A Multicenter Study of Oral Versus Intravenous Hydration in AIDS Patients With CMV Retinitis Treated With Foscavir (Foscarnet Sodium)

NCT ID: NCT00002125

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

PHASE4

Total Enrollment

112 participants

Study Classification

INTERVENTIONAL

Brief Summary

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To assess the relative efficacy of oral versus intravenous hydration during foscarnet sodium (Foscavir) induction therapy, as determined by changes in creatinine clearance. To estimate the timing and volume of oral fluid hydration required to establish a diuresis before and during intravenous Foscavir therapy. To assess the general tolerance of two hydration regimens by the adverse event profile associated with each.

Detailed Description

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Patients are randomized to receive oral hydration versus intravenous hydration therapy during concomitant intermittent intravenous Foscavir therapy for treatment of cytomegalovirus (CMV) retinitis. Treatment continues during 2 or 3 weeks of induction Foscavir therapy.

Conditions

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Cytomegalovirus Retinitis HIV Infections

Study Design

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Primary Study Purpose

TREATMENT

Interventions

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Foscarnet sodium

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

Patients must have:

* Documented HIV infection.
* Recent diagnosis of CMV retinitis, by ophthalmoscopic appearance, that requires induction therapy.
* No corneal, lens, or vitreous opacification that precludes examination of the fundi.
* No evidence of other end organ CMV infection.
* No evidence of tuberculous, diabetic, or hypertensive retinopathy.

Exclusion Criteria

Co-existing Condition:

Patients with the following symptoms or conditions are excluded:

* Clinically significant cardiac, pulmonary, neurologic, gastrointestinal or renal impairment that would prevent adequate voluntary oral hydration (e.g., intubation, coma, status post-gastrectomy, colon resection, gastrointestinal tumors, malabsorption, chronic diarrhea) OR with which hydration would be hazardous (e.g., congestive heart failure).
* Known allergy to foscarnet or related compounds.
* Considered noncompliant or unreliable for study participation.

Concurrent Medication:

Excluded:

* Any investigational drug.
* Potentially nephrotoxic drugs (e.g., amphotericin B, aminoglycosides, cisplatin).

Prior Medication:

Excluded:

* Any investigational drug within 28 days prior to study entry.
* Potentially nephrotoxic drugs (e.g., amphotericin B, aminoglycosides, cisplatin) within 7 days prior to study entry.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Astra USA

INDUSTRY

Sponsor Role lead

Principal Investigators

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Wool GM

Role: STUDY_CHAIR

Locations

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Dr Ralph Hansen

Beverly Hills, California, United States

Site Status

Dr Milan Fiala

Los Angeles, California, United States

Site Status

Dr G Michael Wool

Los Angeles, California, United States

Site Status

AIDS Community Research Consortium

Redwood City, California, United States

Site Status

Ingenix Kern McNeill Decatur

Atlanta, Georgia, United States

Site Status

Dr John Karedes

Indianapolis, Indiana, United States

Site Status

Dr Paul Benson

Berkley, Michigan, United States

Site Status

Dr Ronald Nahass

Somerville, New Jersey, United States

Site Status

Dr Ronald J Grossman

New York, New York, United States

Site Status

Community Health Network

Rochester, New York, United States

Site Status

Austin Infectious Disease Consultants

Austin, Texas, United States

Site Status

Countries

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United States

Other Identifiers

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93-FOS-31

Identifier Type: -

Identifier Source: secondary_id

020H

Identifier Type: -

Identifier Source: org_study_id