A Randomized Trial to Evaluate the Safety and Efficacy of Combination Therapy With Retrovir ( AZT ) and HIVID ( ddC ) Versus Retrovir, HIVID, and Wellferon ( Interferon Alfa-n1 ) for the Treatment of HIV Infection

NCT ID: NCT00002086

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

PHASE2

Total Enrollment

256 participants

Study Classification

INTERVENTIONAL

Brief Summary

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Primary: To determine whether the combination of zidovudine/zalcitabine/interferon alfa-n1 (Retrovir/HIVID/Wellferon) can produce complete responses (i.e., CD4 counts return to \>= 800 cells/mm3 for more than 24 weeks) in patients with virus sensitive to all three agents. To determine the antiviral effect of the combination therapies as evidenced by measures of quantitative viral load performed at select study centers only.

Secondary: To determine the effectiveness of Retrovir/HIVID and Retrovir/HIVID/Wellferon in maintaining or increasing CD4 counts and preventing disease progression as evidenced by the development of an AIDS-defining indicator disease. To determine the effect of these regimens on secondary measures of clinical status (e.g., performance score, weight change, and secondary infections) and on measures of virologic activity such as serum p24 antigen. To assess the safety and tolerance of these regimens.

Detailed Description

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Conditions

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HIV Infections

Study Design

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Allocation Method

RANDOMIZED

Primary Study Purpose

TREATMENT

Interventions

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Zidovudine

Intervention Type DRUG

Zalcitabine

Intervention Type DRUG

Interferon alfa-n1

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

Patients must have:

* HIV infection documented by licensed ELISA confirmed by Western blot; OR positive HIV culture; OR positive HIV antigen; OR plasma viremia.
* CD4 counts \>= 300 and \<= 500 cells/mm3 on two occasions within 30 days prior to study entry.

Patients \< 18 years of age must have written consent of parent or guardian. The effects of the combination therapy on infants or the developing fetus are unknown. Patients are encouraged to utilize adequate contraception while enrolled in the study.

Exclusion Criteria

Co-existing Condition:

Patients with the following symptoms and conditions are excluded:

* Current AIDS-defining indicator disease, including opportunistic infections, AIDS dementia, AIDS-wasting syndrome, and AIDS-associated malignancy.
* Grade 2 or worse peripheral neuropathy.
* Intolerance to Retrovir at 600 mg/day, HIVID at 2.25 mg/day, or any interferon-alfa product at 3.0 MU/day.
* Significant cardiac dysfunction (NYHA grade 3 or 4).

Concurrent Medication:

Excluded:

* Chemotherapeutic agents during the 76 weeks following study entry.
* Cardiac glycosides, antiarrhythmics, or vasodilators.

Patients with the following prior conditions are excluded:

* History of AIDS-defining indicator disease, including opportunistic infections, AIDS dementia, AIDS-wasting syndrome, or AIDS-associated malignancy.
* History of grade 2 or worse peripheral neuropathy.
* History of intolerance to Retrovir at 600 mg/day, HIVID at 2.25 mg/day, or any interferon-alfa product at 3.0 MU/day.

Prior Medication:

Excluded:

* More than 3 months of any prior antiretroviral therapy.
* Cytotoxic chemotherapy within 4 weeks prior to study entry.
* Immunomodulating agents such as systemic corticosteroids, IL-2, IFN-alfa, or IFN-beta within 4 weeks prior to study entry.
* Cardiac glycosides, antiarrhythmics, or vasodilators.

Prior Treatment:

Excluded:

* Radiation therapy within 4 weeks prior to study entry. Current alcohol or illicit drug use that would interfere with patient compliance.
Minimum Eligible Age

13 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Glaxo Wellcome

INDUSTRY

Sponsor Role lead

Locations

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ViRx Inc

San Francisco, California, United States

Site Status

Marin County Specialty Clinic

San Rafael, California, United States

Site Status

Georgetown Univ Med Ctr

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

Site Status

Stratogen of South Florida

Miami Beach, Florida, United States

Site Status

Univ of South Florida

Tampa, Florida, United States

Site Status

Infectious Diseases Research Clinic / Indiana Univ Hosp

Indianapolis, Indiana, United States

Site Status

Univ of Kansas School of Medicine

Wichita, Kansas, United States

Site Status

North Shore Univ Hosp / Div of Infectious Diseases

Manhasset, New York, United States

Site Status

Univ of Cincinnati

Cincinnati, Ohio, United States

Site Status

Portland Veterans Adm Med Ctr / Rsch & Education Grp

Portland, Oregon, United States

Site Status

Vanderbilt School of Medicine

Nashville, Tennessee, United States

Site Status

Baylor College of Medicine

Houston, Texas, United States

Site Status

Univ of Utah School of Medicine

Salt Lake City, Utah, United States

Site Status

Countries

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United States

References

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Lavelle J, Haas D, Barry D, Mustafa N, Mciunnis R, Rooney J. Long-term safety and efficacy of initial triple combination therapy with ZDV, ddC and interferon alpha-n1 vs. ZDV and ddC in patients with CD4+ cell counts 300-500 cells/mm3. Conf Retroviruses Opportunistic Infect. 1996 Jan 28-Feb 1;3rd:107

Reference Type BACKGROUND

Other Identifiers

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03

Identifier Type: -

Identifier Source: secondary_id

052C

Identifier Type: -

Identifier Source: org_study_id