Rifabutin Therapy for the Prevention of Mycobacterium Avium Complex (MAC) Bacteremia in AIDS Patients With CD4 Counts = or < 200: A Double-Blind, Placebo-Controlled Trial

NCT ID: NCT00002032

Last Updated: 2005-06-24

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

750 participants

Study Classification

INTERVENTIONAL

Brief Summary

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The primary objectives of this trial are: To compare the safety of oral rifabutin versus placebo in the treatment of Mycobacterium avium complex (MAC) bacteremia in AIDS patients with CD4 counts less than or equal to 200 cells/mm3. To investigate the incidence of MAC in these patients. A secondary objective is to compare clinical response, quality of life (Karnofsky), and survival between these two groups.

Detailed Description

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Conditions

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Mycobacterium Avium-intracellulare Infection HIV Infections

Study Design

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Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Interventions

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Rifabutin

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

Patients must have the following:

* Diagnosis of AIDS with a case defining infection other than Mycobacterium avium complex (MAC).
* Written informed consent.
* Females of childbearing potential must also sign a special informed consent.

Exclusion Criteria

Co-existing Condition:

Patients with the following conditions or symptoms are excluded:

* Known hypersensitivity to rifabutin, rifampin, other rifamycins, zidovudine or didanosine (ddI).
* Previous or current infection due to Mycobacterium avium complex (MAC) disease as evaluated by two successive blood cultures and two successive stool cultures taken within 14 days prior to study initiation.

Concurrent Medication:

Excluded:

* Antiretroviral agents other than zidovudine (AZT).
* Didanosine (ddI).
* Antimycobacterial therapy.
* Rifampin.
* Isoniazid.
* Clofazimine.
* Ethambutol.
* Cycloserine.
* Ethionamide.
* Amikacin.
* Ciprofloxacin.
* Streptomycin.
* Other investigational drugs.
* If antimicrobial therapy is required to treat bacterial infections (= or \< 14 days), Adria Laboratories must be contacted prior to initiation of therapy.

Patients with the following are excluded:

* Known hypersensitivity to rifabutin, rifampin, other rifamycins, zidovudine (AZT), or didanosine (ddI).
* Previous or current Mycobacterium avium complex (MAC) infection.
* Perceived patient unreliability or unavailability for frequent monitoring.

Prior Medication:

Excluded within 4 weeks of study entry:

* Antiretroviral agents other than zidovudine (AZT) or didanosine (ddI).
* Antimycobacterial therapy.
* Rifampin.
* Isoniazid.
* Clofazimine.
* Ethambutol.
* Cycloserine.
* Ethionamide.
* Amikacin.
* Ciprofloxacin.

Required:

* Zidovudine (AZT).
* Antipneumocystis prophylactic therapy.

Required for at least 4 weeks prior to study entry:

* Zidovudine (AZT) or didanosine (ddI).
* Antipneumocystis prophylaxis.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Pharmacia

INDUSTRY

Sponsor Role lead

Locations

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Ctr for Special Immunology

Irvine, California, United States

Site Status

Olive View Med Ctr

Sylmar, California, United States

Site Status

Denver Public Health Dept

Denver, Colorado, United States

Site Status

Veterans Administration Med Ctr

Washington D.C., District of Columbia, United States

Site Status

Ctr for Special Immunology

Fort Lauderdale, Florida, United States

Site Status

TheraFirst Med Ctrs Inc

Fort Lauderdale, Florida, United States

Site Status

Mem Hosp Hollywood

Hollywood, Florida, United States

Site Status

VP Med Services / HHCS Research Institute Inc

Orlando, Florida, United States

Site Status

AIDS Research Consortium of Atlanta

Atlanta, Georgia, United States

Site Status

Grady Memorial Hosp / Hughs Spalding Med Ctr

Atlanta, Georgia, United States

Site Status

Dr Winkler Weinberg

Roswell, Georgia, United States

Site Status

Johns Hopkins School of Medicine

Baltimore, Maryland, United States

Site Status

CRI of New England

Brookline, Massachusetts, United States

Site Status

Univ of Missouri at Kansas City School of Medicine

Kansas City, Missouri, United States

Site Status

Research Med Ctr

Kansas City, Missouri, United States

Site Status

Brooklyn Veterans Administration

Brooklyn, New York, United States

Site Status

Maimonides Med Ctr

Brooklyn, New York, United States

Site Status

Nassau County Med Ctr

East Meadow, New York, United States

Site Status

Long Island Jewish Med Ctr

New Hyde Park, New York, United States

Site Status

Community Research Initiative

New York, New York, United States

Site Status

Chelsea Village Med Ctr

New York, New York, United States

Site Status

Mem Sloan - Kettering Cancer Ctr

New York, New York, United States

Site Status

Univ Hosp of Cleveland / Case Western Reserve Univ

Cleveland, Ohio, United States

Site Status

Ohio State Univ Med Ctr

Columbus, Ohio, United States

Site Status

Central Texas Med Foundation

Austin, Texas, United States

Site Status

Nelson Tebedo Community Clinic

Dallas, Texas, United States

Site Status

Univ of Texas Southwestern Med Ctr of Dallas

Dallas, Texas, United States

Site Status

Texas Tech Health Sciences Ctr

El Paso, Texas, United States

Site Status

Baylor College of Medicine

Houston, Texas, United States

Site Status

Houston Clinical Research Network

Houston, Texas, United States

Site Status

Univ TX San Antonio Health Science Ctr

San Antonio, Texas, United States

Site Status

Scott and White Hosp

Temple, Texas, United States

Site Status

Dr Scott Lea

Waco, Texas, United States

Site Status

Countries

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United States

References

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Dautzenberg B, Castellani P, Pellegrin JL, Vittecoq D, Truffot-Pernot C, Pirotta N, Sassella D. Early bactericidal activity of rifabutin versus that of placebo in treatment of disseminated Mycobacterium avium complex bacteremia in AIDS patients. Antimicrob Agents Chemother. 1996 Jul;40(7):1722-5. doi: 10.1128/AAC.40.7.1722.

Reference Type BACKGROUND
PMID: 8807071 (View on PubMed)

Moore RD, Chaisson RE. Survival analysis of two controlled trials of rifabutin prophylaxis against Mycobacterium avium complex in AIDS. AIDS. 1995 Dec;9(12):1337-42. doi: 10.1097/00002030-199512000-00006.

Reference Type BACKGROUND
PMID: 8605053 (View on PubMed)

Other Identifiers

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087023-999

Identifier Type: -

Identifier Source: secondary_id

048A

Identifier Type: -

Identifier Source: org_study_id