Granulocyte-Macrophage Colony-Stimulating Factor and Zidovudine: A Phase I Study of Concurrent Administration in Patients With AIDS and Severe ARC
Launched by NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES (NIAID) · Aug 30, 2001
Trial Information
Current as of May 09, 2025
Completed
Keywords
ClinConnect Summary
Persons infected with HIV virus may undergo a long latency or persistent virus blood levels which may be present before any symptomatic illness. These individuals could, therefore, benefit from therapy with an effective antiretroviral agent. AZT, which is a powerful inhibitor of human retrovirus, has been approved for management of patients with symptomatic HIV infection. GM-CSF not only stimulates the bone marrow, it enhances the function of mature blood cells and has been found to enhance the ability of AZT to suppress HIV replication in vitro (test tube). Combination therapy with GM-CSF ...
Gender
ALL
Eligibility criteria
- • Inclusion Criteria
- Concurrent Medication:
- Allowed:
- • Modest doses of acetaminophen, aspirin, or non-prescription doses of ibuprofen may be used with caution for fever control and mild analgesia. Prolonged use more than 72 hours is not advised without dose supervision.
- All patients should have a documented history of positive HIV antibody by ELISA test. Patients should qualify for zidovudine (AZT) treatment for the following reasons:
- • Patients with a prior episode of cytologically confirmed Pneumocystis carinii pneumonia (PCP).
- • Patients with a prior episode of any AIDS-defining opportunistic infection and less than 200 T4 cells.
- • Patients with advanced ARC as defined by mucocutaneous candidiasis and/or unexplained weight loss and less than 200 T4 cells and fever more than 100 degrees F of more than 3 weeks duration; clinical diagnosis of hairy leukoplakia; herpes zoster infection within 3 months of entry; or unexplained diarrhea.
- • All patients must have received at least 8 weeks of AZT prior to enrollment and must not have required a dose adjustment for the previous 4 weeks.
- • Patients must be willing to sign an informed consent statement.
- Required:
- • Zidovudine (AZT) for at least 8 weeks.
- • Exclusion Criteria
- Co-existing Condition:
- The following patients will be excluded:
- • Patients receiving zidovudine (AZT) while enrolled in another protocol.
- • Patients with other life-threatening and uncontrolled opportunistic infection.
- • Patients with evidence of lymphoma or neoplasm other than indolent Kaposi's sarcoma.
- • Dementia that would prevent giving appropriate informed consent.
- Concurrent Medication:
- Excluded:
- • Acetaminophen or products containing acetaminophen.
- • Drugs that are nephrotoxic, are cytotoxic, or decrease blood cell number or function may increase the risk of toxicity.
- • Probenecid may inhibit excretion of zidovudine (AZT). Some experimental nucleoside analogs should be avoided.
- The following patients will be excluded:
- • Patients receiving zidovudine (AZT) while enrolled in another protocol.
- • Patients with other life-threatening and uncontrolled opportunistic infection.
- • Patients with evidence of lymphoma or neoplasm other than indolent Kaposi's sarcoma.
- • Dementia that would prevent giving appropriate informed consent.
- Prior Medication:
- Excluded within 8 weeks of study entry:
- • Prior systemic therapy with an antimetabolite, cytotoxic drug, interferon, immunomodulator, corticosteroid, or nucleoside analog other than zidovudine.
About National Institute Of Allergy And Infectious Diseases (Niaid)
The National Institute of Allergy and Infectious Diseases (NIAID) is a key component of the National Institutes of Health (NIH) dedicated to advancing the understanding, prevention, and treatment of infectious and immune-mediated diseases. Through rigorous clinical trials, NIAID aims to foster innovative research that enhances public health and addresses global health challenges, including emerging infectious diseases and allergies. The institute collaborates with various partners, including academic institutions, industry, and international organizations, to translate scientific discoveries into effective therapies and vaccines. NIAID's commitment to high-quality clinical research is integral to improving health outcomes and informing policy decisions in the realm of infectious diseases and immunology.
Contacts
Jennifer Cobb
Immunology at National Institute of Allergy and Infectious Diseases (NIAID)
Locations
Buffalo, New York, United States
Patients applied
Trial Officials
Hewitt RG
Study Chair
Timeline
First submit
Trial launched
Trial updated
Estimated completion
Not reported
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