Pharyngotonsillitis caused by group A streptococci
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: (1) More than eighteen years old patients at informed consent. (2) Patients detected group A streptococcus antigen by rapid antigen test. (3) Acute pharyngotonsillitis patients regarded mild or moderate severity (Total score >= 2). (4) Patients given written consent to participate in the study.
Exclusion criteria
Exclusion criteria: (1) Patients with a previous history of hypersensitivity or serious adverse reaction to quinolones. (2) Women who are pregnant or possibly pregnant, and breastfeeding women. (3) Patients with respiratory infection caused by pathogens that are unlikely to respond to study drugs (SARS-CoV-2, influenza virus, etc.). (4) Patients receiving systemic administration of other antimicrobial agents within 7 days prior to study drug administration. (5) Patients judged to be preferentially treated with surgical or intravenous antimicrobial agents by the principal or co-investigator. (6) Patients with or suspected habitual or recurrent tonsillitis. (7) Patients with infectious mononucleosis caused by Epstein-Barr virus. (8) Patients with comorbidities or the history of concomitant illness such as sore throat or fever that affect the evaluation of acute pharyngitis/tonsillitis, and patients judged inappropriate for participation of this study by the principal or co-investigator. (9) Patients needed or scheduled to receive concomitant medications that are prohibited during the study period. (10) Patients with severe or progressive comorbidities or receiving immunosuppressive therapy. (11) Patients with active tuberculosis, hepatitis B or C virus infection, or HIV infection. (12) Patients with immunodeficiency diseases. (13) Patients judged inappropriate for participation of this study by the investigator or sub-investigator.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Clinical efficacy rate at the end of treatment (EOT) | — |
Secondary
| Measure | Time frame |
|---|---|
| (1) Microbiological effect to GAS (2) Subjective symptoms and other findings 1)Sub-scores of primary endpoints (clinical efficacy rate at EOT) 2)Clinical evaluation using symptom score and pharyngeal tonsil score 3)Scores of each parameter in the symptom diary (3) Body temperature (4) Frequency of antipyretic analgesic use | — |
Contacts
Wakayama Medical University Hospital