Pilot Study to Evaluate the Efficacy of Zidovudine in Preventing CD4+ Lymphocyte Decline in Patients With Primary HIV Infection. (One Treatment Arm Receives Placebo)

NCT ID: NCT00000765

Last Updated: 2021-10-28

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

80 participants

Study Classification

INTERVENTIONAL

Study Completion Date

2002-06-30

Brief Summary

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To evaluate the safety and efficacy of early treatment with zidovudine for preventing a decline in CD4+ lymphocyte counts in patients with primary HIV infection. To determine the natural history of virologic and immunologic changes in primary HIV infection.

Previous studies indicate that intervention with zidovudine during primary HIV infection could reduce the initial viral burden and subsequent decline in immune functions, and could prolong not only the time to development of AIDS but also the time to initiation of chronic antiretroviral therapy.

Detailed Description

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Previous studies indicate that intervention with zidovudine during primary HIV infection could reduce the initial viral burden and subsequent decline in immune functions, and could prolong not only the time to development of AIDS but also the time to initiation of chronic antiretroviral therapy.

Patients are randomized to receive either zidovudine or placebo daily for 24 weeks. Patients are followed until development of an AIDS-related opportunistic infection or malignancy. After week 24, patients meeting standard prescribing criteria may start FDA-approved anti-HIV therapies. After study week 48, patients may co-enroll on another clinical trial to receive experimental therapy.

Conditions

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HIV Infections

Keywords

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Zidovudine

Study Design

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Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Interventions

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Zidovudine

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

Concurrent Medication:

Allowed:

* Medications for nausea, vomiting, analgesia, or anxiety.

Patients must have:

* Asymptomatic or symptomatic primary HIV infection, plus one of the following two criteria:

1. p24 antigenemia documented within 1 month prior to study entry and either HIV enzyme immunoassay (IA) negative or HIV IA positive with Western blot negative/indeterminate, within 1 month prior to study entry.
2. Documented seroconversion within 1 month prior to study entry and Western blot negative/indeterminate.
* Consent of parent or guardian if less than 18 years of age.

Exclusion Criteria

Co-existing Condition:

Patients with the following condition are excluded:

* poor venous access.

Concurrent Medication:

Excluded:

* Chronic steroid use.
* Immunomodulators.
* Myelosuppressive agents.
* Other antiretroviral agents or experimental therapies (NOTE: FDA-approved therapies permitted in patients who qualify after week 24; experimental therapies permitted after study week 48).
Minimum Eligible Age

13 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Glaxo Wellcome

INDUSTRY

Sponsor Role collaborator

National Institute of Allergy and Infectious Diseases (NIAID)

NIH

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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M Niu

Role: STUDY_CHAIR

H Standiford

Role: STUDY_CHAIR

Locations

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Cedars Sinai Med Ctr

Los Angeles, California, United States

Site Status

Palo Alto Veterans Administration Med Ctr

Palo Alto, California, United States

Site Status

Broward Gen Med Ctr

Fort Lauderdale, Florida, United States

Site Status

Univ of Illinois

Chicago, Illinois, United States

Site Status

Johns Hopkins Univ School of Medicine

Baltimore, Maryland, United States

Site Status

Bellevue Hosp / New York Univ Med Ctr

New York, New York, United States

Site Status

Miriam Hosp / Brown Univ

Providence, Rhode Island, United States

Site Status

Univ of Texas Southwestern Med Ctr of Dallas

Dallas, Texas, United States

Site Status

Houston Clinical Research Network

Houston, Texas, United States

Site Status

Countries

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United States

References

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Holodniy M, Niu M, Bethel J, Standiford H, Schnittman S. A pilot study to evaluate the efficacy of zidovudine (ZDV) versus placebo in primary HIV infection (DATRI 002): a preliminary analysis. Int Conf AIDS. 1996 Jul 7-12;11(Program Supplement):26 (abstract no LBB6022)

Reference Type BACKGROUND

Other Identifiers

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11733

Identifier Type: REGISTRY

Identifier Source: secondary_id

DATRI 002

Identifier Type: -

Identifier Source: org_study_id