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Clinical Trial Details — Status: Completed

Administrative data

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

Study information

Verified date November 1994
Source NIH AIDS Clinical Trials Information Service
Contact n/a
Is FDA regulated No
Health authority United States: Food and Drug Administration
Study type Interventional

Clinical Trial Summary

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.


Description:

Patients are randomized to one of two treatment arms. Group A receives HPMPC by IV infusion weekly for 2 consecutive weeks (induction) and then every other week (maintenance) with oral probenecid and IV hydration. Group B receives no treatment until the time of retinitis progression (deferred treatment), at which time they receive the same regimen as Group A, provided retinitis progression is not immediately sight-threatening.


Recruitment information / eligibility

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.

Study Design

Endpoint Classification: Safety Study, Primary Purpose: Treatment


Related Conditions & MeSH terms


Intervention

Drug:
Cidofovir

Probenecid


Locations

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

Sponsors (1)

Lead Sponsor Collaborator
Gilead Sciences

Countries where clinical trial is conducted

United States,  United Kingdom, 

References & Publications (1)

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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