Last reviewed · How we verify

NCT03551210

Efficacy and Safety of Nemonoxacin vs Levofloxacin in Adult Patients With Community-Acquired Pneumonia

Completed Phase 3 Results posted Last updated 16 February 2023
What this trial tests

Phase 3 trial testing Nemonoxacin in Pneumonia, Bacterial in 342 participants. Completed in 26 December 2017.

Timeline
4 May 2016
Primary endpoint
13 December 2017
26 December 2017

Quick facts

Lead sponsorR-Pharm
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingdouble
Primary purposetreatment
Enrollment342
Start date4 May 2016
Primary completion13 December 2017
Estimated completion26 December 2017
Sites25 locations across Russia

Drugs / interventions tested

Conditions studied

Sponsor

R-Pharm — full company profile →

Who can join

Adults 18 to 70, any sex, with Pneumonia, Bacterial. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Number of Patients With Clinical Success as Judged by the Investigator Primary · Visit 4 (within 7-9 days after last dose)

Clinical response is evaluated as clinical success if: all signs and symptoms of pneumonia are resolved or improved with no worsening or appearance of new signs and symptoms of pneumonia; there is no requirement for additional antibiotic therapy; chest roentgenograms (CT scans) are cured or improved

GroupValue95% CI
Nemonoxacin158
Tavanic®145
Nemonoxacin6
Tavanic®8
Nemonoxacin5
Tavanic®13
Number of Patients With Clinical Success as Judged by the Investigator Secondary · Visit 2(day 4/8 ot treatment), Visit 3 (within 1-2 days after last dose)

Clinical response is evaluated as clinical success if: all signs and symptoms of pneumonia are resolved or improved with no worsening or appearance of new signs and symptoms of pneumonia; there is no requirement for additional antibiotic therapy

Visit 2
GroupValue95% CI
Nemonoxacin164
Tavanic®154
Nemonoxacin4
Tavanic®5
Nemonoxacin1
Tavanic®7
Visit 3
GroupValue95% CI
Nemonoxacin160
Tavanic®151
Nemonoxacin6
Tavanic®7
Nemonoxacin3
Tavanic®8
Number of Patients With Infection Relapse Secondary · Visit 5 (within 21-23 days after last dose)
GroupValue95% CI
Nemonoxacin0
Tavanic®2
Time to Switch Therapy From Intravenous to Oral Therapy Secondary · Up to Visit 2 (day 4/8 ot treatment)
GroupValue95% CI
Nemonoxacin43 – 5
Tavanic®43 – 5
Number of Patients Required for Other Antibiotic Treatment Secondary · Up to 21-23 days after last dose
GroupValue95% CI
Nemonoxacin2
Tavanic®5
Number of Patients With Microbiological Success Secondary · Visit 2 (day 4/8 ot treatment), 3 (within 1-2 days after last dose), 4 (within 7-9 days after last dose)

Microbiological response is evaluated as microbiological success if culture study demonstrates eradication of pathogen or no material available for culture because of clinical success

Visit 2
GroupValue95% CI
Nemonoxacin17
Tavanic®16
Visit 3
GroupValue95% CI
Nemonoxacin19
Tavanic®16
Visit 4
GroupValue95% CI
Nemonoxacin19
Tavanic®16
Nemnoxacin Concentration Changes Secondary · Day 1 pre-dose and 0, 0.5, 2.5, 4, 6, 12, 16 and 22.5 (= Day 2 pre-dose) hrs after the end of first infusion on Day 1 of treatment

Cmax - The peak Nemonoxacin concentration at Day 1-2 of treatment C-22.5hours - 22.5-h drug concentration of Nemonoxacin

Cmax
GroupValue95% CI
Nemonoxacin8163.84± 2936.57
C-22.5hours
GroupValue95% CI
Nemonoxacin359.63± 255.88
Area Under the Concentration-time Curve (AUC) of Nemonoxacin Secondary · Day 1 pre-dose and 0, 0.5, 2.5, 4, 6, 12, 16 and 22.5 (= Day 2 pre-dose) hrs after the end of first infusion on Day 1 of treatment

AUC (0-22.5) - Area under the concentration-time curve from 0 to 22.5 hours of Nemonoxacin AUC(0-∞) - Areas under the concentration-time curve from 0 h to infinity of Nemonoxacin

AUC (0-22.5)
GroupValue95% CI
Nemonoxacin34372.69± 12881.56
AUC(0-∞)
GroupValue95% CI
Nemonoxacin38560.90± 15872.29
Сlearance (CL) of Nemonoxacin Secondary · Day 1 pre-dose and 0, 0.5, 2.5, 4, 6, 12, 16 and 22.5 (= Day 2 pre-dose) hrs after the end of first infusion on Day 1 of treatment

Total systemic clearance of Nemonoxacin

GroupValue95% CI
Nemonoxacin247.32± 86.92
Volume of Distribution at Steady State (Vss) of Nemonoxacin Secondary · Day 1 pre-dose and 0, 0.5, 2.5, 4, 6, 12, 16 and 22.5 (= Day 2 pre-dose) hrs after the end of first infusion on Day 1 of treatment

Volume of distribution at steady state of Nemonoxacin

GroupValue95% CI
Nemonoxacin123.76± 39.15
Terminal Elimination Half-life (T1/2) of Nemonoxacin Secondary · Day 1 pre-dose and 0, 0.5, 2.5, 4, 6, 12, 16 and 22.5 (= Day 2 pre-dose) hrs after the end of first infusion on Day 1 of treatment

Terminal elimination half-life of Nemonoxacin

GroupValue95% CI
Nemonoxacin7.04± 1.98

Adverse events — posted to ClinicalTrials.gov

Time frame: Up to 23 Days after the last dose of treatment. Reporting threshold: 1%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Nemonoxacin
Serious: 0/171 (0%)
Deaths: 0/171
Tavanic®
Serious: 2/169 (1%)
Deaths: 0/169

Serious adverse events (2 terms)

ReactionSystemNemonoxacinTavanic®
PneumoniaInfections and infestations
Respiratory failureRespiratory, thoracic and mediastinal disorders
Other adverse events (32 terms — click to expand)

ReactionSystemNemonoxacinTavanic®
Alanine aminotransferase increasedInvestigations
Platelet count increasedInvestigations
Gamma-glutamyltransferase increasedInvestigations
DiarrhoeaGastrointestinal disorders
Aspartate aminotransferase increasedInvestigations
EosinophiliaBlood and lymphatic system disorders
Blood creatinine increasedInvestigations
Red blood cell sedimentation rate increasedInvestigations
Injection site painGeneral disorders
Blood glucose increasedInvestigations
Eosinophil count increasedInvestigations
Transaminases increasedInvestigations
Injection site erythemaGeneral disorders
Injection site reactionGeneral disorders
HIV infectionInfections and infestations
HeadacheNervous system disorders
Blood alkaline phosphatase increasedInvestigations
Blood potassium increasedInvestigations
Blood creatine phosphokinase increasedInvestigations
Electrocardiogram QT prolongedInvestigations
Injection site hypoaesthesiaGeneral disorders
Lung infiltrationRespiratory, thoracic and mediastinal disorders
Pleural effusionRespiratory, thoracic and mediastinal disorders
PleurisyRespiratory, thoracic and mediastinal disorders
Throat irritationRespiratory, thoracic and mediastinal disorders
PneumoniaInfections and infestations
Respiratory failureRespiratory, thoracic and mediastinal disorders
HyperhidrosisSkin and subcutaneous tissue disorders
TachycardiaCardiac disorders
Back painMusculoskeletal and connective tissue disorders
LeukocyturiaRenal and urinary disorders
HypertensionVascular disorders

Most-reported serious reactions: Pneumonia, Respiratory failure.

Data from ClinicalTrials.gov NCT03551210 adverse events section.

Sponsor's own description

The primary objective of this study was to evaluate the clinical efficacy of treatment with Nemonoxacin compared with Tavanic® in patients with community-acquired pneumonia (CAP).

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. Pharmacotherapy of Lower Respiratory Tract Infections in Elderly-Focused on Antibiotics.
    Liu Y, Zhang Y, Zhao W, Liu X, et al · · 2019 · cited 12× · PMID 31736751 · DOI 10.3389/fphar.2019.01237

Verify or expand the search:

Other trials of Nemonoxacin

Trials testing the same drug.

Other recruiting trials for Pneumonia, Bacterial

Currently open trials in the same condition.

Other R-Pharm trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT03551210.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing