A Pharmacokinetic and Tolerance Study of Oral Ganciclovir in HIV-Infected Children With Asymptomatic Cytomegalovirus Infection and Low CD4 Cell Counts or Quiescent Cytomegalovirus Disease
Collecte de données
Infections transmises par le sang+24
+ Maladies génito-urinaires
+ Maladies Génitales
Étude thérapeutique
Résumé
Maintenance treatment with intravenous (IV) ganciclovir for cytomegalovirus retinitis in AIDS patients is now standard therapy, but daily IV therapy can be complicated by catheter infections and thrombosis. An oral regimen of ganciclovir has been administered safely in adult AIDS patients and may be of significant benefit to children and infants as well. Patients are assigned to 1 of 5 (PER AMENDMENT 10/24/95, was 4) oral (syrup or capsules) dose levels following a single intravenous dose of ganciclovir. Treatment continues for 72 (PER AMENDMENT 10/24/95, was 24 weeks) weeks after the last patient has been enrolled.
Protocole
Cette section fournit des détails sur le plan de l'étude, y compris la manière dont l'étude est conçue et ce qu'elle évalue.32 participants à inclure
Nombre total de participants que l'essai clinique vise à recruter.Traitement
Éligibilité
Les chercheurs recherchent des patients correspondant à une certaine description appelée critères d'éligibilité : état de santé général ou traitements antérieurs du patient.Tout sexe
Le sexe biologique des participants éligibles à s'inscrire.Volontaires sains non autorisés
Indique si les individus en bonne santé et ne présentant pas la condition étudiée peuvent participer.Conditions
Pathologie
Critères
Inclusion Criteria Concurrent Medication: PER AMENDMENT 10/24/95: Allowed: * All antiretroviral agents and other medications except those listed under Exclusion - Concurrent Medications. * Didanosine. However, patients receiving both drugs (didanosine and ganciclovir) should be monitored for toxicity. * Amphotericin B is allowed but requires additional monitoring. Patients must have: * HIV infection. * CMV infection. * CD4 count \< 150 cells/mm3 or \< 15 percent AND/OR quiescent CMV disease. * NO loss of sight from CMV retinitis. * NO acute opportunistic infection. * Life expectancy at least to study completion. * Consent of parent or guardian. NOTE: * Infants \< 6 months of age at enrollment must have been \>= 36 weeks gestational age at birth. NOTE: * Patients may co-enroll in other ACTG protocols that do not involve the administration of disallowed medications. Exclusion Criteria Co-existing Condition: Patients with the following symptoms or conditions are excluded: * Loss of sight in one eye for any reason, with evidence of CMV retinitis in the other eye. * Acute or chronic diarrhea that would affect absorption. * Clinical or laboratory toxicities of grade 3 or worse. Concurrent Medication: Excluded: * Foscarnet. * Acyclovir. * Interferon. * Myelotoxic agents for malignancy or other condition. * Other agents with anti-CMV activity. (NOTE: Enrollment of patients on IVIG must be discussed with protocol chair.) * Imipenem/cilastatin sodium. Prior Medication: Excluded within 30 days prior to study entry: * G-CSF or GM-CSF.
Centres d'étude
Ce sont les hôpitaux, cliniques ou centres de recherche où l'essai est conduit. Vous pouvez trouver le site le plus proche de vous ainsi que son statut.Cette étude comporte 19 sites
Childrens Hosp. LA - Dept. of Ped., Div. of Clinical Immunology & Allergy
Los Angeles, United StatesOuvrir Childrens Hosp. LA - Dept. of Ped., Div. of Clinical Immunology & Allergy dans Google MapsUsc La Nichd Crs
Los Angeles, United StatesUCLA-Los Angeles/Brazil AIDS Consortium (LABAC) CRS
Los Angeles, United StatesChildren's Hosp. & Research Ctr. Oakland, Ped. Clinical Research Ctr. & Research Lab.
Oakland, United States