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Safety and Efficacy of Zidovudine for Asymptomatic HIV-Infected Individuals

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Qué se está evaluando

Zidovudine

Medicamento
Quiénes están siendo reclutados

HIV Infections

A partir de 18 años
Cómo está diseñado el estudio

Estudio de Tratamiento

Fase 3
Intervencional

Resumen

Patrocinador PrincipalNational Institute of Allergy and Infectious Diseases (NIAID)
Última actualización: 3 de noviembre de 2021
Extraido de una base de datos validada por el gobierno.Reclamar como socio

To determine if treatment with zidovudine (AZT) will delay or prevent the onset of AIDS or AIDS related complex (ARC) in individuals infected with HIV but who do not have symptoms of AIDS or ARC. Also, to compare the dose of AZT found to be useful in AIDS and severe ARC with a lower dose to see if side effects can be reduced. Results from several studies show that a high percentage of people infected with HIV will eventually develop AIDS or ARC unless an effective treatment is found. Because AZT is known to prolong survival in patients with AIDS or severe ARC and has acceptable toxicity in advanced disease, it is reasonable to try it in less advanced cases. Results from several studies show that a high percentage of people infected with HIV will eventually develop AIDS or ARC unless an effective treatment is found. Because AZT is known to prolong survival in patients with AIDS or severe ARC and has acceptable toxicity in advanced disease, it is reasonable to try it in less advanced cases. Patients entered in the study are randomly assigned to one of two doses of AZT or to placebo (inactive medication). Patients take 3 capsules 5 times a day (every 4 hours from 8 am until 12 pm). The capsules contain either AZT or placebo and are identical in appearance so that neither patient nor physician knows which treatment the patient is receiving. The higher dose corresponds to the dose found to be useful in patients with AIDS or severe ARC. Patients visit the clinic every 2 weeks for the first 16 weeks, then once a month after that for evaluation. Treatment will continue until the results from the study have been analyzed, which could be as long as 3 years. If side effects occur, the dose of study medication will be decreased or temporarily stopped. If the side effects are severe, then study medication will be stopped permanently. AMENDED: Effective with Version 4 (900226), dosing for ALL patients on Phase 2 study drug, regardless of CD4+ substudy, will proceed as open-label AZT. Original treatment assignments employed in the > 500 cells/mm3 substudy during the period from August 16, 1989 through the release of this new version. Also, toxicity management and dose modification of AZT for patients receiving Phase 2 study drug have been changed.

Título OficialSafety and Efficacy of Zidovudine for Asymptomatic HIV-Infected Individuals 
Patrocinador PrincipalNational Institute of Allergy and Infectious Diseases (NIAID)
Última actualización: 3 de noviembre de 2021
Extraido de una base de datos validada por el gobierno.Reclamar como socio

Protocolo

Esta sección proporciona detalles del plan del estudio, incluyendo cómo está diseñado y qué se está evaluando.
Detalles del Diseño
Se reclutarán 3200 pacientesNúmero total de participantes que el ensayo clínico espera reclutar.
Estudio de Tratamiento
Estos estudios prueban nuevas formas de tratar una enfermedad, condición o problema de salud. El objetivo es determinar si un nuevo medicamento, terapia o enfoque funciona mejor o tiene menos efectos secundarios que las opciones existentes.

Cómo se mantiene la confidencialidad de las intervenciones asignadas a los participantes
Ni los participantes ni los investigadores saben quién está recibiendo qué tratamiento. Esta es la forma más rigurosa de reducir el sesgo, asegurando que las expectativas no influyan en los resultados.

Otras formas de enmascarar la información
Abierto
: Todos saben qué tratamiento se está administrando.

Simple ciego
: Los participantes no saben qué tratamiento están recibiendo, pero los investigadores sí.

Triple ciego
: Participantes, investigadores y evaluadores de resultados no saben qué tratamiento se está administrando.

Cuádruple ciego
: Participantes, investigadores, evaluadores de resultados y personal de atención no saben qué tratamiento se está administrando.

Elegibilidad

Los investigadores buscan pacientes que cumplan ciertos criterios, conocidos como criterios de elegibilidad: estado general de salud o tratamientos previos.
Condiciones
Criterios
Cualquier sexoSexo biológico de los participantes elegibles para inscribirse.
A partir de 18 añosRango de edades de los participantes que pueden unirse al estudio.
Voluntarios sanos no permitidosIndica si personas sanas, sin la condición que se estudia, pueden participar.
Condiciones
Patología
HIV Infections
Criterios

Inclusion Criteria Patients must: * Be HIV seropositive and asymptomatic. * Have normal neurologic exam as defined by the Micro Neuro-AIDS assessment. Concurrent Medication * Required: Prophylaxis for Pneumocystis carinii pneumonia (PCP). Aerosolized pentamidine is preferred but if not possible, Trimethoprim / sulfamethoxazole 1 DS tablet per day or Dapsone 50 - 100 mg per day is allowed. Exclusion Criteria * Active drug or alcohol abuse sufficient to prevent adequate compliance with study therapy in the investigator's opinion. Co-existing Condition: Patients with the following diseases or conditions are excluded: * Hemophilia. * Oral candida infection documented by morphology or by response to antifungal therapy within 2 years of study entry. * Oral hairy leukoplakia at any time prior to study entry. * Herpes zoster infection (including single dermatome infection) within 2 years of study entry. * Active diarrhea as defined by 3 or more liquid stools per day. * Temperature \> 37.8 degrees C. * Grade 1 impairment on two or more items (mild AIDS dementia complex) in the ACTG Micro Neuro-AIDS Assessment. * Prior history of malignancy other than cutaneous basal cell carcinomas or cervical carcinoma in situ. Patients with the following are excluded from entry: * AIDS or AIDS-related complex defining symptoms. * Significant, chronic underlying medical illnesses which would impair continuous participation in this 3-year clinical trial. * Hemophilia. Prior Medication: Excluded: * Chemoprophylaxis for Pneumocystis carinii pneumonia (PCP). * Other experimental medications. * Excluded within 60 days of study entry: * Antiretroviral drugs or immunomodulators (biologic response modifiers). * Excluded within 120 days of study entry: * Systemic corticosteroids. Prior Treatment: Excluded within 3 months of study entry: * Blood transfusion.



Centros del Estudio

Estos son los hospitales, clínicas o centros de investigación donde se lleva a cabo el estudio. Puedes encontrar la ubicación más cercana a ti y su estado de reclutamiento.
Este estudio tiene 43 ubicaciones
Suspendido
Los Angeles County - USC Med CtrLos Angeles, United StatesVer ubicación
Suspendido
UCLA CARE CtrLos Angeles, United States
Suspendido
Summitt Med Ctr / San Francisco Gen HospOakland, United States
Suspendido
Palo Alto Veterans Adm Med Ctr / Stanford UnivPalo Alto, United States

Completado43 Centros de Estudio