A Randomized, Controlled Study of the Safety and Preventive Efficacy of Oral Ganciclovir When Used in Conjunction With An Intravitreal Ganciclovir Implant in the Treatment of Cytomegalovirus Retinitis

NCT ID: NCT00002134

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

Total Enrollment

450 participants

Study Classification

INTERVENTIONAL

Brief Summary

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To demonstrate the efficacy of oral ganciclovir in preventing new cytomegalovirus (CMV) disease in AIDS patients with unilateral CMV retinitis treated with an intravitreal ganciclovir implant. To compare safety and tolerance, time to progression, quality of life, and survival among patients treated with an intravitreal ganciclovir implant, with and without oral ganciclovir, versus standard intravenous (IV) ganciclovir therapy.

Detailed Description

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Patients receive intravitreal ganciclovir implant plus oral ganciclovir, intravitreal implant alone, or IV ganciclovir.

Conditions

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Cytomegalovirus Retinitis HIV Infections

Study Design

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Primary Study Purpose

TREATMENT

Interventions

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Ganciclovir

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

Concurrent Medication:

Allowed:

* Topical drugs and ophthalmics.

Patients must have:

* AIDS.
* Unilateral CMV retinitis.

Exclusion Criteria

Co-existing Condition:

Patients with the following symptoms or conditions are excluded:

* Chronic, clinically significant diarrhea, nausea, abdominal pain,or other symptoms of uncontrolled gastrointestinal disease.
* Ocular opacities (corneal, aqueous, lens, or vitreous) preventing ophthalmologic retinal assessment of fundus photography.
* Acute retinal necrosis or any other intraocular condition that might preclude study completion.
* Ocular condition requiring immediate surgery.
* Unable to have long-term IV catheter placement.

Concurrent Medication:

Excluded:

* Vidarabine.
* Amantadine hydrochloride.
* Cytarabine.
* FIAC or FIAU.
* Idoxuridine.
* Ribavirin.
* Valacyclovir.
* Foscarnet.
* CMV hyperimmune globulin.
* Soluble CD4.
* Trichosanthin.
* Imipenem-cilastatin.
* Isoprinosine.
* Levamisole.
* Interferon.
* Other investigational drugs.

Patients with the following prior conditions are excluded:

* History of previous invasive intraocular surgery of any kind in the involved eye or any condition for which ocular surgery is contraindicated.
* History of hypersensitivity to acyclovir or ganciclovir.

Prior Medication:

Excluded:

* Any prior oral ganciclovir in a CMV retinitis treatment protocol OR more than 4 months of prior oral ganciclovir in a prophylaxis study (per amendment).
* Prior intravitreal ganciclovir implant.
* More than two prior induction dose courses of IV anti-CMV therapy (per amendment).
* Intravitreal injection of any antiviral medication within the past 4 weeks (per amendment).
Minimum Eligible Age

13 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Roche Global Development

OTHER

Sponsor Role lead

Locations

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Dr Neil Brourman

Beverly Hills, California, United States

Site Status

UCI College of Medicine

Irvine, California, United States

Site Status

Estelle Doheny Eye Clinic

Los Angeles, California, United States

Site Status

Dr Robert T Wendel

Sacramento, California, United States

Site Status

Kaiser Hosp

San Francisco, California, United States

Site Status

Pacific Horizons Med Group

San Francisco, California, United States

Site Status

Santa Clara Valley Med Ctr

San Jose, California, United States

Site Status

Dr Robert Avery

Santa Barbara, California, United States

Site Status

Harbor - UCLA Med Ctr

Torrance, California, United States

Site Status

Dr Alan Palestine

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

Site Status

Dr Michael Stewart

Jacksonville, Florida, United States

Site Status

Bascom Palmer

Miami, Florida, United States

Site Status

Emory Eye Clinic

Atlanta, Georgia, United States

Site Status

Dr David Weinberg

Chicago, Illinois, United States

Site Status

Univ of Kentucky Med Ctr

Lexington, Kentucky, United States

Site Status

New England Med Ctr / Tufts Univ

Boston, Massachusetts, United States

Site Status

Dr Dorothy Friedberg

New York, New York, United States

Site Status

Saint Clare's Prof Office

New York, New York, United States

Site Status

New York Hosp

New York, New York, United States

Site Status

Vitreo - Retinal Consultants

New York, New York, United States

Site Status

Univ of Texas Southwestern Med Ctr of Dallas

Dallas, Texas, United States

Site Status

Baylor College of Medicine

Houston, Texas, United States

Site Status

Univ of Washington Med Ctr

Seattle, Washington, United States

Site Status

Countries

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United States

References

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Cheng B. Guide to CMV management. PI Perspect. 1996 Apr;(no 18):13-4.

Reference Type BACKGROUND
PMID: 11363508 (View on PubMed)

Other Identifiers

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GANS2304

Identifier Type: -

Identifier Source: secondary_id

037B

Identifier Type: -

Identifier Source: org_study_id