A Study Comparing Megestrol Acetate at 800 mg/Day, and Placebo in AIDS Patients With Anorexia and Cachexia - Full Text View

Sponsored by:	Bristol-Myers Squibb
Information provided by:	Bristol-Myers Squibb
ClinicalTrials.gov Identifier:	NCT00002067

Purpose

To compare the effects of megestrol acetate and placebo on body weight, anorexia, cachexia, calorie intake, and nutritional parameters of patients with a confirmed diagnosis of AIDS. To determine whether megestrol acetate relative to placebo improves the perception of well-being among AIDS patients with cachexia. To evaluate megestrol acetate's effect on immune function via skin test reactivity, T4/T8 ratio, and total lymphocytes.

Condition	Intervention	Phase
Anorexia Cachexia HIV Infections	Drug: Megestrol acetate	Phase III

Study Type:	Interventional
Study Design:	Treatment, Double-Blind
Official Title:	Phase III Randomized Double-Blind Study Comparing Megestrol Acetate at 800 mg/Day, and Placebo in AIDS Patients With Anorexia and Cachexia

Resource links provided by NLM:

MedlinePlus related topics: AIDS

Drug Information available for: Megestrol acetate Megestrol

U.S. FDA Resources

Eligibility

Ages Eligible for Study:	18 Years and older
Genders Eligible for Study:	Both
Accepts Healthy Volunteers:	No

Criteria

Inclusion Criteria

Patient must have:

Confirmed diagnosis of AIDS (CDC definition).
Documented weight loss or anorexia.
Life expectancy = or > 20 weeks.
The perception that the weight loss is a detriment to their well-being.
Ability to provide informed consent, read and write English.

Exclusion Criteria

Co-existing Condition:

Patients with the following conditions are excluded:

Dementia or evidence of mental incompetence which would preclude compliance with the protocol.
Severe diarrhea defined as 5 or more watery stools per day for at least 7 days.
Active uncontrolled systemic infections at the start of treatment.
Patients may not be entered for at least 2 weeks after acute infection.
Clinical or radiologic evidence of ascites or pleural effusions.

Patients with the following are excluded:

Obstruction to food intake or impaired digestive/absorptive functions.
Contraindications to megestrol acetate (poorly controlled hypertension or heart failure or deep vein thrombosis).
Inability to consent or be available for close follow-up.
Active systemic infections at the start of treatment.
Clinical or radiologic evidence of ascites or pleural effusions.
Patients who have been hospitalized or have suffered an exacerbation of their illness associated with weight loss within the past 2 weeks are excluded.
Menstruating female patients are excluded.

Prior Medication:

Excluded:

Corticosteroids.
Anabolic steroids.
Marijuana.
Megestrol acetate.
Patients who have been started on zidovudine (AZT) within 8 weeks. (Patients may have been previously treated with AZT and failed or may currently be receiving AZT for at least 8 weeks.)

Patients may not be started on any therapy designed to treat the underlying HIV infection or which may have a major impact on appetite and/or weight gain.

Patients who have been started on zidovudine (AZT) within 8 weeks. (Patients may have been previously treated with AZT and failed or may currently be receiving AZT for at least 8 weeks.)

History of substance abuse and questionable current and future abstinence.

Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00002067

Locations

United States, California
San Francisco AIDS Clinic / San Francisco Gen Hosp
San Francisco, California, United States, 941102859
Summitt Med Ctr / San Francisco Gen Hosp
Oakland, California, United States, 94609
Palo Alto Veterans Adm Med Ctr / Stanford Univ
Palo Alto, California, United States, 94304
Eisenhower Med Ctr
Rancho Mirage, California, United States, 92270
UCD Med Ctr
Sacramento, California, United States, 95817
Dr Mark Goldstein
Los Angeles, California, United States, 90048
San Francisco Veterans Administration Med Ctr
San Francisco, California, United States, 94121
United States, Colorado
Denver Public Health Dept
Denver, Colorado, United States, 80204
United States, Florida
Univ of South Florida
Tampa, Florida, United States, 33612
Miami Veterans Administration Med Ctr
Miami, Florida, United States, 33125
United States, Illinois
Northwestern Univ Med School
Chicago, Illinois, United States, 60611
United States, New York
SUNY / Health Sciences Ctr at Syracuse
Syracuse, New York, United States, 13210
Mem Sloan - Kettering Cancer Ctr
New York, New York, United States, 10021
United States, Washington
Northwest Family Ctr at the Harbor View Med Ctr
Seattle, Washington, United States, 98104

Sponsors and Collaborators

Bristol-Myers Squibb

More Information

Additional Information:

BMS Clinical Trials Disclosure This link exits the ClinicalTrials.gov site

For FDA Safety Alerts and Recalls refer to the following link www.fda.gov/MEDWATCH/safety.htm This link exits the ClinicalTrials.gov site

Publications:

Strang P. The effect of megestrol acetate on anorexia, weight loss and cachexia in cancer and AIDS patients (review). Anticancer Res. 1997 Jan-Feb;17(1B):657-62. Review.

Study ID Numbers:	025B, MEG8809
Study First Received:	November 2, 1999
Last Updated:	October 1, 2007
ClinicalTrials.gov Identifier:	NCT00002067 History of Changes
Health Authority:	United States: Food and Drug Administration

Keywords provided by Bristol-Myers Squibb:

Body Weight
T-Lymphocytes
Nutritional Status
Megestrol

Acquired Immunodeficiency Syndrome
Anorexia
Cachexia
Energy Intake

Study placed in the following topic categories:

Sexually Transmitted Diseases, Viral
Antineoplastic Agents, Hormonal
Signs and Symptoms, Digestive
Contraceptive Agents
Contraceptives, Oral
Acquired Immunodeficiency Syndrome
Contraceptive Agents, Female
Cachexia
Central Nervous System Stimulants
Emaciation
Megestrol
Immunologic Deficiency Syndromes

Body Weight
Virus Diseases
Signs and Symptoms
HIV Infections
Weight Loss
Sexually Transmitted Diseases
Body Weight Changes
Anorexia
Retroviridae Infections
Appetite Stimulants
Megestrol Acetate

Additional relevant MeSH terms:

Sexually Transmitted Diseases, Viral
Slow Virus Diseases
Signs and Symptoms, Digestive
Contraceptive Agents
Antineoplastic Agents
Contraceptives, Oral
Physiological Effects of Drugs
Contraceptive Agents, Female
Cachexia
Reproductive Control Agents
Infection
Body Weight
Signs and Symptoms
Therapeutic Uses
Weight Loss

Body Weight Changes
Contraceptives, Oral, Synthetic
Retroviridae Infections
Appetite Stimulants
RNA Virus Infections
Immune System Diseases
Antineoplastic Agents, Hormonal
Acquired Immunodeficiency Syndrome
Central Nervous System Stimulants
Emaciation
Megestrol
Pharmacologic Actions
Immunologic Deficiency Syndromes
Virus Diseases
HIV Infections

ClinicalTrials.gov processed this record on July 02, 2009