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Comparative clinical study of cefcapene pivoxil and cefteram pivoxil in chronic respiratory tract infections by a double-blind method.

Abstract
In a double-blind study, the efficacy and safety of the novel cephem antibiotic cefcapene pivoxil (CFPN-PI; 450 mg/day) was compared with cefteram pivoxil (CFTM-PI; 600 mg/day) in 171 patients with chronic respiratory tract infections. There was no significant difference between the clinical efficacy of the two drugs (80.2% for CFPN-PI versus 78.9% for CFTM-PI). There was no significant difference in the rate of elimination of the causative bacteria (60.5% for CFPN-PI versus 65.9% for CFTM-PI). Side-effects were observed in 6.0% of patients treated with CFPN-PI compared with 6.4% of patients treated with CFTM-PI. There were no significant differences in incidence of abnormal laboratory findings following treatment with the two drugs (13.9% for each), and none of the side-effects was severe. We conclude that CFPN-PI (450 mg/day) was as effective and as well tolerated as CFTM-PI (600 mg/day) in the treatment of chronic respiratory tract infections.
AuthorsA Saito, Y Hiraga, A Watanabe, A Saito, K Shimada, H Kobayashi, S Odagiri, F Miki, R Soejima, K Oizumi, K Hara, M Nakashima, Japanese Cefcapene Study Group
JournalThe Journal of international medical research (J Int Med Res) 2004 Nov-Dec Vol. 32 Issue 6 Pg. 590-607 ISSN: 0300-0605 [Print] England
PMID15587753 (Publication Type: Clinical Trial, Comparative Study, Journal Article, Multicenter Study, Randomized Controlled Trial)
Chemical References
  • Anti-Bacterial Agents
  • Cephalosporins
  • Placebos
  • cefteram pivoxil
  • cefcapene pivoxil hydrochloride
  • Cefmenoxime
Topics
  • Adult
  • Aged
  • Aged, 80 and over
  • Anti-Bacterial Agents (therapeutic use)
  • Bacteria (metabolism)
  • Bacterial Infections (drug therapy)
  • Body Temperature
  • Cefmenoxime (analogs & derivatives, therapeutic use)
  • Cephalosporins (therapeutic use)
  • Double-Blind Method
  • Female
  • Humans
  • Male
  • Microbial Sensitivity Tests
  • Middle Aged
  • Models, Chemical
  • Placebos
  • Respiratory Tract Infections (drug therapy)
  • Time Factors

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