An Open Study of the Effect of Itraconazole Oral Solution for the Treatment of Fluconazole Refractory Oropharyngeal Candidiasis in HIV-Positive Subjects.

NCT ID: NCT00002133

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

NA

Study Classification

INTERVENTIONAL

Brief Summary

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To assess the efficacy and safety of itraconazole oral solution in HIV-seropositive patients with oropharyngeal candidiasis that is refractory to fluconazole.

Detailed Description

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Patients receive itraconazole oral solution twice daily. Per 08/15/94 amendment, patients with complete resolution of oropharyngeal candidiasis lesions upon completion of treatment are eligible for maintenance treatment on protocol FDA 236C. Patients who decline maintenance are followed for 6 weeks. Patients who relapse during follow-up are re-treated for 14-28 days; if lesions clear, patients may enter the maintenance protocol.

Conditions

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Candidiasis, Oral HIV Infections

Study Design

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Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Interventions

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Itraconazole

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

Patients must have:

* HIV antibody seropositivity or diagnosis of AIDS.
* Confirmed oropharyngeal candidiasis.
* Failed fluconazole treatment within the past 14 days.
* Life expectancy of at least 3 months.
* NO symptoms of esophageal candidiasis (e.g., dysphagia) unless endoscopic exam of esophagus was performed and fungal esophagitis was not present.
* NO prior disseminated candidiasis.

Exclusion Criteria

Co-existing Condition:

Patients with the following symptoms or conditions are excluded:

* Underlying clinical condition that precludes study completion or places the patient at significant risk.
* Considered unreliable about following physician's directives.

Concurrent Medication:

Excluded:

* Investigational drugs (approved expanded access drugs are permitted).
* Rifampin.
* Rifabutin.
* Phenobarbital.
* Phenytoin.
* Carbamazepine.
* Terfenadine.
* Astemizole.

Patients with the following prior conditions are excluded:

* History of hypersensitivity to imidazole or azole compounds.
* Clinical evidence of significant hepatic disease within the past 2 months.

Prior Medication:

Excluded:

* Investigational drugs within 1 month prior to study entry (approved expanded access drugs are permitted).
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Janssen, LP

INDUSTRY

Sponsor Role lead

Locations

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Univ of Alabama at Birmingham

Birmingham, Alabama, United States

Site Status

Univ of Arkansas for Med Sciences

Little Rock, Arkansas, United States

Site Status

East Bay AIDS Ctr

Berkeley, California, United States

Site Status

Kaiser Permanente Med Ctr

San Francisco, California, United States

Site Status

Dr Douglas Ward

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

Site Status

George Washington Univ Med Ctr

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

Site Status

Veterans Administration Med Ctr

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

Site Status

Infectious Diseases Research Clinic / Indiana Univ Hosp

Indianapolis, Indiana, United States

Site Status

Natl Inst of Allergy & Infect Dis / Cln Ctr

Bethesda, Maryland, United States

Site Status

Ann Arbor Veterans Administration Med Ctr

Ann Arbor, Michigan, United States

Site Status

Wayne State Univ / Harper Hosp

Detroit, Michigan, United States

Site Status

Washington Univ

St Louis, Missouri, United States

Site Status

Ohio State Univ Hosp

Columbus, Ohio, United States

Site Status

Oklahoma City Veterans Administration Med Ctr

Oklahoma City, Oklahoma, United States

Site Status

Pennsylvania Hosp

Philadelphia, Pennsylvania, United States

Site Status

Infectious Disease Clinic

Nashville, Tennessee, United States

Site Status

Audie L Murphy Veterans Administration Hosp

San Antonio, Texas, United States

Site Status

Univ of Virginia Health Sciences Ctr

Charlottesville, Virginia, United States

Site Status

Countries

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United States

References

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Moskovitz B, Wu J, Baruch A, Benken C. Long term safety and efficacy of itraconazole oral solution (IS) for treatment of fluconazole refractory oropharyngeal candidiasis (OC) in HIV-positive patients (pts). Conf Retroviruses Opportunistic Infect. 1997 Jan 22-26;4th:124 (abstract no 325)

Reference Type BACKGROUND

Other Identifiers

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ITR-USA-94

Identifier Type: -

Identifier Source: secondary_id

236B

Identifier Type: -

Identifier Source: org_study_id