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Table 2 Endpoints, provided with definitions and a time frame

From: Oral fosfomycin versus ciprofloxacin in women with E.coli febrile urinary tract infection, a double-blind placebo-controlled randomized controlled non-inferiority trial (FORECAST)

Endpoint

Definition

Time frame

Clinical cure

Alive with reduction of all initial local and systemic FUTI related symptoms and without additional systemic antibiotic therapy for UTI (except antibiotic prophylaxis)

6–10 days post-end of-treatment (PET) + 30–35 days PET

Microbiological cure

Negative urine culture for E.coli (< 103 CFU/ml), phenotypically identifiable to the initial culture (assessment by microbiologist) a

6–10 days PET

Acquired resistance

Resistance to ciprofloxacin, fosfomycin or new ESBL-producing bacteria in phenotypically identical strain

6–10 days PET

Mortality

-Mortality for any reason

Within 30–35 days PET

-Mortality related to UTI or study medicines

ICU admission

-ICU admission for any reason

Within 30–35 days PET

-ICU admission related to UTI or study medicines

Readmission

-Readmission for any reason

Within 30–35 days PET

-Readmission related to UTI or study medicines

Relapse

Development of new symptoms of UTI after previous clinical and microbiological cure with a phenotypically identical strain as isolated during the initial blood or urine (≥103) cultures.

Within 30–35 days PET

Reinfection

Same definition as relapse, but with phenotypically different strains isolated in cultures (urine, ≥103)

Within 30–35 days PET

Additional antibiotic use

Additional systemic antibiotic therapy for UTI (except antibiotic prophylaxis)

Within 30–35 days PET

Length of hospital stay

-Total days of hospital stay

Within 30–35 days PET

-Total days of ICU stay

Days of absenteeism

Converted to full work days:

Within 30–35 PET

-Paid work

-Voluntary work

Adverse events

Possible or probable related to study protocol

Within 30–35 days PET

Early study medicine discontinuation

Early study medicine discontinuation:

-because of intolerance/adverse events

-because of clinical failure

-because of resolution of symptoms

  1. aOther strains in urine culture will be reported, but do not fall within this definition