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The Safety and Effectiveness of Ganciclovir Plus Interferon Beta in Preventing the Return of Cytomegalovirus (CMV) of the Eyes in Patients With AIDS

This study has been completed.

Sponsored by: Hoffmann-La Roche
Information provided by: NIH AIDS Clinical Trials Information Service
ClinicalTrials.gov Identifier: NCT00002299
  Purpose

The use of ganciclovir (DHPG) in combination with interferon beta to prevent relapse of cytomegalovirus retinitis in patients with AIDS. While early clinical trials have shown that 30 mg/kg/week of DHPG is usually sufficient to delay or prevent relapse, neutropenia is a common dose-limiting problem in about 50 percent of patients. Since in vitro data have suggested that there is synergism between DHPG and interferon beta against cytomegalovirus, a reduced dose of DHPG in combination with a low dose of interferon beta may prevent relapse without causing neutropenia. If remission can be maintained with low-dose DHPG and interferon beta, maintenance therapy with a moderate dose of interferon beta alone will be evaluated in a subsequent protocol.


Condition Intervention
Cytomegalovirus Retinitis
HIV Infections
Drug: Interferon beta-1b
Drug: Ganciclovir

MedlinePlus related topics:   AIDS    Cytomegalovirus Infections   

Drug Information available for:   Ganciclovir    Ganciclovir sodium    Interferon alfa-2b    Interferons    Interferon beta    Interferon-beta    Interferon beta-1b   

U.S. FDA Resources

Study Type:   Interventional
Study Design:   Treatment
Official Title:   Combination Therapy With 9-(1,3-Dihydroxy-2-Propoxymethyl) Guanine (DHPG) and Interferon Beta for the Prevention of Relapse of Cytomegalovirus Retinitis in Patients With the Acquired Immunodeficiency Syndrome
  Eligibility
Ages Eligible for Study:   18 Years to 60 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No

Criteria

Inclusion Criteria

Patients must fulfill the CDC criteria for the diagnosis of AIDS. In addition, patients must have a typical clinical picture of cytomegalovirus (CMV) retinitis, a positive CMV culture from any site, and no other possible explanation for the retinal findings (e.g., toxoplasmosis infection). Patients with AIDS in whom CMV retinitis is suspected will be examined by an ophthalmologist and, if, retinal lesions are seen, shall have a complete set of retinal photographs taken. CMV cultures of throat, buffy coat, urine, and if possible, semen will be obtained.

  • Cytomegalovirus and toxoplasmosis serologic (IgG and IgM) tests will also be performed.

Exclusion Criteria

Co-existing Condition:

Patients not meeting inclusion criteria are excluded.

Patients not meeting inclusion criteria are excluded.

  Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00002299

Locations
United States, California
Univ of California / San Diego Treatment Ctr    
      San Diego, California, United States, 921036325
Stanford at Kaiser / Kaiser Permanente Med Ctr    
      San Francisco, California, United States, 94115
USC    
      Los Angeles, California, United States, 90033
UCI Med Ctr    
      Orange, California, United States, 92668
Stanford Univ School of Medicine    
      Stanford, California, United States, 94305
United States, Texas
Univ TX Galveston Med Branch    
      Galveston, Texas, United States, 77550

Sponsors and Collaborators
Hoffmann-La Roche
  More Information


Study ID Numbers:   017A, ICM 1285
First Received:   November 2, 1999
Last Updated:   June 23, 2005
ClinicalTrials.gov Identifier:   NCT00002299
Health Authority:   United States: Food and Drug Administration

Keywords provided by NIH AIDS Clinical Trials Information Service:
Retinitis  
AIDS-Related Opportunistic Infections  
Ganciclovir  
Drug Therapy, Combination  
Cytomegalovirus Infections
Acquired Immunodeficiency Syndrome
Interferon Type I

Study placed in the following topic categories:
Opportunistic Infections
Interferon Type I, Recombinant
Sexually Transmitted Diseases, Viral
Retinitis
Cytomegalovirus
AIDS-Related Opportunistic Infections
Cytomegalovirus Infections
Retroviridae Infections
Retinal Diseases
Interferon-alpha
Eye Diseases
Cytomegalovirus Retinitis
Acquired Immunodeficiency Syndrome
Eye Infections
Interferons
Interferon-beta
Ganciclovir
Immunologic Deficiency Syndromes
Herpesviridae Infections
Virus Diseases
Cytomegalovirus retinitis
HIV Infections
Sexually Transmitted Diseases
Interferon beta-1b
DNA Virus Infections
Interferon Alfa-2a
Cytomegalic inclusion disease
Interferon Alfa-2b

Additional relevant MeSH terms:
Anti-Infective Agents
RNA Virus Infections
Slow Virus Diseases
Immune System Diseases
Eye Infections, Viral
Immunologic Factors
Antineoplastic Agents
Growth Substances
Physiological Effects of Drugs
Adjuvants, Immunologic
Infection
Angiogenesis Inhibitors
Antiviral Agents
Pharmacologic Actions
Therapeutic Uses
Lentivirus Infections
Growth Inhibitors
Angiogenesis Modulating Agents

ClinicalTrials.gov processed this record on November 20, 2008




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