PMID- 29624493 OWN - NLM STAT- MEDLINE DCOM- 20191001 LR - 20191001 IS - 1557-7732 (Electronic) IS - 1080-7683 (Linking) VI - 34 IP - 3 DP - 2018 Apr TI - Efficacy and Safety of 0.6% Pazufloxacin Ophthalmic Solution Versus Moxifloxacin 0.5% and Gatifloxacin 0.5% in Subjects with Bacterial Conjunctivitis: A Randomized Clinical Trial. PG - 250-255 LID - 10.1089/jop.2017.0056 [doi] AB - PURPOSE: The purpose of this study was to evaluate the clinical efficacy and safety of a novel ophthalmic solution of pazufloxacin on the ocular surface of patients with bacterial conjunctivitis after 7 days of intervention. METHODS: This is a phase 2, double-blind, controlled, multicenter, clinical trial of 300 subjects, randomized to either a 3 dosing regimen of pazufloxacin 0.6% ophthalmic solution (twice a day [BID], n = 90; 3 times a day [TID], n = 76; 4 times a day [QID], n = 68), moxifloxacin 0.3% TID (n = 82), or gatifloxacin 0.5% TID (n = 72). Follow-up was set on days 0, 3, and 7. Assessments of ocular signs were performed, both anterior and posterior segments. The primary outcome measures included conjunctival culture and clinical signs. Safety variables included adverse events (AEs), lisamine green, fluorescein ocular surface stains, and clinical signs of tolerability. RESULTS: After intervention, bacterial eradication was reported in all groups: pazufloxacin BID 79%, pazufloxacin TID 84%, pazufloxacin QID 84%, moxifloxacin 80%, and gatifloxacin 82%. There were no significant differences between treatments. Similar results were reported in clinical remission: pazufloxacin BID 89%, pazufloxacin TID 98%, pazufloxacin QID 92%, moxifloxacin 91%, and gatifloxacin 92% (P = 0.03 comparing pazufloxacin BID vs. TID). There were no differences between female and male responses. The AEs were not related to the interventions. CONCLUSIONS: A simplified dosing regimen was selected to follow the development of ophthalmic pazufloxacin based on its efficacy and safety profile. Pazufloxacin, 1 drop 3 times daily, showed similar rates of bacterial eradication and clinical remission compared with other fluoroquinolones. FAU - Baiza-Duran, Leopoldo AU - Baiza-Duran L AD - 1 Clinical Research Department , Laboratorios Sophia, SA de CV, Zapopan, Mexico . FAU - Olvera-Montano, Oscar AU - Olvera-Montano O AD - 1 Clinical Research Department , Laboratorios Sophia, SA de CV, Zapopan, Mexico . FAU - Mercado-Sesma, Arieh R AU - Mercado-Sesma AR AD - 1 Clinical Research Department , Laboratorios Sophia, SA de CV, Zapopan, Mexico . AD - 2 Department of Health-Disease Sciences, University Center of Tonala, University of Guadalajara , Guadalajara, Mexico . FAU - Oregon-Miranda, Aldo A AU - Oregon-Miranda AA AD - 1 Clinical Research Department , Laboratorios Sophia, SA de CV, Zapopan, Mexico . FAU - Lizarraga-Corona, Alfredo AU - Lizarraga-Corona A FAU - Ochoa-Tabares, Juan C AU - Ochoa-Tabares JC FAU - Perez-Balbuena, Ana L AU - Perez-Balbuena AL FAU - Montoya-Sanchez, Irene M AU - Montoya-Sanchez IM FAU - Saucedo-Rodriguez, Laura R AU - Saucedo-Rodriguez LR FAU - Mora-Gonzalez, Alfredo AU - Mora-Gonzalez A FAU - Gomez-Bastar, Pedro A AU - Gomez-Bastar PA FAU - Villanueva-Najera, Miguel A AU - Villanueva-Najera MA FAU - Sandoval-Delgadillo, Laura I AU - Sandoval-Delgadillo LI FAU - Gonzalez-Lomeli, M AU - Gonzalez-Lomeli M FAU - Paez-Garza, Juan H AU - Paez-Garza JH FAU - Orozco-Carroll, Monica AU - Orozco-Carroll M FAU - Casillas-Magallanes, Mauricio AU - Casillas-Magallanes M LA - eng PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20180111 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 - 0 (Ophthalmic Solutions) RN - 0 (Oxazines) RN - 4CZ1R38NDI (pazufloxacin) RN - L4618BD7KJ (Gatifloxacin) RN - U188XYD42P (Moxifloxacin) SB - IM EIN - J Ocul Pharmacol Ther. 2019 Jan/Feb;35(1):76. PMID: 30699060 MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - Anti-Bacterial Agents/administration & dosage/adverse effects/*pharmacology MH - Child MH - Child, Preschool MH - Conjunctivitis, Bacterial/diagnosis/*drug therapy MH - Double-Blind Method MH - Fluoroquinolones/administration & dosage/adverse effects/*pharmacology MH - Gatifloxacin/administration & dosage/adverse effects/*pharmacology MH - Haemophilus influenzae/drug effects MH - Humans MH - Infant MH - Infant, Newborn MH - Microbial Sensitivity Tests MH - Middle Aged MH - Moxifloxacin/administration & dosage/adverse effects/*pharmacology MH - Ophthalmic Solutions/administration & dosage/adverse effects/*pharmacology MH - Oxazines/administration & dosage/adverse effects/*pharmacology MH - Staphylococcus/drug effects MH - Young Adult OTO - NOTNLM OT - conjunctivitis OT - ocular infection OT - ophthalmic antibiotics OT - pazufloxacin EDAT- 2018/04/07 06:00 MHDA- 2019/10/02 06:00 CRDT- 2018/04/07 06:00 PHST- 2018/04/07 06:00 [entrez] PHST- 2018/04/07 06:00 [pubmed] PHST- 2019/10/02 06:00 [medline] AID - 10.1089/jop.2017.0056 [doi] PST - ppublish SO - J Ocul Pharmacol Ther. 2018 Apr;34(3):250-255. doi: 10.1089/jop.2017.0056. Epub 2018 Jan 11.