A Study Comparing Megestrol Acetate at 800 mg/Day, and Placebo in AIDS Patients With Anorexia and Cachexia

NCT ID: NCT00002067

Last Updated: 2007-10-02

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

PHASE3

Study Classification

INTERVENTIONAL

Brief Summary

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To compare the effects of megestrol acetate and placebo on body weight, anorexia, cachexia, calorie intake, and nutritional parameters of patients with a confirmed diagnosis of AIDS. To determine whether megestrol acetate relative to placebo improves the perception of well-being among AIDS patients with cachexia. To evaluate megestrol acetate's effect on immune function via skin test reactivity, T4/T8 ratio, and total lymphocytes.

Detailed Description

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Conditions

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Anorexia Cachexia HIV Infections

Keywords

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Body Weight T-Lymphocytes Nutritional Status Megestrol Acquired Immunodeficiency Syndrome Anorexia Cachexia Energy Intake

Study Design

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Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Interventions

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Megestrol acetate

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

Patient must have:

* Confirmed diagnosis of AIDS (CDC definition).
* Documented weight loss or anorexia.
* Life expectancy = or \> 20 weeks.
* The perception that the weight loss is a detriment to their well-being.
* Ability to provide informed consent, read and write English.

Exclusion Criteria

Co-existing Condition:

Patients with the following conditions are excluded:

* Dementia or evidence of mental incompetence which would preclude compliance with the protocol.
* Severe diarrhea defined as 5 or more watery stools per day for at least 7 days.
* Active uncontrolled systemic infections at the start of treatment.
* Patients may not be entered for at least 2 weeks after acute infection.
* Clinical or radiologic evidence of ascites or pleural effusions.

Patients with the following are excluded:

* Obstruction to food intake or impaired digestive/absorptive functions.
* Contraindications to megestrol acetate (poorly controlled hypertension or heart failure or deep vein thrombosis).
* Inability to consent or be available for close follow-up.
* Active systemic infections at the start of treatment.
* Clinical or radiologic evidence of ascites or pleural effusions.
* Patients who have been hospitalized or have suffered an exacerbation of their illness associated with weight loss within the past 2 weeks are excluded.
* Menstruating female patients are excluded.

Prior Medication:

Excluded:

* Corticosteroids.
* Anabolic steroids.
* Marijuana.
* Megestrol acetate.
* Patients who have been started on zidovudine (AZT) within 8 weeks. (Patients may have been previously treated with AZT and failed or may currently be receiving AZT for at least 8 weeks.)

Patients may not be started on any therapy designed to treat the underlying HIV infection or which may have a major impact on appetite and/or weight gain.

* Patients who have been started on zidovudine (AZT) within 8 weeks. (Patients may have been previously treated with AZT and failed or may currently be receiving AZT for at least 8 weeks.)

History of substance abuse and questionable current and future abstinence.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Bristol-Myers Squibb

INDUSTRY

Sponsor Role lead

Locations

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Dr Mark Goldstein

Los Angeles, California, United States

Site Status

Summitt Med Ctr / San Francisco Gen Hosp

Oakland, California, United States

Site Status

Palo Alto Veterans Adm Med Ctr / Stanford Univ

Palo Alto, California, United States

Site Status

Eisenhower Med Ctr

Rancho Mirage, California, United States

Site Status

UCD Med Ctr

Sacramento, California, United States

Site Status

San Francisco AIDS Clinic / San Francisco Gen Hosp

San Francisco, California, United States

Site Status

San Francisco Veterans Administration Med Ctr

San Francisco, California, United States

Site Status

Denver Public Health Dept

Denver, Colorado, United States

Site Status

Miami Veterans Administration Med Ctr

Miami, Florida, United States

Site Status

Univ of South Florida

Tampa, Florida, United States

Site Status

Northwestern Univ Med School

Chicago, Illinois, United States

Site Status

Mem Sloan - Kettering Cancer Ctr

New York, New York, United States

Site Status

SUNY / Health Sciences Ctr at Syracuse

Syracuse, New York, United States

Site Status

Northwest Family Ctr at the Harbor View Med Ctr

Seattle, Washington, United States

Site Status

Countries

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United States

References

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Strang P. The effect of megestrol acetate on anorexia, weight loss and cachexia in cancer and AIDS patients (review). Anticancer Res. 1997 Jan-Feb;17(1B):657-62.

Reference Type BACKGROUND
PMID: 9066597 (View on PubMed)

Other Identifiers

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MEG8809

Identifier Type: -

Identifier Source: secondary_id

025B

Identifier Type: -

Identifier Source: org_study_id