Selection of Antibiotic Resistance by Azithromycin and Clarithromycin in the Oral Flora
Impact of Azithromycin and Clarithromycin Therapy on Pharyngeal Carriage of Macrolide-Resistant Streptococci Among Healthy Volunteers: A Randomised, Double-Blind, Placebo-Controlled Trial
1 other identifier
interventional
203
1 country
1
Brief Summary
Resistance to antibiotics is a major public-health problem and studies linking antibiotic use and resistance have shown an association not a causal effect. Utilizing the newer macrolides, azithromycin and clarithromycin that are commonly prescribed for respiratory infections, we investigated the direct impact of antibiotic exposure on resistance at the individual level.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable healthy-volunteers
Started Jul 2002
Typical duration for not_applicable healthy-volunteers
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
July 1, 2002
CompletedStudy Completion
Last participant's last visit for all outcomes
October 1, 2003
CompletedFirst Submitted
Initial submission to the registry
July 19, 2006
CompletedFirst Posted
Study publicly available on registry
July 20, 2006
CompletedJuly 20, 2006
November 1, 2003
July 19, 2006
July 19, 2006
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Changes in proportions of macrolide-resistant streptococcal (MRS) carriage in the oropharynx
Secondary Outcomes (1)
Variations in the carriage of macrolide-resistance genes due to macrolide exposure.
Interventions
Eligibility Criteria
You may qualify if:
- healthy adults (≥ 18 years of age)
- non-pregnant
- free of any respiratory tract infection
- not having been administered any antibiotic at least in the past three months
You may not qualify if:
- \<18 years of age
- pregnant
- having a respiratory tract infection
- having been administered any antibiotic at least in the past three months
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Universiteit Antwerpenlead
- Abbottcollaborator
Study Sites (1)
Depatment of Medical Microbiology, Universiteit Antwerpen
Antwerp, Antwerp, B-2610, Belgium
Related Publications (1)
Malhotra-Kumar S, Lammens C, Coenen S, Van Herck K, Goossens H. Effect of azithromycin and clarithromycin therapy on pharyngeal carriage of macrolide-resistant streptococci in healthy volunteers: a randomised, double-blind, placebo-controlled study. Lancet. 2007 Feb 10;369(9560):482-90. doi: 10.1016/S0140-6736(07)60235-9.
PMID: 17292768DERIVED
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Herman Goossens, MD, PhD
Universiteit Antwerpen
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Purpose
- DIAGNOSTIC
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
July 19, 2006
First Posted
July 20, 2006
Study Start
July 1, 2002
Study Completion
October 1, 2003
Last Updated
July 20, 2006
Record last verified: 2003-11