Mupirocin Ointment to Eliminate Nasal Carriage of Staphylococcus Aureus in HIV Infection

This study has been completed.
Sponsor:
Collaborators:
GlaxoSmithKline
Information provided by:
Columbia University
ClinicalTrials.gov Identifier:
NCT00801879
First received: December 3, 2008
Last updated: January 7, 2009
Last verified: December 2008

December 3, 2008
January 7, 2009
September 2003
April 2006   (final data collection date for primary outcome measure)
Nasal colonization with Staphylococcus aureus [ Time Frame: monthly assessment of colonization (~1 month after each treatment) ] [ Designated as safety issue: No ]
Same as current
Complete list of historical versions of study NCT00801879 on ClinicalTrials.gov Archive Site
Infection with Staphylococcus aureus [ Time Frame: monthly ] [ Designated as safety issue: No ]
Same as current
Not Provided
Not Provided
 
Mupirocin Ointment to Eliminate Nasal Carriage of Staphylococcus Aureus in HIV Infection
Intranasal Mupirocin to Eliminate Carriage of Staphylococcus Aureus in HIV Infection

Staphylococcus aureus is a bacteria that causes serious, often life threatening infections including pneumonia, wound, and bloodstream infections. Persons with AIDS are at high risk for S. aureus infections. They are also at high risk for nasal carriage of S. aureus. In fact, nasal carriage is a known risk factor for subsequent S. aureus infection. Topical mupirocin, an antibiotic when applied to the anterior nares, is a safe, effective way to eliminate S. aureus colonization. Some studies have shown that mupirocin can also decrease the risk of S. aureus infection, but many of those studies utilized historical controls and none were rigorously tested among AIDS patients over an extended period of time.

The main purpose of this randomized, double-blinded, placebo controlled study is to determine if mupirocin can eliminate S. aureus nasal colonization in residents at PSI (inpatient, drug rehabilitation facility for AIDS patients in the Bronx.) PSI residents currently have a high incidence of S. aureus nasal colonization and infection. Nasal cultures followed by twice daily application of mupirocin vs. placebo for five days will be performed on a monthly basis for 8 months. the study will examine whether mupirocin decreases the incidence of S. aureus infections and prevents S. aureus nasal colonization. The study is important because it may show that mupirocin is an effective way to eliminate nasal colonization and prevent S. aureus infections in AIDS patients, among those at highest risk for serious S. aureus infection.

Hypothesis: Monthly application of mupirocin will reduce nasal colonization with S.aureus

Not Provided
Interventional
Phase 4
Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor)
Primary Purpose: Treatment
  • Nasal Colonization With Staphylococcus Aureus
  • HIV Infections
  • Drug: Mupirocin calcium ointment, 2%
    0.25 g in each nostril twice daily for 5 days (given monthly for up to 8 months)
    Other Name: Bactroban Nasal 2%
  • Drug: Placebo ointment
    Placebo ointment 0.25g in each nostril twice daily for 5 days (repeated monthly for up to 8 months)
  • Active Comparator: Mupirocin ointment
    0.25g mupirocin calcium ointment, 2% in each nostril twice daily for 5 days (repeated monthly for up to 8 months)
    Intervention: Drug: Mupirocin calcium ointment, 2%
  • Placebo Comparator: Placebo ointment
    0.25g in each nostril twice daily for 5 days (repeated monthly for up to 8 months)
    Intervention: Drug: Placebo ointment
Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Completed
100
Not Provided
April 2006   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • Resident at Project Samaritan Inc. (PSI)

Exclusion Criteria:

  • Past hypersensitivity to mupirocin or glycerol
  • Pregnancy
  • Lactation
  • Expected discharge from PSI in the following month
  • Treatment with intranasal mupirocin within the preceding two months
Both
18 Years and older
Yes
Contact information is only displayed when the study is recruiting subjects
United States
 
NCT00801879
AAAB0129, GSK Protocol 187, 1 K08 AI072043-01
No
Dr. Franklin D. Lowy, Columbia University
Columbia University
  • GlaxoSmithKline
  • National Institute of Allergy and Infectious Diseases (NIAID)
Study Director: Rachel J Gordon, MD, MPH Columbia University
Principal Investigator: Franklin D Lowy, MD Columbia University
Columbia University
December 2008

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP