A Phase II/III Trial of Human Anti-CMV Monoclonal Antibody MSL 109 (MACRT)

NCT ID: NCT00000836

Last Updated: 2012-10-25

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

PHASE2

Total Enrollment

300 participants

Study Classification

INTERVENTIONAL

Study Completion Date

1998-08-31

Brief Summary

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To compare the safety and efficacy of sevirumab (MSL 109; Protovir), human anti-cytomegalovirus (CMV) monoclonal antibody, plus active primary treatment versus placebo plus active primary treatment in AIDS patients with newly diagnosed and relapsed CMV retinitis.

Ganciclovir and foscarnet are used for treatment of CMV retinitis, but cause hematologic toxicity and nephrotoxicity, respectively. Despite continued maintenance therapy with these drugs, relapse occurs in 85 percent of patients within 4 months. Studies suggest that MSL 109, a human monoclonal antibody, when given with either ganciclovir or foscarnet, may increase initial response and prolong time to progression in patients with CMV retinitis.

Detailed Description

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Ganciclovir and foscarnet are used for treatment of CMV retinitis, but cause hematologic toxicity and nephrotoxicity, respectively. Despite continued maintenance therapy with these drugs, relapse occurs in 85 percent of patients within 4 months. Studies suggest that MSL 109, a human monoclonal antibody, when given with either ganciclovir or foscarnet, may increase initial response and prolong time to progression in patients with CMV retinitis.

Patients are randomized to receive either MSL 109 or placebo every 2 weeks as supplemental therapy to primary CMV treatment.

Conditions

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Cytomegalovirus Retinitis HIV Infections

Keywords

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AIDS-Related Opportunistic Infections Acquired Immunodeficiency Syndrome Antibodies, Monoclonal Cytomegalovirus Retinitis

Study Design

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Primary Study Purpose

TREATMENT

Interventions

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Sevirumab

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

Concurrent Medication: Required:

* Primary CMV treatment.

Patients must have:

* AIDS.
* Active CMV retinitis.
* At least one photographable lesion of one-quarter or more optic disc area in size.
* Undergoing primary treatment for CMV retinitis that is not contraindicated with MSL 109.
* Visual acuity in at least one eye of 3 or more letters on Early Treatment Diabetic Retinopathy Study ( ETDRS ) chart at 1 meter distance ( Snellen equivalent 5/200 ). Note:
* Exceptions may be made if visual acuity impairment is possibly reversible and there is at least light perception in that eye.

Exclusion Criteria

Co-existing Condition:

Patients with the following symptoms or conditions are excluded:

* Retinal detachment not scheduled for surgical repair.
* Media opacity that precludes visualization of the fundus.
* Active medical problems sufficient to hinder study compliance.

Concurrent Medication:

Excluded:

* IVIG.
* CMV immune globulin ( CMVIG ).
* Interferon alpha.
* Interferon gamma.
* Interleukin-2 ( IL-2 ).

Drug or alcohol abuse sufficient to hinder study compliance.
Minimum Eligible Age

13 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Institute of Allergy and Infectious Diseases (NIAID)

NIH

Sponsor Role lead

Locations

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UCSD - Shiley Eye Ctr / SOCA

La Jolla, California, United States

Site Status

UCLA - Jules Stein Eye Institute / SOCA

Los Angeles, California, United States

Site Status

UCSF - San Francisco Gen Hosp

San Francisco, California, United States

Site Status

Northwestern Univ / SOCA

Chicago, Illinois, United States

Site Status

Johns Hopkins Hosp / SOCA

Baltimore, Maryland, United States

Site Status

New York Univ Med Ctr / SOCA

New York, New York, United States

Site Status

Countries

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United States

Other Identifiers

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ACTG 294

Identifier Type: -

Identifier Source: org_study_id