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Moxifloxacin

Phase 3

Abscess | Small molecule | Infectious Disease |Bayer AG|Last Updated: May 9, 2023

Target and mechanism

ModalitySmall molecule

Also known as Moxifloxacin (BAY12-8039), Moxifloxacin (Avelox, BAY12-8039)

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindACTIVE_CONTROLLED
Total Trials1
Total Enrollment813

FDA Designations

No designations recorded

Clinical trial landscape

Moxifloxacin · 8 trials · 13 indications

Phase 3 5Phase 1 3
NCT01069900Moxifloxacin in Pediatric Subjects With Complicated Intra-abdominal InfectionIntraabdominal Infections
COMPLETED458 Analytics
NCT00453349A Trial Comparing Moxifloxacin Versus Levofloxacin Plus Metronidazole In Uncomplicated Pelvic Inflammatory DiseasePelvic Inflammatory Disease
COMPLETED460 Analytics
NCT00402727Comparison of Sequential IV/PO Moxifloxacin With IV Piperacillin/Tazobactam Followed by PO Amoxicillin/Clavulanic Acid in Patients With a Complicated Skin and Skin Structure InfectionAbscess
COMPLETED813 Analytics
NCT00492726Therapy of Complicated Intra-Abdominal Infections With Moxifloxacin or ErtapenemInfection
COMPLETED804 Analytics
NCT00492024BAY12-8039: 5 Days for Sinusitis vs PlaceboSinusitis
COMPLETED374 Analytics
PHASE3COMPLETED
Moxifloxacin in Pediatric Subjects With Complicated Intra-abdominal Infection
Intraabdominal InfectionsUnlock trial analytics
PHASE3COMPLETED
A Trial Comparing Moxifloxacin Versus Levofloxacin Plus Metronidazole In Uncomplicated Pelvic Inflammatory Disease
Pelvic Inflammatory DiseaseUnlock trial analytics
PHASE3COMPLETED
Comparison of Sequential IV/PO Moxifloxacin With IV Piperacillin/Tazobactam Followed by PO Amoxicillin/Clavulanic Acid in Patients With a Complicated Skin and Skin Structure Infection
AbscessUnlock trial analytics
PHASE3COMPLETED
Therapy of Complicated Intra-Abdominal Infections With Moxifloxacin or Ertapenem
InfectionUnlock trial analytics
PHASE3COMPLETED
BAY12-8039: 5 Days for Sinusitis vs Placebo
SinusitisUnlock trial analytics

Study Endpoints

Primary Endpoints

Number of Subjects With Adverse Events
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.

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.

Number of Subjects With Clinical Cardiac Adverse Events
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.
Number of Subjects With Musculoskeletal Adverse Events
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.
Clinical Response 7 to 14 Days After Completion of Study Drug Therapy in Per Protocol (PP) Population
7 - 14 days after completion of study drug therapy

Clinical cure was defined as: Reduction of the tenderness score (modified McCormack) by \> 70% and apyrexia (rectal/tympanic/oral temperature value \< 38.0°C or axillary temperature value \< 37.5°C) and white blood cell count \< 10,500/mm\^3.

Percentage of Cured Participants as Determined by the Data Review Committee (DRC) at Test of Cure Visit in the Per Protocol (PP) Population
14 - 28 days after last dose of study medication

Clinical response was evaluated by the DRC and graded as "cure", "failure" or "indeterminate" at the TOC visit. Members of the DRC were provided with subject data from the study database that included clinical signs and symptoms at each visit, concomitant medication, microbiology results, laboratory tests and interpretation of photographs.

Number of Subjects Achieving Clinical Cure at Test of Cure (TOC) Visit in the Per Protocol Population
21 to 28 days after completion of study drug therapy

Clinical cure at TOC = resolution or improvement of clinical signs and symptoms related to the infection without the occurrence of a wound infection requiring a systemic antibiotic treatment. Clinical failure at TOC = either failure to respond or insufficient lessening of the signs and symptoms of infection at end of treatment (EOT) or reappearance of the signs and symptoms of the original infection from EOT up to TOC or wound infection requiring additional systemic antimicrobial therapy at any time up to TOC.

Percentage of Subjects With Clinical Cure (Modified Intent-to-Treat (MITT))
At 'Test-of-Cure' (TOC), Day 1-5 after end of treatment

The primary efficacy variable was clinical response (CR) at the TOC visit, and was rated as improvement, complete resolution, failure, or indeterminate. Clinical cure, ie, success, was defined as complete resolution or improvement in the signs and symptoms such that no further therapy (antimicrobial, steroid, or irrigation) was required.

Number of participants with treatment-emergent adverse events (TEAEs) and severity of TEAEs related to elinzanetant
After first application of study intervention until 20 days after last application of study intervention
Area under the Concentration-Time Curve (AUC) of Moxifloxacin and its Metabolites
Pre-dose, 1 hour (end of infusion), 1.5, 4, 8, 12 and 24 hours (Day 2) after start of infusion (samples at 36 h and 48 h were optional)

The AUC is a measure of systemic drug exposure, which is obtained by collecting a series of blood samples and measuring the concentrations of drug in each sample.

Maximum Observed Drug Concentration in Plasma (Cmax) of Moxifloxacin and its Metabolites
Pre-dose, 1 hour (end of infusion), 1.5, 4, 8, 12 and 24 hours (Day 2) after start of infusion (samples at 36 h and 48 h were optional)

Cmax refers to the highest measured drug concentration which is obtained by collecting a series of blood samples and measuring the concentrations of drug in each sample.

Number of Subjects With Treatment Emergent Findings on Joint Assessment: Baseline
Baseline

Joint assessment included formal physical examination of all joints with special care and attention to the weight-bearing joints (such as, knees, hips, and ankles) and to the shoulder girdle. All joints were examined for pain/tenderness, evidence of inflammation (i.e., redness, warmth, deformity, swelling or ballotable fluid), loss of function (to the extent this could be assessed in younger children and infants), and any restrictions to expected active/passive range of motion. An incidence count was reported as the number of subjects with at least one finding at baseline, regardless of side.

Number of Subjects With Treatment Emergent Findings on Joint Assessment : At any Time During Treatment
Day 1 up to Year 5 (follow-up)

Joint assessment included formal physical examination of all joints with special care and attention to the weight-bearing joints (such as, knees, hips, and ankles) and to the shoulder girdle. An incidence count was reported as the number of subjects with at least one finding at any time during treatment, regardless of side.

Area Under the Concentration Versus Time Curve From Zero to Infinity (AUC) of Moxifloxacin after a Single Dose
0 hour (pre-dose), 15, 30, 45 minutes; 1, 1.5, 2, 2.5, 3, 4, 6, 8, 10, 12, 24, 48 and 72 hours postdose

AUC is a measure of systemic drug exposure, which is obtained by collecting a series of blood samples and measuring the concentrations of drug in each sample. AUC is defined as area under concentration versus time curve from time 0 (pre-dose) to extrapolated infinite time. Geometric mean and percentage geometric coefficient of variation (%CV) were reported.

Maximum Observed Drug Concentration (Cmax) of Moxifloxacin after a Single Dose
0 hour (pre-dose), 15, 30, 45 minutes; 1, 1.5, 2, 2.5, 3, 4, 6, 8, 10, 12, 24, 48 and 72 hours postdose

Cmax refers to the highest measured drug concentration which is obtained by collecting a series of blood samples and measuring the concentrations of drug in each sample. Geometric mean and percentage geometric coefficient of variation (%CV) were reported.

Area Under the Concentration Versus Time Curve From Zero to Infinity Divided by Dose(AUC/D) of Moxifloxacin after a Single Dose
0 hour (pre-dose), 15, 30, 45 minutes; 1, 1.5, 2, 2.5, 3, 4, 6, 8, 10, 12, 24, 48 and 72 hours postdose

Geometric mean and percentage geometric coefficient of variation (%CV) were reported.

Maximum Observed Drug Concentration Adjusted by Dose (Cmax/D) of Moxifloxacin after a Single Dose
0 hour (pre-dose), 15, 30, 45 minutes; 1, 1.5, 2, 2.5, 3, 4, 6, 8, 10, 12, 24, 48 and 72 hours postdose

Geometric mean and percentage geometric coefficient of variation (%CV) were reported.

Secondary Endpoints

Incidence Rates of Musculoskeletal Adverse Events by Primary System Organ Class (SOC) and Preferred Term
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.
Heart Rate Changes in Electrocardiogram (ECG) Profiles From Pre-dose to Post-dose on Treatment Day 1 and Treatment Day 3
Baseline (Pre-dose), Day 1, Day 3
PR Interval Changes in Electrocardiogram (ECG) Profiles From Pre-dose to Post-dose on Treatment Day 1 and Treatment Day 3
Baseline (Pre-dose), Day 1, Day 3
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Moxifloxacin (Avelox, BAY12-8039)EXPERIMENTALSubjects randomized to the moxifloxacin arm of this study received intravenous moxifloxacin plus ertapenem placebo (0.9 % sodium chloride \[NaCl solution\]) for a minimum of 3 days and, if switched to oral treatment, PO moxifloxacin plus PO amoxicillin/clavulanate placebo. Total treatment duration is 5-14 days.
Comparator ErtapenemACTIVE_COMPARATORSubjects randomized to the comparator arm of this study received intravenous ertapenem plus moxifloxacin placebo (0.9 % NaCl solution) for a minimum of 3 days and, if switched to oral treatment, amoxicillin/clavulanate as an oral suspension plus PO moxifloxacin placebo. Total treatment duration is 5-14 days.
MoxifloxacinEXPERIMENTALMoxifloxacin (Avelox, BAY12-8039) 400 mg by mouth (PO) once daily for 14 days
Levofloxacin plus MetronidazoleACTIVE_COMPARATORLevofloxacin 500 mg by mouth (PO) once daily for 14 days plus Metronidazole 500 mg (PO) twice daily for 14 days
PIP/TAZ-AMCACTIVE_COMPARATORPiperacillin/Tacobactam 4.0/0.5 g (PIP/TAZ) administered intravenous three times daily followed by Amoxicillin/Clavulanic acid (AMC) oral tablets 875/125 mg twice daily for a minimum of 7 days and a maximum of 21 days. Oral phase not always mandatory.
ErtapenemACTIVE_COMPARATORSubject received Ertapenem 1.0 g in 50 mL for intravenous infusion and placebo matching Moxifloxacin (Moxifloxacin dummy) every 24 hours.
Moxifloxacin 400 mgEXPERIMENTALMoxifloxacin 400mg once daily for 5 days
PlaceboPLACEBO_COMPARATORMatching placebo for 5 days
Part 1 - Dose group 1EXPERIMENTALSingle oral dose of elinzanetant or placebo.
Part 1 - Dose group 2EXPERIMENTALSingle oral dose of elinzanetant or placebo
Part 1 - Dose group 3EXPERIMENTALSingle oral dose of elinzanetant or placebo
Part 1 - Dose group 4EXPERIMENTALSingle oral dose of elinzanetant or placebo
Part 2: Moxifloxacin - PlaceboEXPERIMENTALParticipants of Dose Groups 1 and 4 will receive a single dose of moxifloxacin in Period 1 and a single dose of placebo in Period 2.
Part 2: Placebo - MoxifloxacinEXPERIMENTALParticipants of Dose Groups 1 and 4 will receive a single dose of placebo in Period 1 and a single dose of moxifloxacin in Period 2.
Moxifloxacin (Avelox, BAY12-8039), Cohort 1EXPERIMENTAL -
Moxifloxacin (Avelox, BAY12-8039), Cohort 2EXPERIMENTAL -
Moxifloxacin (Avelox, BAY12-8039), Cohort 3EXPERIMENTAL -
Arm 1ACTIVE_COMPARATOR -
Arm 2EXPERIMENTAL -
Arm 3EXPERIMENTAL -

Interventions

NameTypeDescription
Moxifloxacin (Avelox, BAY12-8039)DRUGFor subjects 12 to less than (\<) 18 years of age and weighing at least 45 kilograms (kg), the dose of moxifloxacin will be 400 milligrams (mg), once daily (OD). Subjects 12 to \< 18 years of age and weighing less than 45 kg, the dose of moxifloxacin will be 4 mg/kg twice daily (BID), every 12 hours (q12h), not exceeding 400 mg/day. Subjects 6 to \< 12 years of age the dose of moxifloxacin will be 4mg/kg, q12h, not exceeding 400 mg/day. Subjects 2 to less than 6 years of age the dose of moxifloxacin will be 5mg/kg, q12h, not exceeding 400 mg/day. Subjects 3 months to less than 2 years of age the dose of moxifloxacin will be 6mg/kg q12h IV, not exceeding 400 mg/day. Subjects who were switched from IV to PO therapy, 400 mg or 50 mg moxifloxacin tablets were provided.
ErtapenemDRUGFor subjects 13 to \<18 years of age, the dosage of ertapenem was 1 gram (g) OD. For subjects 3 months to \< 13 years of age, the dosage was 15 mg/kg q12h not to exceed 1 g/day.
Amoxicillin/ClavulanateDRUGSubjects 2 years to \< 18 years of age who were switched from IV to PO therapy receive amoxicillin/clavulanate suspension. The dosage of clavulanate was 3.2 mg/kg q12h. (maximum dose of clavulanate was 125 mg q12h). The dosage of amoxicillin was 22.5 mg q12h (a maximum dose of 875 mg amoxicillin q12h must not be exceeded).
Moxifloxacin placeboDRUGSterile 0.9% sodium chloride solution intended for IV use was used as the placebo for IV moxifloxacin. Tablets containing inactive ingredients were used as the placebo for PO moxifloxacin 400 mg and 50 mg tablets.
Ertapenem placeboDRUGSterile 0.9% sodium chloride solution intended for IV use was used as the placebo for IV ertapenem.
Amoxicillin/Clavulanate placeboDRUGSuspension containing inactive ingredients was used as the placebo for PO amoxicillin/clavulanate suspension.
Levofloxacin & MetronidazoleDRUGLevofloxacin 500 mg by mouth (PO) once daily for 14 days plus Metronidazole 500 mg (PO) twice daily for 14 days
Piperacillin/Tazobactam & Amoxicillin/Clavulanic acidDRUGPiperacillin/Tacobactam 4.0/0.5 g (PIP/TAZ) administered intravenous three times daily followed by Amoxicillin/Clavulanic acid (AMC) oral tablets 875/125 mg twice daily for a minimum of 7 days and a maximum of 21 days. Oral phase not always mandatory.
Ertapenem intravenousDRUGActive treatment: Ertapenem 1.0g, administered intravenously once daily
PlaceboDRUGPlacebo - 380 mg Microcrystalline Cellulose
MoxifloxacinDRUGSingle oral dose of 400 mg moxifloxacin
Elinzanetant (BAY3427080)DRUGSingle oral dose of elinzanetant
Moxifloxacin (BAY12-8039)DRUGSingle oral dose of moxifloxacin (BAY12-8039) oral suspension 400 mg under fasting conditions
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Eligibility Criteria

Age Range3 Months to 17 Years
SexALL
Healthy VolunteersNo
Study Sites39

Inclusion Criteria: * Hospitalized males or females 3 months to 17 years of age * Able to obtain parental or legal guardian written informed consent and assent from subjects as applicable by local laws and regulations * Expected duration of treatment with antibiotics is a minimum of 3 days administ...

Countries:United StatesArgentinaBulgariaCanadaChileCzechiaGermanyGreeceHungaryLatviaLithuaniaMexicoPeruRomaniaRussiaUkraineChinaIndonesiaPakistanPhilippinesSouth KoreaTaiwanThailandAustriaBelgiumFranceIrelandIsraelItalyNetherlandsPolandSouth AfricaSpainUnited KingdomEstonia
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