PMID- 25244402 OWN - NLM STAT- MEDLINE DCOM- 20150806 LR - 20181202 IS - 1557-7732 (Electronic) IS - 1080-7683 (Linking) VI - 30 IP - 10 DP - 2014 Dec TI - Gatifloxacin 0.5% administered twice daily for the treatment of acute bacterial conjunctivitis in patients one year of age or older. PG - 815-22 LID - 10.1089/jop.2014.0040 [doi] AB - PURPOSE: To evaluate the efficacy and safety of gatifloxacin 0.5% ophthalmic solution administered twice daily for treatment of acute bacterial conjunctivitis. METHODS: Two identically designed, double-masked, multicenter studies in the United States and India enrolled patients 1 year or older with acute bacterial conjunctivitis. Patients were randomized to gatifloxacin 0.5% or vehicle treatment for 5 days. Clinical success in clearing conjunctival hyperemia and discharge at day 6 (primary endpoint) and day 4 and microbiological cure were determined. Isolates from positive conjunctival samples were tested for sensitivity and susceptibility. Safety measures included adverse events (AEs). Data from these 2 studies were pooled for these analyses. RESULTS: Of the 1437 randomized patients, 658 constituted the modified intent-to-treat population. Patient characteristics were similar between the pooled treatment groups. Clinical success occurred for 58.0% of gatifloxacin 0.5%-treated versus 45.5% vehicle-treated patients at day 6 (P=0.001) and for 23.7% versus 15.4% in the respective groups at day 4 (P=0.007). Microbiological cure was higher with gatifloxacin 0.5% than vehicle at days 4 and 6 (P<0.001 for both time points). The combined minimum inhibitory concentration required to inhibit 90% of isolates for gatifloxacin 0.5% was 2.0 mug/mL for gram-positive and gram-negative organisms. AEs were reported by 11.6% and 13.3% of patients in the gatifloxacin 0.5% and vehicle safety populations, respectively. One patient in each treatment group experienced a serious AE; neither was treatment related. CONCLUSIONS: The 0.5% concentration of gatifloxacin ophthalmic solution was safe and effective for treatment of acute bacterial conjunctivitis with twice-daily administration for 5 days. FAU - Heller, Warren AU - Heller W AD - 1 Arizona Center for Clinical Trials , Phoenix, Arizona. FAU - Cruz, Marilou AU - Cruz M FAU - Bhagat, Yasmin Rusi AU - Bhagat YR FAU - De Leon, Jesse M AU - De Leon JM FAU - Felix, Carlos AU - Felix C FAU - Villanueva, Linda AU - Villanueva L FAU - Hollander, David A AU - Hollander DA FAU - Jensen, Harold AU - Jensen H LA - eng SI - ClinicalTrials.gov/NCT00509873 PT - Clinical Trial PT - Clinical Trial, Phase III PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't PL - United States TA - J Ocul Pharmacol Ther JT - Journal of ocular pharmacology and therapeutics : the official journal of the Association for Ocular Pharmacology and Therapeutics JID - 9511091 RN - 0 (Anti-Bacterial Agents) RN - 0 (Fluoroquinolones) RN - L4618BD7KJ (Gatifloxacin) SB - IM MH - Acute Disease MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - Anti-Bacterial Agents/*administration & dosage/adverse effects MH - Child MH - Child, Preschool MH - Conjunctivitis, Bacterial/*drug therapy MH - Double-Blind Method MH - Drug Administration Schedule MH - Female MH - Fluoroquinolones/*administration & dosage/adverse effects MH - Gatifloxacin MH - Humans MH - Infant MH - Male MH - Middle Aged MH - Treatment Outcome MH - Young Adult EDAT- 2014/09/23 06:00 MHDA- 2015/08/08 06:00 CRDT- 2014/09/23 06:00 PHST- 2014/09/23 06:00 [entrez] PHST- 2014/09/23 06:00 [pubmed] PHST- 2015/08/08 06:00 [medline] AID - 10.1089/jop.2014.0040 [doi] PST - ppublish SO - J Ocul Pharmacol Ther. 2014 Dec;30(10):815-22. doi: 10.1089/jop.2014.0040.