A Randomized Phase III Clinical Trial of Daunoxome Versus Combination Chemotherapy With Adriamycin/Bleomycin/Vincristine (ABV) in the Treatment of HIV-Associated Kaposi's Sarcoma.

NCT ID: NCT00002093

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

PHASE3

Study Classification

INTERVENTIONAL

Brief Summary

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To compare the toxicity profiles (severity and time to onset from initiation of therapy) between daunorubicin (liposomal) and combination chemotherapy with doxorubicin/bleomycin/vincristine (ABV), with both regimens administered in combination with antiretroviral therapy. To compare the duration of responses, response rates, and times to response.

Detailed Description

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Conditions

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Sarcoma, Kaposi HIV Infections

Study Design

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Allocation Method

RANDOMIZED

Primary Study Purpose

TREATMENT

Interventions

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Daunorubicin (liposomal)

Intervention Type DRUG

Bleomycin sulfate

Intervention Type DRUG

Vincristine sulfate

Intervention Type DRUG

Doxorubicin hydrochloride

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

Patients must have:

* HIV infection.
* Advanced Kaposi's sarcoma.

Prior Medication:

Allowed:

* Prior intralesional vinblastine.

Exclusion Criteria

Co-existing Condition:

Patients with the following symptoms and conditions are excluded:

* Acute intercurrent infection other than genital herpes.
* Uncompensated cardiovascular, hepatic, renal, or pulmonary disease unrelated to Kaposi's sarcoma.
* Symptomatic peripheral neuropathy.
* Any condition that compromises ability to give informed consent or complete the study.

Concurrent Medication:

Excluded:

* Concurrent ganciclovir.

Patients with the following prior conditions are excluded:

* Symptomatic AIDS-defining opportunistic infection within 2 weeks of entry.
* History of malignancy other than Kaposi's sarcoma, basal cell carcinoma, or carcinoma in situ of the cervix.

Prior Medication:

Excluded:

* Prior systemic chemotherapy.
* Intralesional therapies within 7 days prior to study entry.
* Growth factors (G-CSF or GM-CSF), immune modifiers, or investigational agents within 14 days prior to study entry.
* Interferon preparations (alpha or beta) within 28 days prior to study entry.

Prior Treatment:

Excluded within 7 days prior to study entry:

* Radiation.
* Local therapies (e.g., cryotherapy).
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Nexstar Pharmaceuticals

INDUSTRY

Sponsor Role lead

Locations

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Univ of Arizona / Arizona Cancer Ctr

Tucson, Arizona, United States

Site Status

Kenneth Norris Jr Cancer Hosp

Los Angeles, California, United States

Site Status

Desert Hosp Comprehensive Cancer Ctr

Palm Springs, California, United States

Site Status

Saint Francis Mem Hosp

San Francisco, California, United States

Site Status

Davies Med Ctr

San Francisco, California, United States

Site Status

Denver Gen Hosp

Denver, Colorado, United States

Site Status

George Washington Univ Med Ctr

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

Site Status

Univ of Miami Dept of Medicine

Miami, Florida, United States

Site Status

Northwestern Univ Med School

Chicago, Illinois, United States

Site Status

New England Deaconess Hosp

Boston, Massachusetts, United States

Site Status

New York Univ Med Ctr

New York, New York, United States

Site Status

Kaiser Permanente Med Ctr

Portland, Oregon, United States

Site Status

Dr Edward Stool

Houston, Texas, United States

Site Status

Countries

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United States

References

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Gill PS, Wernz J, Scadden DT, Cohen P, Mukwaya GM, von Roenn JH, Jacobs M, Kempin S, Silverberg I, Gonzales G, Rarick MU, Myers AM, Shepherd F, Sawka C, Pike MC, Ross ME. Randomized phase III trial of liposomal daunorubicin versus doxorubicin, bleomycin, and vincristine in AIDS-related Kaposi's sarcoma. J Clin Oncol. 1996 Aug;14(8):2353-64. doi: 10.1200/JCO.1996.14.8.2353.

Reference Type BACKGROUND
PMID: 8708728 (View on PubMed)

Savage GE, Gable C, Motte K, Dixon C, Becker R. A pharmacoeconomic analysis of Kaposi's sarcoma patients based on a clinical trial of ABV vs. DaunoXome. Int Conf AIDS. 1996 Jul 7-12;11(Program Supplement):32 (abstract no LBB6048)

Reference Type BACKGROUND

Other Identifiers

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103-09

Identifier Type: -

Identifier Source: secondary_id

121A

Identifier Type: -

Identifier Source: org_study_id