A Phase II, Parallel Group, Randomized, Placebo-Controlled Study of the Safety and Efficacy of Thalidomide in Reducing Weight Loss in Adults With HIV Wasting Syndrome

NCT ID: NCT00002127

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

75 participants

Study Classification

INTERVENTIONAL

Brief Summary

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To evaluate the safety, antiviral and anti-TNF-alpha activity, and preliminary efficacy of thalidomide in reducing weight loss in patients with HIV wasting syndrome.

Detailed Description

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Patients are randomized to receive either thalidomide at 1 of 2 doses or placebo for 8 weeks. Patients who respond may continue in double-blinded treatment for an additional 4 weeks; nonresponding patients may receive thalidomide for up to 4 weeks. Per amendment, patients may receive thalidomide for more than 12 weeks on a compassionate basis.

Conditions

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HIV Infections HIV Wasting Syndrome

Study Design

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Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Interventions

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Thalidomide

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

Concurrent Medication:

Allowed:

* Primary prophylaxis for opportunistic infections (if AFB blood culture negative).
* Chronic suppressive therapy (maintenance) for opportunistic infections OTHER THAN Mycobacterium avium Complex (MAC).

Patients must have:

* Documented HIV infection.
* Wasting syndrome.
* Negative blood PCR for acid-fast bacteria (AFB) or a negative AFB blood culture within 48 days prior to study entry.
* No active opportunistic infection requiring systemic therapy within 6 weeks prior to study entry.
* Life expectancy of at least 6 weeks.

Exclusion Criteria

Co-existing Condition:

Patients with the following symptoms or conditions are excluded:

* Chronic diarrhea (five or more unformed stools per day).
* Peripheral neuropathy of grade 2 or worse.
* Requirement for tube feeding or intravenous feeding.
* Any disorder associated with moderate to severe edema (e.g., cirrhosis, nephrosis, congestive heart failure).
* Inability to ingest at least a maintenance diet based on present weight.
* Any condition that precludes study participation.
* Not under the care of a primary physician.

Concurrent Medication:

Excluded:

* Chronic suppressive therapy (maintenance) or secondary prophylaxis for Mycobacterium avium Complex (MAC) (suppressive therapy for other opportunistic infections is allowed).

Concurrent Treatment:

Excluded:

* Radiotherapy.

Patients with the following prior conditions are excluded:

* Any neoplasms other than non-medicated (i.e., not receiving systemic or intralesional chemotherapy) Kaposi's sarcoma within 1 month prior to study entry.
* Prior intolerance to thalidomide.

Prior Medication:

Excluded:

* ddC within 1 month prior to study entry.
* Acute systemic therapy for opportunistic infections within 6 weeks prior to study entry.
* Agents that are anabolic, catabolic, or immunomodulatory (including interferons, megestrol, dronabinol, oxandrolone, growth hormone, systemic corticosteroids, and pentoxifylline) within 30 days prior to study entry.

Prior Treatment:

Excluded:

* Radiotherapy within 6 weeks prior to study entry.

Required ONLY IF patient is on antiretroviral therapy:

* Stable regimen of AZT or ddI for at least 1 month prior to study entry. Active drug abuse within 3 months prior to study entry.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Celgene Corporation

INDUSTRY

Sponsor Role lead

Locations

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Marin County Specialty Clinic

Greenbrae, California, United States

Site Status

AIDS Community Research Consortium

Redwood City, California, United States

Site Status

UCSD Med Ctr - Owen Clinic

San Diego, California, United States

Site Status

San Francisco Gen Hosp

San Francisco, California, United States

Site Status

Kaiser Permanente Med Ctr

San Francisco, California, United States

Site Status

Gottlieb Med Group

Sherman Oaks, California, United States

Site Status

George Washington Univ Med Ctr

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

Site Status

Community Research Initiative of South Florida

Coral Gables, Florida, United States

Site Status

Kansas City AIDS Research Consortium

Kansas City, Missouri, United States

Site Status

Saint Michael's Med Ctr

Newark, New Jersey, United States

Site Status

Rockefeller Univ

New York, New York, United States

Site Status

Thomas Jefferson Med College

Philadelphia, Pennsylvania, United States

Site Status

Advanced Research Management

Seattle, Washington, United States

Site Status

Countries

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United States

References

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Stirling D, Sherman M, Strauss S. Thalidomide. A surprising recovery. J Am Pharm Assoc (Wash). 1997 May-Jun;NS37(3):306-13.

Reference Type BACKGROUND
PMID: 9170807 (View on PubMed)

Other Identifiers

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W-001

Identifier Type: -

Identifier Source: secondary_id

230A

Identifier Type: -

Identifier Source: org_study_id