A Comparison of Two Dose Levels of Didanosine Used in Combination With Stavudine in HIV-Infected Patients

NCT ID: NCT00002207

Last Updated: 2011-04-25

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

Study Start Date

2004-02-29

Study Completion Date

2004-02-29

Brief Summary

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The purpose of this study is to compare the effectiveness of taking didanosine (ddI) once a day plus stavudine (d4T) twice a day with taking ddI twice a day plus d4T twice a day. This study also examines the safety of giving ddI with d4T in the short-term.

Detailed Description

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Patients are randomized to receive ddI given either qd or bid in combination with d4T given bid (no doses specified).

Conditions

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HIV Infections

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Interventions

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Stavudine

Intervention Type DRUG

Didanosine

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

Patients must have:

* Documented HIV infection.
* CD4 cell count of at least 100 cells/mm3.
* Plasma HIV RNA count of 10,000 copies/ml or more within 14 days prior to study entry.

Exclusion Criteria

Co-existing Condition:

Patients with the following conditions and symptoms are excluded:

* Presence of a newly diagnosed AIDS-defining opportunistic infection requiring acute therapy at the time of enrollment.
* Bilateral peripheral neuropathy or signs and symptoms of bilateral peripheral neuropathy greater than or equal to Grade 2 at the time of screening.
* Inability to tolerate oral medication.
* Any other clinical condition that would preclude compliance with dosing requirements.

Patients with the following prior conditions are excluded:

* History of acute or chronic pancreatitis.
* Intractable diarrhea (6 or more loose stools/day for more than 7 consecutive days) within 30 days prior to study entry.
* Proven or suspected acute hepatitis within 30 days prior to study entry.

1\. Potent neurotoxic drugs, such as vincristine and thalidomide.
* Other anti-HIV therapy.

1\. Prophylaxis for pneumocystis carinii pneumonia (PCP) is strongly recommended for patients with CD4 cell counts less than or equal to 200/mm3 or who have had a prior episode of PCP.
* Immunizations recommended by ACIP for routine practice.
* Erythropoietin and G-CSF are allowed if myelosuppression emerges on study.

1\. Any antiretroviral therapy.
* Agents with significant systemic myelosuppressive, neurotoxic, pancreatotoxic, hepatotoxic, or cytotoxic potential within 3 months of study entry.

1\. Any prior antiretroviral therapy.
* Agents with significant systemic myelosuppressive, neurotoxic, pancreatotoxic, hepatotoxic, or cytotoxic potential within 3 months of study entry.

Active alcohol or substance abuse that would prevent adequate compliance or would increase the risk of pancreatitis.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Bristol-Myers Squibb

INDUSTRY

Sponsor Role lead

Locations

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Clinsites / Sorra Research Ctr

Birmingham, Alabama, United States

Site Status

Shared Med Research Foundation

Tarzana, California, United States

Site Status

Indiana Univ School of Medicine / Dept of Infect Dis

Indianapolis, Indiana, United States

Site Status

Medicine Faculty Associates

Ypsilanti, Michigan, United States

Site Status

New Jersey Community Research Initiative

Newark, New Jersey, United States

Site Status

ID Care Inc

Somerville, New Jersey, United States

Site Status

Fanno Creek Clinic

Portland, Oregon, United States

Site Status

Anderson Clinical Research

Pittsburgh, Pennsylvania, United States

Site Status

Univ of Texas Southwestern Med Ctr of Dallas

Dallas, Texas, United States

Site Status

Univ of Texas Med Branch

Galveston, Texas, United States

Site Status

Houston Clinical Research Network

Houston, Texas, United States

Site Status

Hampton Roads Med Specialists

Hampton, Virginia, United States

Site Status

Dr Iraj Mirshahi

Richmond, Virginia, United States

Site Status

Countries

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United States

References

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Mobley JE, Pollard RB, Schrader S, Adler MH, Kelleher T, McLaren C. Virological and immunological responses to once-daily dosing of didanosine in combination with stavudine. AI454-143 Team. AIDS. 1999 Jul 30;13(11):F87-93. doi: 10.1097/00002030-199907300-00003.

Reference Type BACKGROUND
PMID: 10449279 (View on PubMed)

Other Identifiers

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AI454-143

Identifier Type: -

Identifier Source: secondary_id

039D

Identifier Type: -

Identifier Source: org_study_id

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