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NOT YET RECRUITING
NCT06210269
NA

Oral Antibiotic Outpatient Therapy vs. Placebo in the Treatment of Uncomplicated Acute Appendicitis

Sponsor: Turku University Hospital

View on ClinicalTrials.gov

Summary

APPAC IV, a randomized double-blind multicenter clinical trial comparing once daily oral moxifloxacin with placebo in an outpatient setting aims to evaluate whether antibiotics and hospitalization or both can be omitted in the treatment of uncomplicated appendicitis further significantly increasing cost savings and patient satisfaction. This is a direct research continuum to the previous trial triad: APPAC, APPAC II and APPAC III, which have already established that the majority of patients with uncomplicated acute appendicitis can be safely treated without surgery. The APPAC IV trial is based on a novel concept and approach to further optimize the nonoperative treatment of uncomplicated acute appendicitis with a high potential in resulting in major health care cost savings and potentially also in significant reduction of antibiotic use in an extremely common surgical emergency.

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

Key Details

Gender

All

Age Range

18 Years - 60 Years

Study Type

INTERVENTIONAL

Enrollment

498

Start Date

2024-01

Completion Date

2045-12

Last Updated

2024-01-18

Healthy Volunteers

No

Interventions

DRUG

Moxifloxacin 400mg

Oral antibiotic

OTHER

Placebo

Oral placebo

Locations (9)

Jyväskylä Central Hospital

Jyväskylä, Finland

Kuopio University Hospital

Kuopio, Finland

Lahti Central Hospital

Lahti, Finland

Mikkeli Central Hospital

Mikkeli, Finland

Oulu University Hospital

Oulu, Finland

Pori Central Hospital

Pori, Finland

Seinäjoki Central Hospital

Seinäjoki, Finland

Tampere University Hospital

Tampere, Finland

Turku University Hospital

Turku, Finland