A Randomized, Open, Comparative Multicenter Study of Initial Treatment With Intravenous Itraconazole Versus Amphotericin B Followed by Consolidation Treatment With Itraconazole Capsules in Patients With Blastomycosis or Histoplasmosis

NCT ID: NCT00002159

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

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Brief Summary

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To assess the safety of intravenous itraconazole compared to amphotericin B in HIV positive or negative persons with blastomycosis or histoplasmosis.

Detailed Description

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Patients are randomized to receive IV itraconazole for 2 days, then either itraconazole daily for 5 days or amphotericin B daily for 7 days. IV treatment is followed by consolidation with oral itraconazole for up to 1 year.

Conditions

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HIV Infections Histoplasmosis Blastomycosis

Study Design

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Primary Study Purpose

TREATMENT

Interventions

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Itraconazole

Intervention Type DRUG

Amphotericin B

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

Patients must have:

* HIV positive or negative status.
* Blastomycosis or histoplasmosis.
* Life expectancy of at least 1 week.

Exclusion Criteria

Co-existing Condition:

Patients with the following symptoms or conditions are excluded:

* Liver disease.
* Self-limiting fungal disease.
* Very severe fungal disease such as meningeal involvement.
* Acute respiratory disease.

Concurrent Medication:

Excluded at any time:

* Terfenadine.
* Astemizole.
* Oral midazolam.
* Triazolam.
* Cisapride.
* Phenytoin.
* Phenobarbital.
* Rifampin.
* Rifabutin.

Excluded during oral consolidation:

* H2 blockers.
* Chronic antacids.
* Omeprazole.
* Lansoprazole.

Patients with the following prior condition are excluded:

Hypersensitivity to azole antifungals.

Prior Medication:

Excluded at any time:

More than 3 days of amphotericin B, fluconazole, or ketoconazole.

Excluded within 2 weeks prior to study entry:

* Phenytoin.
* Phenobarbital.
* Rifampin.
* Rifabutin.
Minimum Eligible Age

13 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Janssen, LP

INDUSTRY

Sponsor Role lead

Locations

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UAB Station / Infectious Division

Birmingham, Alabama, United States

Site Status

Univ of Arkansas for Med Sciences

Little Rock, Arkansas, United States

Site Status

Division of Infectious Diseases

Atlanta, Georgia, United States

Site Status

Division of Inf Diseases/ Indiana Univ Hosp

Indianapolis, Indiana, United States

Site Status

Community Hosp

Indianapolis, Indiana, United States

Site Status

LSU Med Ctr / Div of Pulmonary & Critical Care Med

Shreveport, Louisiana, United States

Site Status

Ann Arbor Veterans Administration Med Ctr

Ann Arbor, Michigan, United States

Site Status

Univ of Missouri / Division of Infectious Diseases

Kansas City, Missouri, United States

Site Status

Infectious Diseases Association / Research Med Ctr

Kansas City, Missouri, United States

Site Status

Countries

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United States

Other Identifiers

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ITR-USA-118

Identifier Type: -

Identifier Source: secondary_id

254A

Identifier Type: -

Identifier Source: org_study_id