E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
No medical condition specified as the purpose of this study is to describe the pharmacokinetics of moxifloxacin in children for future antibiotic treatment. |
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E.1.1.1 | Medical condition in easily understood language |
No medical condition specified. Purpose of this study is to describe the way the body absorbs, distributes and gets rid of moxifloxacin in children to see what the best dose should be in the future |
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E.1.1.2 | Therapeutic area | Diseases [C] - Bacterial Infections and Mycoses [C01] |
MedDRA Classification |
E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
The primary objective of this study is to describe the pharmacokinetics of moxifloxacin in children of different ages, in order to determine a dose which will provide a similar exposure as seen in adults treated with the approved therapeutic dose of 400 mg |
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E.2.2 | Secondary objectives of the trial |
The secondary objectives of this study are to assess the safety and tolerability of single dose intravenous moxifloxacin in children, particularly with regard to cardiovascular and musculoskeletal safety. |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
• The informed consent must be signed before any study specific tests or procedures are done
• Males or females, ages 3 months through 14 years inclusive
• Receiving antibiotics for suspected or proven infection
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E.4 | Principal exclusion criteria |
• Body weight greater than 45 kg
• Patients taking anti-seizure medications within 30 days of moxifloxacin dosing
• Known or suspected allergy to quinolones
• History of tendon disease/disorder related to quinolone treatment
• Severe, life-threatening disease with a life expectancy of less than 48 hours and/or known rapidly fatal underlying disease (death expected within 2 months)
• Abnormal musculoskeletal evaluation at baseline assessment; or chronic musculoskeletal disease (eg, juvenile rheumatoid arthritis); or chronic illness with high risk for chronic or recurrent arthritis or tendinitis (eg, cystic fibrosis, chronic inflammatory bowel disease)
• Cardiac arrhythmia
• Evidence of renal or hepatic disease, based on laboratory findings (serum creatinine, total bilirubin >1.5 or ALT > 3 times upper limit of normal) and physical exam
• Patients receiving Class IA (e.g., quinidine, procainamide) or Class III (e.g., amiodarone, sotalol) antiarrhythmic agents
• Patients taking any medication known to increase the QT interval, eg, amiodarone, astemizole, bepridil, chloroquine, chlorpromazine, cisapride, disopyuramide, dofetilide, droperidol, halofantrine, haloperidol, ibutilide, levomethadyl, mesoradazine, methadone, pimozide, procainamide, quinidine, sotalol, terfenadine
• Pregnancy
• Clinically relevant findings in the ECG
• Participation in another clinical study during the preceding 30 days(last treatment from previous study to first treatment of new study)
• Criteria which in the opinion of the investigator preclude participation for scientific reasons, for reasons of compliance, or for reasons of the patient’s safety
• Patients taking another fluoroquinolone at the time of planned moxifloxacin dosing |
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E.5 End points |
E.5.1 | Primary end point(s) |
Pharmacokinetics (AUC)
Pharmacokinetics (Cmax)
joint assessments
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
Pharmacokinetics (AUC) - Time Frame: Day 1, 2, 3, 4
Pharmacokinetics (Cmax) - Time Frame: Day 1, 2, 3, 4
Joint Assessments - Time Frame: Screening, Day 2, 30 day follow up, 3 month followu up, 1 year follow up |
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E.5.2 | Secondary end point(s) |
Adverse events collection
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
Adverse events collection - Time Frame: within 10 days. Joint abnormalities followed until resolution, up to 5 years.
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | No |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | No |
E.6.6 | Pharmacokinetic | Yes |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | Yes |
E.6.13.1 | Other scope of the trial description |
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E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | Yes |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | No |
E.8.1.1 | Randomised | No |
E.8.1.2 | Open | No |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | No |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | No |
E.8.3 |
Will this trial be conducted at a single site globally?
| No |
E.8.4 | Will this trial be conducted at multiple sites globally? | Yes |
E.8.6 Trial involving sites outside the EEA |
E.8.6.2 | Trial being conducted completely outside of the EEA | Yes |
E.8.6.3 | Specify the countries outside of the EEA in which trial sites are planned |
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E.8.7 | Trial has a data monitoring committee | No |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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The primary completion date (according to FDA Amendment Act) is defined as the 3 month follow-up visit. The last patient’s last visit is the one year follow-up (or later if required). |
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.2 | In all countries concerned by the trial years | 2 |