Comparison of the adverse event profiles of levofloxacin 500 mg and 750 mg in clinical trials for the treatment of respiratory infections.

Abstract

OBJECTIVE:

To compare safety data with levofloxacin 500 mg and 750 mg from clinical trials for the treatment of respiratory infections.

METHODS:

We compared adverse event data for levofloxacin 500 mg and 750 mg from clinical trials in acute bacterial sinusitis, acute bacterial exacerbation of chronic bronchitis, and community-acquired pneumonia. Adverse events occurring after the initiation of therapy were classified as treatment-emergent adverse events (TEAE); drug-related adverse events (DRAE) were TEAE assessed by the clinical investigator as definitely/very likely or probably related to levofloxacin therapy.

RESULTS:

Overall, the safety profile of the two doses was similar but not identical. TEAE occurred in 49.0% (1601/3268) of those treated with 500 mg and in 45.5% (519/1141) of those treated with 750 mg (p = 0.042); the corresponding rates of DRAE were 7.6% (248/3268) and 8.0% (91/1141) (p = 0.699). There was no statistically significant difference in terms of overall TEAE and DRAE rates within each of the three infectious conditions, but there were in specific events, all of which are expected with levofloxacin therapy. The limitations of this analysis include that it utilized a subset of available safety data, that it includes data only from clinical trials, and that we report primarily on events occurring in > or = 2% of patients.

CONCLUSIONS:

Given similar adverse event profiles and the advantages of higher dose therapy, including shorter courses of therapy and potential impact on preventing resistance, clinicians should consider utilizing the 750 mg dose of levofloxacin when choosing between dosage strengths for treatment of indicated infections.

• Authors: Mohammed M Khashab, Jim Xiang, James B Kahn
• Journal: Current medical research and opinion (Curr Med Res Opin) Vol. 22 Issue 10 Pg. 1997-2006 (Oct 2006) ISSN: 1473-4877 [Electronic] England
• PMID: 17022859 (Publication Type: Comparative Study, Journal Article, Meta-Analysis, Research Support, Non-U.S. Gov't)

Chemical References

• Anti-Bacterial Agents
• Levofloxacin
• Ofloxacin

Topics

• Anti-Bacterial Agents (administration & dosage, adverse effects)
• Clinical Trials as Topic
• Humans
• Levofloxacin
• Ofloxacin (administration & dosage, adverse effects)
• Respiratory Tract Infections (drug therapy)