Table of Contents
- Trial overview
- Study design and phase
- Who the trial is for
- What is being measured
- Roxithromycin in the treatment list
- Key patient terms
Trial overview
The main clinical trial listed for Roxithromycin is REMAP-CAP, a randomized, embedded, multifactorial adaptive platform trial for community-acquired pneumonia and other respiratory tract infection care questions.[1]
This study is authorised and is described as an interventional trial, which means researchers assign treatments and then measure patient outcomes.[1]
The condition studied is respiratory tract infection, and the trial focuses on hospitalized patients with acute illness.[1]
Study design and phase
The Roxithromycin trial is in Phase 3, which is a later stage of research that usually looks at how well a treatment works in a larger group of patients.[1]
The study is a platform trial, meaning several treatments are studied in the same research system, and treatment options can be added or compared over time.[1]
The source data list an enrollment of 3471 participants for this trial.[1]
Who the trial is for
The trial is designed for hospitalized patients with acute respiratory tract infection.[1]
The source data do not give a full list of inclusion or exclusion rules, so the exact participation criteria cannot be fully described from the available information.[1]
Because the study looks at different levels of breathing support, it appears to include patients with a range of illness severity, from low-intensity oxygen to advanced support such as invasive ventilation or ECMO.[1]
What is being measured
The main outcome is called Survival and Recovery Trajectory.[1]
This is a composite endpoint, which means it combines more than one result into one main measure.[1]
First, it looks at 90-day all-cause mortality, meaning death from any cause within 90 days after randomization.[1]
Among people who survive to day 90, the study also tracks a daily ordinal scale of illness and recovery up to 28 days.[1]
That scale includes five levels: hospitalized on ECMO or invasive mechanical ventilation, hospitalized on non-invasive ventilation or high-flow oxygen, hospitalized on low-intensity oxygen, hospitalized with no oxygen, and discharged from the index hospitalization.[1]
This means the trial is not only asking whether patients survive, but also how quickly they improve and what level of breathing help they need during recovery.[1]
Roxithromycin in the treatment list
Roxithromycin is listed as one of several study drugs in this platform trial, with an oral dose shown in the source data.[1]
The same trial also includes other treatments such as moxifloxacin, clarithromycin, erythromycin, azithromycin, levofloxacin, ceftriaxone, piperacillin with a beta-lactamase inhibitor, amoxicillin with a beta-lactamase inhibitor, hydrocortisone, dexamethasone, baricitinib, tocilizumab, imatinib, oseltamivir, and baloxavir marboxil.[1]
The source data do not say which patients receive Roxithromycin specifically, only that it is one of the interventions being studied in the platform.[1]
Key patient terms
Randomized means patients are assigned to a treatment by chance, which helps make the comparison fair.[1]
Embedded means the trial is built into routine care settings, so research can happen while patients are being treated in the hospital.[1]
Multifactorial means the study can look at more than one treatment question at the same time.[1]
Adaptive means the trial can change over time based on what the data show, which can help researchers learn more efficiently.[1]
ECMO stands for extracorporeal membrane oxygenation, a machine-based form of advanced breathing and blood support.[1]


