- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT00000625
Et randomiseret, dobbeltblindt fase II/III-forsøg med monoterapi vs. kombinationsterapi med nukleosidanaloger hos HIV-inficerede personer med CD4-celler på 200-500/mm3
Studieoversigt
Status
Betingelser
Intervention / Behandling
Detaljeret beskrivelse
Patienter randomiseres til at modtage AZT alene, AZT og ddI, AZT og ddC eller ddI alene i mindst 2 år. Patienter, der udvikler AIDS, eller hvis CD4-tal falder til 50 procent eller mindre af baseline, krydses over til en anden behandlingsarm.
PER ÆNDRING 4/5/95: Studiebehandling vil være tilgængelig senest den 31/10/95 for patienter, der stadig tager undersøgelsesmedicin den 30/4/95, således at opfølgende forsøg kan afsluttes og godkendes.
Undersøgelsestype
Tilmelding
Fase
- Fase 2
Kontakter og lokationer
Studiesteder
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Alabama
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Birmingham, Alabama, Forenede Stater, 35294
- Alabama Therapeutics CRS
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California
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Los Angeles, California, Forenede Stater, 90095
- UCLA CARE Center CRS
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Los Angeles, California, Forenede Stater, 90033
- USC CRS
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Oakland, California, Forenede Stater, 94609
- Children's Hosp. & Research Ctr. Oakland, Ped. Clinical Research Ctr. & Research Lab.
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Palo Alto, California, Forenede Stater, 94305
- Stanford CRS
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San Diego, California, Forenede Stater, 92093
- UCSD Maternal, Child, and Adolescent HIV CRS
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San Diego, California, Forenede Stater
- Ucsd, Avrc Crs
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San Francisco, California, Forenede Stater
- Ucsf Aids Crs
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San Jose, California, Forenede Stater, 95128
- Santa Clara Valley Med. Ctr.
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San Mateo, California, Forenede Stater, 94305
- San Mateo County AIDS Program
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Torrance, California, Forenede Stater, 90502
- Harbor-UCLA Med. Ctr. CRS
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Colorado
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Aurora, Colorado, Forenede Stater, 80262
- University of Colorado Hospital CRS
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District of Columbia
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Washington, District of Columbia, Forenede Stater, 20059
- Howard University Hosp., Div. of Infectious Diseases, ACTU
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Florida
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Miami, Florida, Forenede Stater, 33136
- Univ. of Miami AIDS CRS
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Georgia
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Atlanta, Georgia, Forenede Stater, 30365
- Emory Univ. Hemophilia Program Office
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Hawaii
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Honolulu, Hawaii, Forenede Stater, 96816
- Univ. of Hawaii at Manoa, Leahi Hosp.
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Illinois
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Chicago, Illinois, Forenede Stater, 60612
- Cook County Hosp. CORE Ctr.
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Chicago, Illinois, Forenede Stater, 60611
- Northwestern University CRS
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Chicago, Illinois, Forenede Stater, 60612
- Rush Univ. Med. Ctr. ACTG CRS
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Indiana
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Indianapolis, Indiana, Forenede Stater, 46202
- Indiana Univ. School of Medicine, Infectious Disease Research Clinic
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Indianapolis, Indiana, Forenede Stater, 46202
- Methodist Hosp. of Indiana
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Iowa
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Iowa City, Iowa, Forenede Stater, 52242
- Univ. of Iowa Healthcare, Div. of Infectious Diseases
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Louisiana
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New Orleans, Louisiana, Forenede Stater, 70112
- Tulane/LSU Maternal/Child CRS
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New Orleans, Louisiana, Forenede Stater, 70112
- Tulane Med. Ctr. - Charity Hosp. of New Orleans, ACTU
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New Orleans, Louisiana, Forenede Stater, 70112
- Tulane Hemophilia Treatment Ctr.
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Maryland
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Baltimore, Maryland, Forenede Stater, 21287
- Johns Hopkins Adult AIDS CRS
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Massachusetts
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Boston, Massachusetts, Forenede Stater, 02115
- HMS - Children's Hosp. Boston, Div. of Infectious Diseases
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Boston, Massachusetts, Forenede Stater, 02114
- Massachusetts General Hospital ACTG CRS
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Boston, Massachusetts, Forenede Stater, 02118
- Bmc Actg Crs
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Boston, Massachusetts, Forenede Stater, 02215
- Beth Israel Deaconess Med. Ctr., ACTG CRS
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Boston, Massachusetts, Forenede Stater, 02215
- Beth Israel Deaconess - East Campus A0102 CRS
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Boston, Massachusetts, Forenede Stater, 02115
- Brigham and Women's Hosp., Div. of Infectious Disease
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Minnesota
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Minneapolis, Minnesota, Forenede Stater
- University of Minnesota, ACTU
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Minneapolis, Minnesota, Forenede Stater, 55455
- Hennepin County Med. Ctr., Div. of Infectious Diseases
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Missouri
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Saint Louis, Missouri, Forenede Stater
- Washington U CRS
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Saint Louis, Missouri, Forenede Stater, 63112
- St. Louis ConnectCare, Infectious Diseases Clinic
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Nebraska
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Omaha, Nebraska, Forenede Stater
- Univ. of Nebraska Med. Ctr., Durham Outpatient Ctr.
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New Jersey
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Newark, New Jersey, Forenede Stater
- NJ Med. School CRS
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New York
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Buffalo, New York, Forenede Stater, 14215
- SUNY - Buffalo, Erie County Medical Ctr.
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New York, New York, Forenede Stater, 10016
- NY Univ. HIV/AIDS CRS
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New York, New York, Forenede Stater, 10021
- Cornell University A2201
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New York, New York, Forenede Stater, 10003
- Beth Israel Med. Ctr. (Mt. Sinai)
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New York, New York, Forenede Stater, 10021
- Memorial Sloan-Kettering Cancer Ctr.
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New York, New York, Forenede Stater
- NYU Med. Ctr., Dept. of Medicine
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Rochester, New York, Forenede Stater, 14642
- Univ. of Rochester ACTG CRS
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North Carolina
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Chapel Hill, North Carolina, Forenede Stater, 27599
- Unc Aids Crs
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Charlotte, North Carolina, Forenede Stater, 28203
- Carolinas HealthCare System, Carolinas Med. Ctr.
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Durham, North Carolina, Forenede Stater, 27710
- Duke Univ. Med. Ctr. Adult CRS
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Greensboro, North Carolina, Forenede Stater, 27401
- Regional Center for Infectious Disease, Wendover Medical Center CRS
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Raleigh, North Carolina, Forenede Stater, 27610
- Wake County Health and Human Services CRS
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Ohio
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Cincinnati, Ohio, Forenede Stater, 45267
- Univ. of Cincinnati CRS
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Cleveland, Ohio, Forenede Stater, 44106
- Case CRS
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Cleveland, Ohio, Forenede Stater
- MetroHealth CRS
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Columbus, Ohio, Forenede Stater, 43210
- The Ohio State Univ. AIDS CRS
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Pennsylvania
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Philadelphia, Pennsylvania, Forenede Stater, 19104
- Hosp. of the Univ. of Pennsylvania CRS
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Washington
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Seattle, Washington, Forenede Stater, 98122
- University of Washington AIDS CRS
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San Juan, Puerto Rico
- Puerto Rico-AIDS CRS
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Mbeya, Tanzania
- Mbeya Med. Research Program, Mbeya Referral Hosp. CRS
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Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inklusionskriterier
Samtidig medicinering:
Tilladt:
- PCP-profylakse, M. tuberculosis-profylakse, korte forløb med acyclovir, kronisk suppressiv acyclovir, pneumovax eller Hib-vaccine, antibiotika, rEPO og G-CSF til grad 3 eller værre anæmi og neutropeni, systemiske kortikosteroider i < 21 dage, regelmæssige ordinationer og ordineret medicin, vitaminer eller naturlægemidler.
Patienterne skal have:
- HIV-infektion uden AIDS med CD4 200-500 celler/mm3.
PR. ÆNDRING 4/5/95:
- Patienter skal have forblevet på ACTG 175-undersøgelsesbehandling til og med 30/4/95 og opfylde toksicitetshåndteringskriterier for at fortsætte behandlingen. Personer, der tager ACTG 175 crossover-behandling er kvalificerede.
Eksklusionskriterier
Sameksisterende tilstand:
Patienter med følgende tilstande er udelukket:
- Aktuel AIDS-relateret tilstand bortset fra minimal KS, grad 2 eller værre perifer neuropati og malignitet, der kræver systemisk terapi.
Samtidig medicinering:
Ekskluderet:
- Andre anti-HIV-lægemidler, biologiske responsmodifikatorer bortset fra rEPO og G-CSF, systemisk cytotoksisk kemoterapi, kroniske systemiske kortikosteroider eller ethvert lægemiddel, der påvirker AZT-glucuronidering eller clearance.
Samtidig behandling:
Ekskluderet:
- Andre strålebehandlinger end begrænset lokal terapi til huden.
Patienter med følgende tidligere tilstande er udelukket:
- AIDS-relateret tilstand anden end minimal KS; intolerance over for AZT, ddI eller ddC ved undersøgelsesdoser; og akut eller kronisk pancreatitis.
Tidligere medicinering:
Ekskluderet:
- Akut behandling for en infektion eller anden medicinsk sygdom inden for de seneste 14 dage.
Aktuelt alkoholmisbrug.
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Maskning: Dobbelt
Samarbejdspartnere og efterforskere
Efterforskere
- Studiestol: Katzenstein D
- Studiestol: Hammer S
Publikationer og nyttige links
Generelle publikationer
- Justice AC, Holmes W, Gifford AL, Rabeneck L, Zackin R, Sinclair G, Weissman S, Neidig J, Marcus C, Chesney M, Cohn SE, Wu AW; Adult AIDS Clinical Trials Unit Outcomes Committee. Development and validation of a self-completed HIV symptom index. J Clin Epidemiol. 2001 Dec;54 Suppl 1:S77-90. doi: 10.1016/s0895-4356(01)00449-8.
- Havlir DV, Richman DD. Viral dynamics of HIV: implications for drug development and therapeutic strategies. Ann Intern Med. 1996 Jun 1;124(11):984-94. doi: 10.7326/0003-4819-124-11-199606010-00006.
- Hammer SM, Katzenstein DA, Hughes MD, Gundacker H, Schooley RT, Haubrich RH, Henry WK, Lederman MM, Phair JP, Niu M, Hirsch MS, Merigan TC. A trial comparing nucleoside monotherapy with combination therapy in HIV-infected adults with CD4 cell counts from 200 to 500 per cubic millimeter. AIDS Clinical Trials Group Study 175 Study Team. N Engl J Med. 1996 Oct 10;335(15):1081-90. doi: 10.1056/NEJM199610103351501.
- Simpson DM, Katzenstein DA, Hughes MD, Hammer SM, Williamson DL, Jiang Q, Pi JT. Neuromuscular function in HIV infection: analysis of a placebo-controlled combination antiretroviral trial. AIDS Clinical Group 175/801 Study Team. AIDS. 1998 Dec 24;12(18):2425-32. doi: 10.1097/00002030-199818000-00011.
- Zidovudine, didanosine, and zalcitabine in the treatment of HIV infection: meta-analyses of the randomised evidence. HIV Trialists' Collaborative Group. Lancet. 1999 Jun 12;353(9169):2014-25.
- Katzenstein DA, Hughes MD, Albrecht M, Liou SH, Murphy R, Balfour H, Para M, Hammer S; ACTG 302 Study Team. Virologic and CD4 cell response to zidovudine or zidovudine and lamivudine following didanosine treatment of human immunodeficiency virus infection. AIDS Res Hum Retroviruses. 2001 Feb 10;17(3):203-10. doi: 10.1089/088922201750063115.
- Katzenstein DA, Hammer SM, Hughes MD, Gundacker H, Jackson JB, Fiscus S, Rasheed S, Elbeik T, Reichman R, Japour A, Merigan TC, Hirsch MS. The relation of virologic and immunologic markers to clinical outcomes after nucleoside therapy in HIV-infected adults with 200 to 500 CD4 cells per cubic millimeter. AIDS Clinical Trials Group Study 175 Virology Study Team. N Engl J Med. 1996 Oct 10;335(15):1091-8. doi: 10.1056/NEJM199610103351502. Erratum In: N Engl J Med 1997 Oct 9;337(15):1097.
- Fiscus SA, Hughes MD, Lathey JL, Pi T, Jackson B, Rasheed S, Elbeik T, Reichman R, Japour A, Byington R, Scott W, Griffith BP, Katzenstein DA, Hammer SM. Changes in virologic markers as predictors of CD4 cell decline and progression of disease in human immunodeficiency virus type 1-infected adults treated with nucleosides. AIDS Clinical Trials Group Protocol 175 Team. J Infect Dis. 1998 Mar;177(3):625-33. doi: 10.1086/514248.
- Currier JS, Spino C, Grimes J, Wofsy CB, Katzenstein DA, Hughes MD, Hammer SM, Cotton DJ. Differences between women and men in adverse events and CD4+ responses to nucleoside analogue therapy for HIV infection. The Aids Clinical Trials Group 175 Team. J Acquir Immune Defic Syndr. 2000 Aug 1;24(4):316-24. doi: 10.1097/00126334-200008010-00003.
- Kastrissios H, Suarez JR, Katzenstein D, Girard P, Sheiner LB, Blaschke TF. Characterizing patterns of drug-taking behavior with a multiple drug regimen in an AIDS clinical trial. AIDS. 1998 Dec 3;12(17):2295-303. doi: 10.1097/00002030-199817000-00011.
- Lathey JL, Hughes MD, Fiscus SA, Pi T, Jackson JB, Rasheed S, Elbeik T, Reichman R, Japour A, D'Aquila RT, Scott W, Griffith BP, Hammer SM, Katzenstein DA. Variability and prognostic values of virologic and CD4 cell measures in human immunodeficiency virus type 1-infected patients with 200-500 CD4 cells/mm(3) (ACTG 175). AIDS Clinical Trials Group Protocol 175 Team. J Infect Dis. 1998 Mar;177(3):617-24. doi: 10.1086/514250.
Datoer for undersøgelser
Studer store datoer
Studieafslutning (Faktiske)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Skøn)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
- RNA-virusinfektioner
- Virussygdomme
- Infektioner
- Blodbårne infektioner
- Overførbare sygdomme
- Seksuelt overførte sygdomme, virale
- Seksuelt overførte sygdomme
- Lentivirus infektioner
- Retroviridae infektioner
- Immunologiske mangelsyndromer
- Sygdomme i immunsystemet
- HIV-infektioner
- Molekylære mekanismer for farmakologisk virkning
- Anti-infektionsmidler
- Antivirale midler
- Reverse transkriptasehæmmere
- Nukleinsyresyntesehæmmere
- Enzymhæmmere
- Anti-HIV-midler
- Anti-retrovirale midler
- Antimetabolitter
- Zidovudin
- Didanosin
- Zalcitabin
Andre undersøgelses-id-numre
- ACTG 175
- 11150 (Registry Identifier: DAIDS ES Registry Number)
Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .
Kliniske forsøg med HIV-infektioner
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Jianfeng XieRekrutteringCLABSI - Central Line Associated Bloodstream InfectionKina
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Fondazione Policlinico Universitario Agostino Gemelli...Lo.Li.Pharma s.r.lIkke rekrutterer endnuHPV - Anogenital Human Papilloma Virus Infection | Infertilitet
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University of Santiago de CompostelaOsteology FoundationRekruttering
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University of GaziantepIkke rekrutterer endnuHPV - Anogenital Human Papilloma Virus Infection | Kræft, sund | Sundheds tro model
-
Assiut UniversityIkke rekrutterer endnuCLABSI - Central Line Associated Bloodstream Infection | Perifert indsat central kateter | Umbilical venekateter
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Institut PasteurRekruttering
-
Universidad del DesarrolloAfsluttetHealthcare Associated InfectionChile
-
The University of Texas Health Science Center,...EurofinsAfsluttetOdontogen Deep Space Neck InfectionForenede Stater
-
Centre Hospitalier Universitaire de NiceIkke rekrutterer endnuHealth Care Associated Infection
-
Superior UniversityAktiv, ikke rekrutterendeHealthcare Associated InfectionPakistan
Kliniske forsøg med Zidovudin
-
Glaxo WellcomeUkendtHIV-infektionerForenede Stater
-
Institut de Recherche pour le DeveloppementEunice Kennedy Shriver National Institute of Child Health and Human Development... og andre samarbejdspartnereAfsluttetHIV-infektioner | GraviditetThailand
-
Glaxo WellcomeAfsluttet
-
National Institute of Allergy and Infectious Diseases...Eunice Kennedy Shriver National Institute of Child Health and Human Development...AfsluttetHIV-infektionerForenede Stater, Puerto Rico
-
Glaxo WellcomeAfsluttetHIV-infektioner | LipodystrofiForenede Stater
-
Glaxo WellcomeAfsluttet
-
Agouron PharmaceuticalsSuspenderetHIV-infektionerForenede Stater, Dominikanske republik
-
Agouron PharmaceuticalsUkendtHIV-infektionerForenede Stater
-
ViiV HealthcareAfsluttet
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Bristol-Myers SquibbAfsluttetHIV-infektionerForenede Stater, Canada