Evidence map›Paper›PMID 40211176›Full record

Trial reportBMC infectious diseases2025

Clinical utility of oral Nemonoxacin 500 mg once daily for the treatment of acute lower urinary tract infections: a prospective open-label, multicenter study.

Zhen Du, Bo Zheng, Shan Chen, Liang Cui, Huilin Wu, Zhan Gao, Jin Yang, Gang Cui, Jiajing Wang, Tiehuan Shu and 2 more

Abstract readMulticenter StudyClinical Trial
In one paragraph

Trial report in BMC infectious diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Zhen Du *Department of Urology, Beijing Tongren Hospital, Capital Medical University, No 1. Dongjiaominxiang Street, Dongcheng District, Beijing, 100730, China.
Bo Zheng *Institute of Clinical Pharmacology, Peking University First Hospital, Peking University, Beijing, 100034, China.
Shan ChenDepartment of Urology, Beijing Tongren Hospital, Capital Medical University, No 1. Dongjiaominxiang Street, Dongcheng District, Beijing, 100730, China.
Liang CuiDepartment of Urology, Civil Aviation General Hospital, Beijing, 100123, China.
Huilin WuDepartment of Urology, Jinhua People's Hospital, Jinhua, 321099, China.
Zhan GaoDepartment of Urology, Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing, 100091, China.
Jin YangDepartment of Urology, Affiliated Hospital of Chengdu University, Chengdu, 610081, China.
Gang CuiDepartment of Urology, Beijing Daxing District People's Hospital, Capital Medical University, Beijing, 102600, China.
Jiajing WangDepartment of Urology, Beijing Chuiyangliu Hospital, Beijing, 100021, China.
Tiehuan ShuDepartment of Urology, Hunan University of Medicine General Hospital, Huaihua, 418000, China.
Ninghan FengDepartment of Urology, Wuxi Second People's Hospital, Wuxi, 214001, China.
Ludong QiaoDepartment of Urology, Beijing Tongren Hospital, Capital Medical University, No 1. Dongjiaominxiang Street, Dongcheng District, Beijing, 100730, China. qiaoludong@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUrinary tract infection (UTI) is one of the most common infectious diseases requiring convenient and appropriate treatment. Nemonoxacin is active against the common pathogens of UTIs. However, more clinical data are required to further support the utility of 500 mg nemonoxacin once daily in treatment of acute lower UTI.

methodsWe conducted a prospective, single-arm, open-label, multicenter clinical trial in outpatients with acute lower UTI, including uncomplicated UTI (uUTI), recurrent UTI (rUTI), and complicated UTI (cUTI). The patients were prospectively enrolled to take 500 mg nemonoxacin capsules once daily for 3 days (uUTI and rUTI) or 14 days (cUTI). The baseline data, clinical symptoms, laboratory and microbiological tests were analyzed to evaluate the efficacy and safety of nemonoxacin. The clinical and microbiological efficacy were evaluated using the modified intent-to-treat (mITT) set and microbiologically modified intent-to-treat (m-mITT) set, respectively. The comprehensive efficacy and safety were assessed using microbiologically evaluable (ME) set and safety set (SS), respectively.

resultsA total of 404 patients were enrolled. Majority (90.1%) of the patients were females. More than half (66.3%) of the patients were 20 to 40 years of age, and 19.1% were elderly patients (≥ 60 years). Most (83.2%) of the patients reported two or more urinary tract symptoms. The overall clinical efficacy rate of nemonoxacin was 83.9% (292/348) in mITT set, specifically, 83.9% (186/224) in uUTI, 84.4% (81/96) in rUTI and 89.3% (25/28) in cUTI. The overall microbiological efficacy rate was 76.8% (119/155) in m-mITT set. The overall comprehensive efficacy rate was 73.4% (102/139) in ME set. The incidence of clinical adverse reactions was 7.2% (29/404) in the safety set. Most of the adverse events were mild and transient, including pruritus, nausea, dizziness, and headache. No drug-related serious adverse events were observed.

conclusionsNemonoxacin capsules 500 mg once daily is effective, safe, and well-tolerated for treatment of mild-to-moderate acute lower UTIs in adult outpatients.

trial registrationChinese Clinical Trial Registry (ChiCTR2100046585). Registered on May 22, 2021.

Indexed as

Anti-Bacterial AgentsQuinolonesUrinary Tract InfectionsAcute DiseaseAdministration, OralAdolescentAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedProspective StudiesTreatment OutcomeYoung AdultAnti-Bacterial AgentsnemonoxacinQuinolonesAcute lower urinary tract infectionClinical efficacyNemonoxacinOral administrationProspective clinical trial

Identifiers

PMID40211176
PMCPMC11987325

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.