HIV Infections Clinical Trial
Official title:
A Phase II/III Study of the Safety and Efficacy of 1-(S)-(3-Hydroxy-2-Phosphonylmethoxypropyl)Cytosine Dihydrate (Cidofovir; HPMPC) for the Treatment of Peripheral Cytomegalovirus Retinitis in Patients With AIDS
NCT number | NCT00002437 |
Other study ID # | 216A |
Secondary ID | GS-93-106 |
Status | Completed |
Phase | Phase 2 |
First received | November 2, 1999 |
Last updated | June 23, 2005 |
To determine whether cidofovir (HPMPC) therapy administered by intravenous infusion can extend the time to progression of peripheral cytomegalovirus (CMV) retinitis in AIDS patients. To evaluate the safety and tolerance of HPMPC therapy when administered by intravenous infusion in AIDS patients with CMV retinitis that is not immediately sight-threatening. To evaluate the virologic effects of intravenous HPMPC therapy on CMV shedding in urine, blood, and/or semen. To evaluate the impact of HPMPC therapy on visual acuity.
Status | Completed |
Enrollment | 48 |
Est. completion date | |
Est. primary completion date | |
Accepts healthy volunteers | No |
Gender | Both |
Age group | 13 Years to 60 Years |
Eligibility |
Inclusion Criteria Concurrent Medication: Allowed: - Antiretroviral agents. - Oral trimethoprim/sulfamethoxazole. - Aerosolized pentamidine. - Dapsone. - Fluconazole. - Rifabutin. - Filgrastim (G-CSF). - p24 vaccine. Patients must have: - Diagnosis of AIDS by CDC criteria. - Diagnosis of peripheral (not immediately sight-threatening) CMV retinitis. - Visual acuity in the affected eye of >= three lines on the ETDRS (Early Treatment Diabetic Retinopathy Study) chart at 1 m distance. - Life expectancy of at least 3 months. - Consent of parent or guardian in patients less than 18 years of age. Prior Medication: Allowed: - Acyclovir. - Prior ganciclovir, foscarnet, or CMV hyperimmune immunoglobulin if given solely as prophylaxis. Exclusion Criteria Co-existing Condition: Patients with the following symptoms or conditions are excluded: - Media opacity that precludes visualization of the fundus of both eyes. - Retinal detachment. - Clinically significant cardiac disease, including symptoms of ischemia, congestive heart failure, or arrhythmia. - Active medical problems considered sufficient to hinder study compliance. - Known clinically significant allergy to probenecid. Concurrent Medication: Excluded: - Acyclovir (may be reinstituted following development of herpetic lesions). - Ganciclovir. - Foscarnet. - Amphotericin B. - Diuretics. - Aminoglycoside antibiotics. - CMV hyperimmune immunoglobulin. - Intravenous pentamidine. - Other nephrotoxic agents. - Other investigational drugs with potential nephrotoxicity. Prior Medication: Excluded: - Prior ganciclovir, foscarnet, or CMV hyperimmune immunoglobulin as therapy for CMV disease (although permitted if previously received solely as prophylaxis). Excluded within 1 week prior to study entry: - Amphotericin B. - Vidarabine. - Other nephrotoxic agents. - Aminoglycoside antibiotics. - Intravenous pentamidine. Drug or alcohol abuse. |
Endpoint Classification: Safety Study, Primary Purpose: Treatment
Country | Name | City | State |
---|---|---|---|
United Kingdom | Charing Cross and Westminster Med School | London SW 10 | |
United States | Beth Israel Hosp | Boston | Massachusetts |
United States | Univ of North Carolina Hosps | Chapel Hill | North Carolina |
United States | Los Angeles County - USC Med Ctr | Los Angeles | California |
United States | UCI Med Ctr | Orange | California |
United States | Besselaar Associates | Princeton | New Jersey |
United States | Univ of Rochester Med Ctr | Rochester | New York |
United States | Audie L Murphy Veterans Administration Hosp | San Antonio | Texas |
United States | Mount Zion Med Ctr | San Francisco | California |
Lead Sponsor | Collaborator |
---|---|
Gilead Sciences |
United States, United Kingdom,
Lalezari J, et al. A phase II/III randomized study of immediate versus deferred intravenous (IV) cidofovir (CDV, HPMPC) for the treatment of peripheral CMV retinitis (CMV-R) in patients with AIDS. Natl Conf Hum Retroviruses Relat Infect (2nd). 1995 Jan 29-Feb 2:170
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