Therapeutic efficacy and tolerability of brodimoprim in comparison with doxycycline in acute sinusitis in adults.
OBJECTIVE
To compare efficacy and tolerability of brodimoprim tablets with doxycycline tablets in adults with acute sinusitis.


METHODS
Open, randomized, controlled phase III study, with parallel groups.


METHODS
Of the 70 enrolled patients, 56 adults of both sexes with a mean age of 33 years were evaluable. STUDY DRUGS: One brodimoprim 200mg tablet or one doxycycline 100mg tablet was administered once daily for 8 to 12 days (on the first treatment day all patients received the loading dose consisting of 2 tablets of the corresponding compound).


RESULTS
In the brodimoprim group 96.4% of the patients were judged cured/improved; in the doxycycline group 96.2%. BACTERIOLOGICAL OUTCOME: Eradication of the causative pathogen/s was achieved in 87.5% of the patients treated with brodimoprim and in 60% of the doxycycline group. SAFETY OUTCOME: Tolerability was judged as very good/good in 89.7% of the patients treated with brodimoprim and in all patients receiving doxycycline. Gastrointestinal skin, CNS and various other reactions were reported by 13 patients; 3 of them had to discontinue treatment. Discontinuation of therapy: 8 more patients withdrew from the study due to inactivity of the compound or reasons unrelated to the drugs.


CONCLUSIONS
Brodimoprim was shown to be effective in the treatment of acute sinusitis in adults, its efficacy being equal to that of doxycycline. The assessments showed a positive clinical response to the medication in 96.4% of the patients treated with brodimoprim and 96.2% of the patients taking doxycycline. Both compounds were well tolerated and all side effects were of mild nature and reversible.
Arndt
J
J
ENT Department, University Hospital, Heidelberg, Germany.
Riebenfeld
D
D
Maier
H
H
Weidauer
H
H
D000208:Acute Disease; D000328:Adult; D001419:Bacteria / Q000302:isolation & purification; D004318:Doxycycline / Q000009:adverse effects / Q000627:therapeutic use*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012852:Sinusitis / Q000188:drug therapy* / Q000382:microbiology; D014295:Trimethoprim / Q000009:adverse effects / Q000031:analogs & derivatives* / Q000627:therapeutic use
D014295:Trimethoprim; D004318:Doxycycline; C037079:brodimoprim