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- Klinische proef NCT00000823
A Multicenter Phase II Double-Blind Exploratory Study to Evaluate Differences Among Various Zidovudine/Didanosine Regimens on Quantitative Measures of Viral Burden in Relatively Early HIV-1 Infection
To determine the relative antiviral activity and safety of zidovudine ( AZT ) and didanosine ( ddI ) alone and in combination, as well as in various sequences of administration.
The relative efficacy of the approved antiretrovirals in early HIV-1 disease is unclear; thus, a study is needed to evaluate the ability of these various nucleoside analogs to limit pathogenicity.
Studie Overzicht
Toestand
Conditie
Interventie / Behandeling
Gedetailleerde beschrijving
The relative efficacy of the approved antiretrovirals in early HIV-1 disease is unclear; thus, a study is needed to evaluate the ability of these various nucleoside analogs to limit pathogenicity.
Patients undergo observation for 2 weeks, then are randomized to one of six treatment arms to receive ddI alone or in sequence or combination with AZT for 16-32 weeks, followed by 4 weeks of post-treatment evaluation. The regimens are: ddI alone for 32 weeks; AZT for 16 weeks followed by ddI for 16 weeks; AZT for 16 weeks followed by AZT/ddI combination for 16 weeks; ddI for 16 weeks followed by AZT for 16 weeks; AZT/ddI combination for 32 weeks; and placebo for 32 weeks.
PER AMENDMENT 6/18/96: NOTE: Patients enrolled under version 3 of the study will terminate treatment at week 16 and have a 4 week follow up.
Studietype
Inschrijving
Fase
- Fase 2
Contacten en locaties
Studie Locaties
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Alabama
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Birmingham, Alabama, Verenigde Staten, 35294
- Univ of Alabama at Birmingham
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California
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San Francisco, California, Verenigde Staten, 941102859
- San Francisco Gen Hosp
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Colorado
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Denver, Colorado, Verenigde Staten, 80262
- Univ of Colorado Health Sciences Ctr
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Florida
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Miami, Florida, Verenigde Staten, 331361013
- Univ of Miami School of Medicine
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Illinois
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Chicago, Illinois, Verenigde Staten, 60611
- Northwestern Univ Med School
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Chicago, Illinois, Verenigde Staten, 60612
- Rush Presbyterian - Saint Luke's Med Ctr
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Chicago, Illinois, Verenigde Staten, 60612
- Cook County Hosp
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Chicago, Illinois, Verenigde Staten, 60640
- Louis A Weiss Memorial Hosp
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Chicago, Illinois, Verenigde Staten, 606575147
- Illinois Masonic Med Ctr
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Indiana
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Indianapolis, Indiana, Verenigde Staten, 462025250
- Indiana Univ Hosp
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Indianapolis, Indiana, Verenigde Staten, 46202
- Methodist Hosp of Indiana / Life Care Clinic
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Maryland
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Baltimore, Maryland, Verenigde Staten, 21287
- Johns Hopkins Hosp
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Massachusetts
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Boston, Massachusetts, Verenigde Staten, 02114
- Harvard (Massachusetts Gen Hosp)
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Boston, Massachusetts, Verenigde Staten, 02115
- Brigham and Women's Hosp
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New York
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Bronx, New York, Verenigde Staten, 10465
- Jack Weiler Hosp / Bronx Municipal Hosp
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New York, New York, Verenigde Staten, 10003
- Beth Israel Med Ctr
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New York, New York, Verenigde Staten, 10016
- Bellevue Hosp / New York Univ Med Ctr
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Rochester, New York, Verenigde Staten, 14642
- Univ of Rochester Medical Center
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North Carolina
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Chapel Hill, North Carolina, Verenigde Staten, 275997215
- Univ of North Carolina
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Ohio
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Cincinnati, Ohio, Verenigde Staten, 452670405
- Univ of Cincinnati
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Columbus, Ohio, Verenigde Staten, 432101228
- Ohio State Univ Hosp Clinic
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Washington
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Seattle, Washington, Verenigde Staten, 981224304
- Univ of Washington
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Deelname Criteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
Accepteert gezonde vrijwilligers
Geslachten die in aanmerking komen voor studie
Beschrijving
Inclusion Criteria
Patients must have:
- HIV-1 seropositivity.
- CD4 count >= 550 cells/mm3.
- Asymptomatic disease.
- No prior antiretroviral therapy.
- Consent of parent or guardian if less than 18 years old.
PER AMENDMENT 6/18/96:
- Patients with an undocumented history of oral candidiasis or a history of candidiasis that was antibiotic associated may enroll.
Exclusion Criteria
Co-existing Condition:
Patients with the following symptoms or conditions are excluded:
- Medical condition that precludes study compliance.
Concurrent Medication:
Excluded:
- Antiretrovirals other than study drugs.
- Biologic response modifiers including erythropoietin and G-CSF.
- Systemic corticosteroids.
- Systemic cytotoxic chemotherapy.
- Intravenous pentamidine.
Concurrent Treatment:
Excluded:
- Systemic radiation therapy.
Patients with the following prior conditions are excluded:
- History of grade 2 or worse peripheral neuropathy.
- History of pancreatitis or factors predisposing to pancreatitis.
Prior Medication:
Excluded:
- Prior antiretrovirals.
- Systemic immunomodulators (e.g., gp120, gp160, IL-2, interferons) within 3 months prior to study entry.
Chronic alcoholism.
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Behandeling
Medewerkers en onderzoekers
Onderzoekers
- Studie stoel: Johnson V
- Studie stoel: Collier AC
Studie record data
Bestudeer belangrijke data
Studie voltooiing (Werkelijk)
Studieregistratiedata
Eerst ingediend
Eerst ingediend dat voldeed aan de QC-criteria
Eerst geplaatst (Schatting)
Updates van studierecords
Laatste update geplaatst (Werkelijk)
Laatste update ingediend die voldeed aan QC-criteria
Laatst geverifieerd
Meer informatie
Termen gerelateerd aan deze studie
Trefwoorden
Aanvullende relevante MeSH-voorwaarden
- Pathologische processen
- Ziekte attributen
- Infecties
- Overdraagbare ziekten
- Moleculaire mechanismen van farmacologische werking
- Anti-infectieuze middelen
- Antivirale middelen
- Reverse Transcriptase-remmers
- Nucleïnezuursyntheseremmers
- Enzymremmers
- Anti-hiv-middelen
- Antiretrovirale middelen
- Antimetabolieten
- Zidovudine
- Didanosine
Andere studie-ID-nummers
- ACTG 276
- 11252 (Register-ID: DAIDS ES Registry Number)
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