Double antibiotic attack could beat typhoid resistance

NCT ID NCT04349826

First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time

Summary

This study tested whether a combination of two antibiotics (azithromycin and cefixime) works better than azithromycin alone for treating uncomplicated typhoid fever in South Asia. Over 2,100 patients took part across Bangladesh, India, Nepal, and Pakistan. Researchers measured treatment failure within 28 days, including persistent fever, complications, or positive blood cultures. The goal is to find a more effective treatment that can overcome growing antibiotic resistance.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance

Azithromycin and cefixime combination

What this could lead to

If the combination works better, it could provide a more effective treatment for typhoid fever and help overcome antibiotic resistance in South Asia.

What could go wrong

This is a completed Phase 4 trial, but the combination may not be significantly better than azithromycin alone. Antibiotic resistance patterns vary, so results may not apply everywhere.

Disclaimer Read more

This is a summary of the original study . Summaries may miss details or leave out important information. Before applying or accepting participation, make sure you have read and understood the full study. Curemydisease.com takes no responsibility whatsoever for anything missed, misunderstood, or acted upon as a result of our summary — we know it does not capture everything.

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Conditions

The condition(s) this trial relates to.

typhoid fever

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Locations

  • Patan Hospital

    Lalitpur, Bagmati, Nepal