Table 1.
Study | Study design | N | Macrolide | Age (years) | End-point |
---|---|---|---|---|---|
Koh et al. [23] | Randomized, double-blind, placebo-controlled | 25 | Roxithromycin 4 mg/kg twice daily for 12 weeks | 13.1 ± 2.6 | (i) Reduction of sputum purulence (P < 0.005) (ii) Reduction in airway responsiveness after methacholine challenge (P < 0.01) |
| |||||
Tsang et al. [24] | Randomized, double-blind, placebo-controlled | 21 | Erythromycin 500 mg twice daily for 8 weeks | 50 ± 15 | (i) FEV1 and FVC improvement (P < 0.05) (ii) Reduction of 24-h sputum volume (P < 0.05) (iii) Reduction of the number of exacerbations |
| |||||
Davies and Wilson [25] | Prospective open-label | 39 | Azithromycin 250 mg, thrice weekly for 4 months | 51.9 ± 16.1 | (i) Reduction of clinical exacerbations with the use of oral and intravenous antibiotics (P < 0.001) (ii) Pulmonary function improvement (P < 0.01) |
| |||||
Cymbala et al. [26] | Randomized, open-label, crossover | 11 | Azithromycin 500 mg twice weekly for 6 months | — | (i) Reduction in pulmonary exacerbations (ii) Reduction of sputum volume |
| |||||
Yalcin et al. [27] | Randomized, controlled | 34 | Clarithromycin 15 mg/kg/day for 3 months | 13.1 ± 2.7 | (i) Reduction in bronchial inflammation (P < 0.02) (ii) Pulmonary function improvement (FEF25–75%) P < 0.015 (iii) Reduction of sputum volume (P < 0.0001) |
| |||||
Anwar et al. [28] | Prospective open-label | 56 | Azithromycin 250 mg, thrice weekly for at least 3 months | 63 (±12.9) | (i) Reduction in pulmonary exacerbations (P < 0.001) (ii) Reduction of microorganisms rates in the sputum (P < 0.005) (iii) Reduction in the self-reported sputum volume (iv) FEV1 improvement (P < 0.002) |
| |||||
Serisier et al. [29] | Prospective open-label | 21 | Erythromycin 250 mg/day for 12 months | 62.5 (±11) | (i) Reduction in pulmonary exacerbations (P < 0.0001) (ii) Reduction of antibiotics use (P < 0.0001) |
FEV1: forced expiratory volume in one second; FEF25–75%: maximal midexpiratory flow; FVC: forced vital capacity.