Search / Trial NCT00000679

(Ro 24-2027) A Randomized, Double-Blind, Comparative Study of Dideoxycytidine (ddC) Versus Zidovudine (AZT) in Patients With AIDS or Advanced ARC

Launched by NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES (NIAID) · Aug 30, 2001

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Trial Information

Current as of November 28, 2023

Completed

Keywords

Zalcitabine Acquired Immunodeficiency Syndrome Aids Related Complex Zidovudine

Description

In clinical studies, ddC shows antiviral activity. Because of the antiviral activity, and because of the low incidence of mild, reversible neurotoxicity and absence of blood-related toxicity with low dose ddC therapy, a long-term Phase II/III study comparing ddC to AZT in patients with AIDS or advanced ARC is now warranted. After screening, physical examination and laboratory tests (within 14 days of entry) patients are randomized to one of two treatment groups. They receive either ddC plus an AZT placebo or AZT plus a ddC placebo. Because it is a blinded study, patients do not know which ...

Gender

All

Eligibility criteria

  • Inclusion Criteria
  • Concurrent Medication:
  • Allowed:
  • Aerosolized pentamidine (300 mg once every 4 weeks) for Pneumocystis carinii pneumonia (PCP) prophylaxis.
  • Neuroleptics, benzodiazepines, or antidepressants if patient has been stable with chronic treatment > 1 month.
  • Low dose benzodiazepines or low dose antidepressants.
  • Drugs that are unlikely to cause increased toxicity with either study drug and are unlikely to cause peripheral neuropathy.
  • Drugs with little nephrotoxicity, hepatotoxicity, or cytotoxicity that the patient has been taking and tolerating well.
  • Acyclovir (up to 600 mg/kg/day) for up to 21 days.
  • Ketoconazole (up to 400 mg/day) Nystatin.
  • Low-dose acetaminophen or nonsteroidal anti-inflammatory agents.
  • Isoniazid if patient has no evidence of peripheral neuropathy at entry and if patient takes 50 mg/day pyridoxine concomitantly with isoniazid.
  • Allowed with interruption of study medication for up to 21 days per episode and for a total of 42 days for the study:
  • Drugs that could cause serious additive toxicity when coadministered with either study medication for treatment of an acute intercurrent illness or opportunistic infection, including:
  • Acyclovir (< 600 mg/day), fluconazole, systemic pentamidine, foscarnet, pyrimethamine, triple sulfa, ansamycin, ganciclovir, trimethoprim / sulfamethoxazole.
  • Patients must have a diagnosis of AIDS or advanced AIDS related complex (ARC). At least 20 percent of the patients must have a consistently positive serum HIV p24 antigen (= or > 70 pg/ml) as defined by the Abbott HIV antigen test, on two separate occasions at least 72 hours apart.
  • Patients found at screening to have a temperature > 38.5 degrees C should be evaluated for the possibility of an occult opportunistic or bacterial infection or neoplasm. If this complete evaluation reveals an infection, they can be entered. If this evaluation is unrevealing, they may be entered after evaluation is completed but while mycobacterial cultures are still pending. Patients with a history of unexplained temperatures > 38.5 degrees C should be evaluated as above and/or be afebrile (temperature < 38.0 degrees C) for 2 weeks prior to study entry.
  • Allowed: Kaposi's sarcoma not specifically excluded, basal cell carcinoma of the skin or in situ carcinoma of the cervix.
  • Current positive venereal disease research label (VDRL) and fluorescent treponemal antibody (FTA) if treated as for asymptomatic neurosyphilis.
  • Prior Medication:
  • Allowed:
  • Drugs that cause peripheral neuropathy and drugs that could cause significant increased toxicity with zidovudine (AZT) or dideoxycytidine (ddC) including experimental drugs if therapy with these drugs is completed and patient is stable for 14 days.
  • Exclusion Criteria
  • Co-existing Condition:
  • Patients with the following conditions or symptoms are excluded:
  • Active AIDS defining opportunistic infection or other active intercurrent illness is excluded if ongoing treatment requires the use of excluded concomitant medication.
  • Patients with symptomatic visceral Kaposi's sarcoma (KS), progression of KS within the month prior to entry into the study, or with current neoplasms not specifically allowed.
  • Severe AIDS dementia complex defined by a score of < 23 on the Mini-Mental State Exam.
  • Signs, symptoms, or history of peripheral neuropathy.
  • Significant cardiac disease, defined as history of ventricular arrhythmias requiring medication, prior myocardial infarct, or history of angina or ischemia changes on ECG (electrocardiography).
  • Requiring > 2 weeks of acyclovir therapy at > 600 mg/day.
  • Current positive venereal disease research label (VDRL) and fluorescent treponemal antibody (FTA) not specifically allowed.
  • Significant liver disease.
  • Concurrent Medication:
  • Excluded:
  • Drugs that cause peripheral neuropathy:
  • chloramphenicol, cisplatinum, iodoquinol, dapsone, phenytoin, disulfiram, ethionamide, glutethimide, gold, hydralazine, ribavirin, metronidazole, vincristine, nitrofurantoin.
  • Drugs that could cause significant increased toxicity with zidovudine (AZT) or dideoxycytidine (ddC), including experimental drugs not specifically allowed.
  • Drugs that could cause seizures or changes in mental status or neurological examination.
  • Concurrent Treatment:
  • Excluded:
  • Transfusion dependency.
  • Patients with the following are excluded:
  • Active AIDS defining opportunistic infection or other active intercurrent illness if ongoing treatment requires use of excluded concomitant medication.
  • Symptomatic visceral Kaposi's sarcoma (KS), progression of KS within the month prior to study entry, or current neoplasms not specifically allowed.
  • Severe AIDS dementia complex defined by a score of < 23 on the Mini-Mental State Exam.
  • Signs, symptoms, or history of peripheral neuropathy.
  • Unwilling or unable to sign informed consent.
  • Prior Medication:
  • Excluded:
  • Zidovudine (AZT), dideoxycytidine (ddC), or any other antiretroviral nucleoside analog.
  • Excluded within 90 days of study entry:
  • Any experimental drug including fluconazole, ganciclovir, foscarnet, erythropoietin, or ribavirin.
  • Excluded within 90 days of study entry:
  • Drugs that have caused significant nephrotoxicity or significant hepatotoxicity.
  • Drugs that could cause peripheral neuropathy including phenytoin, hydralazine, metronidazole, and nitrofurantoin.
  • Systemic corticosteroids or immunomodulators including interferon and interleukin.
  • Prior Treatment:
  • Excluded within 30 days of study entry:
  • Radiation therapy.
  • Active substance or alcohol abuse.

Attachments

readout_NCT00000679_2023-11-28.pdf

4.5 MB

NCT00000679_study_protocol.pdf

4.5 MB

About company

The National Institute of Allergy and Infectious Diseases (NIAID, /ˈnaɪ.æd/) is one of the 27 institutes and centers that make up the National Institutes of Health (NIH), an agency of the United States Department of Health and Human Services (HHS). NIAID's mission is to conduct basic and applied research to better understand, treat, and prevent infectious, immunologic, and allergic diseases.

Contacts

JC

Jennifer Cobb

Immunology at National Institute of Allergy and Infectious Diseases (NIAID)

Locations

Houston, Texas, United States

San Francisco, California, United States

Chicago, Illinois, United States

Chicago, Illinois, United States

Atlanta, Georgia, United States

Detroit, Michigan, United States

Newark, New Jersey, United States

Washington, District Of Columbia, United States

Miami, Florida, United States

Harbor City, California, United States

San Francisco, California, United States

San Francisco, California, United States

Sacramento, California, United States

Cleveland, Ohio, United States

Galveston, Texas, United States

Albany, New York, United States

Philadelphia, Pennsylvania, United States

Dallas, Texas, United States

Los Angeles, California, United States

San Jose, California, United States

Fort Lauderdale, Florida, United States

Fort Myers, Florida, United States

Boston, Massachusetts, United States

Brooklyn, New York, United States

Winston Salem, North Carolina, United States

People applied

Timeline

First submit

Trial launched

Trial updated

Estimated completion

Not reported

Reviews (48)

4.6

All reviews come from applied patients

5 stars
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4 stars
6
3 stars
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2 stars
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1 stars
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Leslie Alexander
20 September 2023

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Michael Foster
20 September 2023

Duis aute irure dolor in reprehenderit in voluptate velit esse cillum dolore eu fugiat nulla pariatur. Excepteur sint occaecat cupidatat non proident, sunt in culpa qui officia deserunt mollit anim id est laborum?

Dries Vincent
20 September 2023

Duis aute irure dolor in reprehenderit in voluptate velit esse cillum dolore eu fugiat nulla pariatur. Excepteur sint occaecat cupidatat non proident, sunt in culpa qui officia deserunt mollit anim id est laborum?

Leslie Alexander
20 September 2023

Duis aute irure dolor in reprehenderit in voluptate velit esse cillum dolore eu fugiat nulla pariatur. Excepteur sint occaecat cupidatat non proident, sunt in culpa qui officia deserunt mollit anim id est laborum?

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