
Axiotakis, LG; Caruana, FF; Gonzalez, JN; Gudis, DA; Overdevest, JB; Szeto, B, 2022
)
0.72
" Adverse effects are non-negligible, but may not significantly exceed placebo."( Antibiotic adverse effects in pediatric acute rhinosinusitis: Systematic review and meta-analysis.
Axiotakis, LG; Caruana, FF; Gonzalez, JN; Gudis, DA; Overdevest, JB; Szeto, B, 2022
)
0.72
"An early intravenous-to-oral antibiotic switch with amoxicillin-clavulanic acid is non-inferior to a full course of intravenous antibiotics in neonates with probable bacterial infection and is not associated with an increased incidence of adverse events."( Efficacy and safety of switching from intravenous to oral antibiotics (amoxicillin-clavulanic acid) versus a full course of intravenous antibiotics in neonates with probable bacterial infection (RAIN): a multicentre, randomised, open-label, non-inferiorit
Allegaert, K; Baartmans, MGA; den Butter, PCP; Driessen, GJA; Eijkemans, M; Hartwig, NG; Heidema, J; Keij, FM; Kenter, S; Kornelisse, RF; Meijssen, CB; Norbruis, OF; Qi, H; Reiss, IKM; Stam-Stigter, GM; Tramper-Stranders, GA; van Beek, RHT; van Dalen-Vink, I; van den Berg, MM; van der Meer-Kappelle, LH; van der Sluijs-Bens, J; van Driel, A; van Rooij, LGM; van Rossem, MC; von Lindern, JS, 2022
)
0.72
" Our findings support direct DPT as a safe and effective delabeling tool in children with suspected nonsevere BL-HSR."( The Safety of the Direct Drug Provocation Test in Beta-Lactam Hypersensitivity in Children: A Systematic Review and Meta-Analysis.
Chiriac, AM; Kulalert, P; Phinyo, P; Saokaew, S; Srisuwatchari, W, 2023
)
0.91
" Adverse events were evaluated, including gastrointestinal symptoms, hypersensitivity and skin reactions, acute kidney injury, and secondary infections."( Treatment Failure and Adverse Events After Amoxicillin-Clavulanate vs Amoxicillin for Pediatric Acute Sinusitis.
Huybrechts, KF; Kronman, MP; Lee, SB; Oduol, T; Savage, TJ; Sreedhara, SK, 2023
)
0.91

Pharmacokinetics

ExcerptReferenceRelevance
" The mean values of total serum clearance, mean residence time, volume of distribution at steady state, and terminal half-life for amoxycillin on the non-dialysis day were 14."( Pharmacokinetics of amoxycillin and clavulanic acid in haemodialysis patients following intravenous administration of Augmentin.
Boon, R; Davies, BE; Descoeudres, CE; Horton, R; Reubi, FC, 1988
)
0.27
" The pharmacokinetic results show that peak levels of amoxycillin and of clavulanic acid in the blood and in sputum are achieved at a later time in the patients studied than occurs in healthy volunteers."( A pilot study of 'Augmentin' in lower respiratory tract infections: pharmacokinetic and clinical results.
Brumfitt, W; Fernando, A; Hamilton-Miller, JM; Havard, CW, 1982
)
0.26
" With both substances there was no significant difference between the pharmacokinetic parameters after administration alone and in combination."( Pharmacokinetic studies of amoxicillin, potassium clavulanate and their combination.
Höffken, G; Koeppe, P; Lode, H; Witkowski, G, 1982
)
0.26
"An in vitro pharmacodynamic model was used to simulate the in vivo pharmacokinetics of clarithromycin and 14-hydroxyclarithromycin in order to generate time-kill curves for three clinical isolates of Haemophilus influenzae (isolates 2019, 91-183, and 1746)."( Evaluation of antimicrobial activities of clarithromycin and 14-hydroxyclarithromycin against three strains of Haemophilus influenzae by using an in vitro pharmacodynamic model.
Larsson, AJ; Rotschafer, JC; Walker, KJ; Zabinski, RA, 1994
)
0.29
"The pharmacokinetic behaviour of an amoxicillin/clavulanic acid combination (25 mg kg-1), and both drugs alone (amoxicillin 20 mg kg-1), clavulanic acid 5 mg kg-1), was studied after intravenous (i."( Pharmacokinetics of amoxicillin/clavulanic acid combination and of both drugs alone after intravenous administration to goats.
Carceles, CM; Escudero, E; Vicente, S, 1996
)
0.29
" Pharmacokinetic variables were obtained from the literature, and serum concentration-time profiles were simulated for a 25-kg child taking pediatric dosages commonly administered to treat otitis media."( In vitro activity and pharmacodynamics of oral beta-lactam antibiotics against Streptococcus pneumoniae from southeast Missouri.
Kays, MB; Miles, DO; Wood, KK, 1999
)
0.3
" We also determined the serum levels of the antimicrobial agent in the mice, and correlated the pharmacodynamic parameters (Cmax/MIC, AUC/MIC and T>MIC) with the survival rate to establish the best predictor of efficacy."( [Pharmacodynamic basis for the use of amoxicillin-clavulanic acid in respiratory infections due to Streptococcus pneumoniae: In vitro studies in an experimental model].
Amores, R; Fuentes, F; García, Y; Gómez-Lus, ML; Valero, E, 2000
)
0.31
"2 g of clavulanate in combination during the first 12 hrs posttrauma in patients, and at the start of the pharmacokinetic study in volunteers."( Co-amoxiclav pharmacokinetics during posttraumatic hemorrhagic shock.
Edouard, A; Incagnoli, P; Louchahi, K; Mimoz, O; Petitjean, O; Schaeffer, V; Tod, M, 2001
)
0.31
" The interindividual variabilities for all the amoxicillin pharmacokinetic parameters were higher in patients."( Co-amoxiclav pharmacokinetics during posttraumatic hemorrhagic shock.
Edouard, A; Incagnoli, P; Louchahi, K; Mimoz, O; Petitjean, O; Schaeffer, V; Tod, M, 2001
)
0.31
" There were no significant differences in terminal elimination half-life between days 1 and 7 (9."( Single- and multiple-dose pharmacokinetics of linezolid and co-amoxiclav in healthy human volunteers.
Borner, K; Burkhardt, O; Köppe, P; Lode, H; Nord, CE; Pletz, MW; von der Höh, N, 2002
)
0.31
" The pharmacokinetic parameters were determined for the serum samples and compared to the published data for humans (2."( Ex vivo pharmacodynamics of amoxicillin-clavulanate against beta-lactamase-producing Escherichia coli in a yucatan miniature pig model that mimics human pharmacokinetics.
Bronner, S; Dhoyen, N; Elkhaïli, H; Jehl, F; Levêque, D; Monteil, H; Murbach, V; Peter, JD; Salmon, Y; Woodnutt, G, 2002
)
0.31
" Pharmacokinetic analysis revealed good oral bioavailability and moderate clearance and volume of distribution."( Oral anti-pneumococcal activity and pharmacokinetic profiling of a novel peptide deformylase inhibitor.
Beckett, RP; Chen, H; Clements, J; Difuntorum, S; Garcia, M; Gross, M; Hoch, U; Johnson, KW; Lofland, D; Ramanathan-Girish, S; Taylor, S; Thomas, W, 2004
)
0.32
", were studied in an in vitro pharmacokinetic model of infection."( Antibacterial effects of amoxicillin-clavulanate against Streptococcus pneumoniae and Haemophilus influenzae strains for which MICs are high, in an in vitro pharmacokinetic model.
Bowker, KE; MacGowan, AP; Noel, AR; Rogers, CA, 2004
)
0.32
"A complete a literature search was undertaken to establish the MIC90 values of the five microorganisms most frequently isolated in odontogenic infections and the pharmacokinetic parameters of 13 antibiotics used in these infections."( [Pharmacokinetic/pharmacodynamic analysis of antibiotic therapy in dentistry and stomatology].
Ardanza-Trevijano, B; Canut, A; Isla, A; Labora, A; Pedraz, JL; Rodríguez-Gascón, A; Solinís, MA, 2005
)
0.33
"The pharmacokinetic properties of amoxicillin and clavulanic acid when used alone or in combination are extensively reviewed and discussed in this article."( New formulations of amoxicillin/clavulanic acid: a pharmacokinetic and pharmacodynamic review.
Sánchez Navarro, A, 2005
)
0.33
"To explore the urine bactericidal activity of co-amoxiclav and norfloxacin against Escherichia coli in an in vitro pharmacodynamic model simulating the human urinary concentrations observed after administration of a single oral dose of 2000/125 mg sustained-release co-amoxiclav and 400 mg norfloxacin."( Urine bactericidal activity against resistant Escherichia coli in an in vitro pharmacodynamic model simulating urine concentrations obtained after 2000/125 mg sustained-release co-amoxiclav and 400 mg norfloxacin administration.
Aguilar, L; Alou, L; Cafini, F; Giménez, MJ; Prieto, J; Relaño, MT; Sevillano, D; Valero, E, 2006
)
0.33
"We conducted a prospective pharmacokinetic study of oral co-amoxiclav in patients with melioidosis to determine the optimal dosage and dosing interval in this potentially fatal infection."( Pharmacokinetic and pharmacodynamic assessment of co-amoxiclav in the treatment of melioidosis.
Chaowagul, W; Chierakul, W; Dance, DA; Day, NP; Lindegardh, N; Maharjan, B; Peacock, SJ; Pongtavornpinyo, W; Short, JM; Singtoroj, T; Teparrukkul, P; Wangboonskul, J; White, NJ; Wuthiekanun, V, 2006
)
0.33
" Pharmacokinetic (PK) parameters for amoxicillin and clavulanic acid of the new therapeutic systems: AUCt, AUCi, (AUCt/AUCi), Cmax, Tmax, kel, T(1/2) and additionally for amoxicillin T(4) and T(2) were calculated from the plasma levels."( A new amoxicillin/clavulanate therapeutic system: preparation, in vitro and pharmacokinetic evaluation.
Kerč, J; Opara, J, 2007
)
0.34
" From the pharmacodynamic perspective, BSAC breakpoints seem more adequate to define or detect BLNAR strains."( Are beta-lactam breakpoints adequate to define non-susceptibility for all Haemophilus influenzae resistance phenotypes from a pharmacodynamic point of view?
Aguilar, L; Alou, L; Coronel, P; Echeverría, O; Giménez, MJ; González, N; Prieto, J; Sevillano, D; Torrico, M, 2007
)
0.34
"During the last 10-15 years understanding of relationships between pharmacokinetic (PK) and pharmacodynamic (PD) parameters and bacteriological and clinical outcomes has expanded allowing correlation between in vitro potency and in vivo efficacy."( Combating resistance: application of the emerging science of pharmacokinetics and pharmacodynamics.
Jacobs, MR, 2007
)
0.34
"Double tympanocentesis studies of children with acute otitis media, carried out over an 11-year period, were used to confirm that pharmacokinetic (PK) and pharmacodynamic (PD) parameters can be used as predictors of the bacteriological and clinical efficacy of antimicrobial agents."( The use of pharmacokinetic/pharmacodynamic principles to predict clinical outcome in paediatric acute otitis media.
Dagan, R, 2007
)
0.34
"The objective of this study was to evaluate the efficacy of the most commonly used antimicrobial treatments in odontogenic infections in children and adolescents on the basis of pharmacokinetic/ pharmacodynamic (PK/PD) criteria."( [Antibiotic therapy in odontogenic infections in children and adolescents: pharmacokinetic/pharmacodynamic analysis].
Beltrí-Orta, P; Canut, A; Isla, A; Labora, A; Pedraz, JL; Planells, P; Rodríguez-Gascón, A; Salmerón-Escobar, JI, 2008
)
0.35
"Unbound drug plasma concentration-time curves were simulated with mean population pharmacokinetic parameters of amoxicillin, co-amoxiclav, cefuroxime axetil, spiramycin, clindamycin, azithromycin, and metronidazole."( [Antibiotic therapy in odontogenic infections in children and adolescents: pharmacokinetic/pharmacodynamic analysis].
Beltrí-Orta, P; Canut, A; Isla, A; Labora, A; Pedraz, JL; Planells, P; Rodríguez-Gascón, A; Salmerón-Escobar, JI, 2008
)
0.35
" A computerized pharmacodynamic model simulating free antibiotic concentrations (calculated considering reported percentages of protein binding) of 400 mg twice-daily cefditoren, 500 mg twice-daily cefuroxime and 875/125 mg three times daily amoxicillin/clavulanic acid was used to explore antibacterial activity against initial mixed inocula with 25% of each strain."( Influence of different resistance traits on the competitive growth of Haemophilus influenzae in antibiotic-free medium and selection of resistant populations by different {beta}-lactams: an in vitro pharmacodynamic approach.
Aguilar, L; Alou, L; Cafini, F; Coronel, P; Giménez, MJ; González, N; Prieto, J; Sevillano, D; Torrico, M, 2009
)
0.35
" The aim of this work was to evaluate the usefulness of amoxicillin, amoxicillin/clavulanate and ceftriaxone for the empirical treatment of acute otitis media, looking at the pharmacokinetic variability and the antimicrobial susceptibility of paediatric strains of the two main pathogens responsible for AOM in Spain, Streptococcus pneumoniae and Haemophilus influenzae."( Pharmacokinetic/pharmacodynamic evaluation of amoxicillin, amoxicillin/clavulanate and ceftriaxone in the treatment of paediatric acute otitis media in Spain.
Canut, A; Gascón, AR; Isla, A; Labora, A; Martín-Herrero, JE; Pedraz, JL; Trocóniz, IF, 2011
)
0.37
"3%, area under the concentration curve (AUC0-24) +24."( Effect of Lactobacillus sporogenes on oral isoflavones bioavailability: single dose pharmacokinetic study in menopausal women.
Benvenuti, C; Setnikar, I, 2011
)
0.37
" The pharmacokinetic parameters were calculated by DAS2."( [Pharmacokinetics study of amoxicillin sodium clavulanate potassium (10:1) injection in healthy volunteers].
Liang, MZ; Miao, J; Nan, F; Qin, YP; Shen, Q; Wang, Y; Yu, Q; Zheng, L, 2013
)
0.39
" To avoid the biases caused by compartment model fitting, the pharmacokinetic parameters were statistical moment parameters of non-compartment model."( [Pharmacokinetics study of amoxicillin sodium clavulanate potassium (10:1) injection in healthy volunteers].
Liang, MZ; Miao, J; Nan, F; Qin, YP; Shen, Q; Wang, Y; Yu, Q; Zheng, L, 2013
)
0.39
"In this observational pharmacokinetic study, multiple blood samples were taken over one dosing interval of intravenous amoxicillin/clavulanic acid (1000/200 mg)."( Population pharmacokinetics and dosing simulations of amoxicillin/clavulanic acid in critically ill patients.
Carlier, M; De Waele, JJ; Lipman, J; Noë, M; Roberts, JA; Stove, V; Verstraete, AG, 2013
)
0.39
" Dosing simulations for amoxicillin supported the use of standard dosing regimens (30 min infusion of 1 g four-times daily or 2 g three-times daily) for most patients when using a target MIC of 8 mg/L and a pharmacodynamic target of 50% fT>MIC, except for those with a creatinine clearance >190 mL/min."( Population pharmacokinetics and dosing simulations of amoxicillin/clavulanic acid in critically ill patients.
Carlier, M; De Waele, JJ; Lipman, J; Noë, M; Roberts, JA; Stove, V; Verstraete, AG, 2013
)
0.39
"Although vast pharmacokinetic variability exists for both amoxicillin and clavulanic acid in intensive care unit patients, current dosing regiments are appropriate for most patients, except those with very high creatinine clearance."( Population pharmacokinetics and dosing simulations of amoxicillin/clavulanic acid in critically ill patients.
Carlier, M; De Waele, JJ; Lipman, J; Noë, M; Roberts, JA; Stove, V; Verstraete, AG, 2013
)
0.39
" Pharmacokinetic parameters were calculated using noncompartmental methods."( Effects of amoxicillin/clavulanic acid on the pharmacokinetics of valproic acid.
Huh, W; Jung, JA; Kim, JR; Ko, JW; Lee, SY; Yoo, HM, 2015
)
0.42
" Population pharmacokinetic analysis was conducted, and the clinical outcome was documented."( Augmented renal clearance implies a need for increased amoxicillin-clavulanic acid dosing in critically ill children.
Barker, CI; Carlier, M; De Cock, PA; de Jaeger, A; De Paepe, P; Delanghe, JR; Dhont, E; Robays, H; Standing, JF; Verstraete, AG, 2015
)
0.42
" We analysed the concentration-time profiles using a non-compartmental pharmacokinetic method (PKSolver) and a population pharmacokinetic method (NONMEM)."( Non-linear absorption pharmacokinetics of amoxicillin: consequences for dosing regimens and clinical breakpoints.
de Velde, F; de Winter, BC; Koch, BC; Mouton, JW; van Gelder, T, 2016
)
0.43
"AUC0-24 and Cmax increased non-linearly with dose."( Non-linear absorption pharmacokinetics of amoxicillin: consequences for dosing regimens and clinical breakpoints.
de Velde, F; de Winter, BC; Koch, BC; Mouton, JW; van Gelder, T, 2016
)
0.43
"To calculate the clavulanic acid exposure of oral amoxicillin/clavulanic acid dosing regimens, to investigate variability using a population pharmacokinetic model and to explore target attainment using Monte Carlo simulations."( Highly variable absorption of clavulanic acid during the day: a population pharmacokinetic analysis.
De Velde, F; De Winter, BCM; Koch, BCP; Mouton, JW; Van Gelder, T, 2018
)
0.48
" Concentrations were analysed using non-compartmental (WinNonLin) and population pharmacokinetic (NONMEM) methods."( Highly variable absorption of clavulanic acid during the day: a population pharmacokinetic analysis.
De Velde, F; De Winter, BCM; Koch, BCP; Mouton, JW; Van Gelder, T, 2018
)
0.48
" Pharmacokinetic parameters could not be calculated."( Pharmacokinetics and Drug Residue in Eggs After Multiple-Day Oral Dosing of Amoxicillin-Clavulanic Acid in Domestic Chickens.
Bailey, J; Cox, SK; Davis, R; Fortner, C; Gerhardt, L; Shannon, L; Souza, MJ, 2020
)
0.56
" However, the time required to reach maximum concentration at steady state and the elimination half-life were similar in the two age groups."( Multiple-dose pharmacokinetics and safety of amoxicillin/clavulanate in healthy elderly subjects.
Choi, Y; Chung, JY; Jang, K; Lee, SW; Yoon, SH, 2020
)
0.56
"Prospective, single-centre, open-label, non-randomized, crossover pharmacokinetic trial having enrolled obese otherwise healthy adult subjects."( Population pharmacokinetics and dosing simulations of amoxicillin in obese adults receiving co-amoxiclav.
Burdet, C; Carette, C; Crémieux, AC; Czernichow, S; Duval, X; El-Helali, N; Hammas, K; Massias, L; Mellon, G; Mentré, F, 2020
)
0.56
" Amoxicillin Cmax after oral administration significantly reduced with weight (P = 0."( Population pharmacokinetics and dosing simulations of amoxicillin in obese adults receiving co-amoxiclav.
Burdet, C; Carette, C; Crémieux, AC; Czernichow, S; Duval, X; El-Helali, N; Hammas, K; Massias, L; Mellon, G; Mentré, F, 2020
)
0.56
"The pharmacokinetic behaviours of amoxicillin (AMX) and clavulanic acid (CA) in swine were studied after either an intravenous or oral administration of AMX (10 mg/kg) and CA (2."( The bioavailability and pharmacokinetics of an amoxicillin-clavulanic acid granular combination after intravenous and oral administration in swine.
Cao, X; Sun, P; Wang, J; Xiao, H; Zhang, S; Zhao, T, 2021
)
0.62

Compound-Compound Interactions

ExcerptReferenceRelevance
" The absence of the outer membrane proteins, OmpF and OmpC, did not significantly affect susceptibility to the combinations per se but when combined with the presence of beta-lactamase high MICs were observed."( Factors determining resistance to beta-lactam combined with beta-lactamase inhibitors in Escherichia coli.
Baquero, F; Martínez, JL; Pérez-Díaz, JC; Reguera, JA, 1991
)
0.28
"Assess the supplementary therapeutic benefit provided by fenspiride administered in combination with antibiotics in COPD patients presenting an episode of bronchial infection."( [Evaluation and symptomatic treatment of surinfectious exacerbations of COPD: preliminary study of antibiotic treatment combined with fenspiride (Pneumorel 80mg) versus placebo].
Benezet, O; Dansin, E; Lirsac, B; Nouvet, G; Stach, B; Voisin, C, 2000
)
0.31
"The efficacy of cationic peptides combined with betalactams was investigated in a peritonitis rat model."( Cationic peptides combined with betalactams reduce mortality from peritonitis in experimental rat model.
Cirioni, O; Ghiselli, R; Giacometti, A; Mocchegiani, F; Saba, V; Scalise, G; Viticchi, C, 2002
)
0.31
"A 58-year-old Hawaiian/Asian/European woman developed an elevated INR and microscopic hematuria as a result of a drug-drug interaction between warfarin and AM/CL."( Warfarin and amoxicillin/clavulanate drug interaction.
Cuni, LJ; Davydov, L; Yermolnik, M, 2003
)
0.32
"Predominant groups of bacteria from a human fecal flora-associated mouse model challenged with amoxicillin-clavulanic acid were quantified with fluorescence in situ hybridization combined with flow cytometry using specific 16S rRNA targeted oligonucleotide probes."( Effect of amoxicillin-clavulanic acid on human fecal flora in a gnotobiotic mouse model assessed with fluorescence hybridization using group-specific 16S rRNA probes in combination with flow cytometry.
Barc, MC; Boureau, H; Bourlioux, F; Charrin-Sarnel, C; Collignon, A; Doré, J; Janoir, C; Rigottier-Gois, L, 2004
)
0.32
"The authors describe the diagnostic problems and difficulties of treatment of Warthin's tumor combined with actinomycosis."( [Parotid gland Warthin's tumor combined with actinomycosis].
Barabás, J; Bogdán, S; Decker, I; Huszár, T; Lukáts, O; Suba, Z; Szabó, G, 2006
)
0.33
" Therefore, the selection of the antibiotic for combination with G-CSF in sepsis treatment should be guided not only by the bacteria to be eliminated, but also by the effects on antimicrobial functions of PMNs and the cytokine response."( Differential effects of antibiotics in combination with G-CSF on survival and polymorphonuclear granulocyte cell functions in septic rats.
Bauhofer, A; Huttel, M; Lorenz, W; Sessler, DI; Torossian, A, 2008
)
0.35
" The animals, which received thalidomide alone orally or in combination with augmentin, 30 min prior to bacterial instillation into the lungs via intranasal route, showed significant (P<0."( Anti-inflammatory effect of thalidomide alone or in combination with augmentin in Klebsiella pneumoniae B5055 induced acute lung infection in BALB/c mice.
Chhibber, S; Kumar, V, 2008
)
0.35
"A pharmacokinetic-pharmacodynamic (PK-PD) drug-drug interaction between acenocoumarol and amoxicillin + clavulanic acid antibiotic was assessed in eight healthy volunteers, using a population PK-PD) model."( Investigation of PK-PD drug-drug interaction between acenocoumarol and amoxicillin plus clavulanic acid.
Basset, T; Delavenne, X; Demasles, S; Girard, P; Laporte, S; Mallouk, N; Mismetti, P; Tod, M, 2009
)
0.35
" The animals that received curcumin alone orally or in combination with augmentin, 15 days prior to bacterial instillation into the lungs via the intranasal route, showed a significant (P <0."( Curcumin alone and in combination with augmentin protects against pulmonary inflammation and acute lung injury generated during Klebsiella pneumoniae B5055-induced lung infection in BALB/c mice.
Bansal, S; Chhibber, S, 2010
)
0.36
" aureus (four MRSA and two GISA) and four strains of enterococci (two Enterococcus faecalis and two Enterococcus faecium) were serially exposed in broth to two-fold stepwise increasing concentrations of daptomycin alone or in combination with a fixed concentration [0."( In vitro prevention of the emergence of daptomycin resistance in Staphylococcus aureus and enterococci following combination with amoxicillin/clavulanic acid or ampicillin.
Entenza, JM; Giddey, M; Moreillon, P; Vouillamoz, J, 2010
)
0.36
" High doses of amoxicillin/clavulanate were associated with a higher risk of over-anticoagulation when combined with warfarin than were normal doses."( Warfarin-drug interactions: An emphasis on influence of polypharmacy and high doses of amoxicillin/clavulanate.
Abdel-Aziz, MI; Ali, MA; Elfaham, TH; Hassan, AK, 2016
)
0.43

Bioavailability

ExcerptReferenceRelevance
" 1980] have shown that the bioavailability of Augmentin is not affected by food."( Augmentin bioavailability following cimetidine, aluminum hydroxide and milk.
Clarke, HL; Horton, R; Jackson, D; Lau, D; Staniforth, DH, 1985
)
0.27
" Both amoxicillin and clavulanic are well absorbed after oral administration, reach peak serum levels in 40-120 min and have similar half-lives of 45 to 90 min."( Amoxicillin and potassium clavulanate: an antibiotic combination. Mechanism of action, pharmacokinetics, antimicrobial spectrum, clinical efficacy and adverse effects.
Rubin, RH; Tolkoff-Rubin, NE; Weber, DJ,
)
0.13
" Clavulanic acid is well absorbed when given by mouth and a formulation with amoxycillin (Augmentin; Beechams) is now available for clinical use."( The history and background of Augmentin.
Rolinson, GN, 1982
)
0.26
" The absolute bioavailability of amoxicillin (AUCoral/AUCi."( Pharmacokinetic studies of amoxicillin, potassium clavulanate and their combination.
Höffken, G; Koeppe, P; Lode, H; Witkowski, G, 1982
)
0.26
" The relative bioavailability of T to R were 96."( Bioequivalence of clavulanate potassium and amoxicillin (1:7) dispersible tablets in healthy volunteers.
Dai, Z; Han, Y; Hou, S; Hu, G; Long, L; Wu, L, 2002
)
0.31
" Pharmacokinetic analysis revealed good oral bioavailability and moderate clearance and volume of distribution."( Oral anti-pneumococcal activity and pharmacokinetic profiling of a novel peptide deformylase inhibitor.
Beckett, RP; Chen, H; Clements, J; Difuntorum, S; Garcia, M; Gross, M; Hoch, U; Johnson, KW; Lofland, D; Ramanathan-Girish, S; Taylor, S; Thomas, W, 2004
)
0.32
" The data showed that the bioavailability characteristics of the test tablet, taken intact or in dispersed form, and the reference tablets were very similar."( Amoxicillin/clavulanic acid (875/125): bioequivalence of a novel Solutab tablet and rationale for a twice-daily dosing regimen.
Bertola, MA; Kuipers, M; Rayer, B; Sourgens, H; Verschoor, JS, 2004
)
0.32
" Data available in the literature also suggest a possible interaction between amoxicillin and clavulanic acid that might decrease the absolute bioavailability of clavulanic acid."( New formulations of amoxicillin/clavulanic acid: a pharmacokinetic and pharmacodynamic review.
Sánchez Navarro, A, 2005
)
0.33
"A new peroral amoxicillin/clavulanate therapeutic system composed of immediate release tablet and controlled release floating capsule was developed and evaluated by in vivo bioavailability study."( A new amoxicillin/clavulanate therapeutic system: preparation, in vitro and pharmacokinetic evaluation.
Kerč, J; Opara, J, 2007
)
0.34
" For "selective intestinal decontamination", poorly absorbed oral norfloxacin is the preferred schedule."( [Bacterial infections in liver cirrhosis].
Farkas, A; Papp, M; Tornai, I; Udvardy, M, 2007
)
0.34
" The simultaneous prescription of nonsteroidal antiinflammatory drugs (NSAIDs) can modify the bioavailability of the antibiotic."( Antibiotic use in dental practice. A review.
Bagan, JV; Carbonell Pastor, E; Poveda Roda, R; Sanchis Bielsa, JM, 2007
)
0.34
" The localization data showed that the reduced bioavailability of amoxicillin under fasting conditions is due to early gastric emptying in combination with poor absorption from deeper parts of the small intestine."( Bioavailability of amoxicillin and clavulanic acid from extended release tablets depends on intragastric tablet deposition and gastric emptying.
Friedrich, C; Horkovics-Kovats, S; Kinzig, M; Kosch, O; Mönnikes, H; Raneburger, J; Schmidtmann, M; Schwarz, F; Siegmund, W; Sörgel, F; Trahms, L; Wedemeyer, RS; Weitschies, W, 2008
)
0.35
"To verify the single dose bioavailability of two oral formulations of soy isoflavones, with and without lactobacilli, in menopausal women in antibiotic therapy."( Effect of Lactobacillus sporogenes on oral isoflavones bioavailability: single dose pharmacokinetic study in menopausal women.
Benvenuti, C; Setnikar, I, 2011
)
0.37
"The amoxicillin absorption rate appears to be saturable."( Non-linear absorption pharmacokinetics of amoxicillin: consequences for dosing regimens and clinical breakpoints.
de Velde, F; de Winter, BC; Koch, BC; Mouton, JW; van Gelder, T, 2016
)
0.43
" Bioavailability (fixed at 1 at 8:00 h, between-occasion variability 28."( Highly variable absorption of clavulanic acid during the day: a population pharmacokinetic analysis.
De Velde, F; De Winter, BCM; Koch, BCP; Mouton, JW; Van Gelder, T, 2018
)
0.48
" Bioavailability and absorption rate decrease over the day."( Highly variable absorption of clavulanic acid during the day: a population pharmacokinetic analysis.
De Velde, F; De Winter, BCM; Koch, BCP; Mouton, JW; Van Gelder, T, 2018
)
0.48
" This pilot study was conducted to determine preliminary pharmacokinetic parameters and relative oral bioavailability of a human generic and veterinary proprietary 4:1 amoxicillin-clavulanic acid formulation in healthy dogs to evaluate whether drug exposure was similar and to determine if further comparative investigation is warranted."( Relative Oral Bioavailability of Two Amoxicillin-Clavulanic Acid Formulations in Healthy Dogs: A Pilot Study.
Berger, DJ; Coetzee, JF; LeVine, DN; Lin, Z; Mochel, JP; Moczarnik, J; Noxon, JO,
)
0.13
" Oral bioavailability of amoxicillin was 79."( Population pharmacokinetics and dosing simulations of amoxicillin in obese adults receiving co-amoxiclav.
Burdet, C; Carette, C; Crémieux, AC; Czernichow, S; Duval, X; El-Helali, N; Hammas, K; Massias, L; Mellon, G; Mentré, F, 2020
)
0.56
" The mean oral bioavailability of AMX and CA was 23."( The bioavailability and pharmacokinetics of an amoxicillin-clavulanic acid granular combination after intravenous and oral administration in swine.
Cao, X; Sun, P; Wang, J; Xiao, H; Zhang, S; Zhao, T, 2021
)
0.62
"Oral third-generation cephalosporins (3GCs) are not recommended for use owing to their low bioavailability and the risk of emergence of resistant microorganisms with overuse."( Reduction strategies for inpatient oral third-generation cephalosporins at a cancer center: An interrupted time-series analysis.
Akazawa, N; Ishibana, Y; Itoh, N; Kawabata, T; Kawamura, D; Kodama, EN; Murakami, H; Ohmagari, N, 2023
)
0.91

Dosage Studied

ExcerptRelevanceReference
" Study patients seen at the hospital outpatient clinics were given the drug in a daily dosage of 80 mg in three (83% of cases) or four (15%) divided doses for 6 to 10 days; 28% of patients were also given an antiinflammatory agent."( [Efficacy and tolerance of a new formulation of amoxicillin 100 mg--clavulanic acid 12.5 mg in acute otitis in infants].
Astruc, J, 1992
)
0.28
" Based on the efficacy results from this study, the lower gastrointestinal side effects and the convenience of twice-a-day dosing, we believe that cefprozil in a dosage of 30 mg/kg/day divided every 12 hours represents a potential alternative for the treatment of acute otitis media with effusion in children."( Comparative trial of cefprozil vs. amoxicillin clavulanate potassium in the treatment of children with acute otitis media with effusion.
Arguedas, AG; Blumer, JL; Hains, CS; Stutman, HR; Zaleska, M, 1991
)
0.28
"Concentrations of amoxycillin/clavulanic acid achievable in the respiratory tract following oral dosage were assessed for in-vitro activity against beta-lactamase-producing strains of Branhamella catarrhalis and Haemophilus influenzae."( Effect of low concentrations of clavulanic acid on the in-vitro activity of amoxycillin against beta-lactamase-producing Branhamella catarrhalis and Haemophilus influenzae.
Cooper, CE; Slocombe, B; White, AR, 1990
)
0.28
"5 or 125 mg) 3-times daily, dosage and duration of treatment being determined by the severity of the condition."( An open, comparative evaluation of amoxycillin and amoxycillin plus clavulanic acid ('Augmentin') in the treatment of bacterial pneumonia in children.
Ifere, OA; Jibril, HB; Odumah, DU, 1989
)
0.28
" Adult dosage was usually 2 g per day as two divided doses over 8 to 10 days."( [Results of a multicenter study of an amoxicillin-clavulanic acid combination in sinusitis in children and adults].
Bourdinière, J; Le Clech, G, 1987
)
0.27
" was 1 X 10(6) approximately 9 X 10(6) cells/g feces on average before commencement of dosage and it increased by 2 logarithms 3 days after initiation of administration but there was no consistent change in the Klebsiella sp."( [Effect of BRL 25000 (clavulanic acid-amoxicillin) on bacterial flora in human feces].
Fujimoto, T; Ishimoto, K; Koga, T; Kuda, N; Motohiro, T; Nishiyama, T; Sakata, Y; Shimada, Y; Tanaka, K; Tomita, N, 1985
)
0.27
" In a cross over study, six animals were randomly allocated to treatment with either amoxycillin alone (10 mg/kg, dosed twice daily) or a formulation of clavulanate-potentiated amoxycillin (12."( Efficacy of clavulanate-potentiated amoxycillin in experimental and clinical skin infections.
Bywater, RJ; Hewett, GR; Marshall, AB; West, B, 1985
)
0.27
" An average daily dosage of 45."( [Experimental and clinical trials of BRL 25000 (clavulanic acid-amoxicillin) granules in the field of pediatrics].
Harada, M; Iriki, T; Ishimoto, K; Koga, T; Motohiro, T; Nishiyama, T; Shimada, Y; Tanaka, K; Tominaga, K; Tomita, N, 1985
)
0.27
" The daily dosage of BRL 25000 ranged from 23."( [Clinical trials of BRL 25000 (clavulanic acid-amoxicillin) granules on skin and soft tissue infections in the field of pediatrics].
Harada, M; Iriki, T; Ishimoto, K; Koga, T; Motohiro, T; Nishiyama, T; Shimada, Y; Tanaka, K; Tominaga, K; Tomita, N, 1985
)
0.27
" Each drug was given in a daily dosage of approximately 40 mg/kg in three divided doses for ten days."( Comparative treatment trial of augmentin versus cefaclor for acute otitis media with effusion.
Kusmiesz, H; Nelson, JD; Odio, CM; Shelton, S, 1985
)
0.27
"The chemistry, microbiology, pharmacokinetics, therapeutic use, adverse effects, and dosage of amoxicillin-potassium clavulanate, a beta-lactamase-resistant antibiotic combination, are reviewed."( Amoxicillin-potassium clavulanate, a beta-lactamase-resistant antibiotic combination.
Gurwith, MJ; Stein, GE,
)
0.13
"The combination of amoxicillin and potassium clavulanate will soon be marketed in 2:1 and 4:1 fixed ratio dosage forms."( Amoxicillin and potassium clavulanate: an antibiotic combination. Mechanism of action, pharmacokinetics, antimicrobial spectrum, clinical efficacy and adverse effects.
Rubin, RH; Tolkoff-Rubin, NE; Weber, DJ,
)
0.13
" Mean plasma concentrations 5 min after dosing were 89."( Single-dose pharmacokinetics of intravenous clavulanic acid with amoxicillin in pediatric patients.
Casey, PA; Cooper, DL; Schaad, UB, 1983
)
0.27
" Compliance with dosing was assessable with weight of drug consumed in 127 patients in each treatment group."( Multicenter controlled trial comparing ceftibuten with amoxicillin/clavulanate in the empiric treatment of acute otitis media. Members of the Ceftibuten Otitis Media United States Study Group.
Mccarty, JM; Mclinn, SE; Perrotta, R; Pichichero, ME; Reidenberg, BE, 1995
)
0.29
" Roxithromycin appears to be a more appropriate choice than amoxycillin/clavulanic acid for the treatment of LRTI in the community given its more appropriate in vitro spectrum, efficacy against most common and atypical pathogens, greater cost-effectiveness, more convenient dosage regimen (b."( Roxithromycin 150 mg b.i.d. versus amoxycillin 500 mg/clavulanic acid 125 mg t.i.d. for the treatment of lower respiratory tract infections in general practice.
Cooper, BC; Cursons, RT; Garrett, JE; Karalus, NC; Kostalas, GN; Lang, SD; Leng, RA; Ryan, CJ, 1995
)
0.29
" The superior safety profile, a twice daily dosage regimen, suggests that ciprofloxacin may be a useful therapeutic alternative for the treatment of chronic sinusitis."( A double-blind comparison of ciprofloxacin and amoxycillin/clavulanic acid in the treatment of chronic sinusitis.
Beauvillain, C; Berche, P; Bordure, P; Legent, F, 1994
)
0.29
" Mice were dosed orally, commencing at 7 days after infection, with minocycline, doxycycline, or amoxicillin-clavulanate."( Characteristics of murine model of genital infection with Chlamydia trachomatis and effects of therapy with tetracyclines, amoxicillin-clavulanic acid, or azithromycin.
Beale, AS; Upshon, PA, 1994
)
0.29
" In two trials, 891 pediatric patients were enrolled to either cefprozil or amoxicillin-clavulanate dosage regimens."( Multi-investigator evaluation of the efficacy and safety of cefprozil, amoxicillin-clavulanate, cefixime and cefaclor in the treatment of acute otitis media.
Kafetzis, DA, 1994
)
0.29
" The concentration of amoxycillin and clavulanic acid was determined in bronchial mucosal biopsy samples obtained at bronchoscopy following five different dosing regimens."( Penetration of amoxycillin/clavulanic acid into bronchial mucosa with different dosing regimens.
Douglas, JG; Friend, JA; Golder, D; Gould, IM; Harvey, G; Legge, JS; Reid, TM; Watt, SJ, 1994
)
0.29
"Concentrations of both clavulanic acid and amoxycillin in bronchial mucosa were dose related and were well above the MIC90 of co-amoxiclav for the common bacterial respiratory pathogens including Haemophilus influenzae, Micrococcus catarrhalis and Streptococcus pneumoniae for all dosing regimens."( Penetration of amoxycillin/clavulanic acid into bronchial mucosa with different dosing regimens.
Douglas, JG; Friend, JA; Golder, D; Gould, IM; Harvey, G; Legge, JS; Reid, TM; Watt, SJ, 1994
)
0.29
"Treatment with 3 days or 10 days of antibiotics at a dosage of 20 mg/kg per day of amoxicillin and 5 mg/kg per day of clavulanate potassium in three divided doses."( The role of bacterial adhesins in the outcome of childhood urinary tract infections.
Adams, KS; Arbeit, RD; Fattlar, DC; Johnson, CE; Maslow, JN, 1993
)
0.29
"160 children with an average age of 9 years (range 6-15) affected by acute bacterial tonsillitis, were selected and assigned, following an open, parallel group design to: a) brodimoprim at the dose of 10 mg/kg on the first day, in single administration, and of 5 mg/kg on the following days; b) cotrimoxazole suspension, at the dosage of 6 mg of trimethoprim/kg/day, in two daily administrations; c) amoxicillin with clavulanic acid suspension (amoxi-clavulanate) 50 mg/kg every 12 hours."( Efficacy and tolerability of brodimoprim in pharyngotonsillitis in children.
Dallari, S; Galetti, G, 1993
)
0.29
" In this study the pharmacokinetic profiles of different dosing regimens utilizing these drugs during reconstructive vascular procedures are presented."( Optimizing antimicrobial prophylaxis in reconstructive vascular surgery.
Agema, A; Degener, JE; Dijkstra, PK; Sikkema, B; van der Goot, L; van der Meer, AL; Voesten, HG, 1993
)
0.29
" Azithromycin (10 mg/kg/day) was administered as a single dose for three days and co-amoxiclav was given tid for ten days at a dosage according to the manufacturer's instructions for the country."( Comparison of azithromycin and co-amoxiclav in the treatment of otitis media in children.
Daniel, RR, 1993
)
0.29
" The dosage schedule for azithromycin was 10 mg/kg/day, in a single daily dose, administered for three days."( Multicentre evaluation of azithromycin in comparison with co-amoxiclav for the treatment of acute otitis media in children.
Schaad, UB, 1993
)
0.29
" Fleroxacin was given at a dosage of 400 mg once daily, and AMX/CP was given at a dosage of 500 mg/125 mg three times a day."( Open trial of oral fleroxacin versus amoxicillin/clavulanate in the treatment of infections of skin and soft tissue.
Powers, RD, 1993
)
0.29
"01 mg/L) the minimum dosage tested achieving significant cure was 2 mg/kg for amoxycillin, co-amoxiclav and cefotaxime."( Correlation of in-vitro activity and pharmacokinetic parameters with in-vivo effect of amoxycillin, co-amoxiclav and cefotaxime in a murine model of pneumococcal pneumonia.
Nieto, E; Parra, A; Ponte, C; Soriano, F, 1996
)
0.29
" No difference was found between twice and thrice daily dosing regimens in the overall percentage of prescribed doses given."( Owner compliance with short term antimicrobial medication in dogs.
Barter, LS; Maddison, JE; Watson, AD, 1996
)
0.29
" Two randomized, investigator-blind, multicenter trials (one in the United States and one in Europe) compared two dosage regimens of cefdinir (600 mg once a day for 10 days and 300 mg twice a day for 10 days) to amoxicillin-clavulanate (A-C) (500 mg three times a day for 10 days) for adult and adolescent patients with ACABS."( Comparative effectiveness and safety of cefdinir and amoxicillin-clavulanate in treatment of acute community-acquired bacterial sinusitis. Cefdinir Sinusitis Study Group.
Gwaltney, JM; Keyserling, C; Leigh, A; Rivas, P; Savolainen, S; Scheld, WM; Schenk, P; Sydnor, A; Tack, KJ, 1997
)
0.3
" This method is convenient and reproducible for analyses of these two components in different dosage forms."( Simultaneous determination of amoxycillin and clavulanic acid in pharmaceutical products by HPLC with beta-cyclodextrin stationary phase.
Tsou, TL; Wang, TM; Wu, JR; Young, CD, 1997
)
0.3
" The efficacy and safety of azithromycin suspension (10 mg/kg), dosed orally once daily for 3 days, was compared with that of co-amoxiclav (10 mg/kg in a 4:1 ratio), dosed orally three times daily for 5-10 days."( An open, multicentre, comparative study of the efficacy and safety of azithromycin and co-amoxiclav in the treatment of upper and lower respiratory tract infections in children. The Paediatric Azithromycin Study Group.
Lauvau, DV; Verbist, L,
)
0.13
" Azithromycin was as effective, and as well tolerated as co-amoxiclav, and its shorter simpler dosing regime may offer advantages in compliance and cost."( A comparison of the efficacy, tolerability and safety of azithromycin and co-amoxiclav in the treatment of sinusitis in adults.
Clement, PA; de Gandt, JB,
)
0.13
" Each cat underwent a bacteriological examination before treatment (day 0) and received either marbofloxacin, at a dosage of 2 mg/kg once daily for five days, or amoxycillin-clavulanic acid (ACA) at a dosage of 12."( Comparative field evaluation of marbofloxacin tablets in the treatment of feline upper respiratory infections.
Dossin, O; Gruet, P; Thomas, E, 1998
)
0.3
" These studies demonstrate that a reduction of 1 log10 or greater in CFU/thigh at 24 h is consistently observed when amoxicillin levels exceed the MIC for 25 to 30% of the dosing interval."( In vivo activities of amoxicillin and amoxicillin-clavulanate against Streptococcus pneumoniae: application to breakpoint determinations.
Andes, D; Craig, WA, 1998
)
0.3
" As T>MIC increased, the response, in terms of decreased bacterial load, improved and at T>MICs of greater than 35 to 40% of the dosing interval, bacteriological cure was maximal."( Two pharmacodynamic models for assessing the efficacy of amoxicillin-clavulanate against experimental respiratory tract infections caused by strains of Streptococcus pneumoniae.
Berry, V; Woodnutt, G, 1999
)
0.3
"4-mg/kg/day equivalent dosage for strains for which amoxicillin MICs were 2 or 4 microg/ml."( Efficacy of high-dose amoxicillin-clavulanate against experimental respiratory tract infections caused by strains of Streptococcus pneumoniae.
Berry, V; Woodnutt, G, 1999
)
0.3
" A significantly simpler dosage regimen and faster clinical effect were the advantages of azithromycin."( Azithromycin versus amoxicillin/clavulanate in the treatment of acute sinusitis.
Culig, J; Klapan, I; Matrapazovski, M; Oresković, K; Radosević, S,
)
0.13
" ceftriaxone 1 g once daily is as effective as standard therapy in the treatment of LRTI and that its use reduces treatment costs, in view of the multiple daily dosing regimens of most standard therapies."( A randomised, multicentre study of ceftriaxone versus standard therapy in the treatment of lower respiratory tract infections.
Bunnik, MC; de Klerk, GJ; Dofferhof, AS; Geraedts, WH; Hensing, CA; Hoepelman, AI; Jaspers, CA; Lobatto, S; Melis, JH; Van Den Berg, J; van Steijn, JH; van Veldhuizen, WC, 1999
)
0.3
" The average time above MIC (T > MIC) was calculated as percentage of the dosing interval using free concentrations and the MIC for each individual isolate."( In vitro activity and pharmacodynamics of oral beta-lactam antibiotics against Streptococcus pneumoniae from southeast Missouri.
Kays, MB; Miles, DO; Wood, KK, 1999
)
0.3
" The postantibiotic effect would prolong the effect of the antibiotic in the dosing interval."( [Pharmacodynamic basis for the use of amoxicillin-clavulanic acid in respiratory infections due to Streptococcus pneumoniae: In vitro studies in an experimental model].
Amores, R; Fuentes, F; García, Y; Gómez-Lus, ML; Valero, E, 2000
)
0.31
"Two dosage regimens of cefdinir were compared with amoxicillin/clavulanate for the treatment of suppurative acute otitis media (AOM) in children."( Comparative safety and efficacy of cefdinir vs amoxicillin/clavulanate for treatment of suppurative acute otitis media in children.
Block, SL; Hedrick, JA; Keyserling, CH; McCarty, JM; Nemeth, MA; Tack, KJ, 2000
)
0.31
" Both dosing regimens of cefdinir were associated with significantly fewer gastrointestinal adverse reactions than was amoxicillin/clavulanate."( Comparative safety and efficacy of cefdinir vs amoxicillin/clavulanate for treatment of suppurative acute otitis media in children.
Block, SL; Hedrick, JA; Keyserling, CH; McCarty, JM; Nemeth, MA; Tack, KJ, 2000
)
0.31
" The twice daily dosing regimen encourages better patient adherence to therapy, which is likely to improve treatment efficacy."( Efficacy of ofloxacin and other otic preparations for acute otitis media in patients with tympanostomy tubes.
Goldblatt, EL, 2001
)
0.31
" pneumoniae for >40% of the dosing interval."( Cefprozil versus high-dose amoxicillin/clavulanate in children with acute otitis media.
Hedrick, JA; Pierce, P; Schwartz, RH; Sher, LD, 2001
)
0.31
"The aim of this study was to compare the efficacy and safety of once daily dosing with moxifloxacin (BAY 12-8039) with that of coamoxiclav given three times daily for the treatment of acute exacerbation of chronic bronchitis (AECB)."( A multinational, multicentre, non-blinded, randomized study of moxifloxacin oral tablets compared with co-amoxiclav oral tablets in the treatment of acute exacerbation of chronic bronchitis.
Ballin, I; Bassaris, H; Hampel, B; Huchon, G; Reimnitz, P; Schaberg, T,
)
0.13
" The pharmacokinetically enhanced formulation is designed to provide higher serum concentrations of amoxycillin for a longer period than standard dosing to achieve coverage of Streptococcus pneumoniae isolates with amoxycillin-clavulanic acid minimum inhibitory concentrations (MICs) up to and including 4 mg/l."( The efficacy and safety of oral pharmacokinetically enhanced amoxycillin-clavulanate 2000/125 mg, twice daily, versus oral amoxycillin-clavulanate 1000/125 mg, three times daily, for the treatment of bacterial community-acquired pneumonia in adults.
Chidiac, C; Garau, J; Petitpretz, P; Rouffiac, E; Soriano, F; Stevenson, K, 2002
)
0.31
" Operationally, Rovamycin has an advantage over Augmentin for the reason that is given only twice a day as against thrice-daily dosage f orAugmentin."( A blind parallel comparative study of the efficacy and safety of rovamycin versus augmentin in the treatment of acute otitis media.
Mgbor, NC; Umeh, RE,
)
0.13
" Results are in agreement with the assumption of a limited accumulation of linezolid under the dosage regimen given."( Single- and multiple-dose pharmacokinetics of linezolid and co-amoxiclav in healthy human volunteers.
Borner, K; Burkhardt, O; Köppe, P; Lode, H; Nord, CE; Pletz, MW; von der Höh, N, 2002
)
0.31
"Evidence from studies in otitis media indicates that antimicrobials and dosing regimens that have equivalent bacteriologic efficacy against susceptible pathogens can have significantly different bacteriologic success rates against resistant strains of the same species."( Achieving bacterial eradication using pharmacokinetic/pharmacodynamic principles.
Dagan, R, 2003
)
0.32
"Compared with 5 days of dosing, a 3 day dosing regimen of azithromycin for treatment of acute otitis media (AOM) may improve compliance, will simplify therapy for the caregiver and, by giving the same total dose as the 5 day regimen, provide more drug when the bacterial burden is highest."( Randomized, double-blind study of the clinical efficacy of 3 days of azithromycin compared with co-amoxiclav for the treatment of acute otitis media.
Aoki, J; Boettger, D; Bottenfield, G; Dunne, MW; Garrett, A; Latiolais, T; Lewis, B; Moore, WH; Pistorius, B; Shemer, A; Spiegel, C; Stewart, TD, 2003
)
0.32
" The bilayer tablet provides immediate release of clavulanate and both immediate and sustained release of amoxicillin to maintain therapeutic concentrations of amoxicillin over longer periods of the dosing interval."( Amoxicillin/clavulanate potassium extended release tablets: a new antimicrobial for the treatment of acute bacterial sinusitis and community-acquired pneumonia.
Benninger, MS, 2003
)
0.32
"Pharmacokinetically enhanced co-amoxiclav 2000/125 mg was designed to achieve high serum concentrations of amoxicillin over the 12 h dosing interval to eradicate Streptococcus pneumoniae with amoxicillin MICs of at least 4 mg/L."( Oral pharmacokinetically enhanced co-amoxiclav 2000/125 mg, twice daily, compared with co-amoxiclav 875/125 mg, three times daily, in the treatment of community-acquired pneumonia in European adults.
Garau, J; Garcia-Mendez, E; Rivero, A; Siquier, B; Twynholm, M, 2003
)
0.32
" Monte Carlo simulations based on the pharmacokinetics of amoxicillin with or without clavulanate in humans are needed to best predict the likely efficacy of different amoxicillin dosing regimens."( Elements of design: the knowledge on which we build.
MacGowan, AP, 2004
)
0.32
" These principles indicate that for amoxicillin and amoxicillin/clavulanate, a time above MIC of 35-40% of the dosing interval is predictive of high bacterial efficacy."( Proof of concept: performance testing in models.
Craig, WA, 2004
)
0.32
" For amoxicillin and amoxicillin/clavulanate, a time above MIC (T > MIC) of 35-40% of the dosing interval (based on blood levels) is predictive of high bacteriological efficacy."( Building in efficacy: developing solutions to combat drug-resistant S. pneumoniae.
Jacobs, MR, 2004
)
0.32
"Using pharmacokinetic/pharmacodynamic principles, pharmacokinetically enhanced amoxicillin/clavulanate 2000/125 mg twice daily was designed to provide adequate levels of amoxicillin over the 12-h dosing interval to eradicate penicillin-resistant Streptococcus pneumoniae (PRSP, penicillin MICs > or = 2 mg/L) with amoxicillin MICs of at least 4 mg/L."( Performance in practice: bacteriological efficacy in patients with drug-resistant S. pneumoniae.
Garau, J, 2004
)
0.32
" In the prospective, comparative and randomized clinical study the efficacy of two treatment regimens were analyzed: XICLAV (amoxicillin + clavulanic acid): parenteral regiment with early transition to oral therapy and parenteral regimen in patients with bacterial infections without transition to the oral dosage form, on the other hand."( [Analysis of amoxicillin-clavulanic acid (Xiclav) efficacy and the possibility of early switch from parenteral to oral therapy in the treatment of infections].
Ahmetagić, S; Bajramović, N; Calkić, L; Cengić, D; Hadzić, E; Jusufović, E; Koluder, N; Salaka, U; Sijercić, M, 2003
)
0.32
" dosage regimen for both formulations, taking into account the pharmacodynamic breakpoint values for some major pathogens."( Amoxicillin/clavulanic acid (875/125): bioequivalence of a novel Solutab tablet and rationale for a twice-daily dosing regimen.
Bertola, MA; Kuipers, M; Rayer, B; Sourgens, H; Verschoor, JS, 2004
)
0.32
" The once daily dosage regimen is more applicable, convenience and has better compliance."( An open label, randomized comparative study of levofloxacin and amoxicillin/clavulanic acid in the treatment of purulent sinusitis in adult Thai patients.
Bunnag, C; Dhiraputra, C; Fooanant, S; Jareoncharsri, P; Srifuengfung, S; Tunsuriyawong, P; Voraprayoon, S, 2004
)
0.32
" In case of highly susceptible staphylococcal strain, highly frequent oral therapy of AMC (not longer than 8 hrs dosing interval) was also sufficiently effective."( [Optimization of amoxicillin/clavulanate therapy based on pharmacokinetic/pharmacodynamic parameters in patients with diabetic foot infection].
Bém, R; Fejfarová, V; Jirkovská, A; Lupínková, J; Petkov, V; Sedivý, J; Stambergová, A; Ulbrichová, Z, 2004
)
0.32
"Individualized optimization of amoxicillin/clavulanate dosage on the basis of growth/killing microbial dynamic parameters and antibiotic concentration/time fluctuations may enhance the antimicrobial effect and the treatment of infected non-critical ischemic diabetic foot ulcers."( [Optimization of amoxicillin/clavulanate therapy based on pharmacokinetic/pharmacodynamic parameters in patients with diabetic foot infection].
Bém, R; Fejfarová, V; Jirkovská, A; Lupínková, J; Petkov, V; Sedivý, J; Stambergová, A; Ulbrichová, Z, 2004
)
0.32
"The pharmacokinetic (PK) and pharmacodynamic (PD) profile of an antimicrobial agent provides important information that can be used to maximize bacteriologic and clinical efficacy, minimize selective pressure for the development of antimicrobial resistance, and determine an optimal dosing regimen."( Overview of newer antimicrobial formulations for overcoming pneumococcal resistance.
Craig, WA, 2004
)
0.32
" Results were interpreted according to NCCLS breakpoints and pharmacokinetic/pharmacodynamic (PK/PD) breakpoints based on oral dosing regimens."( Comparative in vitro activity of a pharmacokinetically enhanced oral formulation of amoxicillin/clavulanic acid (2000/125 mg twice daily) against 9172 respiratory isolates collected worldwide in 2000.
Bajaksouzian, S; Good, CE; Jacobs, MR; Jakielaszek, C; Koeth, LM; Saunders, KA; Windau, A, 2004
)
0.32
" Amoxicillin-clavulanate at 2,000/125 mg was designed to extend the therapeutic levels of amoxicillin in serum over the 12-h dosing interval, compared with conventional formulations, to eradicate bacterial strains for which amoxicillin MICs were < or =4 microg/ml while retaining efficacy against beta-lactamase-producing pathogens."( Efficacy and safety of pharmacokinetically enhanced amoxicillin-clavulanate at 2,000/125 milligrams twice daily for 5 days versus amoxicillin-clavulanate at 875/125 milligrams twice daily for 7 days in the treatment of acute exacerbations of chronic bronc
Breton, J; Sethi, S; Wynne, B, 2005
)
0.33
" These data suggest that telithromycin provides effective first-line therapy for use in patients with acute maxillary sinusitis in a short and convenient once-daily dosage regimen."( Bacteriological efficacy of 5-day therapy with telithromycin in acute maxillary sinusitis.
Buchanan, P; Leroy, B; Rangaraju, M; Roos, K; Tellier, G, 2005
)
0.33
"A large dosage pediatric formulation of amoxicillin/clavulanate with an improved pharmacokinetic/pharmacodynamic profile was developed to eradicate many penicillin-resistant strains of Streptococcus pneumoniae and Haemophilus influenzae (including beta-lactamase-producing strains)."( Large dosage amoxicillin/clavulanate, compared with azithromycin, for the treatment of bacterial acute otitis media in children.
Bandekar, R; Dagan, R; Hoberman, A; Huff, A; Johnson, CE; Leibovitz, E; Rosenblut, A; Wynne, B, 2005
)
0.33
" In all cases, the antibiotic dosage was below the dose recommended in all guidelines."( Acute otitis media in children--there are guidelines but are they followed?
Smith, DR; Woolley, SL, 2005
)
0.33
"Prevalence of surgical antimicrobial use, factors associated with use, the profile of antimicrobial use, timing, route, dosage regimen and duration of initiated prophylaxis."( Survey of surgical antimicrobial prophylaxis in czech republic.
Andrajati, R; Kolar, M; Pípalová, R; Vlcek, J, 2005
)
0.33
" The timing of the first dosage was within 2 h of operation in 95."( Survey of surgical antimicrobial prophylaxis in czech republic.
Andrajati, R; Kolar, M; Pípalová, R; Vlcek, J, 2005
)
0.33
" Particular areas of concern include route of administration, duration and timing of first dosage of SAP, and the inappropriate use of broad-spectrum antimicrobials."( Survey of surgical antimicrobial prophylaxis in czech republic.
Andrajati, R; Kolar, M; Pípalová, R; Vlcek, J, 2005
)
0.33
"Once daily IV/PO moxifloxacin monotherapy was as least as effective as standard IV piperacillin-tazobactam/PO amoxicillin-clavulanate dosed multiple times daily for the treatment of cIAIs."( Randomized controlled trial of moxifloxacin compared with piperacillin-tazobactam and amoxicillin-clavulanate for the treatment of complicated intra-abdominal infections.
Choudhri, S; Herrington, J; Malangoni, MA; Pertel, P; Song, J, 2006
)
0.33
"We conducted a prospective pharmacokinetic study of oral co-amoxiclav in patients with melioidosis to determine the optimal dosage and dosing interval in this potentially fatal infection."( Pharmacokinetic and pharmacodynamic assessment of co-amoxiclav in the treatment of melioidosis.
Chaowagul, W; Chierakul, W; Dance, DA; Day, NP; Lindegardh, N; Maharjan, B; Peacock, SJ; Pongtavornpinyo, W; Short, JM; Singtoroj, T; Teparrukkul, P; Wangboonskul, J; White, NJ; Wuthiekanun, V, 2006
)
0.33
" Urine samples were taken every 2 h during the whole dosing interval of the particular antibiotic."( Urinary bactericidal activity of oral antibiotics against common urinary tract pathogens in an ex vivo model.
Bedenic, B; Bubonja, M; Budimir, A; Topic, M, 2006
)
0.33
" The experimental bactericidal activity of cefditoren is maintained over the dosing interval regardless of the presence of a mutation in the ftsI gene or beta-lactamase production."( influence of TEM-1 beta-lactamase on the pharmacodynamic activity of simulated total versus free-drug serum concentrations of cefditoren (400 milligrams) versus amoxicillin-clavulanic acid (2,000/125 milligrams) against Haemophilus influenzae strains exhi
Aguilar, L; Alou, L; Cafini, F; Coronel, P; Echeverría, O; Giménez, MJ; González, N; Prieto, J; Sevillano, D; Torrico, M, 2007
)
0.34
" The development of higher dosing regimens and pharmacokinetically-enhanced formulations has allowed amoxicillin/clavulanate to continue to play an important role in the treatment of a range of infections, particularly those of the respiratory tract, in both adults and children worldwide."( Introduction: historical perspective and development of amoxicillin/clavulanate.
Geddes, AM; Klugman, KP; Rolinson, GN, 2007
)
0.34
" For beta-lactams, such as penicillins, the unbound serum concentration of the drug exceeding the minimum inhibitory concentration of the causative pathogen for 40-50% of the dosing interval is predictive of bacteriologic efficacy (bacterial eradication) and can be used to determine a PK/PD breakpoint for that specific dosing regimen."( Combating resistance: application of the emerging science of pharmacokinetics and pharmacodynamics.
Jacobs, MR, 2007
)
0.34
"Amoxicillin/clavulanate was first launched as a three times daily dosage for the treatment of a range of community-acquired infections."( Development of a twice daily dosing regimen of amoxicillin/clavulanate.
Bax, R, 2007
)
0.34
" The model may be useful to optimize clinical trial designs and drug dosing regimens."( A physiological model to evaluate drug kinetics in patients with hemorrhagic shock followed by fluid resuscitation. Application to amoxicillin-clavulanate.
Jullien, V; Lagneau, F; Mimoz, O; Tod, M, 2008
)
0.35
" In response to clinical confusion regarding the appropriate dose of amoxicillin-clavulanate, we have developed guidelines for the appropriate dosing of this second-line agent."( Consensus guidelines for dosing of amoxicillin-clavulanate in melioidosis.
Chaowagul, W; Cheng, AC; Chetchotisakd, P; Chierakul, W; Currie, BJ; Dance, DA; Limmathurotsakul, D; Peacock, SJ, 2008
)
0.35
"Knowledge about the performance of dosage forms in the gastrointestinal tract is essential for the development of new oral delivery systems, as well as for the choice of the optimal formulation technology."( Magnetic marker monitoring: high resolution real-time tracking of oral solid dosage forms in the gastrointestinal tract.
Blume, H; Mönnikes, H; Weitschies, W, 2010
)
0.36
" In this case series, Augmentin Duo 400/57 proved to be at least as effective as current treatments with systemic erythromycin or doxycycline with the advantage of a twice-daily dosage and a superior side-effect profile."( Augmentin duo™ in the treatment of childhood blepharokeratoconjunctivitis.
Cehajic-Kapetanovic, J; Kwartz, J,
)
0.13
" Although recent guidelines based on meta-analysis suggest that perioperative chemoprophylaxis plays a role in reducing bacteraemia-related post-tonsillectomy complications, there is no evidence or agreement upon which specific antibiotic, dosage or administration route should be preferred."( Evaluation of amoxicillin plasma and tissue levels in pediatric patients undergoing tonsillectomy.
Aluffi, P; Averono, G; Bagnati, M; Basile, M; Bellomo, G; Olina, M; Vidali, M, 2010
)
0.36
" CDN was bactericidal (percentage of the dosing interval for which experimental antibiotic concentrations exceeded the MIC [ft>MIC], >88%), and no recombined populations were detected from 4 h on."( Efficacy of simulated cefditoren versus amoxicillin-clavulanate free concentrations in countering intrastrain ftsI gene diffusion in Haemophilus influenzae.
Aguilar, L; Alou, L; Cafini, F; Coronel, P; Giménez, MJ; González, N; López, AM; Prieto, J; Sevillano, D; Torrico, M, 2011
)
0.37
" Data recorded included the following details: an antibiotic, the prescribed dose, dosing interval, route of administration combined with the demographic factors of the patient and clinical diagnosis based on a pre-defined list."( Assessment of antibiotic prescribing in Latvian general practitioners.
Akermanis, M; Dimiņa, E; Dumpis, U; Tirāns, E; Veide, S, 2013
)
0.39
" For the outcome measures, where a clinically important effect size was defined, improvements exceeded the thresholds, and a trend towards a dose-response relationship with double dose antibiotics being more efficacious."( Antibiotic treatment in patients with chronic low back pain and vertebral bone edema (Modic type 1 changes): a double-blind randomized clinical controlled trial of efficacy.
Albert, HB; Christensen, BS; Manniche, C; Sorensen, JS, 2013
)
0.39
" Although guidelines continue to endorse amoxicillin as the preferred treatment, amoxicillin/clavulanate in high dosage would be the preferred treatment based on the otopathogen mix currently."( Otitis media.
Pichichero, ME, 2013
)
0.39
" Based on pharmacokinetic/pharmacodynamic indexes reported for beta-lactams against other bacterial pathogens, a cumulative percentage of a 24-h period that the drug concentration exceeds the MIC under steady-state pharmacokinetic conditions (%TMIC) of 20 to 40% was achieved in mice using a suitable dosing regimen."( In vitro and in vivo efficacy of β-lactams against replicating and slowly growing/nonreplicating Mycobacterium tuberculosis.
Ahuja, V; Balasubramanian, V; Balganesh, M; Bhattacharjee, D; Dinesh, N; Ganguly, S; Kumar, N; Panduga, V; Parab, M; Ramachandran, V; Reddy, J; Shandil, R; Sharma, S; Solapure, S; Vishwas, KG, 2013
)
0.39
"In this observational pharmacokinetic study, multiple blood samples were taken over one dosing interval of intravenous amoxicillin/clavulanic acid (1000/200 mg)."( Population pharmacokinetics and dosing simulations of amoxicillin/clavulanic acid in critically ill patients.
Carlier, M; De Waele, JJ; Lipman, J; Noë, M; Roberts, JA; Stove, V; Verstraete, AG, 2013
)
0.39
" Dosing simulations for amoxicillin supported the use of standard dosing regimens (30 min infusion of 1 g four-times daily or 2 g three-times daily) for most patients when using a target MIC of 8 mg/L and a pharmacodynamic target of 50% fT>MIC, except for those with a creatinine clearance >190 mL/min."( Population pharmacokinetics and dosing simulations of amoxicillin/clavulanic acid in critically ill patients.
Carlier, M; De Waele, JJ; Lipman, J; Noë, M; Roberts, JA; Stove, V; Verstraete, AG, 2013
)
0.39
"Although vast pharmacokinetic variability exists for both amoxicillin and clavulanic acid in intensive care unit patients, current dosing regiments are appropriate for most patients, except those with very high creatinine clearance."( Population pharmacokinetics and dosing simulations of amoxicillin/clavulanic acid in critically ill patients.
Carlier, M; De Waele, JJ; Lipman, J; Noë, M; Roberts, JA; Stove, V; Verstraete, AG, 2013
)
0.39
" Indication for use was appropriate in 87% and dosage in 74% of cases."( Evaluation of the appropriateness of intravenous amoxicillin/clavulanate prescription in a teaching hospital.
Artoisenet, C; Ausselet, N; Delaere, B; Spinewine, A,
)
0.13
" Individual dosing simulations were performed with MW\\Pharm."( Is the standard dose of amoxicillin-clavulanic acid sufficient?
Bruggeman, C; Haeseker, M; Havenith, T; Neef, C; Stolk, L; Verbon, A, 2014
)
0.4
"Children undergoing laparoscopic appendectomy for perforated appendicitis were prospectively observed after institution of a new antibiotic regimen consisting of daily intravenous dosing ceftriaxone/metronidazole while an inpatient."( Safety of a new protocol decreasing antibiotic utilization after laparoscopic appendectomy for perforated appendicitis in children: A prospective observational study.
Alemayehu, H; Desai, AA; Holcomb, GW; St Peter, SD, 2015
)
0.42
"There is little data available to guide amoxicillin-clavulanic acid dosing in critically ill children."( Augmented renal clearance implies a need for increased amoxicillin-clavulanic acid dosing in critically ill children.
Barker, CI; Carlier, M; De Cock, PA; de Jaeger, A; De Paepe, P; Delanghe, JR; Dhont, E; Robays, H; Standing, JF; Verstraete, AG, 2015
)
0.42
"To describe the population pharmacokinetics of oral amoxicillin and to compare the PTA of current dosing regimens."( Non-linear absorption pharmacokinetics of amoxicillin: consequences for dosing regimens and clinical breakpoints.
de Velde, F; de Winter, BC; Koch, BC; Mouton, JW; van Gelder, T, 2016
)
0.43
" The PTA was computed using Monte Carlo simulations for several dosing regimens."( Non-linear absorption pharmacokinetics of amoxicillin: consequences for dosing regimens and clinical breakpoints.
de Velde, F; de Winter, BC; Koch, BC; Mouton, JW; van Gelder, T, 2016
)
0.43
" Cumulative exposure to any antimicrobial in the previous 6 months has a monotonic dose-response association with CA-CDI."( Cumulative and temporal associations between antimicrobial prescribing and community-associated Clostridium difficile infection: population-based case-control study using administrative data.
Bennie, M; Bryson, S; Davey, P; Kavanagh, K; Marwick, C; Pan, J; Robertson, C; Wiuff, C, 2017
)
0.46
"This analysis demonstrated temporal and dose-response associations between CA-CDI risk and antimicrobials, with an impact of exposure to high-risk antimicrobials remaining 4-6 months later."( Cumulative and temporal associations between antimicrobial prescribing and community-associated Clostridium difficile infection: population-based case-control study using administrative data.
Bennie, M; Bryson, S; Davey, P; Kavanagh, K; Marwick, C; Pan, J; Robertson, C; Wiuff, C, 2017
)
0.46
"Amoxicillin-clavulanate (A/C) is currently the most effective oral antimicrobial in treating children with acute otitis media (AOM), but the standard dosage of 90 mg amoxicillin/6."( Reduced-Concentration Clavulanate for Young Children with Acute Otitis Media.
Beumer, J; Bhatnagar, S; Haralam, M; Hoberman, A; Jeong, JH; Kearney, DH; Kurs-Lasky, M; Martin, JM; Miah, MK; Muñiz, G; Nagg, JP; Paradise, JL; Pope, MA; Rockette, HE; Shaikh, N; Shope, TR; Venkataramanan, R; Zhao, W, 2017
)
0.46
"To calculate the clavulanic acid exposure of oral amoxicillin/clavulanic acid dosing regimens, to investigate variability using a population pharmacokinetic model and to explore target attainment using Monte Carlo simulations."( Highly variable absorption of clavulanic acid during the day: a population pharmacokinetic analysis.
De Velde, F; De Winter, BCM; Koch, BCP; Mouton, JW; Van Gelder, T, 2018
)
0.48
" The model developed here may serve to suggest clavulanic acid dosing regimens to optimize efficacy and prevent underdosing."( Highly variable absorption of clavulanic acid during the day: a population pharmacokinetic analysis.
De Velde, F; De Winter, BCM; Koch, BCP; Mouton, JW; Van Gelder, T, 2018
)
0.48
" For amoxicillin and amoxicillin/clavulanate, the target was free antibiotic concentration remaining above the minimum inhibitory concentration (MIC) for ≥50% of the dosing interval (fT>MIC≥50%), whereas for cefuroxime axetil and cefotaxime, the target was fT>MIC≥60%."( Application of pharmacokinetic/pharmacodynamic analysis to evaluate the adequacy of antimicrobial therapy for pediatric acute otitis media in Spain before and after the introduction of the PCV7 vaccine.
Canut-Blasco, A; Ibar-Bariain, M; Isla, A; Rodríguez-Gascón, A; Solinís, MA, 2019
)
0.51
" No dose-response relationship was found between exposure in terms of the defined daily dose and major malformations."( The safety of amoxicillin and clavulanic acid use during the first trimester of pregnancy.
Daniel, S; Doron, M; Fishman, B; Koren, G; Levy, A; Lunenfeld, E, 2019
)
0.51
" Here we use co-amoxiclav (a clinically important combination of the β-lactam antibiotic amoxicillin and the β-lactamase inhibitor clavulanate) to ask whether treatment efficacy and resistance evolution can be decoupled via component dosing modifications."( Modified Antibiotic Adjuvant Ratios Can Slow and Steer the Evolution of Resistance: Co-amoxiclav as a Case Study.
Allen, RC; Brown, SP, 2019
)
0.51
" In only 13 of 138 patients with impaired or unknown renal function the dosage regimen was adjusted."( The appropriateness of antimicrobial use in the outpatient clinics of three hospitals in the Netherlands.
Jimmink, A; Lauw, FN; Lettinga, KD; Prins, JM; van den Broek, AK; van Hest, RM; Visser, CE, 2020
)
0.56
" Interventions were any antibiotic prophylaxis (any dosage regimen, any route of administration or at any time during delivery or the puerperium)."( Antibiotic prophylaxis for operative vaginal delivery.
Choobun, T; Islam, QM; Liabsuetrakul, T; Peeyananjarassri, K, 2020
)
0.56
" On the basis of these results, orally dosing hens with amoxicillin and clavulanic acid tablets at 125 mg/kg PO q12h does not reach therapeutic plasma concentrations."( Pharmacokinetics and Drug Residue in Eggs After Multiple-Day Oral Dosing of Amoxicillin-Clavulanic Acid in Domestic Chickens.
Bailey, J; Cox, SK; Davis, R; Fortner, C; Gerhardt, L; Shannon, L; Souza, MJ, 2020
)
0.56
"Pneumonia, skin and soft tissue infections are more frequent in obese patients and are most often treated by co-amoxiclav, using similar dosing regimens to those used for non-obese subjects."( Population pharmacokinetics and dosing simulations of amoxicillin in obese adults receiving co-amoxiclav.
Burdet, C; Carette, C; Crémieux, AC; Czernichow, S; Duval, X; El-Helali, N; Hammas, K; Massias, L; Mellon, G; Mentré, F, 2020
)
0.56
" While all isolates were fully susceptible at standard dosing regimen to amoxicillin-clavulanate, most were only susceptible at increased exposure or resistant to piperacillin-tazobactam."( Antimicrobial susceptibility testing of Eggerthella lenta blood culture isolates at a university hospital in Belgium from 2004 to 2018.
De Geyter, D; Declerck, B; Piérard, D; Van der Beken, Y; Wybo, I, 2021
)
0.62
" Our investigations excluded other possible causes for deranged LFTs and there was no improvement of same despite reduced dosing of potentially hepatotoxic medications."( Prednisolone: role in amoxicillin-clavulanate-induced cholestatic liver injury.
Chigozie, R; Khan, I; Lee, MQ; O'Mara, G, 2021
)
0.62
" The treatment with prednisolone in the amount of 50 mg/day, amoxicillin and clavulanic acid in the amount of 1000 mg twice per day and Diflucan in a dosage of 50 mg/day for 15 days was prescribed."( A case of polymorphic dermal angiitis in a B-cell chronic lymphocytic leukemia patient during rituximab therapy.
Grabovskaya, O; Kayumova, L; Morozova, E; Smirnova, L; Teplyuk, N, 2022
)
0.72
" Results obtained from this study aid in ameliorating current dosing regimens to optimise antibiotic efficacy; however, more in-depth amoxicillin and clavulanic acid y-site compatibility studies are warranted."( Stability of Amoxicillin and Clavulanic Acid in Separate Containers for Administration via a Y-Site.
Barton, S; Fawaz, S; Merzouk, M; Nabhani-Gebara, S, 2021
)
0.62
"In critically ill children, severely altered pharmacokinetics may result in subtherapeutic β-lactam antibiotic concentrations when standard pediatric dosing regimens are applied."( Suboptimal Beta-Lactam Therapy in Critically Ill Children: Risk Factors and Outcome.
De Cock, PAJG; De Paepe, P; Delanghe, JR; Dhont, E; Herck, I; Stove, V; Van Der Heggen, T; Vanhaesebrouck, S; Verstraete, AG; Willems, J, 2022
)
0.72
"Post hoc analysis of the "Antibiotic Dosing in Pediatric Intensive Care" study (NCT02456974, 2012-2019)."( Suboptimal Beta-Lactam Therapy in Critically Ill Children: Risk Factors and Outcome.
De Cock, PAJG; De Paepe, P; Delanghe, JR; Dhont, E; Herck, I; Stove, V; Van Der Heggen, T; Vanhaesebrouck, S; Verstraete, AG; Willems, J, 2022
)
0.72
" Neonates (postmenstrual age ≥35 weeks, postnatal age 0-28 days, bodyweight ≥2 kg) in whom prolonged antibiotic treatment was indicated because of a probable bacterial infection, were randomly assigned (1:1) to switch to an oral suspension of amoxicillin 75 mg/kg plus clavulanic acid 18·75 mg/kg (in a 4:1 dosing ratio, given daily in three doses) or continue on intravenous antibiotics (according to the local protocol)."( Efficacy and safety of switching from intravenous to oral antibiotics (amoxicillin-clavulanic acid) versus a full course of intravenous antibiotics in neonates with probable bacterial infection (RAIN): a multicentre, randomised, open-label, non-inferiorit
Allegaert, K; Baartmans, MGA; den Butter, PCP; Driessen, GJA; Eijkemans, M; Hartwig, NG; Heidema, J; Keij, FM; Kenter, S; Kornelisse, RF; Meijssen, CB; Norbruis, OF; Qi, H; Reiss, IKM; Stam-Stigter, GM; Tramper-Stranders, GA; van Beek, RHT; van Dalen-Vink, I; van den Berg, MM; van der Meer-Kappelle, LH; van der Sluijs-Bens, J; van Driel, A; van Rooij, LGM; van Rossem, MC; von Lindern, JS, 2022
)
0.72
"Selection of an antibiotic and dosing regimen requires consideration of multiple factors including microbiological data, site of infection, pharmacokinetics, and how it relates to the pharmacodynamic target."( Shedding Light on Amoxicillin, Amoxicillin-clavulanate, and Cephalexin Dosing in Children from a Pharmacist's Perspective.
Bio, LL; Yu, D, 2022
)
0.72
" A pilot study on amoxicillin-clavulanate that used a portion of the study animals demonstrated empirically that dosing twice a day was efficacious."( Evaluation of Amoxicillin and Amoxicillin-Clavulanate (Augmentin) for Antimicrobial Postexposure Prophylaxis Following Bacillus anthracis Inhalational Exposure in Cynomolgus Macaques.
Hatch, GJ; Hewitt, JA; Slay, RM, 2022
)
0.72
"Uroliths dissolved in 8 of 11 dogs in a median of 2 months (range, 1 to 4 months) with a final effective dosage of d,l-methionine of approximately 100 mg/kg, PO, every 12 hours."( d,l-Methionine in combination with amoxicillin-clavulanic acid successfully dissolves spontaneously occurring infection-induced struvite urocystoliths in dogs: a pilot study.
Bartges, JW; Harris, ASM; Moyers, TD, 2023
)
0.91
[information is derived through text-mining from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Research

Studies (2,605)

TimeframeStudies, This Drug (%)All Drugs %
pre-1990232 (8.91)18.7374
1990's510 (19.58)18.2507
2000's784 (30.10)29.6817
2010's825 (31.67)24.3611
2020's254 (9.75)2.80
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Study Types

Publication TypeThis drug (%)All Drugs (%)
Trials612 (21.65%)5.53%
Reviews224 (7.92%)6.00%
Case Studies728 (25.75%)4.05%
Observational20 (0.71%)0.25%
Other1,243 (43.97%)84.16%
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Clinical Trials (164)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Efficacy and Tolerability of Systemic Methylprednisolone in Children and Adolescents With Chronic Rhinosinusitis [NCT01205984]Phase 448 participants (Actual)Interventional2007-07-31Completed
A Comparison of Single Preoperative Dose of Co-amoxiclav Versus Postoperative Full Course of Amoxicillin/ Co-amoxiclav in Prevention of Postoperative Complications in Dentoalveolar Surgery: a Randomized Controlled Trial [NCT03844776]135 participants (Anticipated)Interventional2019-10-02Recruiting
A Randomized, Double-blind, Multicenter Trial to Evaluate the Safety and Efficacy of Sequential (Intravenous, Oral) Moxifloxacin Versus Comparator in Pediatric Subjects With Complicated Intra-abdominal Infection [NCT01069900]Phase 3458 participants (Actual)Interventional2010-07-21Completed
Prospective Randomized Clinical Trial Comparing Efficacy Surgical Versus Medical Treatment of Osteomyelitis in Diabetic Foot Ulcers [NCT01137903]88 participants (Anticipated)Interventional2010-04-30Recruiting
Comparison of Postoperative Infection and Graft Uptake Rate Using Single Dose of Intravenous Co-amoxiclav Versus no Antibiotic in Children Undergoing Myringoplasty [NCT03700814]Phase 460 participants (Actual)Interventional2014-01-10Completed
Trial of Faropenem and Cefadroxil (in Combination With Amoxicillin/Clavulanic Acid and Standard TB Drugs) in Patients With Pulmonary Tuberculosis: Measurement of Early Bactericidal Activity and Effects on Novel Biomarkers [NCT02381470]Phase 258 participants (Actual)Interventional2019-02-11Completed
A Phase 2 Trial to Evaluate the Early Bactericidal Activity and Safety of Meropenem With Amoxicillin/Clavulanate Plus Either Pyrazinamde or Bedaquiline in Adults With Newly Diagnosed Rifampicin-susceptible Pulmonary Tuberculosis [NCT04629378]Phase 222 participants (Actual)Interventional2020-08-17Completed
A Phase IV Double-Blind, Placebo-Controlled, Randomized Trial to Evaluate Short Course vs.Standard Course Outpatient Therapy of Community Acquired Pneumonia in Children (SCOUT-CAP) [NCT02891915]Phase 4385 participants (Actual)Interventional2016-12-02Completed
Open-label, Randomized, Crossover, Two-period, Two-sequence, Single-center, Comparative Bioequivalence Study of Clavamox, Film-coated Tablets, 875 mg + 125 mg (Pharmtechnology LLC, Belarus), and Augmentin®, Film-coated Tablets, 875 mg + 125 mg (GlaxoSmith [NCT03702894]Phase 156 participants (Actual)Interventional2018-09-21Completed
Are Prophylactic Antibiotics Necessary Before Laparoscopic Living Kidney Donation? A Double Blind, Randomised, Controlled Trial. [NCT02089568]Phase 4284 participants (Actual)Interventional2012-07-31Completed
Prospective Randomized Study to Compare Clinical Outcomes in Patients With Osteomyelitis Treated With Intravenous Antibiotics Versus Intravenous Antibiotics With an Early Switch to Oral Antibiotics [NCT02099240]Early Phase 111 participants (Actual)Interventional2014-03-06Terminated(stopped due to Not enough patient enrollment and lack of staffing)
Single Intraoperative Intravenous Enhancin[Co-amoxiclav] Versus Postoperative Full Oral Course in Prevention of Post Adenotonsillectomy Morbidity:A Randomised Clinical Trial. [NCT01267942]126 participants (Actual)Interventional2008-05-31Completed
The Impact of Antibiotic Prophylaxis on Incidence of Post-bronchoscopy Fever and Change of Serum Cytokines [NCT01089218]Phase 4241 participants (Actual)Interventional2008-04-30Completed
Pharmacokinetics and Pleural Fluid Penetration of Amoxicillin and Clavulanic Acid in Patients With Pleural Infections [NCT04350502]11 participants (Actual)Interventional2020-04-04Completed
Prospective Randomized Clinical Study: Role of Platelet Rich Fibrin (PRF) in the Tooth Extraction Site in the Prevention of Jaw Osteonecrosis on Patients Under Bisphosphonates Therapy [NCT02198001]100 participants (Anticipated)Interventional2014-01-31Recruiting
Pneumonia in Children: Aetiology, Ideal Antibiotic Duration, Quality of Life [NCT02258763]Phase 419 participants (Actual)Interventional2014-11-30Completed
An Open-Label, Single-Dose, Two-Way Crossover Bioequivalence Study of Two Oral Suspension Formulations of Amoxicillin/Clavulanate Potassium, 600/42.9 mg/5 mL in Healthy Subjects Under Fasting Conditions [NCT00840099]Phase 148 participants (Actual)Interventional2002-08-31Completed
Randomized, 2-Way Crossover, Bioequivalence Study of Amoxicillin-Clavulanic Acid 400 mg-57 mg Chewable Tablets and AUGMENTIN® 400 mg-57 mg Chewable Tablets Administered as 1 x 400 mg-57 mg Chewable Tablet in Healthy Subjects Under Fed Conditions [NCT00836901]Phase 152 participants (Actual)Interventional2003-09-30Completed
Evaluation of the Efficacy of an Antibiotic Combined With Standard Treatment in Severe Alcoholic Hepatitis [NCT02281929]Phase 3297 participants (Actual)Interventional2015-06-13Completed
[NCT02431832]Phase 117 participants (Actual)Interventional2015-02-28Completed
Population Pharmacokinetics of Anti-tuberculosis Drugs in Children With Tuberculosis [NCT03625739]800 participants (Anticipated)Observational [Patient Registry]2018-07-01Recruiting
Study Of The Antibiotic Role In Post Tonsillectomy Complications [NCT03491085]Phase 1/Phase 2200 participants (Anticipated)Interventional2018-05-15Not yet recruiting
Open-label, Randomized, Crossover, Two-period, Two-sequence, Single-center, Comparative Bioequivalence Study of Clavamox, Powder for Oral Suspension, 400 mg + 57 mg / 5 ml (Pharmtechnology LLC, Belarus), and Augmentin®, Powder for Oral Suspension, 400 mg [NCT03616301]Phase 156 participants (Actual)Interventional2018-07-28Completed
Oral Versus Intravenous Antibiotics for the Management of the Osteomyelitis of the Jaws: An Open-Label Non-Inferiority Single-Arm Clinical Trial [NCT05867654]100 participants (Anticipated)Observational2023-11-01Not yet recruiting
An Open Label, Single Arm Study, to Evaluate the Pharmacokinetics and Safety of Augmentin Extra Strength (ES)-600 Suspension in Children Presenting With Community Acquired Pneumonia (CAP) and Acute Bacterial Rhinosinusitis (ABRS) in Brazil [NCT05340257]Phase 224 participants (Anticipated)Interventional2023-06-23Not yet recruiting
Antibiotic PRophylAxis Based on infeCTIve Risk in Cardiac Implantable Electronic Device - PRACTICE Study [NCT04736979]1,044 participants (Actual)Observational2017-01-01Completed
A Multicenter, Open-label, Non-comparative Phase IV Clinical Study to Evaluate the Safety and Clinical Efficacy of Augmentin Extra Strength (ES)-600 in Children With Acute Otitis Media (AOM) in India [NCT04600752]Phase 4310 participants (Actual)Interventional2022-01-12Completed
Рrospective Multicenter Randomized 3 Phase Study Evaluating the Role of Prolonged Antibiotic Prophylaxis as a Measure to Reduce the Incidence of Postoperative Complications After Radical Cystectomy With ERAS Protocol [NCT05392634]Phase 398 participants (Anticipated)Interventional2022-02-02Recruiting
An Open-Label, Single-Dose, Two-Way Crossover Bioequivalence Study of Two Oral Suspension Formulations of Amoxicillin/Clavulanate Potassium, 600/42.9 mg/5 mL in Healthy Subjects, Under Fed Conditions [NCT00840840]Phase 148 participants (Actual)Interventional2002-08-31Completed
A Clinical Study to Evaluate the Effect of Glutathion S-transferase Polymorphism on Pharmacokinetics/Pharmacodynamics After Multiple Administration of Amoxicillin/Clavulanate and Explore Biomarkers for Drug-induced Liver Injury (DILI) [NCT02143323]Phase 132 participants (Actual)Interventional2013-12-31Completed
DIABOLO Trial: A Multicenter Randomized Clinical Trial Investigating the Cost-effectiveness of Treatment Strategies With or Without Antibiotics for Uncomplicated Acute Diverticulitis. [NCT01111253]Phase 4533 participants (Anticipated)Interventional2010-05-31Active, not recruiting
Antibiotic-associated Gastrointestinal Side Effects and the Role of the Gut Microbiome [NCT04156555]Phase 430 participants (Actual)Interventional2019-08-01Completed
The Role of Oral Steroids in the Management of Chronic Rhinosinusitis Without Nasal Polyps [NCT02927834]24 participants (Actual)Interventional2015-08-31Completed
Routine vs. Clinically-Directed Antibiotic Treatment in Snake Bite With Local Envenomation: a Randomised Controlled Trial [NCT02570347]Phase 4130 participants (Anticipated)Interventional2016-04-30Recruiting
Effects of Phenoximethylpenicillin, Amoxicillin and Amoxicillin-clavulanic Acid on the Gut Microbiota of Healthy Volunteers: a Randomized Clinical Trail [NCT04084106]Phase 4104 participants (Actual)Interventional2019-09-10Completed
Comparing Oral Versus Parenteral Antimicrobial Therapy (COPAT) Trial [NCT05977868]Phase 4135 participants (Anticipated)Interventional2023-08-04Enrolling by invitation
Randomized, 2-Way Crossover, Bioequivalence Study of Amoxicillin-Clavulanic Acid 400 mg-57 mg Chewable Tablets and AUGMENTIN® 400 mg-57 mg Chewable Tablets Administered as 1 x 400 mg-57 mg Chewable Tablet in Healthy Subjects Under Fasting Conditions [NCT00835705]Phase 152 participants (Actual)Interventional2003-09-30Completed
An Open Label, Single Arm Study, to Evaluate the Pharmacokinetics of LP-001 Oral Suspension in Children With a Bacterial Infection [NCT05584683]Phase 124 participants (Anticipated)Interventional2022-12-12Not yet recruiting
Target Attainment and Pharmacokinetics of Antimicrobials in Non-critically Ill Surgery Patients [NCT03120663]120 participants (Anticipated)Observational2016-11-30Recruiting
Home Intravenous Versus Oral Antibiotics Following Appendectomy for Perforated Appendicitis in Children, a Randomized Controlled Trial [NCT02724410]82 participants (Actual)Interventional2011-01-31Completed
Clindamycin Versus Amoxicillin With Clavulanic Acid in Prevention of Early Dental Implants Failure [NCT04980170]Early Phase 1100 participants (Anticipated)Interventional2021-11-01Not yet recruiting
Use of Perioperative Antibiotics in Endoscopic Sinus Surgery [NCT03369717]Phase 4400 participants (Anticipated)Interventional2018-08-01Suspended(stopped due to Expired IRB approval since 05/07/2020)
Antibiotic Dosing in Pediatric Intensive Care [NCT02456974]640 participants (Anticipated)Observational [Patient Registry]2012-05-31Recruiting
Use of Prophylactic Antibiotics Prior to OnabotulinumtoxinA Treatment of Overactive Bladder: a Randomized Controlled Trial [NCT05519072]Phase 4140 participants (Anticipated)Interventional2022-08-16Recruiting
Early Bactericidal Activity of Cephalexin and Amoxicillin-clavulanate for Susceptible Tuberculosis - BLAST 1 Trial [NCT05664568]Phase 230 participants (Anticipated)Interventional2023-03-15Recruiting
Efficacy of Antimicrobials in Young Children With Acute Otitis Media (AOM) [NCT00377260]Phase 4291 participants (Actual)Interventional2006-11-30Completed
Randomized, Embedded, Multifactorial Adaptive Platform Trial for Community- Acquired Pneumonia [NCT02735707]Phase 310,000 participants (Anticipated)Interventional2016-04-11Recruiting
Benefit of a Single Preoperative Dose of Antibiotics in a Sub-Saharan District Hospital: Minimal Input, Massive Impact [NCT00801099]276 participants (Actual)Interventional2004-12-31Completed
Randomized Controlled Trial Comparing Long and Short Duration of Antibiotic Prophylaxis for Patients Undergoing Sinus Lift Surgery [NCT02764710]Phase 3250 participants (Anticipated)Interventional2016-05-31Not yet recruiting
Pharmacodynamic Drug Interaction Between Warfarin and Amoxicillin-clavulanic Acid [NCT00603317]Phase 413 participants (Actual)Interventional2008-03-31Completed
A Phase IIIB/IV Comparative Study of the Safety and Efficacy of Clarithromycin Extended-Release Tablets vs. Amoxicillin-Clavulanate for the Treatment of Subjects With Acute Bacterial Sinusitis [NCT00644553]Phase 3437 participants (Actual)Interventional2003-05-31Completed
Comparison of Intravenous Co-amoxiclav Versus Benzyl Penicillin in Children With Severe Tonsillitis [NCT04215770]310 participants (Actual)Interventional2018-01-01Completed
Application of LiveSpo Navax® in the Treatment Support of Acute Rhinosinusitis and Acute Otitis Media [NCT05804123]120 participants (Anticipated)Interventional2021-10-28Recruiting
Initial Non-operative Treatment Strategy Versus Appendectomy Treatment Strategy for Simple Appendicitis in Children Aged 7-17 Years Old - Antibiotics Versus Primary Appendectomy in Children With Simple Appendicitis: APAC Study [NCT02848820]Phase 4302 participants (Actual)Interventional2016-12-31Active, not recruiting
A Multicenter, Randomized, Double-Blind, Double-Dummy Comparative Trial of Azithromycin SR Versus Amoxicillin/Clavulanate Potassium (Augmentin ES-600 Trademark) for the Treatment of Acute Otitis Media in Children Undergoing Diagnostic Tympanocentesis [NCT00643292]Phase 3902 participants (Actual)Interventional2003-01-31Completed
Prophylaxis of Surgical Wound Infection in Incisional Hernia Repair With Topical Antibiotics (PROTOP-PAR) [NCT05508152]Phase 3260 participants (Actual)Interventional2021-02-01Completed
Nasal Steroids, Irrigation, Oral Antibiotics, and Subgroup Targeting for Effective Management of Sinusitis [NCT06076304]Phase 4144 participants (Anticipated)Interventional2023-12-31Not yet recruiting
Efficacy of Tympanostomy Tubes for Children With Recurrent Acute Otitis Media [NCT02567825]250 participants (Actual)Interventional2015-11-30Completed
Prospective, Multicenter, Randomized, Double Blind, Parallel Arm Study to Evaluate the Efficacy and Safety of Moxifloxacin 400 mg OD for 7 Days Versus a Standard Antibiotic Therapy for 10 Days in the Treatment of Acute Bacterial Rhino Sinusitis [NCT00493038]Phase 4293 participants (Actual)Interventional2006-02-28Terminated(stopped due to The study was prematurely terminated due to slow enrollment beyond the planned study timelines.)
MAESTRAL - A Prospective, Multinational, Multicenter, Randomized, Double Blind, Double Dummy, Controlled Study Comparing the Efficacy and Safety of Moxifloxacin to That of Amoxicillin Clavulanic Acid for the Treatment of Subjects With Acute Exacerbations [NCT00656747]Phase 41,372 participants (Actual)Interventional2008-03-31Completed
A Phase 2 Randomized, Double-blind, Double-dummy Efficacy, Safety And Tolerability Study Of Iv Sulopenem With Switch To Oral Pf-03709270 Compared To Ceftriaxone With Step Down To Amoxicillin/Clavulanate Potassium (Augmentin) In Subjects With Community Acq [NCT00797108]Phase 235 participants (Actual)Interventional2009-01-31Completed
Supportive Care and Antibiotics for Severe Pneumonia Among Hospitalized Children [NCT04041791]Phase 34,392 participants (Anticipated)Interventional2019-08-19Recruiting
Randomized, Open - Label, 2 - Way Crossover, Bioequivalence Study of Amoxicillin-Clavulanic Acid 600mg - 42.9 mg/ 5 mL Oral Suspension and Augmentin ES - 600 (Reference) Following a 600 mg - 42.9 mg Dose in Healthy Subjects Under Fasting Conditions [NCT00778414]48 participants (Actual)Interventional2006-06-30Completed
[NCT04082598]Phase 4165 participants (Actual)Interventional2016-10-01Completed
A National, Prospective, Randomized, Open Label Study to Assess the Efficacy and Safety of IV/PO Moxifloxacin vs IV Ceftriaxone + IV Azithromycin Followed by PO Amoxicilline/Clavulanate and PO Clarithromycin in Subjects With Community-acquired Pneumonia [NCT00717561]Phase 360 participants (Actual)Interventional2008-02-29Completed
Pivmecillinam With Amoxicillin/Clavulanic Acid for Step Down Oral Therapy in Febrile UTIs Caused by ESBL-producing Enterobacterales (PACUTI) [NCT05224401]Phase 3330 participants (Anticipated)Interventional2023-05-29Recruiting
Short (5 Days) Versus Long (14 Days) Duration of Antimicrobial Therapy for Acute Bacterial Sinusitis in Children [NCT01166945]98 participants (Actual)Interventional2010-11-30Completed
A Prospective, Randomized, Double-Blind, Multicenter Study to Establish the Safety and Tolerability of Doripenem Compared With Cefepime in Hospitalized Children With Complicated Urinary Tract Infections [NCT01110408]Phase 341 participants (Actual)Interventional2010-12-31Terminated(stopped due to Trial terminated early per business decision)
Effect of Irrigation With Antibiotic-containing Solutions Versus Sodium Hypochlorite on Postoperative Pain and Intra-canal Bacteria in Teeth With Necrotic Pulps (a Randomized Double-blind Clinical Trial) [NCT04035070]Phase 451 participants (Anticipated)Interventional2021-01-31Not yet recruiting
A Prospective, Phase 3, Randomized, Multi-center, Double-blind Study of the Efficacy, Tolerability, and Safety of Oral Sulopenem Etzadroxil/Probenecid Versus Oral Amoxicillin/Clavulanate for Treatment of Uncomplicated Urinary Tract Infections (uUTI) in Ad [NCT05584657]Phase 32,229 participants (Actual)Interventional2022-10-18Active, not recruiting
Randomized, Multicenter, Phase III, Controlled Clinical Trial, to Demonstrate the no Inferiority of Reduced Antibiotic Treatment vs a Broad Spectrum Betalactam Antipseudomonal Treatment in Patients With Bacteremia by Enterobacteriaceae [NCT02795949]Phase 3344 participants (Actual)Interventional2016-10-31Completed
Effect of Lactobacillus Reuteri DSM 17938 to Prevent Antibiotic-associated Diarrhea in Children: Prospective, Multi-center, Randomize, Parallel Group Placebo Controlled Clinical Trial [NCT02765217]Phase 41,325 participants (Actual)Interventional2017-06-01Completed
Randomized, Open-Label, 2 - Way Crossover, Bioequivalence Study of Amoxicillin-Clavulanic Acid 600 mg- 42.9 mg/ 5 mL Oral Suspension and Augmentin ES-600 (Reference) Following a 600 mg- 42.9 mg Dose in Healthy Subjects Under Fed Conditions. [NCT00778544]48 participants (Actual)Interventional2006-06-30Completed
Beta-lactam Monotherapy Versus Beta-lactam - Macrolide Association as Empiric Antibiotherapy Strategies in Non-severe Hospitalized Community-acquired Pneumonia: a Randomized, Non-inferiority, Open Trial. [NCT00818610]Phase 4601 participants (Actual)Interventional2009-01-31Completed
A Comparison Study Between Cefdinir and Amoxicilline/Clavulanate in Patients With Acute Sinusitis and Assessment of Quality of Life (QOL) [NCT00147914]Phase 4100 participants (Actual)Interventional2005-02-28Completed
A Prospective, Randomized Trial of Antibiotic Duration in Post-appendectomy Abscess [NCT03795194]Phase 412 participants (Actual)Interventional2019-05-01Terminated(stopped due to Due to low enrollment.)
Exploratory Pilot Studies to Demonstrate Mechanisms of Preventing Antibiotic-Associated Diarrhea and the Role for Probiotics [NCT03755765]Early Phase 166 participants (Actual)Interventional2019-07-23Completed
Perianal Abscess Recurrence and Fistula Formation: Antibiotics Following Incision and Drainage Trial - (PARFAIT) A Vanguard Randomized Controlled Trial [NCT04549311]Phase 315 participants (Actual)Interventional2021-11-18Active, not recruiting
A Phase 2a Study of the Early Bactericidal Activity of Rifampin (RIF) in Combination With Meropenem Plus Amoxicillin/Clavulanate Among Adults With Rifampin-resistant or Rifampin-susceptible Pulmonary Tuberculosis [NCT03174184]Phase 2112 participants (Actual)Interventional2017-08-23Completed
A Non-Inferiority, Multicentered, Controlled, Randomized, Double Blinded Study Investigating the Antibiotic Treatment Duration (3-day Versus 8-day) for Subjects Admitted to Emergency Services With Acute Non-severe Community Acquired Pneumonia (CAP) [NCT01963442]Phase 2310 participants (Anticipated)Interventional2013-11-30Recruiting
Phase I Study of Safety and Immunogenicity of ADU-623, a Live-attenuated Listeria Monocytogenes Strain (ΔactA/ΔinlB) Expressing the EGFRvIII-NY-ESO-1 Vaccine, in Patients With Treated and Recurrent WHO Grade III/IV Astrocytomas [NCT01967758]Phase 111 participants (Actual)Interventional2014-01-08Completed
A Randomised Control Trial to Determine Whether a 5 Day Course of Antibiotics is More Clinically and Cost Effective Than a 24 Hour Prophylactic Course for the Prevention of Surgical Site Infection Following Lower Limb Amputation [NCT02018094]Phase 4160 participants (Actual)Interventional2013-10-08Completed
Beta-Lactam Containing Regimen for the Shortening of Buruli Ulcer Disease Therapy: Comparison of 8 Weeks Standard Therapy (Rifampicin Plus Clarithromycin) vs. 4 Weeks Standard Plus Amoxicillin/Clavulanate Therapy [RC8 vs. RCA4] [NCT05169554]Phase 2140 participants (Anticipated)Interventional2021-12-01Recruiting
CAT BITE Antibiotic Prophylaxis and Durations for the Hand/Forearm (CATBITE): A Prospective, Randomized, Placebo-controlled, Double-blinded, Clinical Trial [NCT05846399]Phase 472 participants (Anticipated)Interventional2023-09-07Recruiting
A Prospective, Randomized, Double-Blind, Multicenter Study to Establish the Safety and Tolerability of Doripenem Compared With Meropenem in Hospitalized Children With Complicated Intra-Abdominal Infections [NCT01110382]Phase 341 participants (Actual)Interventional2010-12-31Terminated(stopped due to Trial terminated early per business decision)
Use of Pathological Phenotype to Determine Optimal Management for Moderate to Severe Preschool Wheeze [NCT02517099]Phase 260 participants (Actual)Interventional2015-06-05Completed
Does Adjuvant Antibiotic Treatment After Drainage of Anorectal Abscess Prevent the Development of Anal Fistulae? A Prospective Randomized, Placebo Controlled, Double Blind, Multi-Center Clinical Study [NCT01012843]151 participants (Actual)Interventional2005-09-30Completed
Antibiotic Treatment Versus no Antibiotics in the Postoperative Acute Cholecystitis Low and Moderately Severe [NCT01015417]Phase 3414 participants (Actual)Interventional2010-05-31Completed
Open-label Comparative Safety and Efficacy Study of Levofloxacin and Amoxicillin Clavulanic Acid in Patients With Acute ,Bacterial Rhinosinusitis [NCT02712502]100 participants (Actual)Observational2014-09-30Completed
Fast-track Absolute Neutrophil Count in Suspected Neutropenic Fever (The FRANCiS-NF Trial): A Single-centre, Pragmatic, Open-label, Randomised, Controlled Trial [NCT05393505]Phase 4344 participants (Anticipated)Interventional2022-10-24Recruiting
Exploratory Pilot Studies to Demonstrate Mechanisms of Preventing Antibiotic-Associated Diarrhea and the Role for Probiotics [NCT04414722]Early Phase 1138 participants (Actual)Interventional2021-01-01Completed
Prophylactic Versus Clinically-driven Antibiotics in Comatose Survivors of Out-of-hospital Cardiac Arrest [NCT02899507]Phase 460 participants (Actual)Interventional2013-09-30Completed
The Efficiency of Postoperative Antibiotics in Orthognathic Surgery: A Prospective, Randomized, Double-blind, Placebo-controlled Clinical Trial [NCT02740647]25 participants (Anticipated)Interventional2016-04-30Not yet recruiting
[NCT00185939]Phase 2/Phase 3125 participants Interventional2003-08-31Completed
Multicentre, Randomised, Double-blinded, Placebo-controlled Trial of Efficacy of Amoxicilline/Clavulanic Acid in Patients Affected by Tic Disorder Colonized by Group A Streptococcus [NCT01860300]46 participants (Anticipated)Interventional2013-03-31Recruiting
Antibiotic Prophylaxis for Percutaneous Endoscopic Gastrostomy (PEG) in Children: a Randomised Controlled Trial. [NCT01870167]Phase 490 participants (Anticipated)Interventional2013-01-31Recruiting
Use of Antibiotics to Eradicate Bacterial Pathogens Colonising the Colonic Mucosa in Ulcerative Colitis Patients [NCT00355602]40 participants (Anticipated)Interventional2006-07-31Completed
A Prospective Randomised Phase III Trial of Early Hospital Discharge Versus Standard Inpatient Management of Cancer Patients With Low-Risk Febrile Neutropenia Receiving Oral Antibiotics. Oral Antibiotics for Neutropenic Sepsis Giving Early Hospital Discha [NCT00445497]Phase 3400 participants (Anticipated)Interventional2007-07-31Recruiting
The Effect of a Combination of Systemic Steroids and Antibiotics on Obstructive Sleep Apnea Syndrome in Children [NCT00456339]Phase 44 participants (Actual)Interventional2006-07-31Terminated(stopped due to Problems recruiting; patient relapse following treatment)
Quadruple Therapy Using Esomeprazole, Colloidal Bismuth Subcitrate, Amoxicillin-Clavulanate, and Furazolidone in Patients Who Failed to Eradicate H. Pylori With Triple Therapy [NCT00520949]176 participants (Actual)Interventional2006-10-31Completed
Clinical Relevance of Middle Meatal Bacteriology During Acute Respiratory Infection in Children - Randomised, Double-Blinded Clinical Study [NCT00545961]Phase 4120 participants (Anticipated)Interventional2007-11-30Not yet recruiting
A Phase 4 Double Blinded Study With Two Different Interventions, Each With Two Arms, to Evaluate the Clinical Efficacy of Antibiotics and the Role of Microbiology, Immunology and Genetics in Children Aged 9-36 Months With Chronic Wet Cough. [NCT06020716]Phase 4350 participants (Anticipated)Interventional2023-08-16Recruiting
Effect of Preoperative, Single-dose Amoxicillin/Clavulanic Acid Combination on Postoperative Endodontic Pain in Patients With Symptomatic Apical Periodontitis: A Double-Blind Randomized Controlled Trial. [NCT03033147]72 participants (Actual)Interventional2019-10-18Completed
Phase 4 Efficacy Study of Antimicrobials in the Treatment of Acute Otitis Media in Young Children [NCT00299455]Phase 4320 participants (Anticipated)Interventional2006-03-31Active, not recruiting
Effects of Pre-operative Antibiotics on the Wound Healing Following Clinical Crown Lengthening Surgery [NCT05925179]Phase 428 participants (Anticipated)Interventional2023-08-01Not yet recruiting
An Open, Non-comparative Study to Evaluate the Efficacy and Safety of AUGMENTIN 1gm (875mg Amoxicillin/125mg Clavulanic Acid) po q 12 Hours in the Treatment of Uncomplicated Skin and Soft Tissue Infections in Pakistan [NCT00343135]Phase 4195 participants (Actual)Interventional2004-12-31Completed
A Prospective Randomized Multicentric Trial Comparing Amoxicillin/Clavulanate Potassium Therapy to Appendectomy for Acute Non Complicated Appendicitis [NCT00135603]243 participants (Actual)Interventional2004-02-29Completed
Oral Amoxicillin-clavulanate in Treating Acute Otitis Media in Children: Randomized Double-blind Placebo-controlled Study Including Daily Monitoring With Tympanometry [NCT01244581]Phase 384 participants (Actual)Interventional1999-09-30Completed
Antibiotics for Severe Perineal Laceration to Prevent Infection Following Repair [NCT04573504]Phase 4274 participants (Anticipated)Interventional2020-09-23Recruiting
Bacteriological Study of Acute Follicular Tonsillitis in Patients Attending the ENT Outpatient Clinic of Assiut University Hospital [NCT04321733]66 participants (Anticipated)Observational2020-04-30Not yet recruiting
A Multicenter, Randomized, Observer-Blinded, Active-Controlled Study Evaluating the Safety, Tolerability, Pharmacokinetics, and Efficacy of Ceftaroline Versus Ceftriaxone in Pediatric Subjects With Community-acquired Bacterial Pneumonia Requiring Hospital [NCT01530763]Phase 2/Phase 3161 participants (Actual)Interventional2012-09-30Completed
[NCT00042718]Phase 3659 participants (Actual)Interventional2001-11-30Completed
A Multicenter, Randomized, Comparative Study to Evaluate the Efficacy and Safety of Levofloxacin in the Treatment of Children Who Have Recurrent and/or Persistent Acute Otitis Media [NCT00051753]Phase 31,643 participants (Actual)Interventional2002-11-30Completed
Oral Empirical Therapy of Fever in Low-Risk Neutropenic Cancer Patients: A Prospective, Double-Blind, Randomized, Multicenter Trial Comparing Monotherapy (Single Daily Dose Moxifloxacin) With Combination Therapy (Ciprofloxacin Plus Amoxicillin/Clavulanic [NCT00062231]351 participants (Actual)Interventional2002-04-30Terminated(stopped due to low accrual)
Reduced Clavulanate Formulation of Amoxicillin-Clavulanate in Children 6-23 Months With Acute Otitis Media [NCT02630992]Phase 3112 participants (Actual)Interventional2015-12-31Completed
Higher Versus Standard Dose of Amoxicillin-clavulanate in Pediatric Protracted Bacterial Bronchitis: a Randomized Controlled Study. [NCT04378231]100 participants (Anticipated)Interventional2020-05-31Not yet recruiting
Phase 1 Study to Evaluate the Effect of Oral Administration of Tebipenem Pivoxil Hydrobromide on Normal Human Intestinal Microbiota in Healthy Volunteers [NCT04376554]Phase 130 participants (Actual)Interventional2020-02-10Completed
PROTOP: Study of the Efficacy of Topical Antibiotherapy in the Prophylaxis of Incisional Surgical Localization Infection in Colorectal Surgery [NCT03574090]Phase 4268 participants (Actual)Interventional2020-10-20Completed
Initial Antibiotics and Delayed Appendectomy for Acute Appendicitis [NCT01697059]73 participants (Actual)Interventional2012-09-30Completed
Comparing Post-drainage Treatment of Peritonsillar Abscesses With Antibiotics (Clavulin or Clindamycin) to Treating With Placebo - a Double-blinded Randomized Control Trial [NCT01715610]0 participants (Actual)Interventional2012-05-24Withdrawn(stopped due to unsuccessful recruitment)
A Third Phase, Multicentre, Randomized as a Double Blind Study, Triple Placebo, Comparative of the Efficacy and Safety of an Association Secnidazol-Ciprofloxacin Compared With Amoxicillin-Clavulanic Acid for the Treatment of Uncomplicated Episode of Diver [NCT01733966]Phase 3100 participants (Actual)Interventional2010-05-31Terminated(stopped due to difficulties to recruit patients who suffer from this pathology)
Bacteriology and Sputum and Systemic Inflammation in Steady-state, Acute Exacerbation and Recovery of Bronchiectasis [NCT01761214]80 participants (Anticipated)Interventional2012-09-30Recruiting
Bioequivalence Study of an Amoxicillin-Clavulanic Acid Suspension Preparation. Cross-over, Randomized, Single Dose, Two Treatments, Two Periods and Two Sequences Trial in Fasting Conditions [NCT01772238]Phase 135 participants (Actual)Interventional2011-03-22Completed
Bacterial Infections Associated With Healthcare (Healthcare-Associated) in Hospitalized Cirrhotic Patients: Randomized Study of Use of Traditional Empirical Antibiotic Therapy and Second-line Targeted at Multi-resistant Bacteria [NCT01820026]Phase 496 participants (Anticipated)Interventional2012-12-31Recruiting
Comparison of a Serum Procalcitonin (PRO-CT) Guided Treatment Plan With the Standard Guideline Recommended Antibiotic Treatment Plan for Patients Hospitalized With a Diagnosis of Exacerbation of COPD [NCT01125098]183 participants (Actual)Observational2006-10-31Completed
Open Label, Randomized Pilot Study to Examine The Effects of the Probiotic Saccharomyces Boulardii, the Antibiotic Amoxicillin/Clavulanate and the Combination on the Gut Microbiota of Healthy Volunteers [NCT01473368]53 participants (Actual)Interventional2012-04-30Completed
A Multicenter, Open-Label Study To Assess The Efficacy And Safety Of Potassium Clavulanate/Amoxicillin (CVA/AMPC 1:14 Combination) In The Treatment Of Children With Acute Bacterial Rhinosinusitis [NCT01934231]Phase 327 participants (Actual)Interventional2013-08-30Completed
A Study to Determine PK Profiles of AUGMENTIN XR in Adolescents Weight at Least 40 kg Receiving Augmentin XR BID for 10 Days [NCT00354965]Phase 152 participants (Actual)Interventional2006-01-19Completed
Clinical Trial of the Treatment of Acute Sinusitis With Standard-dose Versus High-dose Amoxicillin/Clavulanate [NCT02340000]Phase 4315 participants (Actual)Interventional2014-11-18Completed
Prospective, Phase 3, Randomized, Multi-center, Double-blind Study of Efiicacy, Tolerability & Safety of Sulopenem & Sulopenem-etzadroxil/Probenecid vs Ertapenem Followed by Cipro-metronidazole for Treatment of cIAI in Adults [NCT03358576]Phase 3674 participants (Actual)Interventional2018-09-18Completed
A Prospective, Randomized, Double-Blind, Multicenter Study to Establish the Safety and Tolerability of Doripenem Compared With Cefepime in Hospitalized Children With Bacterial Pneumonia [NCT01110421]Phase 37 participants (Actual)Interventional2010-12-31Terminated(stopped due to Trial terminated early per business decision)
Amoxicillin-clavulanate Alone or in Combination With Ciprofloxacin in Low-Risk Febrile Neutropenic Adult Patients: A Prospective, Double-blind, Randomized, Non-Inferiority Multicenter, Phase III Clinical Trial. [NCT04698057]Phase 30 participants (Actual)Interventional2022-03-01Withdrawn(stopped due to No enrolment due to Covid-19)
Fast Track Therapeutic Model in Acute Complicated Appendicitis in Pediatrics [NCT05761080]Phase 4158 participants (Anticipated)Interventional2021-04-22Recruiting
A Phase 2/3, Randomized, Open-Label, Multi-center Study to Determine the Safety and Efficacy of Solithromycin in Adolescents and Children With Suspected or Confirmed Community-Acquired Bacterial Pneumonia [NCT02605122]Phase 2/Phase 397 participants (Actual)Interventional2016-04-30Terminated(stopped due to Development not proceeding)
A Multi-centre Double-blind Randomised Controlled Trial to Determine if a Longer Duration of Amoxicillin-clavulanic Acid (Compared to Shorter Duration) Improves Clinical Outcomes of Children Hospitalised With Community-acquired Pneumonia [NCT02783859]Phase 4314 participants (Anticipated)Interventional2016-06-30Active, not recruiting
2-day Prophylactic Antibiotic is Effective in Transoral Endoscopic Thyroidectomy [NCT04268407]60 participants (Actual)Interventional2020-02-26Completed
Comparison of Two Lengths of Treatment in Early-onset Ventilated Associated Pneumonia [NCT01559753]Phase 4225 participants (Actual)Interventional1998-01-31Completed
Non-operative Management of Uncomplicated Appendicitis With an Appendicolth in Children [NCT02189668]14 participants (Actual)Interventional2014-07-31Terminated(stopped due to High failure rate)
A Study to Assess the Safety, Tolerability and Efficacy of OP0201 as an Adjunct Treatment for Acute Otitis Media in Infants and Children Aged 6 to 24 Months [NCT03818815]Phase 2103 participants (Actual)Interventional2019-02-21Completed
Antibiotic Prophylaxis in Critically Ill Patients After Suspected Aspiration [NCT05079620]Phase 4100 participants (Anticipated)Interventional2021-11-30Recruiting
The HYsteroscopic Miscarriage MaNagement (HYMMN) Trial [NCT04751500]149 participants (Actual)Interventional2021-01-31Completed
Efficacy of Antibiotics in Children With Acute Sinusitis: Which Subgroups Benefit? [NCT02554383]Phase 3515 participants (Actual)Interventional2016-02-29Completed
Prospective, Phase 3, Randomized, Multi-center, Double-blind, Double-dummy Study of Efficacy, Tolerability & Safety of Sulopenem Followed by Sulopenem-etzadroxil/Probenecid vs Ertapenem Followed by Cipro for Treatment of cUTI in Adults [NCT03357614]Phase 31,395 participants (Actual)Interventional2018-09-18Completed
Delineation of Therapeutic Potential and the Causal Relationship Between Vitamin D and Helicobacter Pylori (HP) Infection and Gastritis [NCT03142620]Phase 396 participants (Anticipated)Interventional2015-03-31Recruiting
A Phase 2b, Multicenter, Randomized, Double Blind, Placebo-Controlled Clinical Trial to Evaluate the Efficacy of Short-Course Antimicrobial Therapy for Young Children With Acute Otitis Media (AOM) and Impact on Antimicrobial Resistance [NCT01511107]Phase 2520 participants (Actual)Interventional2012-01-31Terminated(stopped due to The primary objective of the study was met.)
Comparing Efficacy of Postoperative Antibiotic Use in Transoral Thyroidectomy: a Prospective Randomized Controlled Trial Study [NCT03295955]50 participants (Anticipated)Interventional2017-09-04Recruiting
Efficacy of Seven-day Combined Rabeprazole Plus Levofloxacin Plus Augmentin for Eradication of Helicobacter Pylori. [NCT01575899]Phase 4208 participants (Actual)Interventional2007-12-31Terminated(stopped due to Early termination due to efficacy)
Postoperative Healthcare Utilization in Adenotonsillectomy Patients With Postoperative Antibiotic Administration Compared to Patients Without Antibiotic Administration [NCT01561703]58 participants (Actual)Interventional2012-03-31Completed
Oral-only Antibiotics for Bone and Joint Infections in Children - A Nationwide Randomized Controlled Trial [NCT04563325]Phase 4180 participants (Actual)Interventional2020-09-15Active, not recruiting
Antibiotic Prophylaxis and Renal Damage In Congenital Abnormalities of the Kidney and Urinary Tract [NCT02021006]Phase 3292 participants (Actual)Interventional2013-12-31Active, not recruiting
Prophylactic Antibiotics After Functional Endoscopic Sinus Surgery: a Randomized, Double-blind Placebo Controlled Trial [NCT01919411]Phase 4134 participants (Actual)Interventional2013-02-28Completed
Azithromycin With Amoxicillin/Clavulanate Versus Amoxicillin/Clavulanate Alone in COVID-19 Patients With Pneumonia and Hospitalized in a Non-intensive Care Unit Ward (AziA): a Superiority Open-label Randomized Controlled Trial [NCT04363060]Phase 3104 participants (Anticipated)Interventional2020-04-30Not yet recruiting
Surgical Site Infection Following Episiotomy Repair in Relation to Routine Use of Postpartum Antibiotic Prophylaxis in Low Risk Population: A Randomized Controlled Trial [NCT06154720]200 participants (Actual)Observational2022-09-10Completed
Effect of Amoxicillin/Clavulanic Acid Combination on Postoperative Endodontic Pain in Patients With Symptomatic Apical Periodontitis: A Randomized Controlled Trial [NCT03007342]78 participants (Anticipated)Interventional2017-01-31Not yet recruiting
A Randomized Cohort Trial Evaluating Duration of Antibiotic Therapy as Part of Maximal Medical Therapy for Chronic Rhinosinusitis [NCT01825408]Phase 440 participants (Actual)Interventional2013-02-28Completed
Determining the Necessity for Postoperative Antibiotics After Salivary Stent Placement [NCT03333408]Phase 440 participants (Anticipated)Interventional2018-06-15Recruiting
The Evaluation of Postoperative Antibiotics in Non-Infected Mandible Fractures [NCT04198129]Phase 1174 participants (Anticipated)Interventional2020-10-01Recruiting
Antibiotic Prophylaxis in Ragged Placental Membranes: A Prospective, Multicenter, Randomized Trial [NCT03459599]716 participants (Actual)Interventional2016-10-01Completed
Collaborative Urological Prosthetics Investigation Directive Research Group [NCT05100654]800 participants (Anticipated)Interventional2022-04-22Recruiting
Evaluating Pharmacokinetics and Whole Blood Bactericidal Activity Against Mycobacterium Tuberculosis of Single Doses of Faropenem Plus Amoxicillin/Clavulanic Acid in Healthy Volunteers [NCT02393586]Phase 143 participants (Actual)Interventional2015-02-28Completed
Intravenous to Oral Antibiotic Switch Therapy for Probable Neonatal Bacterial Infections: Clinical Efficacy, Safety and Cost-effectiveness [NCT03247920]Phase 4510 participants (Actual)Interventional2017-11-04Completed
The Effect of Rectal Swab Culture-guided Antimicrobial Prophylaxis in Men Undergoing Prostate Biopsy on Infectious Complications and Cost of Care: A Randomized Controlled Trial in the Netherlands. [NCT03228108]Phase 41,538 participants (Actual)Interventional2018-04-03Completed
A Multicenter, Randomized, Open Label Comparative Study Of Azithromycin Extended Release (ZMAX) Versus Amoxicillin/Clavulanate Potassium In Subjects With Acute Bacterial Sinusitis (ABS) In A Physician Practice Environment [NCT00367120]Phase 4762 participants (Actual)Interventional2006-06-30Completed
Efficacy, Safety and Tolerability of Amoxicillin + Clavulanic Acid (875mg/125mg) Two Times a Day Compared to Clindamycin (150mg) Four Times a Day for 5-7 Days in Treatment of Acute Odontogenic Infection With or Without Abscess [NCT02141217]Phase 4472 participants (Actual)Interventional2013-03-21Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

TrialOutcome
NCT00377260 (24) [back to overview]The Total Number of Visits, Summed Across All Participants, at Which a Family Member Reported Having Missed Work According to Treatment Assignment
NCT00377260 (24) [back to overview]The Mean Number of Emergency Room Visits According to Treatment Assignment
NCT00377260 (24) [back to overview]The Mean Number of Times Analgesic Medication Was Administered to the Child According to Treatment Assignment
NCT00377260 (24) [back to overview]The Mean Number of Visits to a Primary Care Provider (PCP) According to Treatment Assignment
NCT00377260 (24) [back to overview]The Mean Score Representing Parental Satisfaction With the Study Medication As Recorded at the End-of-therapy Visit According to Treatment Assignment
NCT00377260 (24) [back to overview]The Mean Score Representing Parental Satisfaction With the Study Medication As Recorded at the Follow-up Visit According to Treatment Assignment
NCT00377260 (24) [back to overview]The Mean Score Representing Parental Satisfaction With the Study Medication As Recorded at the On-therapy Visit According to Treatment Assignment
NCT00377260 (24) [back to overview]The Distribution of Children With Nasopharyngeal (NP) Colonization With Penicillin-susceptible Streptococcus Pneumoniae (S. pn) at the Follow-up Visit
NCT00377260 (24) [back to overview]The Total Number of Visits, Summed Across All Participants, at Which a Family Member Reported Making Special Daycare Arrangements According to Treatment Assignment
NCT00377260 (24) [back to overview]The Weighted Average Acute Otitis Media - Severity of Symptom (AOM-SOS) Score, According to Treatment Assignment
NCT00377260 (24) [back to overview]The Distribution of Children Developing Worsening Symptoms Prior to Receiving 72 Hours of Study Medication According to Treatment Assignment
NCT00377260 (24) [back to overview]The Distribution of Children With Nasopharyngeal (NP) Colonization With AOM Pathogens at the End-of-therapy Visit According to Treatment Assignment
NCT00377260 (24) [back to overview]The Distribution of Children With Nasopharyngeal (NP) Colonization With AOM Pathogens at the Follow-up Visit According to Treatment Assignment
NCT00377260 (24) [back to overview]The Distribution of Children With Nasopharyngeal (NP) Colonization With Penicillin-susceptible Streptococcus Pneumoniae (S. pn) at the End-of-therapy Visit According to Treatment Assignment
NCT00377260 (24) [back to overview]The Mean Number of Antibiotic Prescriptions, Exclusive of Study Medication, According to Treatment Assignment
NCT00377260 (24) [back to overview]The Distribution of Children With Observed or Parent Reported Adverse Events or Complications According to Treatment Assignment
NCT00377260 (24) [back to overview]The Distribution of Clinical Failures by the End-of-therapy Visit According to Treatment Assignment
NCT00377260 (24) [back to overview]The Distribution of Clinical Failures by the On-therapy Visit According to Treatment Assignment
NCT00377260 (24) [back to overview]The Mean Acute Otitis Media - Severity of Symptom (AOM-SOS) Score, Post-enrollment, Over the First 7 Days of Therapy According to Treatment Assignment
NCT00377260 (24) [back to overview]The Probability of Middle Ear Effusion, Based on an Algorithm That Estimates the Probability of Middle Ear Effusion From an Interpretable Tympanographic Configuration, at the End-of-therapy Visit According to Treatment Assignment
NCT00377260 (24) [back to overview]The Probability of Middle Ear Effusion, Based on an Algorithm That Estimates the Probability of Middle Ear Effusion From an Interpretable Tympanographic Configuration, at the Follow-up Visit According to Treatment Assignment
NCT00377260 (24) [back to overview]The Probability of Middle Ear Effusion, Based on an Algorithm That Estimates the Probability of Middle Ear Effusion From an Interpretable Tympanographic Configuration, at the On-therapy Visit According to Treatment Assignment
NCT00377260 (24) [back to overview]The Time to Resolution of Symptoms, Defined as Acute Otitis Media-Severity of Symptoms (AOM-SOS) Score of 0 or 1 on Two Consecutive Occasions, According to Treatment Assignment
NCT00377260 (24) [back to overview]The Time to Resolution of Symptoms, Defined as Acute Otitis Media-Severity of Symptoms (AOM-SOS) Score of 0 or 1, According to Treatment Assignment
NCT00493038 (5) [back to overview]Number of Participants With Response (Microbiologically Valid Patients)
NCT00493038 (5) [back to overview]Number of Participants With Response (Microbiologically Valid Patients)
NCT00493038 (5) [back to overview]Number of Participants With Response (Per-protocol Population)
NCT00493038 (5) [back to overview]Number of Participants With Response (Per-protocol Population)
NCT00493038 (5) [back to overview]Number of Participants With Response (Intent-to-treat Population)
NCT00797108 (8) [back to overview]Number of Participants With Microbiological Response at Test of Cure (TOC) Visit
NCT00797108 (8) [back to overview]Number of Participants With Categorical Change From Baseline in Vital Signs
NCT00797108 (8) [back to overview]Change From Baseline in Community Acquired Pneumonia (CAP) Symptom Questionnaire at Test of Cure (TOC) and Follow-up Visit
NCT00797108 (8) [back to overview]Number of Participants With Abnormal Physical Examination Findings
NCT00797108 (8) [back to overview]Number of Participants With Abnormal Laboratory Test Findings
NCT00797108 (8) [back to overview]Number of Participants Who Died
NCT00797108 (8) [back to overview]Percentage of Participants With Clinical Response at Test of Cure (TOC) Visit
NCT00797108 (8) [back to overview]Percentage of Participants With Clinical Response at End of Treatment (EOT) and Follow-up Visit
NCT00801099 (1) [back to overview]Number of Participants With Surgical Site Infections
NCT00835705 (6) [back to overview]Cmax (Maximum Observed Concentration) - Amoxicillin
NCT00835705 (6) [back to overview]Cmax (Maximum Observed Concentration) - Clavulanic Acid
NCT00835705 (6) [back to overview]AUC0-t [Area Under the Concentration-time Curve From Time Zero to Time of Last Non-zero Concentration (Per Participant)] - Clavulanic Acid
NCT00835705 (6) [back to overview]AUC0-inf - [Area Under the Concentration-time Curve From Time Zero to Infinity (Extrapolated)] - Amoxicillin
NCT00835705 (6) [back to overview]AUC0-inf [Area Under the Concentration-time Curve From Time Zero to Infinity (Extrapolated)] - Clavulanic Acid
NCT00835705 (6) [back to overview]AUC0-t [Area Under the Concentration-time Curve From Time Zero to Time of Last Non-zero Concentration (Per Participant)] - Amoxicillin
NCT00836901 (6) [back to overview]AUC0-inf - [Area Under the Concentration-time Curve From Time Zero to Infinity (Extrapolated)] - Amoxicillin
NCT00836901 (6) [back to overview]AUC0-inf [Area Under the Concentration-time Curve From Time Zero to Infinity (Extrapolated)] - Clavunlanic Acid
NCT00836901 (6) [back to overview]AUC0-t - [Area Under the Concentration-time Curve From Time Zero to Time of Last Non-zero Concentration (Per Participant)] - Amoxicillin
NCT00836901 (6) [back to overview]AUC0-t [Area Under the Concentration-time Curve From Time Zero to Time of Last Non-zero Concentration (Per Participant) - Clavulanic Acid
NCT00836901 (6) [back to overview]Cmax (Maximum Observed Concentration) - Amoxicillin
NCT00836901 (6) [back to overview]Cmax (Maximum Observed Concentration) - Clavulanic Acid
NCT00840099 (6) [back to overview]Bioequivalence Based on AUC0-t for Amoxicillin
NCT00840099 (6) [back to overview]Bioequivalence Based on AUC0-t for Clavulanic Acid
NCT00840099 (6) [back to overview]Bioequivalence Based on Cmax for Amoxicillin
NCT00840099 (6) [back to overview]Bioequivalence Based on Cmax for Clavulanic Acid
NCT00840099 (6) [back to overview]Bioequivalence Based on AUC0-inf for Clavulanic Acid
NCT00840099 (6) [back to overview]Bioequivalence Based on AUC0-inf for Amoxicillin
NCT00840840 (6) [back to overview]Bioequivalence Based on AUC0-t for Amoxicillin
NCT00840840 (6) [back to overview]Bioequivalence Based on AUC0-t for Clavulanic Acid
NCT00840840 (6) [back to overview]Bioequivalence Based on Cmax for Amoxicillin
NCT00840840 (6) [back to overview]Bioequivalence Based on AUC0-inf for Amoxicillin
NCT00840840 (6) [back to overview]Bioequivalence Based on AUC0-inf for Clavulanic Acid
NCT00840840 (6) [back to overview]Bioequivalence Based on Cmax for Clavulanic Acid
NCT01069900 (20) [back to overview]Bacteriological Response at Test-of-Cure (TOC) Visit
NCT01069900 (20) [back to overview]Bacteriological Response at the End of Treatment (EOT) Visit
NCT01069900 (20) [back to overview]Clinical Response at a 'During Therapy' Visit
NCT01069900 (20) [back to overview]Clinical Response at Test-of-Cure (TOC) Visit
NCT01069900 (20) [back to overview]Clinical Response at Test-of-Cure (TOC) Visit in Subjects With Bacteriologically Confirmed Complicated Intra-abdominal Infection (cIAI)
NCT01069900 (20) [back to overview]Clinical Response at the End-of-Treatment (EOT) Visit
NCT01069900 (20) [back to overview]Corrected QT (QTc) Interval Calculated (Calc) Bazett Changes in Electrocardiogram (ECG) Profiles From Pre-dose to Post-dose on Treatment Day 1 and Treatment Day 3
NCT01069900 (20) [back to overview]Corrected QT (QTc) Interval Calculated (Calc) Fridericia Changes in Electrocardiogram (ECG) Profiles From Pre-dose to Post-dose on Treatment Day 1 and Treatment Day 3
NCT01069900 (20) [back to overview]Heart Rate Changes in Electrocardiogram (ECG) Profiles From Pre-dose to Post-dose on Treatment Day 1 and Treatment Day 3
NCT01069900 (20) [back to overview]Incidence Rates of Musculoskeletal Adverse Events by Primary System Organ Class (SOC) and Preferred Term
NCT01069900 (20) [back to overview]Number of Subjects With Adverse Events
NCT01069900 (20) [back to overview]Number of Subjects With Clinical Cardiac Adverse Events
NCT01069900 (20) [back to overview]Number of Subjects With Musculoskeletal Adverse Events
NCT01069900 (20) [back to overview]Potentially Clinically Significant Electrocardiogram (ECG) QTc Interval Prolongation - by QTc Calc Bazett Correction on Treatment Day 1 and During Therapy Day 3
NCT01069900 (20) [back to overview]Potentially Clinically Significant Electrocardiogram (ECG) QTc Interval Prolongation - by QTc Interval Calc Fridericia Correction on Treatment Day 1 and During Therapy Day 3
NCT01069900 (20) [back to overview]PR Interval Changes in Electrocardiogram (ECG) Profiles From Pre-dose to Post-dose on Treatment Day 1 and Treatment Day 3
NCT01069900 (20) [back to overview]QRS Interval Changes in Electrocardiogram (ECG) Profiles From Predose to Post-dose on Treatment Day 1 and Treatment Day 3
NCT01069900 (20) [back to overview]QT Interval Changes in Electrocardiogram (ECG) Profiles From Pre-dose to Post-dose on Treatment Day 1 and Treatment Day 3
NCT01069900 (20) [back to overview]RR Interval Changes in Electrocardiogram (ECG) Profiles From Pre-dose to Post-dose on Treatment Day 1 and Treatment Day 3
NCT01069900 (20) [back to overview]Bacteriological Response at a 'During Therapy' Visit
NCT01110382 (7) [back to overview]The Number of Participants With Clinical Cure Rate at Late Follow-Up (LFU) Visit
NCT01110382 (7) [back to overview]The Number of Participants With Clinical Cure Rate at Test Of Cure (TOC) Visit
NCT01110382 (7) [back to overview]The Number of Participants With Clinical Improvement Rate at End of IV (EIV) Visit
NCT01110382 (7) [back to overview]Number of Participants With Favorable Per-pathogen Microbiological Outcome Rate at End of IV (EIV) Visit
NCT01110382 (7) [back to overview]Number of Participants With Favorable Per-pathogen Microbiological Outcome Rate at Late Follow-Up (LFU) Visit
NCT01110382 (7) [back to overview]Number of Participants With Favorable Per-pathogen Microbiological Outcome Rate at Test Of Cure (TOC) Visit
NCT01110382 (7) [back to overview]The Number of Participants With Favorable Per-participant Microbiological Response
NCT01110408 (7) [back to overview]The Number of Participants With Clinical Cure Rate at Late Follow-Up (LFU) Visit
NCT01110408 (7) [back to overview]The Number of Participants With Favorable Per-participant Microbiological Response
NCT01110408 (7) [back to overview]Number of Participants With Sustained Favorable Per-pathogen Microbiological Outcome Rate at Late Follow-Up (LFU) Visit
NCT01110408 (7) [back to overview]The Number of Participants With Clinical Cure Rate at Test Of Cure (TOC) Visit
NCT01110408 (7) [back to overview]The Number of Participants With Clinical Improvement Rate at End of IV (EIV) Visit
NCT01110408 (7) [back to overview]Number of Participants With Favorable Per-pathogen Microbiological Outcome Rate at End of IV (EIV) Visit
NCT01110408 (7) [back to overview]Number of Participants With Favorable Per-pathogen Microbiological Outcome Rate at Test Of Cure (TOC) Visit
NCT01110421 (7) [back to overview]Number of Participants With Favorable Per-pathogen Microbiological Outcome Rate at End of IV (EIV) Visit
NCT01110421 (7) [back to overview]Number of Participants With Favorable Per-pathogen Microbiological Outcome Rate at Test Of Cure (TOC) Visit
NCT01110421 (7) [back to overview]Number of Participants With Sustained Favorable Per-pathogen Microbiological Outcome Rate at Late Follow-Up (LFU) Visit
NCT01110421 (7) [back to overview]The Number of Participants With Clinical Cure Rate at Late Follow-Up (LFU) Visit
NCT01110421 (7) [back to overview]The Number of Participants With Clinical Cure Rate at Test Of Cure (TOC) Visit
NCT01110421 (7) [back to overview]The Number of Participants With Favorable Per-participant Microbiological Response Rate
NCT01110421 (7) [back to overview]The Number of Participants With Clinical Improvement Rate at End of IV (EIV) Visit
NCT01125098 (1) [back to overview]To Evaluate the Rate of Severe Exacerbations in COPD, Comparing COPD Patients Previously Treated According to the PRO-CT Protocol Versus COPD Patients Previously Treated With Standard Antibiotic Therapy.
NCT01166945 (2) [back to overview]Percentage of Participants With Antibiotic Resistant Flora on Day 30 Compared to Baseline
NCT01166945 (2) [back to overview]Proportion of Children With Clinical Relapse on Day 10 (Short Course) vs Day 20 (Long Course)
NCT01473368 (6) [back to overview]Gastrointestinal Symptom Rating Scale
NCT01473368 (6) [back to overview]Gastrointestinal Symptoms Response Scale
NCT01473368 (6) [back to overview]Gastrointestinal Symptom Rating Scale
NCT01473368 (6) [back to overview]Gastrointestinal Symptoms Response Score
NCT01473368 (6) [back to overview]Operational Taxonomic Units
NCT01473368 (6) [back to overview]Prevalence of Escherichia in Stool
NCT01511107 (22) [back to overview]The Distribution of AOM Recurrences for Which the Follow-up Nasopharyngeal (NP) Culture at the Day 12-14 Visit Yields a Nonsusceptible Streptococcus Pneumoniae (S pn) Isolate
NCT01511107 (22) [back to overview]The Distribution of AOM Recurrences With a Nasopharyngeal (NP) Culture at Onset That is Negative for AOM Pathogens in Which the Follow-up NP Culture at Day 12-14 Yields a Nonsusceptible Pathogen
NCT01511107 (22) [back to overview]The Distribution of AOM Recurrences With a Nasopharyngeal (NP) Culture at Onset That is Positive Only for One or More Susceptible Pathogens in Which the Follow-up NP Culture at Day 12-14 Yields a Nonsusceptible Pathogen
NCT01511107 (22) [back to overview]The Distribution of AOM Recurrences With a Nasopharyngeal (NP) Culture at Onset That is Positive for One or More Nonsusceptible Pathogens in Which the Follow-up NP Culture at Day 12-14 Yields a Nonsusceptible Pathogen
NCT01511107 (22) [back to overview]The Distribution of Children Categorized as Treatment Failure (TF) at or Before the Day 12-14 End-of-Treatment Visit Specific to the Index Episode of AOM
NCT01511107 (22) [back to overview]The Distribution of Children for Whom Diaper Dermatitis Was Reported and Associated With Study Product
NCT01511107 (22) [back to overview]The Distribution of Children for Whom Protocol-Defined Diarrhea (PDD) Was Reported and Associated With Study Product
NCT01511107 (22) [back to overview]The Distribution of Children for Whom the Follow-up Nasopharyngeal (NP) Culture at the Day 12-14 Visit, Specific to the Index Episode, Yields a Nonsusceptible Haemophilus Influenzae (H Flu) Isolate
NCT01511107 (22) [back to overview]The Distribution of Children for Whom the Follow-up Nasopharyngeal (NP) Culture at the Day 12-14 Visit, Specific to the Index Episode, Yields a Nonsusceptible Streptococcus Pneumoniae (S pn) Isolate
NCT01511107 (22) [back to overview]The Distribution of Children Whose Nasopharyngeal (NP) Isolates at Enrollment Are Pathogen Negative or Positive Only for at Least One Susceptible Pathogen Who Become Colonized With Nonsusceptible Pathogens at Any Time Over the Course of Follow-up
NCT01511107 (22) [back to overview]The Distribution of Children With a Nasopharyngeal (NP) Culture at Enrollment That is Positive for One or More Nonsusceptible Pathogens in Which the Follow-up NP Culture at Day 12-14 Yields a Nonsusceptible Pathogen
NCT01511107 (22) [back to overview]The Distribution of Children With a Nasopharyngeal (NP) Culture at Enrollment That is Positive Only for One or More Susceptible Pathogens in Which the Follow-up NP Culture at Day 12-14 Yields a Nonsusceptible Pathogen
NCT01511107 (22) [back to overview]The Distribution of Children With AOM Recurrences and Relapses Within 60 Days of Enrollment
NCT01511107 (22) [back to overview]The Distribution of Children With AOM Recurrences and Relapses Within the Entire Respiratory Season
NCT01511107 (22) [back to overview]The Mean Acute Otitis Media - Severity of Symptom (AOM-SOS) Scores Days 6 to 14
NCT01511107 (22) [back to overview]The Mean Number of Days Systemic Antibiotics Were Received During the Entire Respiratory Season
NCT01511107 (22) [back to overview]The Mean Rate, Per Month, of Protocol AOM Recurrences and Relapses Within 60 Days of Enrollment
NCT01511107 (22) [back to overview]The Distribution of Children With a Nasopharyngeal (NP) Culture at Enrollment That is Negative for AOM Pathogens in Which the Follow-up NP Culture at Day 12-14 Yields a Nonsusceptible Pathogen
NCT01511107 (22) [back to overview]The Mean Rate, Per Month, of Protocol AOM Recurrences and Relapses Within the Entire Respiratory Season
NCT01511107 (22) [back to overview]The Distribution of 6 Week Follow-up, Non-Illness Visits During the Respiratory Season at Which a Nonsusceptible Pathogen is Recovered
NCT01511107 (22) [back to overview]The Distribution of AOM Recurrences Categorized as Treatment Failure (TF) at or Before the Day 12-14 End-of-Treatment Visit
NCT01511107 (22) [back to overview]The Distribution of AOM Recurrences for Which the Follow-up Nasopharyngeal (NP) Culture at the Day 12-14 Visit Yields a Nonsusceptible Haemophilus Influenzae (H Flu) Isolate
NCT01561703 (1) [back to overview]Healthcare Utilization
NCT01575899 (3) [back to overview]Re-eradication Rate
NCT01575899 (3) [back to overview]Eradication Rate of Participants Living in Rural Area.
NCT01575899 (3) [back to overview]Eradication Rate (Participants Naive to Anti-H. Pylori Treatment)
NCT01919411 (6) [back to overview]Number of Participants With Post Operative Infection
NCT01919411 (6) [back to overview]Number of Participants With Post Operative Infection
NCT01919411 (6) [back to overview]Lund Kennedy Endoscopic Score
NCT01919411 (6) [back to overview]Lund Kennedy Endoscopic Score
NCT01919411 (6) [back to overview]Sinonasal Outcome Test - 22
NCT01919411 (6) [back to overview]Sinonasal Outcome Test - 22
NCT01934231 (6) [back to overview]"Number of Participants With a Clinical Outcome of Cure at Both the End of Treatment and Test of Cure (EOT and TOC: Day 8 and Day 15)"
NCT01934231 (6) [back to overview]"Number of Participants With a Clinical Outcome of Cure at Test of Cure (TOC: Day 15)"
NCT01934231 (6) [back to overview]"Number of Participants With a Clinical Outcome of Cure at the End of Treatment (EOT: Day 8)"
NCT01934231 (6) [back to overview]Number of Participants (Par.) With the Specified Bacteriological (Bact.) Outcome Per Participant at EOT (Day 8)
NCT01934231 (6) [back to overview]Number of Participants (Par.) With the Specified Bacteriological (Bact.) Outcome Per Pathogen (Path.) at the End of Treatment (EOT) at Day 8
NCT01934231 (6) [back to overview]Number of Participants With the Indicated Severity of Symptoms and Nasal Cavity Findings at Day 4, Day 8, and Day 15
NCT02141217 (5) [back to overview]Change From Baseline in the Visual Analogue Scale Assessment of Pain Score at Days 2, 5 and 7
NCT02141217 (5) [back to overview]Change From Baseline in Visual Analogue Scale Assessment of Swelling at Days 2, 5 and 7
NCT02141217 (5) [back to overview]Number of Participants (Par.) Achieving Clinical Success (CS) (Cure or Improvement [Imp] in Signs [s] and Symptoms [sx] [s/sx]) Without Considering Clinical (cl) Judgment (Jdg) of the Investigator (Inv) at Day 5
NCT02141217 (5) [back to overview]Number of Participants Achieving Clinical Success (Cure or Improvement) Considering Clinical Judgment of the Investigator at Day 5
NCT02141217 (5) [back to overview]Percentage of Participants Achieving Clinical Success (Cure or Improvement) Considering Clinical Judgment of the Investigator at the End of Treatment (Day 5 or Day 7)
NCT02189668 (2) [back to overview]Number of Participants That Did Not Have an Appendectomy
NCT02189668 (2) [back to overview]Number of Participants With Complicated Appendicitis
NCT02340000 (6) [back to overview]"Subjective Improvement - Day 3 (Rating of a Lot Better or no Symptoms)"
NCT02340000 (6) [back to overview]SNOT-16 - Day 10
NCT02340000 (6) [back to overview]Nasal Colonization With Resistant Bacteria
NCT02340000 (6) [back to overview]Willingness to Take the Study Antibiotic in the Future
NCT02340000 (6) [back to overview]Subjective Improvement - Day 10
NCT02340000 (6) [back to overview]SNOT-16 - Day 3
NCT02517099 (4) [back to overview]Health Related Quality of Life
NCT02517099 (4) [back to overview]Number of Courses of Oral Steroids
NCT02517099 (4) [back to overview]Number of Unscheduled Healthcare Visits (UHCV)
NCT02517099 (4) [back to overview]Symptom Days
NCT02554383 (8) [back to overview]The Distribution of Children Compliant With Study Medication
NCT02554383 (8) [back to overview]The Distribution of Children Experiencing Treatment Failure (TF)
NCT02554383 (8) [back to overview]The Distribution of Children for Whom Diarrhea or Generalized Rash Was Reported
NCT02554383 (8) [back to overview]The Distribution of Children Receiving a Systemic Antibiotic Over the First 10 Days of Follow-up
NCT02554383 (8) [back to overview]The Distribution of Children With a Nonsusceptible Pathogen at the Follow-up Visit
NCT02554383 (8) [back to overview]The Mean Pediatric Rhinosinusitis Symptom Scale (PRSS) Score Over the First 10 Days of Follow-up According to the Presence of Colored Nasal Discharge at Enrollment
NCT02554383 (8) [back to overview]The Mean Pediatric Rhinosinusitis Symptom Scale (PRSS) Score Over the First 10 Days of Follow-up According to the Presence of Pathogens in the Nasopharynx at Enrollment
NCT02554383 (8) [back to overview]The Distribution of Children Developing Acute Otitis Media (AOM) Over the First 10 Days of Follow-up
NCT02567825 (12) [back to overview]The Rate of Occurrence of Acute Otitis Media (AOM) Episodes Per Child-Year According to the Estimated Risk of Acute Otitis Media (AOM) Recurrences at Enrollment
NCT02567825 (12) [back to overview]The Total Cost of Management of Recurrent Acute Otitis Media Per Quality Adjusted Life Days (QALDs) as a Measure of Cost-Effectiveness According to the Estimated Risk of Acute Otitis Media Recurrences at Enrollment
NCT02567825 (12) [back to overview]The Distribution of Children With a Penicillin-Nonsusceptible Nasopharyngeal or Throat Isolate At Any Follow-up Visit According to the Colonization Status at Enrollment
NCT02567825 (12) [back to overview]The Mean Score Representing Parental Satisfaction With Clinical Management
NCT02567825 (12) [back to overview]The Mean Days Per Year Children Experience AOM Symptoms With an Intact Tympanic Membrane (TM)
NCT02567825 (12) [back to overview]The Mean Days Per Year Children Experience Tube Otorrhea
NCT02567825 (12) [back to overview]The Mean Days Per Year Children Receive Systemic Antimicrobials for AOM
NCT02567825 (12) [back to overview]The Rate of Occurrence of Acute Otitis Media (AOM) Episodes Per Child-Year
NCT02567825 (12) [back to overview]The Time to the First Episode of AOM
NCT02567825 (12) [back to overview]The Total Cost of Management of Recurrent Acute Otitis Media Per Quality Adjusted Life Days (QALDs) as a Measure of Cost-Effectiveness
NCT02567825 (12) [back to overview]The Mean Scores on the 6 Item Caregiver Impact Questionnaire (CIQ)
NCT02567825 (12) [back to overview]The Mean Scores on the 6 Item Quality of Life Survey Questionnaire (OM-6)
NCT02605122 (4) [back to overview]Summary of Clinical Cure
NCT02605122 (4) [back to overview]Summary of Clinical Improvement
NCT02605122 (4) [back to overview]Summary of Early Clinical Response
NCT02605122 (4) [back to overview]Overview of Adverse Events By Treatment Arm
NCT02630992 (11) [back to overview]The Distribution of Participants Receiving Formulation 1 for Whom Diaper Dermatitis Was Reported and Associated With Study Product
NCT02630992 (11) [back to overview]Distribution of Population Plasma Concentration of Amoxicillin According to Time For Participants Receiving Formulation 1
NCT02630992 (11) [back to overview]Distribution of Population Plasma Concentration of Amoxicillin According to Time For Participants Receiving Formulation 2
NCT02630992 (11) [back to overview]Distribution of Population Plasma Concentration of Clavulanate According to Time For Participants Receiving Formulation 1
NCT02630992 (11) [back to overview]Distribution of Population Plasma Concentration of Clavulanate According to Time For Participants Receiving Formulation 2
NCT02630992 (11) [back to overview]The Distribution of Participants Receiving Formulation 2 for Whom Protocol-Defined Diarrhea (PDD) Was Reported and Associated With Study Product
NCT02630992 (11) [back to overview]The Distribution of Participants Receiving Formulation 1 for Whom Protocol-Defined Diarrhea (PDD) Was Reported and Associated With Study Product
NCT02630992 (11) [back to overview]The Distribution of Participants Receiving Formulation 2 Categorized as Treatment Failure (TF) at or Before the End-of-Treatment Visit
NCT02630992 (11) [back to overview]The Distribution of Participants Receiving Formulation 2 for Whom Diaper Dermatitis Was Reported and Associated With Study Product
NCT02630992 (11) [back to overview]The Mean Score Representing the Parent or Guardian's Level of Satisfaction With Therapy for Participants Receiving Formulation 1
NCT02630992 (11) [back to overview]The Mean Score Representing the Parent or Guardian's Level of Satisfaction With Therapy for Participants Receiving Formulation 2
NCT02724410 (4) [back to overview]Number Participants With Readmission Within 30 Days
NCT02724410 (4) [back to overview]Number of Participants With Postoperative Abscess
NCT02724410 (4) [back to overview]Hospital Charge
NCT02724410 (4) [back to overview]Number of Participants With Wound Infections
NCT02891915 (10) [back to overview]Number of Participants Receiving Non-study Systemic Antibiotics for Persistent or Worsening Pneumonia During Medically Attended Visits
NCT02891915 (10) [back to overview]Number of Participants Receiving Non-study Systemic Antibiotics for Persistent or Worsening Pneumonia During Medically Attended Visits
NCT02891915 (10) [back to overview]Number of Participants Reporting Solicited Symptoms
NCT02891915 (10) [back to overview]Number of Participants Reporting Solicited Symptoms
NCT02891915 (10) [back to overview]Number of Participants Receiving Non-study Systemic Antibiotics for All Causes During Medically Attended Visits
NCT02891915 (10) [back to overview]Number of Participants Receiving Non-study Systemic Antibiotics for All Causes During Medically Attended Visits
NCT02891915 (10) [back to overview]Adequate Clinical Response Rates (a Component of DOOR)
NCT02891915 (10) [back to overview]Adequate Clinical Response Rates (a Component of DOOR)
NCT02891915 (10) [back to overview]Resolution of Symptoms (a Component of DOOR)
NCT02891915 (10) [back to overview]Resolution of Symptoms (a Component of DOOR)
NCT02927834 (3) [back to overview]Nasal Endoscopy
NCT02927834 (3) [back to overview]CT Scan Changes
NCT02927834 (3) [back to overview]Sinonasal Outcome Test (SNOT 20)
NCT03174184 (5) [back to overview]Distribution of Minimum Inhibitory Concentration (MIC) of Rifampin
NCT03174184 (5) [back to overview]Estimate of the 14-day Early Bactericidal Activity (EBA), Based on Colony Forming Unit Counts, of the Combination of Meropenem and Amoxicillin/Clavulanate, Without Versus With Rifampin
NCT03174184 (5) [back to overview]AUC for Rifampin
NCT03174184 (5) [back to overview]Estimate the Antimycobacterial Activity Based on Liquid Culture Time-to-positivity
NCT03174184 (5) [back to overview]Frequency of Grade 2 or Higher Adverse Events
NCT03357614 (2) [back to overview]Percentage of Participants With Overall Success
NCT03357614 (2) [back to overview]Percentage of Participants With Microbiologic Success
NCT03358576 (2) [back to overview]Percentage of Participants With Clinical Success
NCT03358576 (2) [back to overview]Percentage of Participants With Clinical Success
NCT03755765 (5) [back to overview]Level of Fecal SCFA Butyrate
NCT03755765 (5) [back to overview]Change in Community Diversity (Shannon Diversity Index) From Pre run-in Baseline
NCT03755765 (5) [back to overview]Level of Fecal Short-chain Fatty Acid (SCFA) Acetate
NCT03755765 (5) [back to overview]Change in Community Diversity (Shannon Diversity Index) From Post run-in Baseline
NCT03755765 (5) [back to overview]Level of Fecal SCFA Propionate
NCT03818815 (3) [back to overview]Evaluation of Efficacy (Otoscopy)
NCT03818815 (3) [back to overview]Number of Participants With Adverse Events
NCT03818815 (3) [back to overview]Evaluation of Efficacy (Otoscopy)

The Total Number of Visits, Summed Across All Participants, at Which a Family Member Reported Having Missed Work According to Treatment Assignment

At each visit, parent or parents were asked if their child's illness had caused either parent to miss a day or partial day of work. The total number of visits is summed across all participants in the respective treatment arms. (NCT00377260)
Timeframe: This was assessed at each study visit, i.e. Day 4-5, Day 10-12, Day 21-25, and at interim visits. The last assessment was made at the Day 21-25 visit. The mean day for this latter visit was 22.8.

Interventionvisits (Number)
Amoxicillin-Clavulanate33
Placebo33

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The Mean Number of Emergency Room Visits According to Treatment Assignment

At each visit we asked parents if they had to take their child to the emergency department. We also reviewed medical records to assure even more accurate reporting. (NCT00377260)
Timeframe: This was assessed at each study visit, i.e. Day 4-5, Day 10-12, Day 21-25, and at interim visits. The last assessment was made at the Day 21-25 visit. The mean day for this latter visit was 22.8.

Interventionvisits to ER (Mean)
Amoxicillin-Clavulanate.07
Placebo.07

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The Mean Number of Times Analgesic Medication Was Administered to the Child According to Treatment Assignment

The parents were asked to complete a memory aid for the first 10 days of the study. One item asked them to record medications administered to the child in addition to the study medication. The data presented shows the mean number of times analgesic, i.e. ibuprofen or acetaminophen, was administered. (NCT00377260)
Timeframe: The first 10 days of follow-up

Interventiontimes analgesic was administered (Mean)
Amoxicillin-Clavulanate.37
Placebo.43

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The Mean Number of Visits to a Primary Care Provider (PCP) According to Treatment Assignment

At each visit parents were asked if they had taken their child to his/her primary care physician since the last contact. Medical records were also reviewed. (NCT00377260)
Timeframe: This was assessed at each study visit, i.e. Day 4-5, Day 10-12, Day 21-25, and at interim visits. The last assessment was made at the Day 21-25 visit. The mean day for this latter visit was 22.8.

Interventionvisits to PCP (Mean)
Amoxicillin-Clavulanate.15
Placebo.23

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The Mean Score Representing Parental Satisfaction With the Study Medication As Recorded at the End-of-therapy Visit According to Treatment Assignment

Parents were asked to circle the expression that best represented their satisfaction with the study medication. These expressions have an assigned value: Very dissatisfied = 1, Somewhat dissatisfied = 2, Neither satisfied nor dissatisfied = 3, Somewhat satisfied = 4 and Very satisfied = 5. (NCT00377260)
Timeframe: End-of-therapy visit. The mean day for this visit was 11.6.

Interventionparental satisfaction score (Mean)
Amoxicillin-Clavulanate4.40
Placebo4.12

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The Mean Score Representing Parental Satisfaction With the Study Medication As Recorded at the Follow-up Visit According to Treatment Assignment

Parents were asked to circle the expression that best represented their satisfaction with the study medication. These expressions have an assigned value: Very dissatisfied = 1, Somewhat dissatisfied = 2, Neither satisfied nor dissatisfied = 3, Somewhat satisfied = 4 and Very satisfied = 5. (NCT00377260)
Timeframe: Follow-up visit. The mean day for this visit was 22.8.

Interventionparental satisfaction score (Mean)
Amoxicillin-Clavulanate4.53
Placebo4.17

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The Mean Score Representing Parental Satisfaction With the Study Medication As Recorded at the On-therapy Visit According to Treatment Assignment

Parents were asked to circle the expression that best represented their satisfaction with the study medication. These expressions have an assigned value: Very dissatisfied = 1, Somewhat dissatisfied = 2, Neither satisfied nor dissatisfied = 3, Somewhat satisfied = 4 and Very satisfied = 5. (NCT00377260)
Timeframe: On-therapy visit. The mean day for this visit was 5.0.

Interventionparental satisfaction score (Mean)
Amoxicillin-Clavulanate4.19
Placebo4.13

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The Distribution of Children With Nasopharyngeal (NP) Colonization With Penicillin-susceptible Streptococcus Pneumoniae (S. pn) at the Follow-up Visit

(NCT00377260)
Timeframe: Follow-up visit. The mean day for this visit was 22.8.

,
Interventionparticipants (Number)
Colonization with penicillin-susceptible S. pnNo colonization with penicillin-susceptible S. pn
Amoxicillin-Clavulanate7121
Placebo17112

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The Total Number of Visits, Summed Across All Participants, at Which a Family Member Reported Making Special Daycare Arrangements According to Treatment Assignment

At each visit, parent or parents were asked if their child's illness had caused them to make alternative daycare arrangements. The total number of visits is summed across all participants in the respective treatment arms. (NCT00377260)
Timeframe: This was assessed at each study visit, i.e. Day 4-5, Day 10-12, Day 21-25, and at interim visits. The last assessment was made at the Day 21-25 visit. The mean day for this latter visit was 22.8.

Interventionvisits (Number)
Amoxicillin-Clavulanate22
Placebo24

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The Weighted Average Acute Otitis Media - Severity of Symptom (AOM-SOS) Score, According to Treatment Assignment

The AOM-SOS score is derived from parent scoring each of 7 symptoms (ear tugging, crying, irritability, difficulty sleeping, diminished activity, diminished appetite & fever) associated with AOM as 0, 1 or 2 (none, a little, a lot). The AOM-SOS was administered twice daily the first 3 days of follow-up, then daily for 4 additional days. Symptom burden for each child is determined by calculating the weighted average of symptom scores post-enrollment over the first 7 days of therapy. Scores are weighted by 1/k, where k is the number of post-enrollment assessments taken on that day. (NCT00377260)
Timeframe: During the first 7 days of therapy

InterventionAOM-SOS score (Mean)
Amoxicillin-Clavulanate2.79
Placebo3.42

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The Distribution of Children Developing Worsening Symptoms Prior to Receiving 72 Hours of Study Medication According to Treatment Assignment

The parent rated each of 7 symptoms (ear tugging, crying, irritability, difficulty sleeping, diminished activity, diminished appetite & fever) as 0, 1 or 2 (none, a little, a lot) and recorded the ratings in a diary following enrollment on Day 1 and twice daily Days 2 and 3. Each set of ratings was summed to obtain an Acute Otitis Media-Severity of Symptoms (AOM-SOS) score. We compared a child's AOM-SOS scores in the first 72 hours to his/her score at enrollment to determine if a child's symptoms got worse (score increased) or remained unchanged or improved (score remained same or decreased). (NCT00377260)
Timeframe: Before receiving 72 hours of study medication

,
InterventionParticipants (Number)
Number of children with worsening symptomsNumber of children unchanged or improved
Amoxicillin-Clavulanate31112
Placebo39104

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The Distribution of Children With Nasopharyngeal (NP) Colonization With AOM Pathogens at the End-of-therapy Visit According to Treatment Assignment

AOM pathogens are defined as Streptococcus Pneumoniae or Haemophilus Influenzae or Moraxella Catarrhalis or Streptococcus Pyogenes. Nasopharyngeal cultures were obtained at the end of therapy visit. (NCT00377260)
Timeframe: End-of-therapy visit. The mean day for this visit was 11.6.

,
Interventionparticipants (Number)
Presence of at least one AOM pathogenAbsence of any AOM pathogenPresence of Streptococcus pneumoniaeAbsence of Streptococcus pneumoniaePresence of Haemophilus influenzaeAbsence of Haemophilus influenzaePresence of Moraxella catarrhalisAbsence of Moraxella catarrhalisPresence of Streptococcus pyogenesAbsence of Streptococcus pyogenes
Amoxicillin-Clavulanate636718112458591210130
Placebo88434685448738933128

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The Distribution of Children With Nasopharyngeal (NP) Colonization With AOM Pathogens at the Follow-up Visit According to Treatment Assignment

AOM pathogens are defined as Streptococcus Pneumoniae or Haemophilus Influenzae or Moraxella Catarrhalis or Streptococcus Pyogenes. Nasopharyngeal cultures were obtained at the follow-up visit. (NCT00377260)
Timeframe: Follow-up visit. The mean day for this visit was 22.8.

,
Interventionparticipant (Number)
Presence of at least one AOM pathogenAbsence of any AOM pathogenPresence of Streptococcus pneumoniaeAbsence of Streptococcus pneumoniaePresence of Haemophilus influenzaeAbsence of Haemophilus influenzaePresence of Moraxella catarrhalisAbsence of Moraxella catarrhalisPresence of Streptococcus pyogenesAbsence of Streptococcus pyogenes
Amoxicillin-Clavulanate765226102389029991127
Placebo89414288389231990130

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The Distribution of Children With Nasopharyngeal (NP) Colonization With Penicillin-susceptible Streptococcus Pneumoniae (S. pn) at the End-of-therapy Visit According to Treatment Assignment

(NCT00377260)
Timeframe: End-of-therapy visit. The mean day for this visit was 11.6.

,
Interventionparticipants (Number)
Colonization with penicillin-susceptible S. pnNo colonization with penicillin-susceptible S. pn
Amoxicillin-Clavulanate1129
Placebo28102

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The Mean Number of Antibiotic Prescriptions, Exclusive of Study Medication, According to Treatment Assignment

This is the number of times, in the course of the study, a child required treatment with an antibiotic other than the blinded study medication. (NCT00377260)
Timeframe: This was assessed at each study visit, i.e. Day 4-5, Day 10-12, Day 21-25, and at interim visits. The last assessment was made at the Day 21-25 visit. The mean day for this latter visit was 22.8.

Interventionantibiotic prescriptions (Mean)
Amoxicillin-Clavulanate.35
Placebo.75

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The Distribution of Children With Observed or Parent Reported Adverse Events or Complications According to Treatment Assignment

Analysis was limited to those adverse events identified as being associated with either the study medication or the antimicrobials administered to children who were treatment failures or as being a complication of acute otitis media. (NCT00377260)
Timeframe: We monitored children and queried parents regarding adverse events at each study visit, i.e. Day 4-5, Day 10-12, and Day 21-25, and at interim visits. The last assessment was made at the Day 21-25 visit. The mean day for this visit was 22.8.

,
Interventionparticipants (Number)
MastoiditisPerforation of tympanic membraneProtocol-defined diarrheaDiaper dermatitisOral thrushVomitingRash
Amoxicillin-Clavulanate0136737121
Placebo1722511122

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The Distribution of Clinical Failures by the End-of-therapy Visit According to Treatment Assignment

Clinical failure by the end of therapy visit is defined as failure to achieve complete or virtually complete resolution of symptoms and of otoscopic signs, but without regard to the persistence of middle ear effusion. (NCT00377260)
Timeframe: End-of-therapy visit. The mean day for this visit was 11.6.

,
Interventionparticipants (Number)
Clinical failures by the end of therapy visitSubjects not classified as clinical failures
Amoxicillin-Clavulanate23119
Placebo7370

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The Distribution of Clinical Failures by the On-therapy Visit According to Treatment Assignment

Clinical failure by the on-therapy visit is defined as either failure to achieve substantial improvement in symptoms, or worsening of otoscopic signs, or both. (NCT00377260)
Timeframe: On-therapy visit. The mean day for this visit was 5.0.

,
Interventionparticipants (Number)
Clinical failures by the on therapy visitSubjects not classified as clinical failures
Amoxicillin-Clavulanate5138
Placebo34111

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The Mean Acute Otitis Media - Severity of Symptom (AOM-SOS) Score, Post-enrollment, Over the First 7 Days of Therapy According to Treatment Assignment

The parent rated each of 7 symptoms (ear tugging, crying, irritability, difficulty sleeping, diminished activity, diminished appetite & fever) as 0, 1 or 2 (none, a little, a lot) and recorded the ratings in a diary following enrollment on Day 1, twice daily Days 2 and 3, then once daily Days 4-7. Each set of ratings was summed to obtain an AOM-SOS score as a measure of symptom burden. The maximum possible score was 14 and the minimum was 0. (NCT00377260)
Timeframe: During the first 7 days of therapy

,
InterventionAOM-SOS score (Mean)
Day 1 PMDay 2 AMDay 2 PMDay 3 AMDay 3 PMDay 4Day 5Day 6Day 7
Amoxicillin-Clavulanate5.804.123.782.862.822.401.931.401.28
Placebo6.204.854.333.373.252.682.412.311.94

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The Probability of Middle Ear Effusion, Based on an Algorithm That Estimates the Probability of Middle Ear Effusion From an Interpretable Tympanographic Configuration, at the End-of-therapy Visit According to Treatment Assignment

For tympanograms with values for height, middle-ear air pressure, and gradient width, the probability of Middle Ear Effusion (MEE) was estimated by applying an algorithm developed by Smith et al. If the tympanogram was flat and had no printed values for the 3 fields, the probability of MEE was estimated to be .802 based on the proportion of ears with flat graphs that were found otoscopically, by Smith et al, to have MEE. (NCT00377260)
Timeframe: End-of-therapy visit. The mean day for this visit was 11.6.

,
Interventionprobability of effusion (Mean)
Right earLeft ear
Amoxicillin-Clavulanate.32.33
Placebo.41.41

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The Probability of Middle Ear Effusion, Based on an Algorithm That Estimates the Probability of Middle Ear Effusion From an Interpretable Tympanographic Configuration, at the Follow-up Visit According to Treatment Assignment

For tympanograms with values for height, middle-ear air pressure, and gradient width, the probability of Middle Ear Effusion (MEE) was estimated by applying an algorithm developed by Smith et al. If the tympanogram was flat and had no printed values for the 3 fields, the probability of MEE was estimated to be .802 based on the proportion of ears with flat graphs that were found otoscopically, by Smith et al, to have MEE. (NCT00377260)
Timeframe: Follow-up visit. The mean day for this visit was 22.8.

,
Interventionprobability of effusion (Mean)
Right earLeft ear
Amoxicillin-Clavulanate.28.27
Placebo.32.37

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The Probability of Middle Ear Effusion, Based on an Algorithm That Estimates the Probability of Middle Ear Effusion From an Interpretable Tympanographic Configuration, at the On-therapy Visit According to Treatment Assignment

For tympanograms with values for height, middle-ear air pressure, and gradient width, the probability of Middle Ear Effusion (MEE) was estimated by applying an algorithm developed by Smith et al. If the tympanogram was flat and had no printed values for the 3 fields, the probability of MEE was estimated to be .802 based on the proportion of ears with flat graphs that were found otoscopically, by Smith et al, to have MEE. (NCT00377260)
Timeframe: On-therapy visit. The mean day for this visit was 5.0.

,
Interventionprobability of effusion (Mean)
Right earLeft ear
Amoxicillin-Clavulanate.36.39
Placebo.42.48

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The Time to Resolution of Symptoms, Defined as Acute Otitis Media-Severity of Symptoms (AOM-SOS) Score of 0 or 1 on Two Consecutive Occasions, According to Treatment Assignment

Time to resolution of symptoms is defined as the time from randomization until a child's AOM-SOS score reaches <= 1 on two consecutive occasions. The parent rated each of 7 symptoms (ear tugging, crying, irritability, difficulty sleeping, diminished activity, diminished appetite & fever) as 0, 1 or 2 (none, a little, a lot) & recorded the ratings in a diary following enrollment on Day 1, twice daily Days 2 & 3, & once daily Days 4-7. Each set of ratings was summed to obtain an AOM-SOS score. The maximum possible was 14 and the minimum 0. A score >=3 was required to be enrolled in the study. (NCT00377260)
Timeframe: The first 7 days on therapy

,
Interventionparticipants (Number)
Resolved by Day 1 - PMCensored by Day 1 - PMResolved by Day 2 - AMCensored by Day 2 - AMResolved by Day 2 - PMCensored by Day 2 - PMResolved by Day 3 - AMCensored by Day 3 - AMResolved by Day 3 - PMCensored by Day 3 - PMResolved by Day 4Censored by Day 4Resolved by Day 5Censored by Day 5Resolved by Day 6Censored by Day 6Resolved by Day 7Censored by Day 7
Amoxicillin-Clavulanate011712913415015817018019648
Placebo02822032934245156356957671

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The Time to Resolution of Symptoms, Defined as Acute Otitis Media-Severity of Symptoms (AOM-SOS) Score of 0 or 1, According to Treatment Assignment

Time to resolution of symptoms is defined as the time from randomization until a child's AOM-SOS score reaches 0 or 1. The parent rated each of 7 symptoms (ear tugging, crying, irritability, difficulty sleeping, diminished activity, diminished appetite & fever) as 0, 1 or 2 (none, a little, a lot) and recorded the ratings in a diary following enrollment on Day 1, twice daily Days 2 and 3, then once daily Days 4-7. Each set of ratings was summed to obtain an AOM-SOS score. The maximum possible score was 14 and the minimum was 0. A score >=3 was required to be enrolled in the study. (NCT00377260)
Timeframe: The first 7 days on therapy

,
Interventionparticipants (Number)
Resolved by Day 1 - PMCensored by Day 1 - PMResolved by Day 2 - AMCensored by Day 2 - AMResolved by Day 2 - PMCensored by Day 2 - PMResolved by Day 3 - AMCensored by Day 3 - AMResolved by Day 3 - PMCensored by Day 3 - PMResolved by Day 4Censored by Day 4Resolved by Day 5Censored by Day 5Resolved by Day 6Censored by Day 6Resolved by Day 7Censored by Day 7
Amoxicillin-Clavulanate201381501701771871961110111430
Placebo9228241358366478492498410641

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Number of Participants With Response (Microbiologically Valid Patients)

Bacteriological Efficacy Rate at the End of Follow-up period, measured in patients defined as 'microbiologically valid'. A bacteriological success is an eradication without super- or reinfection or presumed eradication. (NCT00493038)
Timeframe: End of Follow-up, Day 24-30 after treatment

,
InterventionParticipants (Number)
Bacteriological successFailureMissing / Indeterminate
Amoxicillin/Clavulanate2303
Moxifloxacin (Avelox, BAY12-8039)1902

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Number of Participants With Response (Microbiologically Valid Patients)

Bacteriological Efficacy Rate at the 'Test-of-Cure' visit, measured in patients defined as 'microbiologically valid'. A bacteriological success is an eradication without super- or reinfection or presumed eradication. (NCT00493038)
Timeframe: At 'Test-of-Cure', Day 1-3 after treatment

,
InterventionParticipants (Number)
Bacteriological successFailure
Amoxicillin/Clavulanate251
Moxifloxacin (Avelox, BAY12-8039)210

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Number of Participants With Response (Per-protocol Population)

"Number of patients in the population who met criteria pre-specified in the protocol whose clinical response 24-30 days after treatment was assessed by the investigator as continued clinical cure" (NCT00493038)
Timeframe: End of Follow-up, Day 24-30 after treatment

Interventionparticipants (Number)
Moxifloxacin (Avelox, BAY12-8039)108
Amoxicillin/Clavulanate117

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Number of Participants With Response (Per-protocol Population)

"Number of patients in the population who met criteria pre-specified in the protocol whose clinical response 1-3 days after treatment was assessed by the investigator as clinical cure" (NCT00493038)
Timeframe: At 'Test-of-Cure', Day 1-3 after treatment

Interventionparticipants (Number)
Moxifloxacin (Avelox, BAY12-8039)119
Amoxicillin/Clavulanate125

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Number of Participants With Response (Intent-to-treat Population)

"Number of patients in the population who received at least one dose of study medication whose clinical response 1-3 days after treatment was assessed by the investigator as clinical cure" (NCT00493038)
Timeframe: At 'Test-of-Cure', Day 1-3 after treatment

Interventionparticipants (Number)
Moxifloxacin (Avelox, BAY12-8039)128
Amoxicillin/Clavulanate127

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Number of Participants With Microbiological Response at Test of Cure (TOC) Visit

Microbiological response assessed at participant level. Eradication=the absence of the original pathogens from the post-treatment TOC culture of specimen from the original site of infection. Presumed eradication=the complete resolution of signs and symptoms associated with cessation of culturable specimen (for example, sputum). Persistence=the presence of the original pathogen in the post-treatment TOC culture specimen from the original site of infection. Presumed persistence=in a participant who was judged to be a clinical failure and a culture of specimen was not possible or was not done, it was presumed that there was persistence of the pathogen. Not applicable microbiologic response included participants that did not have post-treatment microbiologic cultures due to early discontinuation. Data reported for eradication is combination of eradication and presumed eradication data and data reported for persistence is combination of persistence and presumed persistence data. (NCT00797108)
Timeframe: 7 to 14 days after EOT

,,
Interventionparticipants (Number)
EradicationPersistenceNot Applicable
Ceftriaxone and Amoxicillin/Clavulanate301
Sulopenem (Multi Intravenous Dose) and PF-03709270401
Sulopenem (Single Intravenous Dose) and PF-03709270400

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Number of Participants With Categorical Change From Baseline in Vital Signs

Participants who met the categorical criteria for increase in vital signs data were reported. Categorical criteria for increase from baseline vital signs data: supine and sitting systolic blood pressure (BP) of greater than or equal to (>=) 30 millimeter of mercury (mmHg); supine and sitting diastolic BP of >=20 mmHg. (NCT00797108)
Timeframe: Baseline up to 15 to 28 days after EOT

,,
Interventionparticipants (Number)
Supine Systolic BP >=30 mmHg (n=3, 5, 4)Sitting Systolic BP >=30 mmHg (n=7, 6, 6)Supine Diastolic BP >=20 mmHg (n=3, 5, 4)Sitting Diastolic BP >=20 mmHg (n=7, 6, 6)
Ceftriaxone and Amoxicillin/Clavulanate1120
Sulopenem (Multi Intravenous Dose) and PF-037092702121
Sulopenem (Single Intravenous Dose) and PF-037092700204

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Change From Baseline in Community Acquired Pneumonia (CAP) Symptom Questionnaire at Test of Cure (TOC) and Follow-up Visit

The CAP Symptom Questionnaire was a participant reported questionnaire administered by interview. It consisted of 12 items (coughing, chest pains, shortness of breath, sweating, chills, headache, nausea, muscle pain, lack of appetite, trouble concentrating, trouble sleeping, and fatigue). Depending on if the participant had or not had symptoms/problems, they were asked how much they had been bothered by the symptoms/problems over the previous 24 hours. CAP items were rated on the 6-point response scale (0 = participant did not have symptom/problem: 1 = not at all, 2 = a little, 3 = moderately, 4 = quite a bit, 5 = extremely; if the participant had the symptom/problem and were bothered). All 12 items score were summed and averaged to produce a CAP symptom score (range, 0 to 6). High values indicated poorer outcomes (higher symptom bothersomeness). (NCT00797108)
Timeframe: Baseline, TOC (7 to 14 days after end of treatment), Follow-up (15 to 28 days after EOT)

,,
Interventionunits on a scale (Mean)
Baseline (n=10, 8, 8)Change at TOC (n=9, 7, 6)Change at Follow-up Visit (n=10, 8, 8)
Ceftriaxone and Amoxicillin/Clavulanate2.57-1.74-1.52
Sulopenem (Multi Intravenous Dose) and PF-037092702.75-2.02-1.89
Sulopenem (Single Intravenous Dose) and PF-037092702.17-1.43-1.39

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Number of Participants With Abnormal Physical Examination Findings

A physical examination included an examination of the general appearance, skin, heart, head, eyes, ears, nose, throat, breasts, abdomen, musculoskeletal, neck, neurological, extremities, and others. Criteria for abnormal physical findings were based on investigator's discretion. (NCT00797108)
Timeframe: Last observation (up to 15-28 days after EOT, approximately 38 days)

Interventionparticipants (Number)
Sulopenem (Single Intravenous Dose) and PF-037092700
Sulopenem (Multi Intravenous Dose) and PF-037092701
Ceftriaxone and Amoxicillin/Clavulanate0

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Number of Participants With Abnormal Laboratory Test Findings

Criteria for laboratory abnormalities: hemoglobin (Hb), hematocrit, red blood cell (RBC) (less than [<] 0.8*lower limit of normal [LLN]); reticulocyte (absolute and percentage) (<0.5*LLN or greater than [>] 1.5*upper LN [ULN]); platelet (<0.5*LLN or >1.75*ULN); white blood cell (WBC) (<0.6*LLN or >1.5*ULN); lymphocyte, neutrophil (<0.8*LLN or >1.2*ULN); eosinophil, monocyte, basophil (>1.2*ULN); bilirubin (BR) (>1.5*ULN); aspartate and alanine aminotransferase, gamma-glutamyl transpeptidase, alkaline phosphatase, lactate dehydrogenase (>3.0*ULN); total protein, albumin (<0.8*LLN or >1.2*ULN);blood urea nitrogen, creatinine (>1.3*ULN); sodium (<0.95*LLN or >1.05*ULN); potassium, chloride, calcium, magnesium, bicarbonate (<0.9*LLN or >1.1*ULN); glucose (<0.6*LLN or >1.5*ULN); urine (pH [<4.5 or >8], glucose, protein, blood, ketone [>=1]). Total number of participants with abnormal laboratory values were reported. (NCT00797108)
Timeframe: Baseline up to 15 to 28 days after EOT

Interventionparticipants (Number)
Sulopenem (Single Intravenous Dose) and PF-037092707
Sulopenem (Multi Intravenous Dose) and PF-037092708
Ceftriaxone and Amoxicillin/Clavulanate9

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Number of Participants Who Died

(NCT00797108)
Timeframe: Baseline up to 15 to 28 days after EOT

Interventionparticipants (Number)
Sulopenem (Single Intravenous Dose) and PF-037092700
Sulopenem (Multi Intravenous Dose) and PF-037092700
Ceftriaxone and Amoxicillin/Clavulanate0

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Percentage of Participants With Clinical Response at Test of Cure (TOC) Visit

"Clinical response (CR) was based primarily on global assessment of clinical presentation of participant made by investigator at evaluation time point. At TOC (7 to 14 days after end of treatment [EOT]) CR was evaluated as cure=resolution of clinical signs and symptoms related to the acute infection, or clinical improvement in which no additional antibiotics were deemed necessary when compared to baseline; failure=persistence or progression of baseline signs and symptoms of pneumonia (for example: body temperature, white blood cell [WBC] count, respiratory rate, auscultatory findings, cough, sputum production), development of new pulmonary or extrapulmonary clinical findings consistent with active infection and those participants that were not assessed for clinical response due to early discontinuation; indeterminate=extenuating circumstances precluded classification to 1 of the above." (NCT00797108)
Timeframe: 7 to 14 days after end of treatment

,,
Interventionpercentage of participants (Number)
CureFailureIndeterminate
Ceftriaxone and Amoxicillin/Clavulanate62.525.012.5
Sulopenem (Multi Intravenous Dose) and PF-0370927087.512.50
Sulopenem (Single Intravenous Dose) and PF-0370927090.010.00

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Percentage of Participants With Clinical Response at End of Treatment (EOT) and Follow-up Visit

"CR was based primarily on global assessment of clinical presentation of participant made by investigator at evaluation time point. At EOT (Day 7 to 10) and follow-up (15 to 28 days after EOT), CR was evaluated as cure=resolution of clinical signs and symptoms related to the acute infection, or clinical improvement in which no additional antibiotics were deemed necessary when compared to baseline; failure=persistence or progression of baseline signs and symptoms of pneumonia, development of new pulmonary or extrapulmonary clinical findings consistent with active infection and those participants that were not assessed for clinical response due to early discontinuation; with additional CR evaluated as improvement= of few not all signs and symptoms of pneumonia when compared to baseline and no additional antibacterial treatment required at EOT and indeterminate=extenuating circumstances precluded classification to 1 of the above at follow-up." (NCT00797108)
Timeframe: EOT (Day 7 to 10) , Follow-up (15 to 28 days after EOT)

,,
Interventionpercentage of participants (Number)
EOT: CureEOT: ImprovementEOT: FailureFollow-up: CureFollow-up: FailureFollow-up: Indeterminate
Ceftriaxone and Amoxicillin/Clavulanate75.012.512.562.512.525.0
Sulopenem (Multi Intravenous Dose) and PF-0370927075.025.00.087.50.012.5
Sulopenem (Single Intravenous Dose) and PF-0370927060.030.010.090.00.010.0

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Number of Participants With Surgical Site Infections

(NCT00801099)
Timeframe: within 30 days postoperative

Interventionparticipants (Number)
Amoxicillin/Clavulanic Acid11

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Cmax (Maximum Observed Concentration) - Amoxicillin

Bioequivalence based on Cmax (NCT00835705)
Timeframe: Blood samples were collected over 10 hour period

Interventionng/mL (Mean)
Amoxicillin Clavulanic Acid7800.48
Augmentin®7599.29

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Cmax (Maximum Observed Concentration) - Clavulanic Acid

Bioequivalence based on Cmax (NCT00835705)
Timeframe: Blood samples collected over 10 hour period

Interventionng/mL (Mean)
Amoxicillin Clavulanic Acid1483.32
Augmentin®1449.68

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AUC0-t [Area Under the Concentration-time Curve From Time Zero to Time of Last Non-zero Concentration (Per Participant)] - Clavulanic Acid

Bioequivalence based on AUC0-t (NCT00835705)
Timeframe: Blood samples collected over 10 hour period

Interventionng*h/mL (Mean)
Amoxicillin Clavulanic Acid2798.69
Augmentin®2749.12

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AUC0-inf - [Area Under the Concentration-time Curve From Time Zero to Infinity (Extrapolated)] - Amoxicillin

Bioequivalence based on AUC0-inf (NCT00835705)
Timeframe: Blood samples were collected over 10 hour period

Interventionng*h/mL (Mean)
Amoxicillin Clavulanic Acid19089.36
Augmentin®19395.97

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AUC0-inf [Area Under the Concentration-time Curve From Time Zero to Infinity (Extrapolated)] - Clavulanic Acid

Bioequivalence based on AUC0-inf (NCT00835705)
Timeframe: Blood samples collected over 10 hour period

Interventionng*h/mL (Mean)
Amoxicillin Clavulanic Acid2876.99
Augmentin®2833.74

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AUC0-t [Area Under the Concentration-time Curve From Time Zero to Time of Last Non-zero Concentration (Per Participant)] - Amoxicillin

Bioequivalence based on AUC0-t (NCT00835705)
Timeframe: Blood samples were collected over 10 hour period

Interventionng*h/mL (Mean)
Amoxicillin Clavulanic Acid18939.13
Augmentin®19263.26

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AUC0-inf - [Area Under the Concentration-time Curve From Time Zero to Infinity (Extrapolated)] - Amoxicillin

Bioequivalence based on AUC0-inf (NCT00836901)
Timeframe: Blood samples collected over 10 hour period

Interventionng*h/mL (Mean)
Amoxicillin Clavulanic Acid19403.12
Augmentin®19518.22

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AUC0-inf [Area Under the Concentration-time Curve From Time Zero to Infinity (Extrapolated)] - Clavunlanic Acid

Bioequivalence based on AUC0-inf (NCT00836901)
Timeframe: Blood samples collected over 10 hour period

Interventionng*h/mL (Mean)
Amoxicillin Clavulanic Acid1772.85
Augmentin®1864.33

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AUC0-t - [Area Under the Concentration-time Curve From Time Zero to Time of Last Non-zero Concentration (Per Participant)] - Amoxicillin

Bioequivalence based on AUC0-t (NCT00836901)
Timeframe: Blood samples collected over 10 hour period

Interventionng*h/mL (Mean)
Amoxicillin Clavulanic Acid18299.44
Augmentin®18746.55

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AUC0-t [Area Under the Concentration-time Curve From Time Zero to Time of Last Non-zero Concentration (Per Participant) - Clavulanic Acid

Bioequivalence based on AUC0-t (NCT00836901)
Timeframe: Blood samples collected over 10 hour period

Interventionng*h/mL (Mean)
Amoxicillin Clavulanic Acid1693.67
Augmentin®1785.27

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Cmax (Maximum Observed Concentration) - Amoxicillin

Bioequivalence based on Cmax (NCT00836901)
Timeframe: Blood samples collected over 10 hour period

Interventionng/mL (Mean)
Amoxicillin Clavulanic Acid4482.26
Augmentin®4549.67

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Cmax (Maximum Observed Concentration) - Clavulanic Acid

Bioequivalence based on Cmax (NCT00836901)
Timeframe: Blood samples were collected over 10 hour period

Interventionng/mL (Mean)
Amoxicillin Clavulanic Acid734.20
Augmentin®766.38

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Bioequivalence Based on AUC0-t for Amoxicillin

AUC0-t - Area under the concentration-time curve from time zero to the time of last non-zero concentration (NCT00840099)
Timeframe: Blood samples collected over 14 hour period

Interventionng*h/mL (Mean)
Amoxicillin Clavulanate27464.27
AugmentinES-600™26666.90

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Bioequivalence Based on AUC0-t for Clavulanic Acid

AUC0-t - Area under the concentration-time curve from time zero to time of last non-zero concentration (NCT00840099)
Timeframe: Blood samples collected over 14 hour period

Interventionng*h/mL (Mean)
Amoxicillin Clavulanate2293.69
AugmentinES-600™2157.07

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Bioequivalence Based on Cmax for Amoxicillin

Cmax - Maximum Observed Concentration (NCT00840099)
Timeframe: Blood samples collected over 14 hour period

Interventionng/mL (Mean)
Amoxicillin Clavulanate10970.75
AugmentinES-600™10867.32

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Bioequivalence Based on Cmax for Clavulanic Acid

Cmax - Maximum Observed Concentration (NCT00840099)
Timeframe: Blood samples collected over 14 hour period

Interventionng/mL (Mean)
Amoxicillin Clavulanate1127.59
AugmentinES-600™1106.84

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Bioequivalence Based on AUC0-inf for Clavulanic Acid

AUC0-inf - Area under the concentration-time curve from time zero to infinity (extrapolated) (NCT00840099)
Timeframe: Blood samples collected over 14 hour period

Interventionng*h/mL (Mean)
Amoxicillin Clavulanate2396.58
AugmentinES-600™2260.40

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Bioequivalence Based on AUC0-inf for Amoxicillin

AUC0-inf - Area under the concentration-time curve from time zero to infinity (extrapolated) (NCT00840099)
Timeframe: Blood samples collected over 14 hour period

Interventionng*h/mL (Mean)
Amoxicillin Clavulanate27965.57
AugmentinES-600™27147.08

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Bioequivalence Based on AUC0-t for Amoxicillin

AUC0-t - Area under the concentration-time curve from time zero to time of last non-zero concentration (NCT00840840)
Timeframe: Blood samples collected over 14 hour period

Interventionng*h/mL (Mean)
Amoxicillin Clavulanate26662.17
AugmentinES-600™25906.24

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Bioequivalence Based on AUC0-t for Clavulanic Acid

AUC0-t - Area under the concentration-time curve from time zero to time of last non-zero concentration (NCT00840840)
Timeframe: Blood samples collected over 14 hour period

Interventionng/h/mL (Mean)
Amoxicillin Clavulanate1241.09
AugmentinES-600™1195.82

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Bioequivalence Based on Cmax for Amoxicillin

Cmax - Maximum Observed Concentration (NCT00840840)
Timeframe: Blood samples collected over 14 hour period

Interventionng/mL (Mean)
Amoxicillin Clavulanate7331.46
AugmentinES-600™7235.76

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Bioequivalence Based on AUC0-inf for Amoxicillin

AUC0-inf - Area under the concentration-time curve from time zero to infinity (extrapolated) (NCT00840840)
Timeframe: Blood samples collected over 14 hour period

Interventionng*h/mL (Mean)
Amoxicillin Clavulanate27318.54
AugmentinES-600™26515.59

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Bioequivalence Based on AUC0-inf for Clavulanic Acid

AUC0-inf - Area under the concentration-time curve from zero to infinity (extrapolated) (NCT00840840)
Timeframe: Blood samples collected over 14 hour period

Interventionng*h/mL (Mean)
Amoxicillin Clavulanate1335.73
AugmentinES-600™1283.73

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Bioequivalence Based on Cmax for Clavulanic Acid

Cmax - Maximum Observed Concentration (NCT00840840)
Timeframe: Blood samples collected over 14 hour period

Interventionng/mL (Mean)
Amoxicillin Clavulanate516.42
AugmentinES-600™507.38

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Bacteriological Response at Test-of-Cure (TOC) Visit

"Bacteriological responses were graded as presumed persistence, presumed eradication or indeterminate.~'Presumed persistence' was applicable for subjects judged to be clinical failures, and appropriate culture material is not available for evaluation; 'presumed eradication' defined as the absence of appropriate culture material for evaluation because the subject has clinically responded and invasive procedures are not warranted; índeterminate' was applicable when the bacteriological response to the study drug was not valid for any reason (eg, pre-treatment culture was negative or culture was not obtained when material was available and the subject was not judged a clinical failure). Percentage of subjects with bacteriological response at TOC were reported." (NCT01069900)
Timeframe: 28 to 42 days

,
InterventionPercentage of subjects (Number)
Presumed PersistencePresumed EradicationIndeterminate
Comparator Ertapenem2.294.92.9
Moxifloxacin (Avelox, BAY12-8039)6.884.78.4

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Bacteriological Response at the End of Treatment (EOT) Visit

Bacteriological response at EOT were grades as presumed persistence, presumed eradication or indeterminate. 'presumed persistence' was applicable for subjects judged to be clinical failures and appropriate culture material is not available for evaluation; 'presumed eradication' defined as the absence of appropriate culture material for evaluation because the subject has clinically responded (with a response as a resolution or cure) and invasive procedures are not warranted; 'indeterminate' is applicable when the bacteriological response to the study drug was not valid for any reason (eg, pretreatment culture was negative or culture was not obtained when material was available and the subject was not judged a clinical failure). Percentage of subjects with bacteriological response at EOT were reported. (NCT01069900)
Timeframe: Day 5 to Day 14

,
InterventionPercentage of subjects (Number)
Presumed PersistencePresumed EradicationIndeterminate
Comparator Ertapenem0.797.81.5
Moxifloxacin (Avelox, BAY12-8039)5.591.13.4

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Clinical Response at a 'During Therapy' Visit

"Clinical responses during therapy visit were graded as clinical improvement, clinical failure, or indeterminate. Clinical improvement defined as a reduction in the severity and/or the number of signs and symptoms of infection; 'clinical failure' defined as a failure to respond or insufficient lessening of the signs and symptoms of infection requiring a modification or addition of antibacterial therapy.~'Indeterminate' defined as those subjects in whom a clinical assessment is not possible to determine (eg, due to early withdrawal from the study because of adverse events, protocol violation, withdrawn consent, receipt of an effective concomitant antibacterial for an indication other than the study indication and receipt of less than 3 full days of study drug, etc). Percentage of subjects with clinical response during therapy visit were reported." (NCT01069900)
Timeframe: Day 3 to Day 5

,
InterventionPercentage of subjects (Number)
Clinical ImprovementClinical FailureIndeterminate
Comparator Ertapenem980.71.4
Moxifloxacin (Avelox, BAY12-8039)94.314.7

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Clinical Response at Test-of-Cure (TOC) Visit

Clinical responses were graded as clinical cure, failure or indeterminate. 'Clinical cure' defined as a resolution or sufficient improvement of clinical signs and symptoms related to the infection; 'failure' defined as a reappearance of the signs and symptoms of the original infection, or wound infection requiring further systemic antimicrobial therapy; 'indeterminate' defined as those subjects in whom a clinical assessment was not possible to determine (due to early withdrawal from the study because of adverse events, protocol violation, withdrawn consent). Percentage of subjects with clinical response at TOC were reported. (NCT01069900)
Timeframe: 28 to 42 days

,
InterventionPercentage of subjects (Number)
Clinical CureClinical FailureIndeterminate
Comparator Ertapenem95.322.7
Moxifloxacin (Avelox, BAY12-8039)86.25.78.1

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Clinical Response at Test-of-Cure (TOC) Visit in Subjects With Bacteriologically Confirmed Complicated Intra-abdominal Infection (cIAI)

Clinical responses were graded as clinical cure, failure or indeterminate. 'Clinical cure' defined as a resolution or sufficient improvement of clinical signs and symptoms related to the infection; 'failure' defined as a reappearance of the signs and symptoms of the original infection, or wound infection requiring further systemic antimicrobial therapy; 'indeterminate' defined as those subjects in whom a clinical assessment was not possible to determine (due to early withdrawal from the study because of adverse events, protocol violation, withdrawn consent). Percentage of subjects with clinical response at TOC were reported (NCT01069900)
Timeframe: 28 to 42 days

,
InterventionPercentage of subjects (Number)
Clinical CureClinical FailureIndeterminate
Comparator Ertapenem95.322.7
Moxifloxacin (Avelox, BAY12-8039)86.25.78.1

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Clinical Response at the End-of-Treatment (EOT) Visit

Clinical responses at EOT were graded as resolution, failure, or indeterminate. 'Resolution' defined as a disappearance of signs and symptoms related to the infection or sufficient improvement of clinical signs and symptoms related to the infection and the subject does not require any further antibiotic therapy or surgical intervention; 'failure' defined as worsening or insufficient lessening of the signs and symptoms of infection requiring a modification or addition of antibacterial therapy; 'indeterminate' is defined as those subjects in whom a clinical assessment is not possible to determine (eg, due to early withdrawal from the study because of adverse events, protocol violation, withdrawn consent; receipt of less than 3 full days of study drug; receipt of an effective concomitant antibacterial for an indication other than study indication; etc). Percentage of subjects with clinical response at EOT were reported. (NCT01069900)
Timeframe: Day 5 to Day 14

,
InterventionPercentage of subjects (Number)
ResolutionClinical FailureIndeterminate
Comparator Ertapenem980.71.4
Moxifloxacin (Avelox, BAY12-8039)92.24.63.2

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Corrected QT (QTc) Interval Calculated (Calc) Bazett Changes in Electrocardiogram (ECG) Profiles From Pre-dose to Post-dose on Treatment Day 1 and Treatment Day 3

"QTc interval Calc Bazett represent the interval corrected for heart rate (QTc) milliseconds (msec) which was calculated by Bazett's method. N signifies subjects who were evaluable for the specified parameter for each arm, respectively." (NCT01069900)
Timeframe: Baseline (Pre-dose), Day 1, Day 3

,
Interventionmilliseconds (Mean)
Day 1: Pre-dose (N= 298, 150)Change at Day 1 (N= 290, 148)Day 3: Pre-dose (N= 292, 146)Change at Day 3 (N= 287, 146)
Comparator Ertapenem417.342.2905412.79451
Moxifloxacin (Avelox, BAY12-8039)419.58729.731419.20559.2509

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Corrected QT (QTc) Interval Calculated (Calc) Fridericia Changes in Electrocardiogram (ECG) Profiles From Pre-dose to Post-dose on Treatment Day 1 and Treatment Day 3

"QTc interval Calc Fridericia represent the interval corrected for heart rate (QTc) msec which was calculated by Fridericia's method. N signifies subjects who were evaluable for the specified parameter for each arm, respectively." (NCT01069900)
Timeframe: Baseline (Pre-dose), Day 1, Day 3

,
Interventionmilliseconds (Mean)
Day 1: Pre-dose (N= 298, 150)Change at Day 1 (N= 290, 148)Day 3: Pre-dose (N= 292, 146)Change at Day 3 (N= 287, 146)
Comparator Ertapenem390.94671.9122392.69181.774
Moxifloxacin (Avelox, BAY12-8039)391.18467.0724397.37678.115

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Heart Rate Changes in Electrocardiogram (ECG) Profiles From Pre-dose to Post-dose on Treatment Day 1 and Treatment Day 3

"N signifies subjects who were evaluable for the specified parameter for each arm, respectively." (NCT01069900)
Timeframe: Baseline (Pre-dose), Day 1, Day 3

,
InterventionBeats per minute (bpm) (Mean)
Day 1: Pre-dose (N= 300, 150)Change at Day 1 ((N= 294, 148)Day 3: Pre-dose (N= 293, 146)Change at Day 3 (N= 290, 146)
Comparator Ertapenem90.40.382.6-0.9
Moxifloxacin (Avelox, BAY12-8039)93.42.884.31

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Incidence Rates of Musculoskeletal Adverse Events by Primary System Organ Class (SOC) and Preferred Term

"Musculoskeletal adverse events were classified as following SOCs (preferred terms): injury, poisoning and procedural complications (forearm fracture, joint injury, ligament sprain, muscle strain) musculoskeletal and connective tissue disorders (arthralgia, joint swelling, musculoskeletal pain, myalgia). Incidence rates were reported as percentage of subjects categorized under preferred terms." (NCT01069900)
Timeframe: All AEs and SAE were recorded from treatment start to test of cure visit; musculoskeletal AEs were recorded up to 1 year post-end of treatment (EOT) visit; subjects with musculoskeletal AEs 1 year after EOT were followed up to 5 years or until resolution.

,
InterventionPercentage of subjects (Number)
Forearm fractureJoint injuryLigament sprainMuscle strainArthralgiaJoint swellingMusculoskeletal painMyalgia
Comparator Ertapenem00.70.70.71.30.700
Moxifloxacin (Avelox, BAY12-8039)0.300.303010.3

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Number of Subjects With Adverse Events

An adverse event (AE) was any untoward medical occurrence in a subject who received study drug without regard to possibility of causal relationship. An serious adverse event (SAE) was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. (NCT01069900)
Timeframe: All AEs and SAE were recorded from treatment start to test of cure visit; musculoskeletal AEs were recorded up to 1 year post-end of treatment (EOT) visit; subjects with musculoskeletal AEs 1 year after EOT were followed up to 5 years or until resolution.

,
InterventionSubjects (Number)
Any AEAny SAE
Comparator Ertapenem826
Moxifloxacin (Avelox, BAY12-8039)17520

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Number of Subjects With Clinical Cardiac Adverse Events

(NCT01069900)
Timeframe: Clinical cardiac event related to QT interval were recorded from treatment start until day 3 of treatment. All other clinical cardiac events were recorded from treatment start to test of cure visit, up to day 56.

,
InterventionSubjects (Number)
Any AEAny SAE
Comparator Ertapenem70
Moxifloxacin (Avelox, BAY12-8039)380

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Number of Subjects With Musculoskeletal Adverse Events

(NCT01069900)
Timeframe: All AEs and SAE were recorded from treatment start to test of cure visit; musculoskeletal AEs were recorded up to 1 year post-end of treatment (EOT) visit; subjects with musculoskeletal AEs 1 year after EOT were followed up to 5 years or until resolution.

,
InterventionSubjects (Number)
Any AEAny SAE
Comparator Ertapenem50
Moxifloxacin (Avelox, BAY12-8039)131

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Potentially Clinically Significant Electrocardiogram (ECG) QTc Interval Prolongation - by QTc Calc Bazett Correction on Treatment Day 1 and During Therapy Day 3

"A significant QTc prolongation was considered when the QTc value was more than ULN range or was prolonged for 30 msec or 60msec in comparison with the pre-treatment value measured on Day 1. N signifies subjects who were evaluable for the specified parameter for each arm, respectively. Percentage of subjects with potentially clinically significant ECG data was reported." (NCT01069900)
Timeframe: Baseline (Pre-dose), Day 1, Day 3

,
InterventionPercentage of subjects (Number)
Day1: Pre-dose QTc Calc Bazett > ULN (N= 300, 150)Day1: Post-dose QTc Calc Bazett > ULN (N= 297,148)Day1: Post-dose >30 ms from pre-dose (N= 297,148)Day1: Post-dose >60 ms from pre-dose (N= 297,148)Day3: Pre-dose QTc Calc Bazett > ULN (N= 293, 146)Day3: Post-dose QTc Calc Bazett > ULN (N= 291,148)Day3: Post-dose >30 ms from pre-dose (N= 291,148)Day3: Post-dose >60 ms from pre-dose (N= 291,148)
Comparator Ertapenem2.74.1001.43.420.7
Moxifloxacin (Avelox, BAY12-8039)7.716.25.403.815.59.60.7

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Potentially Clinically Significant Electrocardiogram (ECG) QTc Interval Prolongation - by QTc Interval Calc Fridericia Correction on Treatment Day 1 and During Therapy Day 3

"A significant QTc prolongation was considered when the QTc value was more than (>) upper limit of normal (ULN) range or was prolonged for 30 msec or 60msec in comparison with the pre-treatment value measured on Day 1. N signifies subjects who were evaluable for the specified parameter for each arm, respectively. Percentage of subjects with potentially clinically significant ECG data was reported." (NCT01069900)
Timeframe: Baseline (Pre-dose), Day 1, Day 3

,
InterventionPercentage of subjects (Number)
Day1: Pre-dose QTcCalcFridericia>ULN (N= 300, 150)Day1: Post-dose QTcCalcFridericia>ULN (N= 297,148)Day1: Post-dose >30 ms from pre-dose (N= 297,148)Day1: Post-dose >60 ms from pre-dose (N= 297,148)Day3: Pre-dose QTcCalcFridericia>ULN (N= 293, 146)Day3: Post-dose QTcCalcFridericia>ULN (N= 291,148)Day3: Post-dose >30 ms from pre-dose (N= 291,148)Day3: Post-dose >60 ms from pre-dose (N= 291,148)
Comparator Ertapenem1.32001.41.43.40.7
Moxifloxacin (Avelox, BAY12-8039)0.7320.31.49.617.91.7

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PR Interval Changes in Electrocardiogram (ECG) Profiles From Pre-dose to Post-dose on Treatment Day 1 and Treatment Day 3

"The PR interval is defined as the period that extends from the onset of atrial depolarization (beginning of the P wave) until the onset of ventricular depolarization. N signifies subjects who were evaluable for the specified parameter for each arm, respectively." (NCT01069900)
Timeframe: Baseline (Pre-dose), Day 1, Day 3

,
Interventionmilliseconds (Mean)
Day 1: Pre-dose (N= 299, 150)Change at Day 1 ( N= 292, 148)Day 3: Pre-dose (N= 293, 146)Change at Day 3 (N= 289, 146)
Comparator Ertapenem140.5933-0.0203139.56851.5616
Moxifloxacin (Avelox, BAY12-8039)136.82940.7123139.49151.5813

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QRS Interval Changes in Electrocardiogram (ECG) Profiles From Predose to Post-dose on Treatment Day 1 and Treatment Day 3

"The QRS interval represents the time it takes for ventricular depolarization to occur. N signifies subjects who were evaluable for the specified parameter for each arm, respectively." (NCT01069900)
Timeframe: Baseline (Pre-dose), Day 1, Day 3

,
Interventionmilliseconds (Mean)
Day 1: Pre-dose (N= 300, 150)Change at Day 1 (N= 294, 148)Day 3: Pre-dose (N= 293, 146)Change at Day 3 (N= 289, 146)
Comparator Ertapenem88.80671.22389.39040.2877
Moxifloxacin (Avelox, BAY12-8039)89.03330.11989.24230.2768

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QT Interval Changes in Electrocardiogram (ECG) Profiles From Pre-dose to Post-dose on Treatment Day 1 and Treatment Day 3

"The QT interval is the period that extends from the beginning of ventricular depolarization until the end of ventricular repolarization. N signifies subjects who were evaluable for the specified parameter for each arm, respectively." (NCT01069900)
Timeframe: Baseline (Pre-dose), Day 1, Day 3

,
Interventionmilliseconds (Mean)
Day 1: Pre-dose (N= 298, 150)Change at Day 1 (N= 290, 148)Day 3: Pre-dose (N= 292, 146)Change at Day 3 (N= 287, 146)
Comparator Ertapenem344.23331.1149356.58223.1644
Moxifloxacin (Avelox, BAY12-8039)341.18122.5828358.30826.0906

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RR Interval Changes in Electrocardiogram (ECG) Profiles From Pre-dose to Post-dose on Treatment Day 1 and Treatment Day 3

"The RR interval refers to the respective time interval in the Electrocardiogram. N signifies subjects who were evaluable for the specified parameter for each arm, respectively." (NCT01069900)
Timeframe: Baseline (Pre-dose), Day 1, Day 3

,
Interventionmilliseconds (Mean)
Day 1: Pre-dose (N= 300, 150)Change at Day 1 (N= 294, 148)Day 3: Pre-dose (N= 293, 146)Change at Day 3 (N= 290, 146)
Comparator Ertapenem689.3067-3.4797754.602710.5137
Moxifloxacin (Avelox, BAY12-8039)670.7567-20.6429740.4778-9.2862

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Bacteriological Response at a 'During Therapy' Visit

Bacteriological response during therapy were graded as presumed persistence, presumed eradication, or indeterminate'Presumed persistence' is applicable for subjects judged to be clinical failures and appropriate culture material is not available for evaluation;'presumed eradication' is defined as the absence of appropriate culture material for evaluation because the subject has clinically responded (with a response as a resolution or cure) and invasive procedures are not warranted; 'indeterminate is applicable when the bacteriological response to the study drug is not valid for any reason (eg, pretreatment culture was negative or culture was not obtained when material was available and the subject is not judged a clinical failure). Percentage of subjects with bacteriological response during therapy visit were reported (NCT01069900)
Timeframe: Day 3 to Day 5

,
InterventionPercentage of subjects (Number)
Presumed PersistencePresumed EradicationIndeterminate
Comparator Ertapenem0.797.81.5
Moxifloxacin (Avelox, BAY12-8039)1.295.63.2

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The Number of Participants With Clinical Cure Rate at Late Follow-Up (LFU) Visit

The participants were considered as clinical cure if they had clinical improvement in signs and symptoms of the intra-abdominal infection such that no additional antibacterial therapy or surgical or percutaneous intervention is/was required for the treatment of the index infection, no fever, and a favorable response at End of IV visit. (NCT01110382)
Timeframe: LFU (28 to 42 days after the last dose of study medication therapy)

Interventionparticipants (Number)
Doripenem22
Meropenem6

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The Number of Participants With Clinical Cure Rate at Test Of Cure (TOC) Visit

The participants were considered as clinical cure if they had clinical improvement in signs and symptoms of the intra-abdominal infection such that no additional antibacterial therapy or surgical or percutaneous intervention is/was required for the treatment of the index infection, no fever, and a favorable response at End of IV visit. (NCT01110382)
Timeframe: TOC (7 to 14 days after the last dose of study medication therapy)

Interventionparticipants (Number)
Doripenem23
Meropenem7

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The Number of Participants With Clinical Improvement Rate at End of IV (EIV) Visit

The participants were considered as clinical improved if they had clinical improvement in signs and symptoms of the intra-abdominal infection, no fever, decrease in WBC, and not received any nonstudy antibiotics for the treatment of intra-abdominal infection after IV study drug therapy had begun. (NCT01110382)
Timeframe: EIV (within 24 hours after completion of the last dose of IV study medication therapy)

Interventionparticipants (Number)
Doripenem29
Meropenem8

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Number of Participants With Favorable Per-pathogen Microbiological Outcome Rate at End of IV (EIV) Visit

A total of 24 pathogens in the doripenem group and 6 pathogens in the meropenem group were isolated at baseline from the intra-abdominal culture and were susceptible to the study drug received. The most common pathogens isolated from the intra-abdominal culture are listed in the table below; the numbers in parenthesis next to each pathogen represent the number of participants with the pathogen isolated at baseline in the doripenem and meropenem treatment groups, respectively. The favorable per-pathogen microbiological outcome was considered when all baseline pathogens were eradicated (absence) or presumed eradicated (absence of material to culture in a participant who has a positive clinical response to treatment). (NCT01110382)
Timeframe: EIV (within 24 hours after completion of the last dose of IV study medication therapy)

,
Interventionparticipants (Number)
Streptococcus anginosus (13, 0)Escherichia coli (19, 8)Bacteroides fragilis (11, 1)
Doripenem121810
MeropenemNA61

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Number of Participants With Favorable Per-pathogen Microbiological Outcome Rate at Late Follow-Up (LFU) Visit

A total of 24 pathogens in the doripenem group and 6 pathogens in the meropenem group were isolated at baseline from the intra-abdominal culture and were susceptible to the study drug received. The most common pathogens isolated at baseline from the intra-abdominal culture are listed in the table below; the numbers in parenthesis next to each pathogen represent the number of participants with the pathogen isolated in the doripenem and meropenem treatment groups, respectively. The favorable per-pathogen microbiological outcome was considered when all baseline pathogens were eradicated (absence) or presumed eradicated (absence of material to culture in a participant who has a positive clinical response to treatment). (NCT01110382)
Timeframe: LFU (28 to 42 days after the last dose of study medication therapy)

,
Interventionparticipants (Number)
Streptococcus anginosus (13, 0)Escherichia coli (19, 8)Bacteroides fragilis (11, 1)
Doripenem9159
MeropenemNA51

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Number of Participants With Favorable Per-pathogen Microbiological Outcome Rate at Test Of Cure (TOC) Visit

A total of 24 pathogens in the doripenem group and 6 pathogens in the meropenem group were isolated at baseline from the intra-abdominal culture and were susceptible to the study drug received. The most common pathogens isolated from the intra-abdominal culture are listed in the table below; the numbers in parenthesis next to each pathogen represent the number of participants with the pathogen isolated at baseline in the doripenem and meropenem treatment groups, respectively. The favorable per-pathogen microbiological outcome was considered when all baseline pathogens were eradicated (absence) or presumed eradicated (absence of material to culture in a participant who has a positive clinical response to treatment). (NCT01110382)
Timeframe: TOC (7 to 14 days after the last dose of study medication therapy)

,
Interventionparticipants (Number)
Streptococcus anginosus (13, 0)Escherichia coli (19, 8)Bacteroides fragilis (11, 1)
Doripenem9159
MeropenemNA51

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The Number of Participants With Favorable Per-participant Microbiological Response

Favorable per-participant microbiological response rate was evaluated at the at End of IV (EIV) visit, Test Of Cure (TOC) visit, and Late Follow-Up (LFU) visit. The favorable per-participant microbiological response was considered when all baseline pathogens were eradicated (absence) or presumed eradicated (absence of material to culture in a participant who has a positive clinical response to treatment). (NCT01110382)
Timeframe: EIV (within 24 hours after completion of the last dose of IV study medication therapy), TOC (7 to 14 days after the last dose of study medication therapy), and LFU (28 to 42 days after the last dose of study medication therapy)

,
Interventionparticipants (Number)
EIV visitTOC visitLFU visit
Doripenem211717
Meropenem655

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The Number of Participants With Clinical Cure Rate at Late Follow-Up (LFU) Visit

The participants were classified as clinical cure if all pretreatment signs and symptoms of complicated urinary tract infection showed no evidence of recurrence after test of cure. (NCT01110408)
Timeframe: LFU (28 to 42 days after the last dose of study medication therapy)

InterventionParticipants (Number)
Doripenem18
Cefepime5

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The Number of Participants With Favorable Per-participant Microbiological Response

Favorable per-participant microbiological response rate was evaluated at the at End of IV (EIV) visit, Test Of Cure (TOC) visit, and Late Follow-Up (LFU) visit. The favorable per-participant microbiological response was considered when all baseline pathogens were eradicated (absence) or presumed eradicated (absence of material to culture in a participant who has a positive clinical response to treatment). (NCT01110408)
Timeframe: EIV (within 24 hours after completion of the last dose of IV study medication therapy), TOC (7 to 14 days after the last dose of study medication therapy), and LFU (28 to 42 days after the last dose of study medication therapy)

,
InterventionParticipants (Number)
EIV visitTOC visitLFU visit
Cefepime844
Doripenem241916

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Number of Participants With Sustained Favorable Per-pathogen Microbiological Outcome Rate at Late Follow-Up (LFU) Visit

The sustained favorable per-pathogen microbiological outcome was considered when all baseline pathogens were eradicated (absence) or presumed eradicated (absence of material to culture in a participant who has a positive clinical response to treatment). A total of 4 pathogens in the doripenem group and 2 pathogens in the cefepime group were isolated at baseline from urine culture and were susceptible to the study drug received (see listed in the table below; the numbers in parenthesis next to each pathogen represent the number of participants with the pathogen isolated at baseline in the doripenem and cefepime treatment groups, respectively). (NCT01110408)
Timeframe: LFU (28 to 42 days after the last dose of study medication therapy)

,
InterventionParticipants (Number)
Staphylococcus aureus (3, 0)Escherichia coli (22, 7)Klebsiella oxytoca (1, 0)Klebsiella pneumoniae (1, 1)
CefepimeNA4NA0
Doripenem21411

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The Number of Participants With Clinical Cure Rate at Test Of Cure (TOC) Visit

The participants were classified as cure if they had resolution or clinical improvement in signs and symptoms of complicated urinary tract infection; had no fever; no additional antimicrobial therapy was required for the treatment of the infection; and a clinical response assessment of improvement at End of IV visit. (NCT01110408)
Timeframe: TOC (7 to 14 days after the last dose of study medication therapy)

InterventionParticipants (Number)
Doripenem20
Cefepime5

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The Number of Participants With Clinical Improvement Rate at End of IV (EIV) Visit

The participants were considered as clinical improved if they had clinical improvement in signs and symptoms from baseline; no fever for at least the 24 hours before discontinuing the IV study drug; and not received nonstudy antibiotics for the treatment of urinary tract infection after IV study drug therapy had begun. (NCT01110408)
Timeframe: EIV (within 24 hours after completion of the last dose of IV study medication therapy)

InterventionParticipants (Number)
Doripenem28
Cefepime10

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Number of Participants With Favorable Per-pathogen Microbiological Outcome Rate at End of IV (EIV) Visit

The favorable per-pathogen microbiological outcome was considered when all baseline pathogens were eradicated (absence) or presumed eradicated (absence of material to culture in a participant who has a positive clinical response to treatment).A total of 4 pathogens in the doripenem group and 2 pathogens in the cefepime group were isolated at baseline from urine culture and were susceptible to the study drug received (see listed in the table below; the numbers in parenthesis next to each pathogen represent the number of participants with the pathogen isolated at baseline in the doripenem and cefepime treatment groups, respectively). (NCT01110408)
Timeframe: EIV (within 24 hours after completion of the last dose of IV study medication therapy)

,
InterventionParticipants (Number)
Staphylococcus aureus (3, 0)Escherichia coli (22, 7)Klebsiella oxytoca (1, 0)Klebsiella pneumoniae (1, 1)
CefepimeNA7NA1
Doripenem32211

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Number of Participants With Favorable Per-pathogen Microbiological Outcome Rate at Test Of Cure (TOC) Visit

The favorable per-pathogen microbiological outcome was considered when all baseline pathogens were eradicated (absence) or presumed eradicated (absence of material to culture in a participant who has a positive clinical response to treatment). A total of 4 pathogens in the doripenem group and 2 pathogens in the cefepime group were isolated at baseline from urine culture and were susceptible to the study drug received (see listed in the table below; the numbers in parenthesis next to each pathogen represent the number of participants with the pathogen isolated at baseline in the doripenem and cefepime treatment groups, respectively). (NCT01110408)
Timeframe: TOC (7 to 14 days after the last dose of study medication therapy)

,
InterventionParticipants (Number)
Staphylococcus aureus (3, 0)Escherichia coli (22, 7)Klebsiella oxytoca (1, 0)Klebsiella pneumoniae (1, 1)
CefepimeNA4NA0
Doripenem31711

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Number of Participants With Favorable Per-pathogen Microbiological Outcome Rate at End of IV (EIV) Visit

A total of 3 pathogens were isolated at baseline from lower respiratory tract (LRT) culture in 2 participants in the doripenem treatment group and were susceptible to the study drug received: 2 pathogens (Staphylococcus aureus Klebsiella pneumoniae) were isolated at baseline from 1 participant and a 3rd pathogen (Streptococcus pneumoniae) was isolated at baseline from the other participant (see listed in the table below; the number in parenthesis next to each pathogen represent the number of participants with the pathogen isolated at baseline in the doripenem treatment group). The favorable per-participant microbiological response was considered when all baseline pathogens were eradicated (absence) or presumed eradicated (absence of material to culture in a participant who has a positive clinical response to treatment). NOTE: No participants in the cefepime treatment group met criteria for inclusion in the Microbiological intent-to-treat analysis. (NCT01110421)
Timeframe: EIV (within 24 hours after completion of the last dose of IV study medication therapy)

InterventionParticipants (Number)
Staphylococcus aureus (1)Streptococcus pneumoniae (1)Klebsiella pneumoniae (1)
Doripenem111

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Number of Participants With Favorable Per-pathogen Microbiological Outcome Rate at Test Of Cure (TOC) Visit

A total of 3 pathogens were isolated at baseline from lower respiratory tract (LRT) culture in 2 participants in the doripenem treatment group and were susceptible to the study drug received: 2 pathogens (Staphylococcus aureus Klebsiella pneumoniae) were isolated at baseline from 1 participant and a 3rd pathogen (Streptococcus pneumoniae) was isolated at baseline from the other participant (see listed in the table below; the number in parenthesis next to each pathogen represent the number of participants with the pathogen isolated at baseline in the doripenem treatment group). The favorable per-participant microbiological response was considered when all baseline pathogens were eradicated (absence) or presumed eradicated (absence of material to culture in a participant who has a positive clinical response to treatment). NOTE: No participants in the cefepime treatment group met criteria for inclusion in the Microbiological intent-to-treat analysis. (NCT01110421)
Timeframe: TOC (7 to 14 days after the last dose of study medication therapy)

InterventionParticipants (Number)
Staphylococcus aureus (1)Streptococcus pneumoniae (1)Klebsiella pneumoniae (1)
Doripenem111

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Number of Participants With Sustained Favorable Per-pathogen Microbiological Outcome Rate at Late Follow-Up (LFU) Visit

A total of 3 pathogens were isolated at baseline from lower respiratory tract (LRT) culture in 2 participants in the doripenem treatment group and were susceptible to the study drug received: 2 pathogens (Staphylococcus aureus Klebsiella pneumoniae) were isolated at baseline from 1 participant and a 3rd pathogen (Streptococcus pneumoniae) was isolated at baseline from the other participant (see listed in the table below; the number in parenthesis next to each pathogen represent the number of participants with the pathogen isolated at baseline in the doripenem treatment group). The favorable per-participant microbiological response was considered when all baseline pathogens were eradicated (absence) or presumed eradicated (absence of material to culture in a participant who has a positive clinical response to treatment). NOTE: No participants in the cefepime treatment group met criteria for inclusion in the Microbiological intent-to-treat analysis. (NCT01110421)
Timeframe: LFU (28 to 42 days after the last dose of study medication therapy)

InterventionParticipants (Number)
Staphylococcus aureus (1)Streptococcus pneumoniae (1)Klebsiella pneumoniae (1)
Doripenem111

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The Number of Participants With Clinical Cure Rate at Late Follow-Up (LFU) Visit

The participants were classified as clinical cure if all pretreatment signs and symptoms showed no evidence of resurgence after administration of the last dose of study medication and no nonstudy systemic antibacterial therapy was given for the treatment of pneumonia. (NCT01110421)
Timeframe: LFU (28 to 42 days after the last dose of study medication therapy)

InterventionParticipants (Number)
Doripenem3
Cefepime2

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The Number of Participants With Clinical Cure Rate at Test Of Cure (TOC) Visit

The participants were classified as cure if they had resolution or clinical improvement of signs and symptoms of pneumonia, favorable response at End of treatment for IV study (EIV) visit; had no fever; improvement or no progression of radiographic findings of pneumonia on chest X ray; improvement in oxygenation or discontinued mechanical ventilation in intubated participants; and not received nonstudy systemic antibacterial therapy for pneumonia. (NCT01110421)
Timeframe: TOC (7 to 14 days after the last dose of study medication therapy)

InterventionParticipants (Number)
Doripenem3
Cefepime2

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The Number of Participants With Favorable Per-participant Microbiological Response Rate

Favorable per-participant microbiological response rate was evaluated at the at End of IV (EIV) visit, Test Of Cure (TOC) visit, and Late Follow-Up (LFU) visit. The favorable per-participant microbiological response was considered when all baseline pathogens were eradicated (absence) or presumed eradicated (absence of material to culture in a participant who has a positive clinical response to treatment). (NCT01110421)
Timeframe: EIV (within 24 hours after completion of the last dose of IV study medication therapy), TOC (7 to 14 days after the last dose of study medication therapy), and LFU (28 to 42 days after the last dose of study medication therapy)

InterventionParticipants (Number)
TOC visitEIV visitLFU visit
Doripenem222

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The Number of Participants With Clinical Improvement Rate at End of IV (EIV) Visit

Participants were considered as clinical improved if they had no fever, clinical improvement in signs and symptoms of pneumonia from baseline, decrease in WBC, improvement or lack of progression of radiographic findings in comparison with the screening chest X-ray, and not received any nonstudy systemic antibacterial therapy for the treatment of pneumonia after IV study drug therapy had begun. (NCT01110421)
Timeframe: EIV (within 24 hours after completion of the last dose of IV study medication therapy)

InterventionParticipants (Number)
Doripenem4
Cefepime2

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To Evaluate the Rate of Severe Exacerbations in COPD, Comparing COPD Patients Previously Treated According to the PRO-CT Protocol Versus COPD Patients Previously Treated With Standard Antibiotic Therapy.

We prospectively recruited COPD patients hospitalized for severe exacerbation of COPD and followed them after discharge. The primary end point of the study was the number of patients with at least 1 exacerbation at 6 months after the index exacerbation that was the reason for their hospital admission. (NCT01125098)
Timeframe: 6 months

Interventionparticipants (Number)
PRO-CT Group: Experimental28
Standard Group: No Intervention25

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Percentage of Participants With Antibiotic Resistant Flora on Day 30 Compared to Baseline

Percentage of participants with antibiotic resistant flora on day 30 compared to baseline (NCT01166945)
Timeframe: Baseline and 30 days

,
InterventionParticipants (Count of Participants)
Haemophilis Influenza - BaselineHaemophilis Influenza - Day 30Moraxella Catarrhalis - BaselineMoraxella Catarrhalis - Day 30Streptococccus Pneumonia - BaselineStreptococccus Pneumonia - Day 30Streptococcus - BaselineStreptococcus - Day 30Staphylococcus Aureus - BaselineStaphylococcus Aureus - Day 30No Growth - BaselineNo Growth - Day 30Other - BaselineOther - Day 30
Long Course135137832021333632
Short Course13710111186020064229

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Proportion of Children With Clinical Relapse on Day 10 (Short Course) vs Day 20 (Long Course)

Results are based on a daily 6-item symptom survey (day 1 to 14); a daily 3-item survey (day 15 to 30). If a particular symptom is present initially, a score of 2 is given; if it is absent the score is 0. A maximum entry score is 20 (persistent symptoms). If a particular symptom becomes more severe, less severe, or stays the same during treatment, +1, -1, or 0 respectively, will be added to the original score for each symptom. At 10 (and 20 days, respectively), children will be classified as cured, improved or failed based on survey results. Children will be considered cured if they reach a score of < 2. Children will be classified as improved if their score at 10 days (20 days, respectively) is at least 2 points less than their score at 5 days (15 days, respectively). Children will be considered to have failed therapy if their score worsens by + 3 between day 5 (day 15) and day 10 (day 20) or if their score at day 10 (day 20) does not meet criteria for improvement. (NCT01166945)
Timeframe: at 10 days and at 20 days

InterventionParticipants (Count of Participants)
Day 1072336458Day 1072336459Day 2072336458Day 2072336459
CuredFailedImproved
Arm A13
Arm B8
Arm A9
Arm B10
Arm A22
Arm B23
Arm A16
Arm B13
Arm A4
Arm B3
Arm B24

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Gastrointestinal Symptom Rating Scale

Mean Gastrointestinal Symptom Rating Scale scores Range from 15 to 90 Increasing score means increasing symptoms (NCT01473368)
Timeframe: Day 0

Interventionunits on a scale (Mean)
Prebiotic (Saccharomyces Boulardii)18.7
Antibiotic (Amoxicillin Clavulanate)18.7
Combination (Prebiotic and Antibiotic)17.3

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Gastrointestinal Symptoms Response Scale

Mean Gastrointestinal Symptom Rating Scale scores Range from 15 to 90 Increasing score means increasing symptoms (NCT01473368)
Timeframe: Day 21

Interventionunits on a scale (Mean)
Prebiotic (Saccharomyces Boulardii)19.3
Antibiotic (Amoxicillin Clavulanate)18.4
Combination (Prebiotic and Antibiotic)16.5
Control15.8

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Gastrointestinal Symptom Rating Scale

Mean Gastrointestinal Symptom Rating Scale scores Range from 15 to 90 Increasing score means increasing symptoms (NCT01473368)
Timeframe: Day 7

InterventionUnits on a scale (Mean)
Prebiotic (Saccharomyces Boulardii)23.2
Antibiotic (Amoxicillin Clavulanate)26.9
Combination (Prebiotic and Antibiotic)18.1
Control19.3

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Gastrointestinal Symptoms Response Score

Mean Gastrointestinal Symptom Rating Scale scores Range from 15 to 90 Increasing score means increasing symptoms (NCT01473368)
Timeframe: Day 14

Interventionunits on a scale (Mean)
Prebiotic (Saccharomyces Boulardii)19.3
Antibiotic (Amoxicillin Clavulanate)20.3
Combination (Prebiotic and Antibiotic)16.8
Control18.1

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Operational Taxonomic Units

"Core Microbiome includes control samples and baseline samples (Day -7 and Day 0) for antibiotic, probiotic, and combination groups. Data for Core microbiome for individual arms are not available.~Before Treatment: Average of Day -7 and Day 0 During Treatment: Average of Day 3, Day 7, Day 10, Day 13 After Treatment: Average of Day 21" (NCT01473368)
Timeframe: Day 0 to Day 21

Interventionunits (Mean)
Combination (Prebiotic and Antibiotic) During Treatment449.8
Combination (Prebiotic and Antibiotic) After Treatment509.9
Antibiotic (Amoxicillin Clavulanate) During Treatment461.1
Antibiotic (Amoxicillin Clavulanate) After Treatment668.8
Core Microbiome730.9
Prebiotic (Saccharomyces Boulardii) During Treatment776.7
Prebiotic (Saccharomyces Boulardii) After Treatment776.7

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Prevalence of Escherichia in Stool

"Control arm was not assessed as there was no intervention for this group.~Before Treatment: Average of Day -7 and Day 0 During Treatment: Average of Day 3, Day 7, Day 10, Day 13 After Treatment: Average of Day 21" (NCT01473368)
Timeframe: Day -7 to Day 21

Interventionpercentage of total bacteria (Mean)
Prebiotic (Saccharomyces Boulardii) Before Treatment0.0
Prebiotic (Saccharomyces Boulardii) During Treatment0.0
Prebiotic (Saccharomyces Boulardii) After Treatment0.1
Antibiotic (Amoxicillin Clavulanate) Before Treatment0.1
Antibiotic (Amoxicillin Clavulanate) During Treatment4.5
Antibiotic (Amoxicillin Clavulanate) After Treatment0.2
Combination (Prebiotic and Antibiotic) Before Treatment0.0
Combination (Prebiotic and Antibiotic) During Treatment2.9
Combination (Prebiotic and Antibiotic) After Treatment0.2

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The Distribution of AOM Recurrences for Which the Follow-up Nasopharyngeal (NP) Culture at the Day 12-14 Visit Yields a Nonsusceptible Streptococcus Pneumoniae (S pn) Isolate

In the case of S pn, susceptibility to penicillin was determined as follows: When minimum inhibitory concentration (MIC) was available, susceptible was defined as MIC <0.1 µg/mL, intermediate as MIC 0.1 to 1 µg/mL, and resistant as MIC >1 µg/mL. When MIC was not available, susceptible was defined as showing oxacillin disk zone size >20 mm, intermediate as zone size 9 to 20 mm, and resistant as zone size ≤8 mm. (NCT01511107)
Timeframe: The day 12-14 visit following a recurrence. The mean day for this visit was 13.6.

,
Interventionrecurrence (Number)
S pn, nonsusceptibleS pn, susceptibleS pn, absent
Amoxicillin-Clavulanate, 10 Days204107
Amoxicillin-Clavulanate, 5 Days25668

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The Distribution of AOM Recurrences With a Nasopharyngeal (NP) Culture at Onset That is Negative for AOM Pathogens in Which the Follow-up NP Culture at Day 12-14 Yields a Nonsusceptible Pathogen

AOM pathogens are defined as Streptococcus pneumoniae (S pn) or Haemophilus Influenzae (H flu). In the case of S pn, susceptibility to penicillin was determined as follows: When minimum inhibitory concentration (MIC) was available, susceptible was defined as MIC <0.1 µg/mL, intermediate as MIC 0.1 to 1 µg/mL, and resistant as MIC >1 µg/mL. When MIC was not available, susceptible was defined as showing oxacillin disk zone size >20 mm, intermediate as zone size 9 to 20 mm, and resistant as zone size ≤8 mm. In the case of H flu, susceptible was defined as beta-lactamase-negative and ampicillin E test MIC ≤1 µg/mL; nonsusceptible was defined as either beta-lactamase-positive or beta-lactamase-negative and ampicillin E test MIC >1 µg/mL. (NCT01511107)
Timeframe: The day 12-14 visit. The mean day for this visit was 13.4.

,
Interventionrecurrence (Number)
+ for nonsusceptible pathogen(s) day 12-14pathogen - or + only for susceptible day 12-14
Amoxicillin-Clavulanate, 10 Days1234
Amoxicillin-Clavulanate, 5 Days824

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The Distribution of AOM Recurrences With a Nasopharyngeal (NP) Culture at Onset That is Positive Only for One or More Susceptible Pathogens in Which the Follow-up NP Culture at Day 12-14 Yields a Nonsusceptible Pathogen

AOM pathogens are defined as Streptococcus pneumoniae (S pn) or Haemophilus Influenzae (H flu). In the case of S pn, susceptibility to penicillin was determined as follows: When minimum inhibitory concentration (MIC) was available, susceptible was defined as MIC <0.1 µg/mL, intermediate as MIC 0.1 to 1 µg/mL, and resistant as MIC >1 µg/mL. When MIC was not available, susceptible was defined as showing oxacillin disk zone size >20 mm, intermediate as zone size 9 to 20 mm, and resistant as zone size ≤8 mm. In the case of H flu, susceptible was defined as beta-lactamase-negative and ampicillin E test MIC ≤1 µg/mL; nonsusceptible was defined as either beta-lactamase-positive or beta-lactamase-negative and ampicillin E test MIC >1 µg/mL. (NCT01511107)
Timeframe: The day 12-14 visit. The mean day for this visit was 13.9.

,
Interventionrecurrence (Number)
+ for nonsusceptible pathogen(s) day 12-14pathogen - or + only for susceptible day 12-14
Amoxicillin-Clavulanate, 10 Days836
Amoxicillin-Clavulanate, 5 Days627

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The Distribution of AOM Recurrences With a Nasopharyngeal (NP) Culture at Onset That is Positive for One or More Nonsusceptible Pathogens in Which the Follow-up NP Culture at Day 12-14 Yields a Nonsusceptible Pathogen

AOM pathogens are defined as Streptococcus pneumoniae (S pn) or Haemophilus Influenzae (H flu). In the case of S pn, susceptibility to penicillin was determined as follows: When minimum inhibitory concentration (MIC) was available, susceptible was defined as MIC <0.1 µg/mL, intermediate as MIC 0.1 to 1 µg/mL, and resistant as MIC >1 µg/mL. When MIC was not available, susceptible was defined as showing oxacillin disk zone size >20 mm, intermediate as zone size 9 to 20 mm, and resistant as zone size ≤8 mm. In the case of H flu, susceptible was defined as beta-lactamase-negative and ampicillin E test MIC ≤1 µg/mL; nonsusceptible was defined as either beta-lactamase-positive or beta-lactamase-negative and ampicillin E test MIC >1 µg/mL. (NCT01511107)
Timeframe: The end-of-treatment visit. The mean day for this visit was 13.4.

,
Interventionrecurrence (Number)
+ for nonsusceptible pathogen(s) day 12-14pathogen - or + only for susceptible day 12-14
Amoxicillin-Clavulanate, 10 Days1716
Amoxicillin-Clavulanate, 5 Days227

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The Distribution of Children Categorized as Treatment Failure (TF) at or Before the Day 12-14 End-of-Treatment Visit Specific to the Index Episode of AOM

"Proportion of children initially diagnosed with AOM who experience treatment failure at or before the day 12-14 visit.~TF is defined as substantial persistence or worsening of symptoms specifically attributable to AOM, or of otoscopic signs of AOM, after 72 hours from the time of randomization, such that additional antimicrobial therapy is deemed advisable. If a parent/legal guardian is unwilling to continue the assigned study product regimen, the participant will be categorized as TF. Should a participant be administered another systemic antibiotic while taking study medication or prior to Day 16, the participant will be considered a TF. Clinical success is defined as complete or substantial resolution of symptoms specifically attributable to AOM for 48 hours and of otoscopic signs of acute inflammation (bulging of the tympanic membrane (TM) or intense erythema), with or without persistence of middle-ear effusion, such that no additional antibiotic therapy is deemed advisable." (NCT01511107)
Timeframe: From 72 hours after randomization until day 21 of the index episode. The mean day for this visit was 13.2.

,
Interventionparticipants (Number)
Treatment failureTreatment success
Amoxicillin-Clavulanate, 10 Days39199
Amoxicillin-Clavulanate, 5 Days77152

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The Distribution of Children for Whom Diaper Dermatitis Was Reported and Associated With Study Product

Diaper dermatitis is defined as dermatitis in the diaper area calling for prescription of a topical antifungal agent and is limited to events associated with study product. (NCT01511107)
Timeframe: Day 1 of administration of study product until day 16 for all episodes

,
Interventionparticipants (Number)
Diaper dermatitis reportedDiaper dermatitis not reported
Amoxicillin-Clavulanate, 10 Days85172
Amoxicillin-Clavulanate, 5 Days87171

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The Distribution of Children for Whom Protocol-Defined Diarrhea (PDD) Was Reported and Associated With Study Product

Protocol-defined diarrhea is defined as the occurrence of three or more watery stools in 1 day or two watery stools daily for 2 consecutive days and is limited to events associated with study product. (NCT01511107)
Timeframe: Day 1 of administration of study product until day 16 for all episodes

,
Interventionparticipants (Number)
PDD reportedPDD not reported
Amoxicillin-Clavulanate, 10 Days78179
Amoxicillin-Clavulanate, 5 Days75183

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The Distribution of Children for Whom the Follow-up Nasopharyngeal (NP) Culture at the Day 12-14 Visit, Specific to the Index Episode, Yields a Nonsusceptible Haemophilus Influenzae (H Flu) Isolate

In the case of H flu, susceptible was defined as beta-lactamase-negative and ampicillin E test MIC ≤1 µg/mL; nonsusceptible was defined as either beta-lactamase-positive or beta-lactamase-negative and ampicillin E test MIC >1 µg/mL. (NCT01511107)
Timeframe: The day 12-14 visit specific to the index episode. The mean day for this visit was 13.4.

,
Interventionparticipants (Number)
H flu, nonsusceptibleH flu, susceptibleH flu, absent
Amoxicillin-Clavulanate, 10 Days3839156
Amoxicillin-Clavulanate, 5 Days2837157

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The Distribution of Children for Whom the Follow-up Nasopharyngeal (NP) Culture at the Day 12-14 Visit, Specific to the Index Episode, Yields a Nonsusceptible Streptococcus Pneumoniae (S pn) Isolate

In the case of S pn, susceptibility to penicillin was determined as follows: When minimum inhibitory concentration (MIC) was available, susceptible was defined as MIC <0.1 µg/mL, intermediate as MIC 0.1 to 1 µg/mL, and resistant as MIC >1 µg/mL. When MIC was not available, susceptible was defined as showing oxacillin disk zone size >20 mm, intermediate as zone size 9 to 20 mm, and resistant as zone size ≤8 mm. (NCT01511107)
Timeframe: The day 12-14 visit specific to the index episode. The mean day for this visit was 13.4.

,
Interventionparticipants (Number)
S pn, nonsusceptibleS pn, susceptibleS pn, absent
Amoxicillin-Clavulanate, 10 Days235205
Amoxicillin-Clavulanate, 5 Days2610186

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The Distribution of Children Whose Nasopharyngeal (NP) Isolates at Enrollment Are Pathogen Negative or Positive Only for at Least One Susceptible Pathogen Who Become Colonized With Nonsusceptible Pathogens at Any Time Over the Course of Follow-up

AOM pathogens are defined as Streptococcus pneumoniae (S pn) or Haemophilus Influenzae (H flu). In the case of S pn, susceptibility to penicillin was determined as follows: When minimum inhibitory concentration (MIC) was available, susceptible was defined as MIC <0.1 µg/mL, intermediate as MIC 0.1 to 1 µg/mL, and resistant as MIC >1 µg/mL. When MIC was not available, susceptible was defined as showing oxacillin disk zone size >20 mm, intermediate as zone size 9 to 20 mm, and resistant as zone size ≤8 mm. In the case of H flu, susceptible was defined as beta-lactamase-negative and ampicillin E test MIC ≤1 µg/mL; nonsusceptible was defined as either beta-lactamase-positive or beta-lactamase-negative and ampicillin E test MIC >1 µg/mL. (NCT01511107)
Timeframe: Day 1 of study entry until day 365

,
Interventionparticipants (Number)
+ for a nonsusceptible pathogen during followup- for a nonsusceptible pathogen during followup
Amoxicillin-Clavulanate, 10 Days8596
Amoxicillin-Clavulanate, 5 Days7899

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The Distribution of Children With a Nasopharyngeal (NP) Culture at Enrollment That is Positive for One or More Nonsusceptible Pathogens in Which the Follow-up NP Culture at Day 12-14 Yields a Nonsusceptible Pathogen

AOM pathogens are defined as Streptococcus pneumoniae (S pn) or Haemophilus Influenzae (H flu). In the case of S pn, susceptibility to penicillin was determined as follows: When minimum inhibitory concentration (MIC) was available, susceptible was defined as MIC <0.1 µg/mL, intermediate as MIC 0.1 to 1 µg/mL, and resistant as MIC >1 µg/mL. When MIC was not available, susceptible was defined as showing oxacillin disk zone size >20 mm, intermediate as zone size 9 to 20 mm, and resistant as zone size ≤8 mm. In the case of H flu, susceptible was defined as beta-lactamase-negative and ampicillin E test MIC ≤1 µg/mL; nonsusceptible was defined as either beta-lactamase-positive or beta-lactamase-negative and ampicillin E test MIC >1 µg/mL. (NCT01511107)
Timeframe: The end-of-treatment visit. The mean day for this visit was 13.6.

,
Interventionparticipants (Number)
+ for nonsusceptible pathogen(s) day 12-14pathogen - or + only for susceptible day 12-14
Amoxicillin-Clavulanate, 10 Days3430
Amoxicillin-Clavulanate, 5 Days2832

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The Distribution of Children With a Nasopharyngeal (NP) Culture at Enrollment That is Positive Only for One or More Susceptible Pathogens in Which the Follow-up NP Culture at Day 12-14 Yields a Nonsusceptible Pathogen

AOM pathogens are defined as Streptococcus pneumoniae (S pn) or Haemophilus Influenzae (H flu). In the case of S pn, susceptibility to penicillin was determined as follows: When minimum inhibitory concentration (MIC) was available, susceptible was defined as MIC <0.1 µg/mL, intermediate as MIC 0.1 to 1 µg/mL, and resistant as MIC >1 µg/mL. When MIC was not available, susceptible was defined as showing oxacillin disk zone size >20 mm, intermediate as zone size 9 to 20 mm, and resistant as zone size ≤8 mm. In the case of H flu, susceptible was defined as beta-lactamase-negative and ampicillin E test MIC ≤1 µg/mL; nonsusceptible was defined as either beta-lactamase-positive or beta-lactamase-negative and ampicillin E test MIC >1 µg/mL. (NCT01511107)
Timeframe: The day 12-14 visit. The mean day for this visit was 13.2.

,
Interventionparticipants (Number)
+ for nonsusceptible pathogen(s) day 12-14pathogen - or + only for susceptible day 12-14
Amoxicillin-Clavulanate, 10 Days1083
Amoxicillin-Clavulanate, 5 Days1278

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The Distribution of Children With AOM Recurrences and Relapses Within 60 Days of Enrollment

An episode of AOM occurring after Day 16 will be considered a recurrence. Subjects seen after day 10 and categorized as clinical success who return for an interim/sick visit before day 17 and are found to have AOM will be categorized as a relapse. For secondary outcome analyses, relapses are combined with recurrences. (NCT01511107)
Timeframe: Day 1 of study entry until day 60.

,
Interventionparticipants (Number)
# cumulative recurrences/relapses = 0# cumulative recurrences/relapses = 1# cumulative recurrences/relapses = 2
Amoxicillin-Clavulanate, 10 Days173662
Amoxicillin-Clavulanate, 5 Days173483

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The Distribution of Children With AOM Recurrences and Relapses Within the Entire Respiratory Season

An episode of AOM occurring after Day 16 will be considered a recurrence. Subjects seen after day 10 and categorized as clinical success who return for an interim/sick visit before day 17 and are found to have AOM will be categorized as a relapse. For secondary outcome analyses, relapses are combined with recurrences. (NCT01511107)
Timeframe: Day 1 of study entry until day 244. The respiratory season is October 1 - May 31, inclusive.

,
Interventionparticipants (Number)
# cumulative recurrences/relapses = 0# cumulative recurrences/relapses = 1# cumulative recurrences/relapses = 2# cumulative recurrences/relapses = 3# cumulative recurrences/relapses = 4
Amoxicillin-Clavulanate, 10 Days135613183
Amoxicillin-Clavulanate, 5 Days133592043

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The Mean Acute Otitis Media - Severity of Symptom (AOM-SOS) Scores Days 6 to 14

"The AOM-SOS scale measures seven discrete items: tugging of ears, crying, irritability, difficulty sleeping, diminished activity, diminished appetite, and fever. The parent rated each of these symptoms in comparison with the child's usual state, as none, a little, or a lot, with corresponding scores of 0, 1, and 2, and recorded the ratings in a diary. Each set of ratings was summed to obtain an AOM-SOS score as a measure of symptom burden. Total scores range from 0 to 14, with higher scores indicating greater severity of symptoms. For instances in which the participant was declared a treatment failure, scores are included up to, but not including the day of the failure. Otherwise, scores day 6 to day 14 are included." (NCT01511107)
Timeframe: From day 6 of administration of study product until day 14 for all episodes

,
InterventionAOM-SOS score (Mean)
Day 6Day 7Day 8Day 9Day 10Day 11Day 12Day 13Day 14
Amoxicillin-Clavulanate, 10 Days1.721.461.291.291.121.021.071.151.16
Amoxicillin-Clavulanate, 5 Days1.641.571.561.411.431.401.251.401.37

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The Mean Number of Days Systemic Antibiotics Were Received During the Entire Respiratory Season

Systemic antibiotics include the study product, Amoxicillin-Clavulanate, dispensed for either 10 or 5 days and various concomitant medications, i.e. Amoxicillin, Amox/Clav, Azithromycin, Cefdinir, Cefpodoxime, Ceftriaxone, Erythromycin, Trimethoprim-Sulfamethoxazole, Omnicef, Augmentin, Azithromycin, Cefazolin, Clarythromycin and Ciprofloxacin. (NCT01511107)
Timeframe: Day 1 of study entry until day 244. The respiratory season is October 1 - May 31, inclusive.

,
Interventiondays (Mean)
Study productOther systemic antibioticAll systemic antibiotics
Amoxicillin-Clavulanate, 10 Days14.726.1920.91
Amoxicillin-Clavulanate, 5 Days6.797.9814.77

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The Mean Rate, Per Month, of Protocol AOM Recurrences and Relapses Within 60 Days of Enrollment

"An episode of AOM occurring after Day 16 will be considered a recurrence. Subjects seen after day 10 and categorized as clinical success who return for an interim/sick visit before day 17 and are found to have AOM will be categorized as a relapse. For secondary outcome analyses, relapses are combined with recurrences.~The rate, expressed as a monthly rate, is calculated by dividing the total number of recurrences and relapses within 60 days of enrollment by the number of months of follow-up within 60 days of enrollment." (NCT01511107)
Timeframe: Day 1 of study entry until day 60.

Interventionrecurrences/relapses per month (Mean)
Amoxicillin-Clavulanate, 10 Days0.15
Amoxicillin-Clavulanate, 5 Days0.12

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The Distribution of Children With a Nasopharyngeal (NP) Culture at Enrollment That is Negative for AOM Pathogens in Which the Follow-up NP Culture at Day 12-14 Yields a Nonsusceptible Pathogen

AOM pathogens are defined as Streptococcus pneumoniae (S pn) or Haemophilus Influenzae (H flu). In the case of S pn, susceptibility to penicillin was determined as follows: When minimum inhibitory concentration (MIC) was available, susceptible was defined as MIC <0.1 µg/mL, intermediate as MIC 0.1 to 1 µg/mL, and resistant as MIC >1 µg/mL. When MIC was not available, susceptible was defined as showing oxacillin disk zone size >20 mm, intermediate as zone size 9 to 20 mm, and resistant as zone size ≤8 mm. In the case of H flu, susceptible was defined as beta-lactamase-negative and ampicillin E test MIC ≤1 µg/mL; nonsusceptible was defined as either beta-lactamase-positive or beta-lactamase-negative and ampicillin E test MIC >1 µg/mL. (NCT01511107)
Timeframe: The day 12-14 visit. The mean day for this visit was 13.3.

,
Interventionparticipants (Number)
+ for nonsusceptible pathogen(s) day 12-14pathogen - or + only for susceptible day 12-14
Amoxicillin-Clavulanate, 10 Days1560
Amoxicillin-Clavulanate, 5 Days1161

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The Mean Rate, Per Month, of Protocol AOM Recurrences and Relapses Within the Entire Respiratory Season

"An episode of AOM occurring after Day 16 will be considered a recurrence. Subjects seen after day 10 and categorized as clinical success who return for an interim/sick visit before day 17 and are found to have AOM will be categorized as a relapse. For secondary outcome analyses, relapses are combined with recurrences.~The rate, expressed as a monthly rate, is calculated by dividing the total number of recurrences and relapses by the number of months of follow-up." (NCT01511107)
Timeframe: Day 1 of study entry until day 244. The respiratory season is October 1 - May 31, inclusive.

Interventionrecurrences/relapses per months followed (Mean)
Amoxicillin-Clavulanate, 10 Days0.14
Amoxicillin-Clavulanate, 5 Days0.12

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The Distribution of 6 Week Follow-up, Non-Illness Visits During the Respiratory Season at Which a Nonsusceptible Pathogen is Recovered

AOM pathogens are defined as Streptococcus pneumoniae (S pn) or Haemophilus Influenzae (H flu). In the case of S pn, susceptibility to penicillin was determined as follows: When minimum inhibitory concentration (MIC) was available, susceptible was defined as MIC <0.1 µg/mL, intermediate as MIC 0.1 to 1 µg/mL, and resistant as MIC >1 µg/mL. When MIC was not available, susceptible was defined as showing oxacillin disk zone size >20 mm, intermediate as zone size 9 to 20 mm, and resistant as zone size ≤8 mm. In the case of H flu, susceptible was defined as beta-lactamase-negative and ampicillin E test MIC ≤1 µg/mL; nonsusceptible was defined as either beta-lactamase-positive or beta-lactamase-negative and ampicillin E test MIC >1 µg/mL. (NCT01511107)
Timeframe: Day 1 of study entry until day 244. The respiratory season is October 1 - May 31, inclusive.

,
InterventionVisit (Number)
+ for nonsusceptible pathogen(s)pathogen - or + only for susceptible pathogen(s)
Amoxicillin-Clavulanate, 10 Days79336
Amoxicillin-Clavulanate, 5 Days64295

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The Distribution of AOM Recurrences Categorized as Treatment Failure (TF) at or Before the Day 12-14 End-of-Treatment Visit

"Proportion of AOM recurrences resulting in treatment failure at or before the day 12-14 visit.~TF is defined as substantial persistence or worsening of symptoms specifically attributable to AOM, or of otoscopic signs of AOM, after 72 hours from the time of the recurrence, such that additional antimicrobial therapy is deemed advisable. If a parent/legal guardian is unwilling to continue the assigned study product regimen, the participant will be categorized as TF. Should a participant be administered another systemic antibiotic while taking study medication or prior to Day 16, the participant will be considered a TF. Clinical success is defined as complete or substantial resolution of symptoms specifically attributable to AOM for 48 hours and of otoscopic signs of acute inflammation (bulging of the TM or intense erythema), with or without persistence of middle-ear effusion, such that no additional antibiotic therapy is deemed advisable." (NCT01511107)
Timeframe: From 72 hours after the AOM recurrence was diagnosed until day 21 of the recurrence. The mean day for this visit was 13.3.

,
Interventionrecurrence (Number)
Treatment failureTreatment success
Amoxicillin-Clavulanate, 10 Days25108
Amoxicillin-Clavulanate, 5 Days2973

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The Distribution of AOM Recurrences for Which the Follow-up Nasopharyngeal (NP) Culture at the Day 12-14 Visit Yields a Nonsusceptible Haemophilus Influenzae (H Flu) Isolate

In the case of H flu, susceptible was defined as beta-lactamase-negative and ampicillin E test MIC ≤1 µg/mL; nonsusceptible was defined as either beta-lactamase-positive or beta-lactamase-negative and ampicillin E test MIC >1 µg/mL. (NCT01511107)
Timeframe: The day 12-14 visit following a recurrence. The mean day for this visit was 13.6.

,
Interventionrecurrence (Number)
H flu, nonsusceptibleH flu, susceptibleH flu, absent
Amoxicillin-Clavulanate, 10 Days191795
Amoxicillin-Clavulanate, 5 Days152064

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Healthcare Utilization

Questionnaire designed to evaluate healthcare utilization following surgery. Unit of measure will be the number of participants utilizing each category of healthcare. (NCT01561703)
Timeframe: 6 wks post-operative appointment

,
Interventionparticipants (Number)
Reported FeverMade a phone call to clinicER/UR/Clinic visit"Received additional antibiotic"Diagnostic workup at ER
Control168966
Intervention55200

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Re-eradication Rate

Re-eradication successful rate (percentage of participants with a negative result of C13 or CLO test at least four weeks after the 2nd treatment) with 7-day levofloxacin, amoxicillin/clavulanate and rabeprazole for patients still with Hp infection previously treated with regimen without levofloxacin and Augmentin. (NCT01575899)
Timeframe: 4 weeks after complete use of drug for treatment

Interventionpercentage of successful re-eradication (Number)
Levofloxacin-Amox/Clav. (Re-eradication)72.6

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Eradication Rate of Participants Living in Rural Area.

Subgroup analysis on eradication rate (percentage of participants with a negative result of C13 or CLO test at least four weeks after treatment) according to resident area of participants, especially who are living in rural area. (NCT01575899)
Timeframe: 4 weeks after complete use of drug for treatment

Interventionpercentage of eradicated participants (Number)
Levofloxacin-Amox/Clav.81.4
Clarithromycin-Amoxicillin51.3

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Eradication Rate (Participants Naive to Anti-H. Pylori Treatment)

A negative post-treatment 13C-urea breath test or CLO test result at more than 4 weeks after complete use of drug for treatment. (NCT01575899)
Timeframe: 4 weeks after complete use of drug for treatment

Interventionpercentage of eradicated participants (Number)
Levofloxacin-Amox/Clav.78.1
Clarithromycin-Amoxicillin57.5

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Number of Participants With Post Operative Infection

The investigators will record the rate of post operative infections in the two groups. (NCT01919411)
Timeframe: Six weeks postoperatively

InterventionParticipants (Count of Participants)
Amoxicillin-Potassium Clavulanate0
Placebo0

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Number of Participants With Post Operative Infection

The investigators will record the rate of post operative infections in the two groups. (NCT01919411)
Timeframe: One week postoperatively

InterventionParticipants (Count of Participants)
Amoxicillin-Potassium Clavulanate1
Placebo0

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Lund Kennedy Endoscopic Score

"The Lund Kennedy endoscopic score is a grading system for visually evaluating patient's sinus cavities before and after surgery. It has five measures to score (polyps, edema, discharge, scarring, and crusting).~Scores range from 0 to 20 with higher scores indicating greater sinus disease." (NCT01919411)
Timeframe: Six weeks postoperatively

Interventionscore on a scale (Mean)
Amoxicillin-Potassium Clavulanate4.3
Placebo4.5

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Lund Kennedy Endoscopic Score

"The Lund Kennedy endoscopic score is a grading system for visually evaluating patient's sinus cavities before and after surgery. It has five measures to score (polyps, edema, discharge, scarring, and crusting).~Scores range from 0 to 20 with higher scores indicating greater sinus disease." (NCT01919411)
Timeframe: One week postoperatively

Interventionscore on a scale (Mean)
Amoxicillin-Potassium Clavulanate5.6
Placebo5.9

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Sinonasal Outcome Test - 22

"The sinonasal outcome test -22 (SNOT-22) is a validated instrument for measuring quality of life outcomes in chronic sinusitis.~Snot-22 scores can range from 0 to 110. Higher scores indicate more severe symptoms." (NCT01919411)
Timeframe: One week post operatively

Interventionscore on a scale (Mean)
Amoxicillin-Potassium Clavulanate31.3
Placebo31.0

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Sinonasal Outcome Test - 22

"The sinonasal outcome test -22 (SNOT-22) is a validated instrument for measuring quality of life outcomes in chronic sinusitis.~Snot-22 scores can range from 0 to 110. Higher scores indicate more severe symptoms." (NCT01919411)
Timeframe: Six weeks post operatively

Interventionscore on a scale (Mean)
Amoxicillin-Potassium Clavulanate22.3
Placebo17.5

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"Number of Participants With a Clinical Outcome of Cure at Both the End of Treatment and Test of Cure (EOT and TOC: Day 8 and Day 15)"

"Clinical assessment of acute bacterial rhinosinusitis was performed by the investigator (or subinvestigator) at the EOT (Day 8) and TOC (Day 15) on the basis of the following criteria: Cure is defined as sufficient resolution or improvement of the signs and symptoms such that no additional antibiotic therapy is needed. Failure is defined as no change or deterioration of the signs and symptoms or as additional antibiotic therapy being needed. The outcome was unable to be determined if no information was available regarding the signs and symptoms or, despite improvement of the signs and symptoms, the use of a non-study antibiotic was administered, indicating that there was a protocol deviation. In order to be categorized as cure, participants had to meet the criteria for cure at both Day 8 and Day 15." (NCT01934231)
Timeframe: Day 8 and Day 15

InterventionParticipants (Number)
CureFailureUnable to Determine
CVA/AMPC (1:14)2330

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"Number of Participants With a Clinical Outcome of Cure at Test of Cure (TOC: Day 15)"

"Clinical assessment of acute bacterial rhinosinusitis was performed by the investigator (or subinvestigator) at TOC (Day 15) on the basis of the following criteria: Cure is defined as sufficient resolution or improvement of the signs and symptoms such that no additional antibiotic therapy is needed. Failure is defined as no change or deterioration of the signs and symptoms or as additional antibiotic therapy being needed. The outcome was unable to be determined if no information was available regarding the signs and symptoms or, despite improvement of the signs and symptoms, the use of a non-study antibiotic was administered, indicating that there was a protocol deviation." (NCT01934231)
Timeframe: Day 15

InterventionParticipants (Number)
CureFailureUnable to Determine
CVA/AMPC (1:14)2330

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"Number of Participants With a Clinical Outcome of Cure at the End of Treatment (EOT: Day 8)"

"Clinical assessment of acute bacterial rhinosinusitis was performed by the investigator (or subinvestigator) at the EOT (Day 8) on the basis of the following criteria: Cure is defined as sufficient resolution or improvement of the signs and symptoms such that no additional antibiotic therapy is needed. Failure is defined as no change or deterioration of the signs and symptoms or as additional antibiotic therapy being needed. The outcome was unable to be determined if no information was available regarding the signs and symptoms or, despite improvement of the signs and symptoms, the use of a non-study antibiotic was administered, indicating that there was a protocol deviation." (NCT01934231)
Timeframe: Day 8

InterventionParticipants (Number)
CureFailureUnable to Determine
CVA/AMPC (1:14)2510

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Number of Participants (Par.) With the Specified Bacteriological (Bact.) Outcome Per Participant at EOT (Day 8)

The investigator used the sample collected at the start of study treatment (trt) to isolate and identify the pathogenic bacteria. The sample collected at the EOT was used to evaluate the bact. response to the investigational product of each par. using the following classification: Bact. eradication (erad.), presumed bact. erad. and colonization were categorized as erad. Bact. persistence (pers.), presumed bact. pers. and superinfection were categorized as pers. Bact. erad. elimination of the pathogen (path.) after trt; presumed bact. erad.-resolution of signs/symptoms (s/s) after trt; colonization-resolution of s/s but initial path. still recovered from sample; bact. pers.-no improvement in s/s and initial path. was recovered from sample; presumed bact. pers.-no improvement in s/s and isolation of initial path. was impossible/not performed; superinfection-initial path. was eradicated but a new path. was recovered; unable to determine-bact. test could not be performed. (NCT01934231)
Timeframe: Day 8

InterventionParticipants (Number)
EradicationPersistence
CVA/AMPC (1:14)240

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Number of Participants (Par.) With the Specified Bacteriological (Bact.) Outcome Per Pathogen (Path.) at the End of Treatment (EOT) at Day 8

"The investigator used the sample collected at the start of study treatment (trt) to isolate and identify the pathogenic bacteria. The sample collected at the EOT was used to evaluate the bact. response to the investigational product of each path. If the same pathogen was not detected at the EOT, this pathogen was classified as eradication (E). If the same pathogen was detected at the EOT, this pathogen was classified as persistence (P)." (NCT01934231)
Timeframe: Day 8

InterventionParticipants (Number)
Streptococcus pneumoniae (StPn), EStPn, PPenicillin Susceptible (PenSusc) StPn, EPenSuscStPn, PPen Intermediate (PenInt) StPn, EPenIntStPn, PPen Resistant (PenR) StPn, EPenRStPn, PMoraxella (Branhamella) catarrhalis (MBC), EMBC, PMBC beta-lactamase (BL) positive, EMBC BL positive, PMBC BL negative (N), EMBC BLN, PHaemophilus influenzae (HI), EHI, PHI BLN ampicillin (A) susceptible (S), EHI BLNAS, PHI BLNA resistant (R), EHI BLNAR, PHI BL Producing (Pr) AR, EHI BLPrAR, PStaphylococcus aureus (Staph Ar), EStaph Ar, PMethicillin R Staph Ar, EMethicillin R Staph Ar, PStreptococcus pyogenes, EStreptococcus pyogenes, PEnterobacter species (sp), EEnterobacter sp., PCoagulase (Coag) NStaph, ECoagNStaph, PCorynebacterium sp., ECorynebacterium sp., PStreptococcus sp., EStreptococcus sp., PPseudomonas aeruginosa, EPseudomonas aeruginosa, P
CVA/AMPC (1:14)81711000606000868203015000101030101000

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Number of Participants With the Indicated Severity of Symptoms and Nasal Cavity Findings at Day 4, Day 8, and Day 15

The investigator (or sub-investigator) categorized the severity of symptoms such as rhinorrhoea and bad mood/productive cough as none, mild/small amount (M/SA), or moderate or severe (M or S). For the nasal cavity finding of nasal/postnasal discharge (N/PD) the categozation was serous [containing serum]), mucopurulent (MU/SA [containing both mucus and pus]), and moderate or larger amount (M/LA). In cases in which both sides of the nasal cavity were affected and there was no difference in severity between the sides, the right-side results were recorded. If there was a difference in severity, the more severe-side results were recorded. (NCT01934231)
Timeframe: Baseline (BL), Day 4, Day 8, and Day 15

InterventionParticipants (Number)
Rhinorrhoea: BL, NoneRhinorrhoea: BL, M/SARhinorrhoea: BL, M or SRhinorrhoea: Day 4, NoneRhinorrhoea: Day 4, M/SARhinorrhoea: Day 4, M or SRhinorrhoea: Day 8, NoneRhinorrhoea: Day 8, M/SARhinorrhoea: Day 8, M or SRhinorrhoea: Day 15, NoneRhinorrhoea: Day 15, M/SARhinorrhoea: Day 15, M or SBad mood/productive cough: BL NoneBad mood/productive cough: BL, M/SABad mood/productive cough: BL, M or SBad mood/productive cough: Day 4, NoneBad mood/productive cough: Day 4, M/SABad mood/productive cough: Day 4, M or SBad mood/productive cough: Day 8, NoneBad mood/productive cough: Day 8, M/SABad mood/productive cough: Day 8, M or SBad mood/productive cough: Day 15, NoneBad mood/productive cough: Day 15, M/SABad mood/productive cough: Day 15, M or SN/PD: BL, SerousN/PD: BL, MU/SAN/PD: BL, M/LAN/PD: Day 4, SerousN/PD: Day 4, MU/SAN/PD: Day 4, M/LAN/PD: Day 8, SerousN/PD: Day 8, MU/SAN/PD: Day 8, M/LAN/PD: Day 15, SerousN/PD: Day 15, MU/SAN/PD: Day 15, M/LA
CVA/AMPC (1:14)052171631313018804202161002150242006201410222402150

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Change From Baseline in the Visual Analogue Scale Assessment of Pain Score at Days 2, 5 and 7

Visual Analogue Scale (VAS) is used to measure the amount of pain that the participant experiences. This scale has numerical ratings from 0 to 10. Zero indicates no pain and 10 indicates worst possible pain. Change in Pain/Swelling is calculated as VAS score at Baseline minus the score at a later time point (Day 2, 5 or 7). (NCT02141217)
Timeframe: Baseline, Days 2, 5 and 7

,
InterventionScores on a scale (Least Squares Mean)
Day 2, n=227, 233Day 5, n=219, 228Day 7, n=57, 71
Amoxicillin 875 mg + Clavulanic Acid 125 mg3.345.496.38
Clindamycin 150 mg3.075.386.34

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Change From Baseline in Visual Analogue Scale Assessment of Swelling at Days 2, 5 and 7

Visual Analogue Scale (VAS) is used to measure the amount of swelling that the participant experiences. This scale has numerical ratings from 0 to 10. Zero indicates no swelling and 10 indicates worst possible swelling. Change in Pain/Swelling is calculated as VAS score at Baseline minus the score at a later time point (Day 2, 5 or 7). (NCT02141217)
Timeframe: Baseline, Days 2, 5 and 7

,
InterventionScores on a scale (Least Squares Mean)
Day 2, n=219, 225Day 5, n=214, 223Day 7, n=55, 68
Amoxicillin 875 mg + Clavulanic Acid 125 mg1.923.684.21
Clindamycin 150 mg1.613.604.61

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Number of Participants (Par.) Achieving Clinical Success (CS) (Cure or Improvement [Imp] in Signs [s] and Symptoms [sx] [s/sx]) Without Considering Clinical (cl) Judgment (Jdg) of the Investigator (Inv) at Day 5

CS is defined as cure or imp in s/sx of odontogenic infections. Cure is defined as the complete resolution of s/sx of infection present at Baseline (BL) and imp is defined as resolution of fever (if present at BL), >70% reduction in swelling and pain and imp in other s/sx such that no additional antimicrobial (ant) therapy is required. In event of cure or imp with complete resolution of fever and >70% reduction in swelling and pain, but 'no change' or 'worsening from BL' in other s/sx (like increased leucocyte count/tooth mobility), the inv's opinion was sought on whether additional ant therapy was required. Par. that required no additional ant therapy were considered a 'success' while those requiring additional ant therapy were deemed a 'failure'. For a sensitivity analysis, all such par. with 'no change' or 'worsening from BL' in these other s/sx were considered as cl failures and termed 'Without Considering Cl Jdg of Inv', even though main s/sx are 'cured' or 'improved'. . (NCT02141217)
Timeframe: Day 5

InterventionParticipants (Number)
Amoxicillin 875 mg + Clavulanic Acid 125 mg158
Clindamycin 150 mg150

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Number of Participants Achieving Clinical Success (Cure or Improvement) Considering Clinical Judgment of the Investigator at Day 5

Clinical success is defined as the achievement of cure or improvement in signs and symptoms of odontogenic infections. Cure is defined as the complete resolution of signs and symptoms of infection present at baseline, such that no additional antimicrobial therapy is required. Improvement is defined as the resolution of fever (if present at baseline), >70% reduction in swelling and pain and improvement in other signs and symptoms such that no additional antimicrobial therapy is required. Visual Analogue Scale (VAS) is used to measure the amount of pain and swelling that a participant experiences. This scale has numerical ratings from 0 to 10. Zero indicates no pain and 10 indicates worst possible pain. (NCT02141217)
Timeframe: Day 5

InterventionParticipants (Number)
Amoxicillin 875 mg + Clavulanic Acid 125 mg169
Clindamycin 150 mg159

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Percentage of Participants Achieving Clinical Success (Cure or Improvement) Considering Clinical Judgment of the Investigator at the End of Treatment (Day 5 or Day 7)

Clinical success is defined as the achievement of cure or improvement in signs and symptoms of odontogenic infections. Cure is defined as the complete resolution of signs and symptoms of infection present at baseline, such that no additional antimicrobial therapy is required. Improvement is defined as the resolution of fever (if present at baseline), >70% reduction in swelling and pain and improvement in other signs and symptoms such that no additional antimicrobial therapy is required. Visual Analogue Scale (VAS) is used to measure the amount of pain and swelling that a participant experiences. This scale has numerical ratings from 0 to 10. Zero indicates no pain and 10 indicates worst possible pain. (NCT02141217)
Timeframe: Day 5 or Day 7 [End of treatment]

InterventionPercentage of participants (Number)
Amoxicillin 875 mg + Clavulanic Acid 125 mg88.2
Clindamycin 150 mg89.7
Amoxicillin 875 mg + Clavulanic Acid 125 mg85.5
Clindamycin 150 mg86.4
Amoxicillin 875 mg + Clavulanic Acid 125 mg83.3
Clindamycin 150 mg85.7

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Number of Participants That Did Not Have an Appendectomy

Percentage of patients who were successfully managed nonoperatively with success defined as not undergoing appendectomy by one year after discharge (NCT02189668)
Timeframe: 1 year

InterventionParticipants (Count of Participants)
Non-operative2
Surgery0

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Number of Participants With Complicated Appendicitis

Percent of patients found to have complicated appendicitis (gangrenous or perforated) on pathologic examination. (NCT02189668)
Timeframe: 1 year

InterventionParticipants (Count of Participants)
Non-operative0
Surgery6

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"Subjective Improvement - Day 3 (Rating of a Lot Better or no Symptoms)"

"rating of a lot better or no symptoms" (NCT02340000)
Timeframe: end of 3 days of treatment

InterventionParticipants (Count of Participants)
Standard Dose Time Period I33
High Dose Time Period 131
Standard Dose Time Period 222
High Dose Time Period 233

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SNOT-16 - Day 10

"Ratings on a scale from 0=none to 3=severe of 16 sinusitis-related symptoms. Total score can range from 0 to 48 (with 48 the most severe possible) of the 16 symptoms.~The outcome measure was the mean difference in the ratings of each of the 16 symptoms between day 0 and day 10 (values at day 0 minus values at day 10)." (NCT02340000)
Timeframe: day 0, end of 10th day

Interventionunits on a scale (Mean)
Standard Dose Time Period I1.32
High Dose Time Period 11.48
Standard Dose Time Period 21.37
High Dose Time Period 21.40

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Nasal Colonization With Resistant Bacteria

Clinicians performed anterior nasal cultures to look for colonization with penicillin-resistant pneumococci and other pathogens (stopped after participant #231 because of lack of funds). (NCT02340000)
Timeframe: baseline

InterventionParticipants (Count of Participants)
No growth or normal floraMethicillin-sensitive Staphylococcus aureusHaemophilus influenzaeStreptococcus pneumoniaeMoxarella catarrhalisStaphylococcus epidermidisMethicillin-resistant Staphylococcus aureus
Overall13932259975

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Willingness to Take the Study Antibiotic in the Future

whether participants said they would NOT take the antibiotic again (NCT02340000)
Timeframe: end of 10th day

InterventionParticipants (Count of Participants)
Standard Dose Time Period I8
High Dose Time Period 111
Standard Dose Time Period 25
High Dose Time Period 28

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Subjective Improvement - Day 10

"rating of a lot better or no symptoms" (NCT02340000)
Timeframe: end of 10th day

InterventionParticipants (Count of Participants)
Standard Dose Time Period I63
High Dose Time Period 159
Standard Dose Time Period 235
High Dose Time Period 240

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SNOT-16 - Day 3

"Ratings on a scale from 0=none to 3=severe of 16 sinusitis-related symptoms. Total score can range from 0 to 48 (with 48 the most severe possible) of the 16 symptoms.~The outcome measure was the mean difference in the ratings of each of the 16 symptoms between day 0 and day 3 (values at day 0 minus values at day 3)." (NCT02340000)
Timeframe: day 0, end of 3 days of treatment

Interventionunits on a scale (Mean)
Standard Dose Time Period I.75
High Dose Time Period 1.87
Standard Dose Time Period 2.91
High Dose Time Period 2.97

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Number of Courses of Oral Steroids

Number of steroid courses needed during 4 months for any acute symptoms. (NCT02517099)
Timeframe: 4 months and up to 1 year later

Interventionnumber of steroid courses (Number)
Pathological Phenotype13
Clinical Guidelines14

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Number of Unscheduled Healthcare Visits (UHCV)

Actual number of unscheduled healthcare visits (UHCV) includes GP, A&E or hospital admission. This is median number of visits in 4 months - with range. (NCT02517099)
Timeframe: 4 months

Interventionnumber of visits (Median)
Pathological Phenotype0.5
Clinical Guidelines0.5

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Symptom Days

Number of days with symptoms during 4 months (NCT02517099)
Timeframe: 4 months

Interventiondays (Median)
Pathological Phenotype9
Clinical Guidelines12

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The Distribution of Children Compliant With Study Medication

Compliance, expressed as a percentage, is the total number of doses taken divided by the total number of expected doses. The child is considered compliant if he/she has received at least 70% of the study medication. The parent completed diaries evenings Days 2-11. The diaries included yes/no questions - (1) did your child take the study medication last night and (2) did your child take the study medication this morning? The total number of doses taken was calculated based on the responses to question (1), and accounted for the dose dispensed at enrollment when enrollment was 1pm or earlier on Day 1. The total of expected doses was determined from the responses to questions (1) and (2), and accounted for scenarios in which the child was taken off the study medication by the clinician. In some cases, due to incomplete diaries the information was insufficient to declare a child either compliant or not compliant. (NCT02554383)
Timeframe: Days 1 to 11, where Day 1 is day of enrollment

,
InterventionParticipants (Count of Participants)
Compliant, i.e., received at least 70% of the the study medicationNot compliant, i.e., received less than 70% of study medication
Amoxicillin-clavulanate21214
Placebo22113

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The Distribution of Children Experiencing Treatment Failure (TF)

The Pediatric Rhinosinusitis Symptom Scale (PRSS) is a 8 item scale assessing symptoms of sinusitis. Parents are asked how their child has been doing over the last 24 hours by rating each of 8 symptoms - stuffy nose, runny nose, daytime cough, tiredness, irritability, trouble breathing through the nose, nighttime cough & trouble sleeping - as none, almost none, a little, some, a lot & an extreme amount with respective scores of 0, 1, 2, 3, 4 & 5. The 8 ratings were summed to obtain a PRSS score. Scores ranged from 0-40. Higher scores indicate greater severity. The parent completed the scale on Day 1 (enrollment), electronically evenings Days 2-11 & at the follow-up visit. If, compared to the Day 1 score, there was >20% increase at any time, decrease <2 on Day 3, <20% decrease on Day 4, <20% decrease on 2 consecutive occasions Days 5-11 or <50% decrease at follow-up, then criterion for treatment failure (TF) was met. Multiple imputation was used when data was insufficient to assess TF. (NCT02554383)
Timeframe: Day of enrollment to the day of the follow-up visit. The mean length of actual follow-up was 13.4 days. For each child with incomplete follow-up, multiple imputation was used and PRSS scores for the remaining days were imputed.

,
InterventionParticipants (Count of Participants)
Experienced failureDid not experience failure
Amoxicillin-clavulanate76178
Placebo111145

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The Distribution of Children for Whom Diarrhea or Generalized Rash Was Reported

The monitoring of adverse events (AEs), i.e. diarrhea or generalized rash, began on Day 1 (enrollment) and continued through Day 23 (the follow-up visit). Diarrhea was the occurrence of 3 or more watery stools on one day or 2 watery stools on each of 2 consecutive days. Parents recorded in daily diaries, Days 1-11, information regarding the occurrence of diarrhea. Additionally, parents were asked at the follow-up visit if their child had diarrhea while on study product. (NCT02554383)
Timeframe: Day 1 through Day 23.

,
InterventionParticipants (Count of Participants)
Diarrhea or rash was reportedNeither diarrhea nor rash was reported
Amoxicillin-clavulanate31223
Placebo13243

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The Distribution of Children Receiving a Systemic Antibiotic Over the First 10 Days of Follow-up

Systemic antibiotics include Amoxicillin, Amoxicillin-clavulanate, Azithromycin, Bacillin L-A, Cefdinir, Clindamycin, Doxycycline, Levofloxacin, Ofloxacin & Sulfamethoxazole-Trimethoprim. Start and stop dates were recorded. The antibiotic received is exclusive of the study product assigned at enrollment. (NCT02554383)
Timeframe: Days 2 to 11, where Day 1 is day of enrollment. The mean number of days of follow-up in this interval was 9.8.

,
InterventionParticipants (Count of Participants)
Received a systemic antibioticDid not receive a systemic antibiotic
Amoxicillin-clavulanate34217
Placebo66190

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The Distribution of Children With a Nonsusceptible Pathogen at the Follow-up Visit

The nonsusceptible pathogens considered are penicillin-intermediate and penicillin-resistant Streptococcus pneumoniae (SPN) and ß-lactamase-positive Haemophilus influenzae (NTHi). Susceptibility to penicillin was defined as follows: susceptible as a minimum inhibitory concentration (MIC) of <=0.06 μg/mL; intermediate as an MIC of greater than 0.06 to less than 2 μg/mL; and resistant as an MIC of >=2 μg/mL. A nasopharyngeal specimen for bacterial culture was obtained at the time of the follow-up visit, occurring between study days 11 and 23. (NCT02554383)
Timeframe: The follow-up visit. The mean number of days from enrollment to the follow-up visit was 13.4.

,
InterventionParticipants (Count of Participants)
Nonsusceptible pathogen at the follow-up visitNo nonsusceptible pathogen at the follow-up visit
Amoxicillin-clavulanate19129
Placebo18134

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The Mean Pediatric Rhinosinusitis Symptom Scale (PRSS) Score Over the First 10 Days of Follow-up According to the Presence of Colored Nasal Discharge at Enrollment

The Pediatric Rhinosinusitis Symptom Scale (PRSS) is a 8 item scale assessing symptoms of sinusitis. Parents are asked how their child has been doing over the last 24 hours by rating each of 8 symptoms - stuffy nose, runny nose, daytime cough, tiredness, irritability, trouble breathing through the nose, nighttime cough & trouble sleeping - as none, almost none, a little, some, a lot & an extreme amount with respective scores of 0, 1, 2, 3, 4 & 5. The 8 ratings were summed to obtain a PRSS score. Scores ranged from 0-40. Higher scores indicate greater severity. The parent completed the scale on Day 1 (enrollment) & electronically on diaries evenings Days 2-11. Nasal discharge, either yellow or green, was considered colored. (NCT02554383)
Timeframe: Days 2 to 11

,
InterventionScore on a scale (Mean)
Presence of colored nasal discharge at enrollment - Day 2Presence of colored nasal discharge at enrollment - Day 3Presence of colored nasal discharge at enrollment - Day 4Presence of colored nasal discharge at enrollment - Day 5Presence of colored nasal discharge at enrollment - Day 6Presence of colored nasal discharge at enrollment - Day 7Presence of colored nasal discharge at enrollment - Day 8Presence of colored nasal discharge at enrollment - Day 9Presence of colored nasal discharge at enrollment - Day 10Presence of colored nasal discharge at enrollment - Day 11Absence of colored nasal discharge at enrollment - Day 2Absence of colored nasal discharge at enrollment - Day 3Absence of colored nasal discharge at enrollment - Day 4Absence of colored nasal discharge at enrollment - Day 5Absence of colored nasal discharge at enrollment - Day 6Absence of colored nasal discharge at enrollment - Day 7Absence of colored nasal discharge at enrollment - Day 8Absence of colored nasal discharge at enrollment - Day 9Absence of colored nasal discharge at enrollment - Day 10Absence of colored nasal discharge at enrollment - Day 11
Amoxicillin-clavulanate18.614.812.110.88.67.46.45.14.43.716.413.311.19.07.86.76.14.94.54.0
Placebo19.016.613.711.310.58.88.27.05.75.217.615.612.912.110.58.87.77.36.25.7

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The Mean Pediatric Rhinosinusitis Symptom Scale (PRSS) Score Over the First 10 Days of Follow-up According to the Presence of Pathogens in the Nasopharynx at Enrollment

The Pediatric Rhinosinusitis Symptom Scale (PRSS) is a 8 item scale assessing symptoms of sinusitis. Parents are asked how their child has been doing over the last 24 hours by rating each of 8 symptoms - stuffy nose, runny nose, daytime cough, tiredness, irritability, trouble breathing through the nose, nighttime cough & trouble sleeping - as none, almost none, a little, some, a lot & an extreme amount with respective scores of 0, 1, 2, 3, 4 & 5. The 8 ratings were summed to obtain a PRSS score. Scores ranged from 0-40. Higher scores indicate greater severity. The parent completed the scale on Day 1 (enrollment) & electronically on diaries evenings Days 2-11. Pathogens cultured were Streptococcus pneumoniae, Haemophilus influenzae, and Moraxella catarrhalis. (NCT02554383)
Timeframe: Days 2 to 11

,
InterventionScore on a scale (Mean)
Presence of 1 or more pathogens in the nasopharynx at enrollment - Day 2Presence of 1 or more pathogens in the nasopharynx at enrollment - Day 3Presence of 1 or more pathogens in the nasopharynx at enrollment - Day 4Presence of 1 or more pathogens in the nasopharynx at enrollment - Day 5Presence of 1 or more pathogens in the nasopharynx at enrollment - Day 6Presence of 1 or more pathogens in the nasopharynx at enrollment - Day 7Presence of 1 or more pathogens in the nasopharynx at enrollment - Day 8Presence of 1 or more pathogens in the nasopharynx at enrollment - Day 9Presence of 1 or more pathogens in the nasopharynx at enrollment - Day 10Presence of 1 or more pathogens in the nasopharynx at enrollment - Day 11Absence of 1 or more pathogens in the nasopharynx at enrollment - Day 2Absence of 1 or more pathogens in the nasopharynx at enrollment - Day 3Absence of 1 or more pathogens in the nasopharynx at enrollment - Day 4Absence of 1 or more pathogens in the nasopharynx at enrollment - Day 5Absence of 1 or more pathogens in the nasopharynx at enrollment - Day 6Absence of 1 or more pathogens in the nasopharynx at enrollment - Day 7Absence of 1 or more pathogens in the nasopharynx at enrollment - Day 8Absence of 1 or more pathogens in the nasopharynx at enrollment - Day 9Absence of 1 or more pathogens in the nasopharynx at enrollment - Day 10Absence of 1 or more pathogens in the nasopharynx at enrollment - Day 11
Amoxicillin-clavulanate17.313.911.810.18.57.36.44.94.23.719.515.511.910.38.16.96.25.44.94.1
Placebo18.616.613.912.010.98.98.37.46.05.818.715.512.510.59.48.37.46.35.54.1

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The Distribution of Children Developing Acute Otitis Media (AOM) Over the First 10 Days of Follow-up

AOM is an infection of the middle ear marked by acute symptoms and a bulging tympanic membrane. Its diagnosis coincided with receipt of a systemic antibiotic. Systemic antibiotics include Amoxicillin, Amoxicillin-clavulanate, Azithromycin, Bacillin L-A, Cefdinir, Clindamycin, Doxycycline, Levofloxacin, Ofloxacin & Sulfamethoxazole-Trimethoprim. Start and stop dates were recorded. (NCT02554383)
Timeframe: Days 2 to 11, where Day 1 is day of enrollment. The mean number of days of follow-up in this interval was 9.8.

,
InterventionParticipants (Count of Participants)
Developed AOMDid not develop AOM
Amoxicillin-clavulanate0251
Placebo8248

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The Rate of Occurrence of Acute Otitis Media (AOM) Episodes Per Child-Year According to the Estimated Risk of Acute Otitis Media (AOM) Recurrences at Enrollment

An episode of AOM is considered a discrete occurrence if symptoms and signs persisted for, or recurred, >=17 days after the start of antimicrobial treatment. The rate is calculated by dividing the total # of occurrences by the total # of years of follow-up. Risk of recurrences was based on early age of onset of AOM; numerous and/or frequent previous AOM episodes; receipt of multiple courses of antibiotic; eligibility for enrollment first evident during warm-weather months; parental characterization of previous AOM episodes as severe; eligibility for enrollment despite nonexposure to other young children; moderate or marked tympanic membrane (TM) bulging with previous AOM episodes; most previous AOM episodes in both ears; and a high score on the Acute Otitis Media Severity of Symptom scale (with scores ranging from 0 to 10 and higher scores indicating greater severity of symptoms) during screening and/or at enrollment. Multiple imputation was used when follow-up was incomplete. (NCT02567825)
Timeframe: Day 1 until Day 786. The mean length of actual follow-up was 662 days / 1.8 years. For each child with incomplete 2-year follow-up, multiple imputation was used and values for the remaining days/years were imputed.

,
InterventionOccurrences per child-year (Mean)
Children considered at low risk of AOM recurrenceChildren considered at high risk of AOM recurrence
Non-Surgical Management1.561.56
Surgical Management1.281.67

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The Total Cost of Management of Recurrent Acute Otitis Media Per Quality Adjusted Life Days (QALDs) as a Measure of Cost-Effectiveness According to the Estimated Risk of Acute Otitis Media Recurrences at Enrollment

Total costs in US dollars were calculated by summing costs of lost wages, office visits, medical procedures, hospitalizations, and medications. Total QALDs were calculated by summing daily utility values. A utility value of 1.0 was assumed for days without AOM, otorrhea, or hospitalization. For days where these states were reported, published utility values associated with each state were used. To arrive at the final measure, total costs were divided by total utility values. The estimated risk of AOM at enrollment is described under both Baseline Characteristics and Outcome Measure #2. (NCT02567825)
Timeframe: Day 1 until Day 786. The mean length of actual follow-up was 662 days / 1.8 years.

,
InterventionUS dollars per quality adjusted life day (Number)
Children considered at low risk of AOM recurrenceChildren considered at high risk of AOM recurrence
Non-Surgical Management5.705.91
Surgical Management6.258.00

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The Distribution of Children With a Penicillin-Nonsusceptible Nasopharyngeal or Throat Isolate At Any Follow-up Visit According to the Colonization Status at Enrollment

Throat specimens were obtained mainly from children older than 24 months of age. The penicillin-nonsusceptible pathogens considered are penicillin-intermediate and penicillin-resistant Streptococcus pneumoniae and ß-lactamase-positive Haemophilus influenzae. Susceptibility to penicillin was defined as follows: susceptible as a minimum inhibitory concentration (MIC) of <0.1 μg/mL; intermediate as an MIC of 0.1 to 1μg/mL; and resistant as an MIC of >1 μg/mL. (NCT02567825)
Timeframe: Day 1 until Day 786.

InterventionParticipants (Count of Participants)
No pathogens at enrollment72440667No pathogens at enrollment72440668Positive only for at least 1 penicillin-susceptible pathogen at enrollment72440667Positive only for at least 1 penicillin-susceptible pathogen at enrollment72440668Positive for at least 1 penicillin-nonsusceptible pathogen at enrollment72440667Positive for at least 1 penicillin-nonsusceptible pathogen at enrollment72440668
Penicillin-nonsusceptible isolate at a follow-up vNo penicillin-nonsusceptible isolate at a follow-u
Surgical Management25
Non-Surgical Management24
Surgical Management12
Non-Surgical Management11
Surgical Management22
Non-Surgical Management20
Surgical Management11
Non-Surgical Management15
Surgical Management38
Non-Surgical Management34
Surgical Management5
Non-Surgical Management9

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The Mean Score Representing Parental Satisfaction With Clinical Management

At the end-of-study visit, parents were asked to rate their level of satisfaction with their child's assigned management using a 5-point scale with higher numbers indicating greater satisfaction, specifically 1 = very dissatisfied, 2 = somewhat dissatisfied, 3 = neither satisfied nor dissatisfied, 4 = somewhat satisfied, and 5 = very satisfied. (NCT02567825)
Timeframe: The end-of-study visit. The mean day for this visit was 726.

InterventionScore on a scale (Mean)
Surgical Management4.64
Non-Surgical Management4.43

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The Mean Days Per Year Children Experience AOM Symptoms With an Intact Tympanic Membrane (TM)

For a given child, if a day of follow-up coincides with a study visit, the status of the right and left TMs are recorded at the ear exam. If a day of follow-up does not coincide with a study visit the status of each TM is assumed to be the same as the status on the prior day. Scores are used from the 5-item Acute Otitis Media Severity of Symptoms (AOM-SOS) scale (version 4.0) in which parents are asked to rate symptoms, as compared with the child's usual state, as none, a little, or a lot, with corresponding scores of 0, 1, and 2. Total scores range from 0 to 10, with higher scores indicating greater severity of symptoms. Scores are recorded at study visits and on diaries. The total number of days with an intact TM and a AOM-SOS score greater than or equal to 1 is divided by the total number of years of follow-up to arrive at the days per year with AOM symptoms and an intact TM. (NCT02567825)
Timeframe: Day 1 until Day 786. The mean length of follow-up was 662 days / 1.8 years.

InterventionDays per year (Mean)
Surgical Management2.00
Non-Surgical Management8.33

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The Mean Days Per Year Children Experience Tube Otorrhea

Adverse events, including tube-associated otorrhea, were collected from enrollment through the end of study. Each study visit included a review of adverse events. Any such event that occurred since the previous visit was recorded, including the date of onset and the date of resolution. For each child, the days per year of tube otorrhea is calculated by dividing the total number of days of tube otorrhea (based on dates of onset and resolution) by the total number of years of follow-up. (NCT02567825)
Timeframe: Day 1 until Day 786. The mean length of follow-up was 662 days / 1.8 years.

InterventionDays per year (Mean)
Surgical Management7.96
Non-Surgical Management2.83

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The Mean Days Per Year Children Receive Systemic Antimicrobials for AOM

Systemic antibiotics include Amoxicillin-Clavulanate, Ceftriaxone, Cefdinir, Amoxicillin, Azithromycin, Clindamycin, Levofloxacin, Bactrim, Cefprozil, Omnicef and Trimethoprim-Sulfamethoxazole. The days per year, for each child, is calculated by dividing the total number of days the child receives systemic antimicrobials for AOM (based on the recorded start and stop dates) by the total number of years of follow-up. (NCT02567825)
Timeframe: Day 1 until Day 786. The mean length of follow-up was 662 days / 1.8 years.

InterventionDays per year (Mean)
Surgical Management8.76
Non-Surgical Management12.92

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The Rate of Occurrence of Acute Otitis Media (AOM) Episodes Per Child-Year

An episode of AOM is considered a discrete occurrence if symptoms and signs persisted for, or recurred, 17 or more days after the start of antimicrobial treatment. The rate is calculated by dividing the total number of occurrences by the total number of years of follow-up. Multiple imputation was used when follow-up was incomplete. (NCT02567825)
Timeframe: Day 1 until Day 786. The mean length of actual follow-up was 662 days / 1.8 years. For each child with incomplete 2-year follow-up, multiple imputation was used and values for the remaining days/years were imputed.

InterventionOccurrences per child-year (Mean)
Surgical Management1.48
Non-Surgical Management1.56

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The Time to the First Episode of AOM

The time to the first episode of AOM is defined as the time, expressed in months, from randomization until the first episode of AOM. (NCT02567825)
Timeframe: Day 1 until Day 786. The mean length of follow-up was 662 days / 21.8 months.

InterventionMonths (Median)
Surgical Management4.34
Non-Surgical Management2.33

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The Total Cost of Management of Recurrent Acute Otitis Media Per Quality Adjusted Life Days (QALDs) as a Measure of Cost-Effectiveness

Total costs in US dollars were calculated by summing costs of lost wages, office visits, medical procedures, hospitalizations, and medications. Total QALDs were calculated by summing daily utility values. A utility value of 1.0 was assumed for days without AOM, otorrhea, or hospitalization. For days where these states were reported, published utility values associated with each state were used. To arrive at the final measure, total costs were divided by total utility values. (NCT02567825)
Timeframe: Day 1 until Day 786. The mean length of actual follow-up was 662 days / 1.8 years.

InterventionUS dollars per quality adjusted life day (Number)
Surgical Management7.19
Non-Surgical Management5.79

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The Mean Scores on the 6 Item Caregiver Impact Questionnaire (CIQ)

The Caregiver Impact Questionnaire (CIQ) is a 6 item assessment addressing lack of sleep, absence from work or education, canceling of family activities, changing daily activities, feeling nervous and feeling helpless. Each of these responses is expanded to a continuous scale from 0 (no impact on caregiver) to 100 (greatest impact). The average response, i.e., score, for these 6 items is calculated. The overall caregiver's quality of life (QOL) score, also captured on the CIQ, is expressed on a ordinal response scale that ranges from 0 (worst quality of life) to 10 (best quality). The CIQ is administered to the parent every 16 weeks after randomization and occasionally at sick visits. (NCT02567825)
Timeframe: Day 1 until Day 786.

,
InterventionScore on a scale (Mean)
Caregiver impact questionnaire scoreCaregiver impact questionnaire--Caregiver's overall QOL score
Non-Surgical Management10.938.50
Surgical Management10.828.55

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The Mean Scores on the 6 Item Quality of Life Survey Questionnaire (OM-6)

The OM-6 is a 6 item quality of life assessment addressing physical suffering, hearing loss, speech impairment, emotional distress, activity limitations and caregiver concerns. Responses are regarded on an ordinal scale ranging from 1 (no problem) to 7 (greatest problem). The average response, i.e., score, for these 6 items is calculated. The overall child's quality of life (QOL) score, also captured on the OM-6, is expressed on an ordinal response scale that ranges from 0 (worst quality of life) to 10 (best quality). A OM-6 is administered to the parent every 16 weeks after randomization and occasionally at sick visits. (NCT02567825)
Timeframe: Day 1 until Day 786.

,
InterventionScore on a scale (Mean)
OM-6 survey scoreOM-6 survey--Children's overall QOL score
Non-Surgical Management1.558.37
Surgical Management1.58.45

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Summary of Clinical Cure

Clinical cure was assessed using the latest efficacy evaluation conducted on Day 16 (+/- 4 days) post-randomization, and was defined as resolution of all presenting signs/symptoms of CABP (excluding cough), no development of new signs/symptoms of CABP, and no requirement for an additional antibiotic. (NCT02605122)
Timeframe: Short-term follow-up at 16 days (+/- 4 days)

Interventionpercentage of participants (Number)
Solithromycin60.0
Standard of Care68.4

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Summary of Clinical Improvement

Clinical improvement was assessed using the latest efficacy evaluation conducted on last day of treatment (+48 hours), and was defined identically to the early clinical response. (NCT02605122)
Timeframe: Last day of Treatment (+48 hours)

Interventionpercentage of participants (Number)
Solithromycin64.5
Standard of Care81

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Summary of Early Clinical Response

Early clinical response (ECR) was defined using the latest efficacy evaluation from Day 2 (if subject discharged prior to Day 2), Day3, or Day 4, and was defined as improvement in at least 1 presenting sign/symptom of CABP with no deterioration in any signs/symptoms of CABP and no requirement for an additional antibiotic. (NCT02605122)
Timeframe: During Treatment Days 3 to 4

Interventionpercentage of participants (Number)
Solithromycin66.7
Standard of Care46.7

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Overview of Adverse Events By Treatment Arm

Summary of subjects experiencing Treatment Emergent Adverse Events (TEAE) through Day 16 visit and Treatment Emergent Serious Adverse Events (TESAE) through Day 28 visit (28 days +/- 4 days after randomization) (NCT02605122)
Timeframe: Up to 28 days post-treatment

,
InterventionParticipants (Count of Participants)
TEAETESAE
Solithromycin241
Standard of Care71

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The Distribution of Participants Receiving Formulation 1 for Whom Diaper Dermatitis Was Reported and Associated With Study Product

"Participants receiving formulation 1 were administered amoxicillin-clavulanate potassium containing a reduced concentration of clavulanate potassium, 600 mg/21.5 mg/5 mL (a ratio of 28:1), administered at 90/3.2 mg/kg/day in two divided doses for 10 days.~Diaper dermatitis is defined as dermatitis in the diaper area calling for prescription of a topical antifungal agent and is limited to events associated with study product." (NCT02630992)
Timeframe: Day 1 of administration of amoxicillin-clavulanate until day 12.

InterventionParticipants (Count of Participants)
Diaper dermatitis reportedDiaper dermatitis not reported
Amoxicillin-clavulanate Potassium1030

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Distribution of Population Plasma Concentration of Amoxicillin According to Time For Participants Receiving Formulation 1

"Participants receiving formulation 1 were administered amoxicillin-clavulanate potassium containing a reduced concentration of clavulanate potassium, 600 mg/21.5 mg/5 mL (a ratio of 28:1), administered at 90/3.2 mg/kg/day in two divided doses for 10 days.~Plasma concentration of amoxicillin 45 mg/kg/dose was measured.~Data points up to 4 hours with a standard deviation of 0 indicate that the assessment was available for only one child." (NCT02630992)
Timeframe: From administration of a single dose of amoxicillin-clavulanate until approximately 4 hours after.

Interventionmicrograms per milliliter (mcg/ml) (Mean)
0.5 hours (approximate)1.5 hours (approximate)2.0 hours (approximate)3.0 hours (approximate)3.5 hours (approximate)4.0 hours (approximate)
Amoxicillin-clavulanate Potassium14.3615.311.428.079.787.39

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Distribution of Population Plasma Concentration of Amoxicillin According to Time For Participants Receiving Formulation 2

"Participants treated with formulation 2 were administered amoxicillin-clavulanate potassium containing a reduced concentration of clavulanate potassium, 600 mg/21.5 mg/5 mL (a ratio of 28:1), administered at 80/2.85 mg/kg/day in two divided doses for 10 days.~Plasma concentration of amoxicillin 40 mg/kg/dose was measured.~Data points up to 4 hours with a standard deviation of 0 indicate that the assessment was available for only one child." (NCT02630992)
Timeframe: From administration of a single dose of amoxicillin-clavulanate until approximately 4 hours after.

Interventionmicrograms per milliliter (mcg/ml) (Mean)
0.5 hours (approximate)1.5 hours (approximate)2.0 hours (approximate)2.5 hours (approximate)3.0 hours (approximate)3.5 hours (approximate)4.0 hours (approximate)
Amoxicillin-clavulanate Potassium8.637.497.7610.2213.0010.368.52

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Distribution of Population Plasma Concentration of Clavulanate According to Time For Participants Receiving Formulation 1

"Participants receiving formulation 1 were administered amoxicillin-clavulanate potassium containing a reduced concentration of clavulanate potassium, 600 mg/21.5 mg/5 mL (a ratio of 28:1), administered at 90/3.2 mg/kg/day in two divided doses for 10 days.~Plasma concentration of clavulanate 1.6 mg/kg/dose was measured.~Data points up to 4 hours with a standard deviation of 0 indicate that the assessment was available for only one child." (NCT02630992)
Timeframe: From administration of a single dose of amoxicillin-clavulanate until approximately 4 hours after.

Interventionnanograms per milliliter (ng/ml) (Mean)
0.5 hours (approximate)1.5 hours (approximate)2.0 hours (approximate)3.0 hours (approximate)3.5 hours (approximate)4.0 hours (approximate)
Amoxicillin-clavulanate Potassium1047.672050730.50338842313.80

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Distribution of Population Plasma Concentration of Clavulanate According to Time For Participants Receiving Formulation 2

"Participants receiving formulation 2 were administered amoxicillin-clavulanate potassium containing a reduced concentration of clavulanate potassium, 600 mg/21.5 mg/5 mL (a ratio of 28:1), administered at 80/2.85 mg/kg/day in two divided doses for 10 days.~Plasma concentration of clavulanate 1.425 mg/kg/dose was measured.~Data points up to 4 hours with a standard deviation of 0 indicate that the assessment was available for only one child." (NCT02630992)
Timeframe: From administration of a single dose of amoxicillin-clavulanate until approximately 4 hours after.

Interventionnanograms per milliliter (ng/ml) (Mean)
0.5 hours (approximate)1.5 hours (approximate)2.0 hours (approximate)2.5 hours (approximate)3.0 hours (approximate)3.5 hours (approximate)4.0 hours (approximate)
Amoxicillin-clavulanate Potassium407655.501125.33660.16986.95866.00555.50

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The Distribution of Participants Receiving Formulation 2 for Whom Protocol-Defined Diarrhea (PDD) Was Reported and Associated With Study Product

"Participants receiving formulation 2 were administered amoxicillin-clavulanate potassium containing a reduced concentration of clavulanate potassium, 600 mg/21.5 mg/5 mL (a ratio of 28:1), administered at 80/2.85 mg/kg/day in two divided doses for 10 days.~Protocol-defined diarrhea is defined as the occurrence of three or more watery stools in 1 day or two watery stools daily for 2 consecutive days and is limited to events associated with study product." (NCT02630992)
Timeframe: Day 1 of administration of amoxicillin-clavulanate until day 12.

InterventionParticipants (Count of Participants)
PDD reportedPDD not reported
Amoxicillin-clavulanate Potassium1260

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The Distribution of Participants Receiving Formulation 1 for Whom Protocol-Defined Diarrhea (PDD) Was Reported and Associated With Study Product

"Participants receiving formulation 1 were administered amoxicillin-clavulanate potassium containing a reduced concentration of clavulanate potassium, 600 mg/21.5 mg/5 mL (a ratio of 28:1), administered at 90/3.2 mg/kg/day in two divided doses for 10 days.~Protocol-defined diarrhea is defined as the occurrence of three or more watery stools in 1 day or two watery stools daily for 2 consecutive days and is limited to events associated with study product." (NCT02630992)
Timeframe: Day 1 of administration of amoxicillin-clavulanate until day 12.

InterventionParticipants (Count of Participants)
PDD reportedPDD not reported
Amoxicillin-clavulanate Potassium1030

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The Distribution of Participants Receiving Formulation 2 Categorized as Treatment Failure (TF) at or Before the End-of-Treatment Visit

"Participants receiving formulation 2 were administered amoxicillin-clavulanate potassium containing a reduced concentration of clavulanate potassium, 600 mg/21.5 mg/5 mL (a ratio of 28:1), administered at 80/2.85 mg/kg/day in two divided doses for 10 days.~Treatment failure is defined as substantial persistence or worsening of symptoms specifically attributable to AOM or of otoscopic signs of acute inflammation (bulging of the TM or intense erythema) after 72 hours from the initial AOM, such that additional antimicrobial therapy is deemed advisable. Clinical success is defined as complete or substantial resolution of symptoms specifically attributable to AOM for 48 hours and of otoscopic signs of acute inflammation (bulging of the TM or intense erythema), with or without persistence of middle-ear effusion, such that no additional antibiotic therapy is deemed advisable." (NCT02630992)
Timeframe: From 72 hours after the initial AOM until the end-of-treatment visit. The mean day for this visit was 13.9.

InterventionParticipants (Count of Participants)
Treatment failureClinical success
Amoxicillin-clavulanate Potassium856

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The Distribution of Participants Receiving Formulation 2 for Whom Diaper Dermatitis Was Reported and Associated With Study Product

"Participants receiving formulation 2 were administered amoxicillin-clavulanate potassium containing a reduced concentration of clavulanate potassium, 600 mg/21.5 mg/5 mL (a ratio of 28:1), administered at 80/2.85 mg/kg/day in two divided doses for 10 days.~Diaper dermatitis is defined as dermatitis in the diaper area calling for prescription of a topical antifungal agent and is limited to events associated with study product.." (NCT02630992)
Timeframe: Day 1 of administration of amoxicillin-clavulanate until day 12.

InterventionParticipants (Count of Participants)
Diaper dermatitis reportedDiaper dermatitis not reported
Amoxicillin-clavulanate Potassium1557

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The Mean Score Representing the Parent or Guardian's Level of Satisfaction With Therapy for Participants Receiving Formulation 1

"Participants receiving formulation 1 were administered amoxicillin-clavulanate potassium containing a reduced concentration of clavulanate potassium, 600 mg/21.5 mg/5 mL (a ratio of 28:1), administered at 90/3.2 mg/kg/day in two divided doses for 10 days.~The parent or guardian will answer a questionnaire regarding their satisfaction with the therapy their child received. The responses 'very dissatisfied', 'somewhat dissatisfied', 'neither satisfied nor dissatisfied', 'somewhat satisfied' and 'very satisfied' correspond to scores of 1, 2, 3, 4, and 5, respectively." (NCT02630992)
Timeframe: The end-of-treatment visit. The mean day for this visit was 14.9.

Interventionunits on a scale (Mean)
Amoxicillin-clavulanate Potassium4.69

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The Mean Score Representing the Parent or Guardian's Level of Satisfaction With Therapy for Participants Receiving Formulation 2

"Participants receiving formulation 2 were administered amoxicillin-clavulanate potassium containing a reduced concentration of clavulanate potassium, 600 mg/21.5 mg/5 mL (a ratio of 28:1), administered at 80/2.85 mg/kg/day in two divided doses for 10 days.~The parent or guardian will answer a questionnaire regarding their satisfaction with the therapy their child received. The responses 'very dissatisfied', 'somewhat dissatisfied', 'neither satisfied nor dissatisfied', 'somewhat satisfied' and 'very satisfied' correspond to scores of 1, 2, 3, 4, and 5, respectively." (NCT02630992)
Timeframe: The end-of-treatment visit. The mean day for this visit was 13.9.

Interventionunits on a scale (Mean)
Amoxicillin-clavulanate Potassium4.75

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Number Participants With Readmission Within 30 Days

Number of Readmission within 30 days postoperative (NCT02724410)
Timeframe: Thirty days following appendectomy

InterventionParticipants (Count of Participants)
Home Intravenous Ertapenem and PICC6
Home Oral Amoxicillin-clavulanate6

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Number of Participants With Postoperative Abscess

Number of Postoperative Abscess, thirty-day postoperative (NCT02724410)
Timeframe: Thirty days after appendectomy

InterventionParticipants (Count of Participants)
Home Intravenous Ertapenem and PICC5
Home Oral Amoxicillin-clavulanate3

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Hospital Charge

Cost of Hospital services (NCT02724410)
Timeframe: Thirty days following appendectomy

InterventionDollars (Mean)
Home Intravenous Ertapenem and PICC47564.3
Home Oral Amoxicillin-clavulanate34227.79

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Number of Participants With Wound Infections

Number of Wound Infections, 30-days postoperative (NCT02724410)
Timeframe: Thirty days following appendectomy

InterventionParticipants (Count of Participants)
Home Intravenous Ertapenem and PICC1
Home Oral Amoxicillin-clavulanate2

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Number of Participants Receiving Non-study Systemic Antibiotics for Persistent or Worsening Pneumonia During Medically Attended Visits

This table provides number and percentage of subjects who received non-study antibiotics for any use from Day 1 to Day 18 (NCT02891915)
Timeframe: Outcome Assessment Visit 2 (Study Day 22 +/- 3 days)

,
InterventionParticipants (Count of Participants)
ED or Clinic VisitReceipt of Non-Study Antibiotic
Short Course42
Standard Course23

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Number of Participants Receiving Non-study Systemic Antibiotics for Persistent or Worsening Pneumonia During Medically Attended Visits

This table provides number and percentage of subjects who received non-study antibiotics for any use from Day 1 to Day 5 (NCT02891915)
Timeframe: Outcome Assessment Visit 1 (Study Day 8 +/- 2 days)

,
InterventionParticipants (Count of Participants)
ED or Clinic VisitReceipt of Non-Study Antibiotic
Short Course22
Standard Course11

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Number of Participants Reporting Solicited Symptoms

This table summarizes the number and percentage of subjects experiencing any solicited events of mild, moderate or severe severity from Day 1 to Day 18 (NCT02891915)
Timeframe: Outcome Assessment Visit 2 (Study Day 22 +/- 3 days)

,
InterventionParticipants (Count of Participants)
Any EventIrritabilityVomitingDiarrheaAllergic ReactionStomatitisCandidiasis
Short Course916719332217
Standard Course896024302167

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Number of Participants Reporting Solicited Symptoms

This table summarizes the number and percentage of subjects experiencing any solicited events of mild, moderate or severe severity from Day 1 to Day 5 (NCT02891915)
Timeframe: Outcome Assessment Visit 1 (Study Day 8 +/- 2 days)

,
InterventionParticipants (Count of Participants)
Any EventIrritabilityVomitingDiarrheaAllergic ReactionStomatitisCandidiasis
Short Course745211231514
Standard Course684311211534

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Number of Participants Receiving Non-study Systemic Antibiotics for All Causes During Medically Attended Visits

This table provides number and percentage of subjects who received non-study antibiotics for any reason from Day 1 to Day 5 (NCT02891915)
Timeframe: Outcome Assessment Visit 1 (Study Day 8 +/- 2 days)

,
InterventionParticipants (Count of Participants)
ED or Clinic VisitReceipt of Non-Study Antibiotic
Short Course87
Standard Course72

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Number of Participants Receiving Non-study Systemic Antibiotics for All Causes During Medically Attended Visits

This table provides number and percentage of subjects who received non-study antibiotics for any reason from Day 1 to Day 18 (NCT02891915)
Timeframe: Outcome Assessment Visit 2 (Study Day 22 +/- 3 days)

,
InterventionParticipants (Count of Participants)
ED or Clinic VisitReceipt of Non-Study Antibiotic
Short Course2918
Standard Course3211

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Adequate Clinical Response Rates (a Component of DOOR)

Lack of adequate clinical response at OAV #2 is defined as the presence of a medically attended visit to an ED or outpatient clinic or hospitalization or receipt of non-study antibiotics or surgical procedures for persistent or worsening pneumonia from Day 1 to Day 18. (NCT02891915)
Timeframe: Outcome Assessment Visit 2 (Study Day 22 +/- 3 days)

,
InterventionParticipants (Count of Participants)
Lack of Adequate Clinical ResponseED or Clinic VisitReceipt of Non-Study AntibioticHospitalizationSurgical Procedure
Short Course24200
Standard Course32300

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Adequate Clinical Response Rates (a Component of DOOR)

Lack of adequate clinical response at OAV #1 is defined as the presence of a medically attended visit to an Emergency Department (ED) or outpatient clinic or hospitalization or receipt of non-study antibiotics or surgical procedures for persistent or worsening pneumonia from Day 1 to Day 5. (NCT02891915)
Timeframe: Outcome Assessment Visit 1 (Study Day 8 +/- 2 days)

,
InterventionParticipants (Count of Participants)
Lack of Adequate Clinical ResponseED or Clinic VisitReceipt of Non-Study AntibioticHospitalizationSurgical Procedure
Short Course22200
Standard Course11100

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Resolution of Symptoms (a Component of DOOR)

This table provides number and percentage of subjects who experienced lack of resolution of symptoms by their OAV #2. (NCT02891915)
Timeframe: Outcome Assessment Visit 2 (Study Day 22 +/- 3 days)

,
InterventionParticipants (Count of Participants)
Lack of Resolution of SymptomsFeverElevated respiratory rateCough
Short Course9026
Standard Course11315

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Resolution of Symptoms (a Component of DOOR)

This table provides number and percentage of subjects who experienced lack of resolution of symptoms by their OAV #1. (NCT02891915)
Timeframe: Outcome Assessment Visit 1 (Study Day 8 +/- 2 days)

,
InterventionParticipants (Count of Participants)
Lack of Resolution of SymptomsFeverElevated respiratory rateCough
Short Course12227
Standard Course13174

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Nasal Endoscopy

Physical exam findings of the nasal cavity. Scored 0-12. Lower score is better (NCT02927834)
Timeframe: 4 weeks post treatment

Interventionscore out of total 12 (Mean)
Antibiotic Only2.55
Augmentin With 6 Day Steroid3.00
Augmentin With 21 Day Steroid2.16

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CT Scan Changes

CT scan of the sinuses, Lund Mackay score to access severity of sinus disease on CT scan. Scored on scale 0-20 with lower score better. (NCT02927834)
Timeframe: 4 week post treatment

Interventionscore out of total 20 (Mean)
Antibiotic Only10.33
Augmentin With 6 Day Steroid11
Augmentin With 21 Day Steroid11.83

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Sinonasal Outcome Test (SNOT 20)

Sinonasal outcome test to access nasal/sinus symptoms. 20 questions, each question scored 0-5. 0 meaning no symptoms, 5 worse. 0- 100 total with lower number meaning better outcome (NCT02927834)
Timeframe: 4 weeks post treatment

InterventionScore out of total 100 (Mean)
Antibiotic Only50.33
Augmentin With 6 Day Steroid53.14
Augmentin With 21 Day Steroid37

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Distribution of Minimum Inhibitory Concentration (MIC) of Rifampin

The distribution of rifampin MIC in the drug-resistant arms (NCT03174184)
Timeframe: 14 days

Interventionmcg/mL (Median)
Rifampin Resistant A1.28
Rifampin Resistant B1.28

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Estimate of the 14-day Early Bactericidal Activity (EBA), Based on Colony Forming Unit Counts, of the Combination of Meropenem and Amoxicillin/Clavulanate, Without Versus With Rifampin

The Early Bactericidal Activity (EBA) over a 14 days period (EBA0-14), as determined by the median rate of change in log10 Colony Forming Units (CFU) per mL sputum. A non-linear mixed effects model of log10 CFU/mL sputum on time was developed using aggregated participant data for each treatment arm. A basic model was developed based on mono- or bi-exponential bacterial killing functions. Afterwards, covariate modelling to identify relationships between demographics, disease severity, secondary pharmacokinetic summary indices (area under the curve from time 0 to last measured concentration (AUC0-last) and maximum observed plasma concentration (Cmax), and model parameters describing log10 CFU/mL sputum over time was performed. Finally, the treatment regimen was tested using different functions supported by the graphical analysis. (NCT03174184)
Timeframe: 14 days

Interventionrate of change in log10 CFU/mL/day (Mean)
Rifampin Resistant A-0.06
Rifampin Resistant B-0.11
Rifampin Susceptible C-0.14
Rifampin Susceptible D-0.12
Rifampin Susceptible E-0.05
Rifampin Susceptible F-0.02

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AUC for Rifampin

Rifampin AUC0-last in Arms A and C (NCT03174184)
Timeframe: 14 days

Interventionh*mg/L (Mean)
Rifampin Resistant A105
Rifampin Susceptible C109

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Estimate the Antimycobacterial Activity Based on Liquid Culture Time-to-positivity

Change in time-to-positivity in Mycobacteria Growth Indicator Tube (MGIT) liquid media over 14 days of treatment (EBA0-14(TTP)) (time to positivity) for the study treatments. The Early Bactericidal Activity (EBA) over a 14 days period (EBA0-14), as determined by the median rate of change in TTP (expressed in log10 hours/day). A non-linear mixed effects model of log10 hours/day on time was developed using aggregated participant data for each treatment arm. A basic model was developed based on mono- or bi-exponential bacterial killing functions. Afterwards, covariate modelling to identify relationships between demographics, disease severity, secondary pharmacokinetic summary indices (area under the curve from time 0 to last measured concentration (AUC0-last) and maximum observed plasma concentration (Cmax), and model parameters describing TTP over time was performed. Finally, the treatment regimen was tested using different functions supported by the graphical analysis. (NCT03174184)
Timeframe: 14 days

Interventionrate of change in log10 hours/day (Mean)
Rifampin Resistant A0.19
Rifampin Resistant B0.31
Rifampin Susceptible C0.53
Rifampin Susceptible D0.20
Rifampin Susceptible E0.09
Rifampin Susceptible F0.09

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Frequency of Grade 2 or Higher Adverse Events

Grade 2 or higher Adverse Events (AE) that constitute any untoward medical occurrence in a study participant and which does not necessarily have a causal relationship with this treatment. An adverse event can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal product, whether or not related to the medicinal product. (NCT03174184)
Timeframe: From the time a study participant receives the first dose of study drug through the final study visit, up to 28 days

InterventionEvents (Number)
Rifampin Resistant A28
Rifampin Resistant B15
Rifampin Susceptible C5
Rifampin Susceptible D8
Rifampin Susceptible E3
Rifampin Susceptible F7

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Percentage of Participants With Overall Success

Clinical success is defined as complete resolution of cUTI symptoms present at study entry and no new cUTI symptoms; microbiologic success is defined as eradication of the bacterial pathogen found at study entry (reduced to <1000 CFU/mL) (NCT03357614)
Timeframe: Day 21 +/- 1 day

InterventionParticipants (Count of Participants)
Sulopenem301
Ertapenem325

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Percentage of Participants With Microbiologic Success

Microbiologic success is defined as demonstrating <1000 CFU/mL of the baseline urpathogen by quantitative urine culture (NCT03357614)
Timeframe: Day 21 +/- 1 day

InterventionParticipants (Count of Participants)
Sulopenem316
Ertapenem343

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Percentage of Participants With Clinical Success

Clinical response is defined as resolution in signs and symptoms of the index infection and no new symptoms, without the need for additional antibiotics or interventions (NCT03358576)
Timeframe: Day 11-14 +/- 1 day

InterventionParticipants (Count of Participants)
Sulopenem208
Ertapenem227

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Percentage of Participants With Clinical Success

Clinical response is defined as resolution in signs and symptoms of the index infection and no new symptoms, without the need for additional antibiotics or interventions (NCT03358576)
Timeframe: Day 28 +/- 1 day

Interventionpercentage of participants (Number)
Sulopenem85.5
Ertapenem90.2

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Level of Fecal SCFA Butyrate

Level of fecal short-chain fatty acid butyrate (μM) after administration of amoxicillin clavulanate (NCT03755765)
Timeframe: day 0 (post run-in), 7, 14, 21, 30

,
InterventionμM (Mean)
Day 0Day 7Day 14Day 21Day 30
BB-1212.78.38.911.99.9
Control12.79.07.411.68.3

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Change in Community Diversity (Shannon Diversity Index) From Pre run-in Baseline

The Shannon diversity metric is a measure of community diversity and takes into account species richness (number of distinct taxa) and the relative abundance of each taxon. The Shannon diversity index was calculated for samples at each time point from subjects receiving control or BB-12 yogurt. The first of two baseline samples was collected from each subject at the time of enrollment (pre run-in) before a 30-day run-in period in which the consumption of dietary probiotics was stopped. A higher index indicates more diversity and a lower index indicates less diversity. (NCT03755765)
Timeframe: day 0 (pre run-in), 7, 14, 21, 30

,
InterventionShannon Diversity Index (Mean)
Day 0 Pre run-inDay 7Day 14Day 21Day 30
BB-123.7743.5673.6323.7083.684
Control3.7113.3803.4193.7093.395

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Level of Fecal Short-chain Fatty Acid (SCFA) Acetate

Level of fecal short-chain fatty acid acetate (SCFA) after administration of amoxicillin clavulanate (NCT03755765)
Timeframe: day 0 (post run-in), 7, 14, 21, 30

,
Interventionmicromolar (μM) (Mean)
Day 0Day 7Day 14Day 21Day 30
BB-1245.238.140.850.544.5
Control53.142.336.843.839.8

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Change in Community Diversity (Shannon Diversity Index) From Post run-in Baseline

The Shannon diversity metric is a measure of community diversity and takes into account species richness (number of distinct taxa) and the relative abundance of each taxon. The Shannon diversity index was calculated for samples at each time point from subjects receiving control or BB-12 yogurt. The second baseline sample was collected from each subject after a 30-day run-in period in which the consumption of dietary probiotics was stopped (post run-in). A higher index indicates more diversity and a lower index indicates less diversity. (NCT03755765)
Timeframe: day 0 (post run-in), 7, 14, 21, 30

,
InterventionShannon Diversity Index (Mean)
Day 0 Post run-inDay 7Day 14Day 21Day 30
BB-123.7183.6063.6663.7273.712
Control3.8453.5283.4963.7853.486

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Level of Fecal SCFA Propionate

Level of fecal short-chain fatty acid propionate after administration of amoxicillin clavulanate (NCT03755765)
Timeframe: day 0 (post run-in), 7, 14, 21, 30

,
InterventionμM (Mean)
Day 0Day 7Day 14Day 21Day 30
BB-1213.012.512.014.811.5
Control14.314.311.811.011.4

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Evaluation of Efficacy (Otoscopy)

Percentage of study participants with no middle ear effusion (NCT03818815)
Timeframe: Day 12

InterventionPercentage of participants (Number)
Drug: OP0201 + Antibiotics55.9
Placebo Comparator: Placebo + Antibiotics37.9

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Number of Participants With Adverse Events

(NCT03818815)
Timeframe: Days 1-28

InterventionParticipants (Count of Participants)
Drug: OP0201 + Antibiotics48
Placebo Comparator: Placebo + Antibiotics36

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Evaluation of Efficacy (Otoscopy)

Percentage of study participants with no bulging tympanic membrane (NCT03818815)
Timeframe: Day 4

InterventionPercentage of participants (Number)
Drug: OP0201 + Antibiotics51
Placebo Comparator: Placebo + Antibiotics47.3

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