A Phase II Randomized, Double-Blind, Placebo-Controlled Trial of the Virologic Effect of Two Different Nucleoside Treatment Strategies (Zidovudine Versus Zidovudine in Combination With Didanosine) for HIV Infection in Subjects With CD4+ Counts >= 550 Cells/mm3
Zidovudine
+ Didanosine
Blood-Borne Infections+11
+ Urogenital Diseases
+ Genital Diseases
Treatment Study
Summary
Recent studies have shown that during the asymptomatic phase (clinical latency) of HIV infection, there is an extraordinarily large number of infected CD4+ lymphocytes and macrophages throughout the lymphoid system, both in latent and productive states. These findings support the belief that early intervention therapy with reverse transcriptase inhibitors could prolong the clinical latency period. Patients are randomized to receive AZT alone, AZT plus ddI, or no therapy (placebo) daily for 48 weeks. Patients are followed at weeks 2, 4, and 8, and then every 8 weeks thereafter until week 48.
Protocol
This section provides details of the study plan, including how the study is designed and what the study is measuring.105 patients to be enrolled
Total number of participants that the clinical trial aims to recruit.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.Over 13 Years
Range of ages for which participants are eligible to join.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: Antibiotics for bacterial infections as clinically indicated. Recombinant erythropoietin (EPO) and G-CSF as clinically indicated for grade 3 or worse anemia and neutropenia, respectively. Antipyretics. Analgesics. Allergy medications. Oral contraceptives. Nonprescription medications such as vitamins or herbal therapies. Concurrent Treatment: Allowed: Radiation therapy to local lesion only. Acupuncture. Patients must have: HIV seropositivity. CD4 count >= 550 cells/mm3. No ARC or AIDS conditions by CDC criteria. Consent of parent or guardian if less than 18 years of age. Exclusion Criteria Co-existing Condition: Patients with the following symptoms or conditions are excluded: Presence of factors predisposing to pancreatitis such as active alcoholism. Other medical conditions that would interfere with study compliance. Concurrent Medication: Excluded: Other antiretrovirals or systemic immunomodulators. Systemic corticosteroids. Systemic cytotoxic chemotherapy. Intravenous pentamidine. Concurrent Treatment: Excluded: Radiation therapy except to local lesion. Patients with the following prior conditions are excluded: History of chronic diarrhea, defined as more than four loose or watery stools on average daily for the past month. History of grade 2 or worse peripheral neuropathy. History of pancreatitis. Bacterial infection requiring antibiotics within 14 days prior to study entry. Prior Medication: Excluded: Prior HIV therapy with antiretrovirals or systemic immunomodulators. Prior Treatment: Excluded within 2 weeks prior to study entry: Transfusion. Active substance abuse or alcoholism.
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 7 locations
Univ of Minnesota
Minneapolis, United StatesSt Paul Ramsey Med Ctr
Saint Paul, United StatesUniv of Nebraska Med Ctr
Omaha, United States