A Controlled Randomized Trial to Study the Efficacy of Adjunctive Methylprednisolone for the Treatment of Pneumocystis Carinii Pneumonia (PCP) in Pediatric AIDS Patients
Methylprednisolone
Blood-Borne Infections+22
+ Urogenital Diseases
+ Genital Diseases
Treatment Study
Summary
HIV-infected children are randomized to receive adjunctive therapy with intravenous methylprednisolone or placebo. Treatment is administered for 10 days. Primary antipneumocystis therapy with TMP/SMX or systemic pentamidine is selected by the individual investigator and given for 21 days. Patients are stratified at the time of randomization by the presence or absence of respiratory failure.
Protocol
This section provides details of the study plan, including how the study is designed and what the study is measuring.Treatment Study
Eligibility
Researchers look for people who fit a certain description, called eligibility criteria: person's general health condition or prior treatments.Any sex
Biological sex of participants that are eligible to enroll.Healthy volunteers not allowed
If individuals who are healthy and do not have the condition being studied can participate.Conditions
Pathology
Criteria
Inclusion Criteria Concurrent Medication: Allowed: Recombinant erythropoietin and any FDA-approved cytokine for management of anemia. Antiretroviral agents. Patients must have: Documented HIV infection. PCP. No more than 36 hours of prior primary therapy for confirmed or presumed PCP. Prior Medication: Allowed: Up to 35 hours of primary therapy for confirmed or presumed PCP. Exclusion Criteria Co-existing Condition: Patients with the following symptoms and conditions are excluded: Demonstrated intolerance to steroids. Requirement for steroids at greater than physiological doses for other medical conditions.
Study Centers
These are the hospitals, clinics, or research facilities where the trial is being conducted. You can find the location closest to you and its status.This study has 6 locations
UCSD Med Ctr / Pediatrics / Clinical Sciences
La Jolla, United StatesOpen UCSD Med Ctr / Pediatrics / Clinical Sciences in Google MapsChicago Children's Memorial Hosp
Chicago, United StatesSt Louis Univ School of Medicine
St Louis, United StatesBellevue Hosp / New York Univ Med Ctr
New York, United States