DrugEvidence

Drugs / Azithromycin

Azithromycin

Drug

Azithromycin is a macrolide-class antibiotic used to treat bacterial infections, including respiratory, ENT, skin, and sexually transmitted infections. It is available in oral, intravenous, and ophthalmic forms and marketed under brands such as Zithromax. It is a widely prescribed generic medicine.

Trials
524
Recruiting
31
Completed
307
With results
120

Last revised

Pipeline

Phase by status

PhaseRecruitingNot yetActiveCompletedTerminatedWithdrawnSuspendedUnknownTotal
Early Phase 1 3121 7
Phase 1 113624 44
Phase 1/2 11234 11
Phase 2 4114018613 83
Phase 2/3 3105112 22
Phase 3 622771310211 123
Phase 4 1264759916 131
Not applicable 3415261113 81
Unknown 21136 22

Trials started per year

2021
6
2022
15
2023
14
2024
19
2025
13
2026
10
2027
2

Conditions studied, by phase

ConditionEarly Phase 1Phase 1Phase 1/2Phase 2Phase 2/3Phase 3Phase 4Not applicableUnknownTotal
COVID-19 21115523353 58
HIV Infections 333111 21
Pulmonary Disease, Chronic Obstructive 146631 21
Asthma 35102 20
Acquired Immunodeficiency Syndrome 22410 18
Infections 422621 17
Mycobacterium avium-intracellulare Infection 31418 17
Pneumonia 124712 17
Trachoma 13121 17
Malaria 2121541 16

Most active sponsors

#SponsorTrialsPhase 3
1Pfizer4118
2University of California, San Francisco264
3National Institute of Allergy and Infectious Diseases (NIAID)214
4Merck Sharp & Dohme LLC92
5Laboratoires Thea82
6London School of Hygiene and Tropical Medicine86
7Assistance Publique - Hôpitaux de Paris64
8University of Alabama at Birmingham60
9Washington University School of Medicine62
10Assiut University50

Most studied interventions

#InterventionTrials
1Azithromycin524
2Hydroxychloroquine61
3Doxycycline36
4Amoxicillin28
5Ceftriaxone18
6Erythromycin18
7Chloroquine16
8Ethambutol16
9Clarithromycin15
10Levofloxacin15

Evidence

Results reported
39.1%120 of 307 completed
Published
11.7%36 of 307 completed
Primary endpoint met
26%19 of 73 analyses
Median months to report
14

Documents disclosed

Protocol available
76
Statistical analysis plan
76
PubMed citations
138

Trial profile

Median enrollment
112
Median duration
22months
Countries
97
Study sites
2443

Who is enrolled

Adults
438
Children
214
Older adults
338
Healthy volunteers
135

Median enrollment by phase

Early Phase 1
35
Phase 1
40
Phase 1/2
30
Phase 2
63
Phase 2/3
200
Phase 3
264
Phase 4
147
Not applicable
106
Unknown
438

Where trials run

United States
186
United Kingdom
28
France
25
Canada
21
Belgium
18
China
17
Egypt
15
Spain
15
Italy
13
Netherlands
13

Busiest cities

#CityCountryTrials
1BirminghamUnited States29
2San FranciscoUnited States26
3New YorkUnited States23
4BaltimoreUnited States22
5New OrleansUnited States21
6PhiladelphiaUnited States21
7ChicagoUnited States20
8HoustonUnited States19
9St LouisUnited States19
10ClevelandUnited States18

Terminations

Terminated
54
Withdrawn
32
Suspended
6
Stopped for recruitment
3.8%20 of 524 trials

Stated reasons

Other / unclear
49
Recruitment
20
Lack of efficacy
8
Regulatory
7
COVID-19
4
Funding
4

Reasons are grouped from the sponsor's own wording with a rule-based classifier; the original text is shown below.

Recently stopped

TrialStatusStated reasonStopped
NCT06207786 Withdrawn Withdrawn Lack of resources to support the trial 2030-05-31
NCT06289647 Withdrawn Withdrawn Study withdrawn (no participants enrolled) due to resources. 2029-08-31
NCT03523156 Withdrawn Withdrawn The Trachoma Elimination Study by Focused Antibiotic (TESFA): The Impact of an Enhanced Antibiotic Treatment Regimen on Trachoma in Amhara, Ethiopia is withdrawn due to severe delays and continued insecurity in the Amhara region of Ethiopia. 2027-04-30
NCT04669288 Terminated Terminated The AZ-SWED trial was stopped by the National Heart, Lung, and Blood Institute (NHLBI) due to futility 2025-01-08
NCT05345457 Terminated Terminated Low enrollment 2024-02-26
NCT05288023 Terminated Terminated AVENIR I demonstrated efficacy of azithromycin MDA targeted to children 1-59 over 1-11 months in July 2023, thus this trial was stopped before outcomes were collected so Niger could expand the program nationally to include children 1-59 months. 2024-01-15
NCT04186247 Terminated Terminated The DSMB concluded that feasibility endpoints were reached in time for Week 4 but no participants receiving standard of care dietary treatment could be randomized based on the at-risk of the microbiome signature. 2023-12-31
NCT03060473 Terminated Terminated Patient population that meets study criteria is insufficient to continue project in a reasonable amount of time. To continue is futile in resources, staff time, and effort. 2023-12-08
NCT05473234 Terminated Terminated Study was halted due to low follow-up rates and issues with data collection 2023-11-29
NCT04348474 Suspended Suspended Azidus, the CRO hired for this study by Prevent Senior has lost the interest to conduct this study. 2023-07-31

Trial records