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Oral Antibiotic Outpatient Therapy vs. Placebo in the Treatment of Uncomplicated Acute Appendicitis: a Randomized Double-blind Placebo-controlled Noninferiority Trial APPAC IV

Status
Not yet recruiting
Phases
Phase 4
Study type
Interventional
Source
EU CTIS
Registry ID
CTIS2023-506213-21-00
Acronym
APPAC IV
Enrollment
498
Registered
2023-10-23
Start date
Unknown
Completion date
Unknown
Last updated
2023-12-01

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Uncomplicated acute appendicitis

Brief summary

The primary outcome is 30-day treatment success defined as resolution of acute appendicitis resulting in discharge from the hospital without appendectomy during the 30-day follow-up

Detailed description

Secondary endpoints include post-intervention complications (Clavien-Dindo classification), late recurrence of acute appendicitis after the 30-day follow-up, duration of hospital stay in hours, admission to hospital and reason for admission, readmissions to emergency department or hospitalization, VAS pain scores, quality of life (QOL, EQ-5D-5L), sick leave and overall treatment and societal costs

Interventions

DRUGActive investigational medicinal product (imp) contains 400 mg of moxifloxacin (1 x 400 mg tablet). moxifloxacin 400 mg tablets
DRUGwhich are authorized medicinal products
DRUGare sourced from legal supply chain of medicinal products at eu and used for preparation of the active imp. tablets are masked by over encapsulation with hard gelatine capsule
DRUG1 x 400 mg in a capsule to maintain blinding. matching placebo imp capsule are prepared containing microcrystalline cellulose.
DRUGMOXIFLOXACIN

Sponsors

Turku University Hospital
Lead SponsorOTHER

Eligibility

Sex/Gender
All
Age
18 Years to 64 Years

Design outcomes

Primary

MeasureTime frame
The primary outcome is 30-day treatment success defined as resolution of acute appendicitis resulting in discharge from the hospital without appendectomy during the 30-day follow-up

Secondary

MeasureTime frame
Secondary endpoints include post-intervention complications (Clavien-Dindo classification), late recurrence of acute appendicitis after the 30-day follow-up, duration of hospital stay in hours, admission to hospital and reason for admission, readmissions to emergency department or hospitalization, VAS pain scores, quality of life (QOL, EQ-5D-5L), sick leave and overall treatment and societal costs

Countries

Finland

Outcome results

None listed

Source: EU CTIS · Data processed: Feb 5, 2026