Treatment of Chronic Cryptosporidiosis in AIDS Patients
Launched by NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES (NIAID) · Aug 30, 2001
Current as of December 10, 2023
Cryptosporidium parvum, an intracellular protozoan parasite, is a frequent cause of chronic diarrhea in HIV-infected patients, causing significant morbidity and mortality. Highly effective antiparasitic treatment for this infection is not currently available. Paromomycin and azithromycin have some efficacy and have been used in combination in a small number of patients. Immune reconstitution with highly active antiretroviral therapy appears to be the most effective therapy, but this is not possible for all patients. Interferon gamma expression is strongly associated with control of cryptosp...
- Inclusion Criteria
- Patients may be eligible for this study if they:
- Are HIV-positive.
- Have a CD4 cell count below 150 cells/mm3.
- Have been on stable anti-HIV therapy that includes at least 2 nucleoside analogues for at least 4 weeks.
- Have chronic diarrhea (3 bowel movements a day that are loose or watery, for 5 days per week over 3 weeks).
- Test positively for Cryptosporidium.
- Are at least 18 years old.
- Agree to use effective methods of birth control.
- Exclusion Criteria
- Patients will not be eligible for this study if they:
- Have any other active opportunistic (AIDS-related) infection.
- Require intravenous (IV) fluids.
- Have a history of an allergy to certain medications, such as colony-stimulating factors (G-CSF or GM-CSF) or a type of antibiotic.
- Are pregnant.
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.
Immunology at National Institute of Allergy and Infectious Diseases (NIAID)
Houston, Texas, United States
All reviews come from applied patients