Table 3. Safety Outcomes.*.
Outcome | Doxycycline (N = 263) | Azithromycin (N = 261) | Combination Therapy (N =262) | All Patients (N =786) | P Value† | ||
---|---|---|---|---|---|---|---|
Combination Therapy vs. Doxycycline | Combination Therapy vs. Azithromycin | Azithromycin vs. Doxycycline | |||||
number of patients (percent) | |||||||
Grade 3 or higher adverse event | |||||||
Any | 21(8) | 29 (11) | 29 (11) | 79 (10) | 0.24 | 1.00 | 0.24 |
Possibly treatment-related‡ | 0 | 0 | 1 (<1)§ | 1 (<1) | NA | NA | NA |
Serious adverse event | |||||||
Any | 30 (11) | 36 (14) | 31 (12) | 97 (12) | 0.89 | 0.52 | 0.43 |
Death | 27 (10) | 30 (11) | 31 (12) | 88 (11) | 0.58 | 1.00 | 0.68 |
Life-threatening event¶ | 3(1) | 5(2) | 0 | 8(1) | NA | NA | NA |
Prolongation of hospitalization | 0 | 1 (<1) | 0 | 1 (<1) | NA | NA | NA |
Any drug discontinuation | 13(5) | 17(7) | 12 (5) | 42 (5) | 1.00 | 0.35 | 0.46 |
The safety population included all the patients who had received at least one dose of a trial drug. NA denotes not applicable.
P values were calculated with the use of Fisher’s exact test.
The investigators made the determination regarding whether an adverse event was possibly related to a trial drug.
One patient had altered behavior and an episode of self-limiting generalized tonic-clonic seizures, which was considered to be possibly treatment-related. The patient recovered fully and survived.
In the doxycycline group, one patient had a seizure and cardiac arrest, one had pulmonary edema, and one had severe hypotension. In the azithromycin group, three patients had respiratory failure, one patient had a cardiac arrest secondary to hypoxia, and one had hypotension, myocarditis, and acute respiratory distress syndrome.