A Multicenter Placebo-Controlled Dose Titration Study to Evaluate the Efficacy and Safety of Sandostatin (SMS 201-995) in the Treatment of Patients With Acquired Immunodeficiency Related Diarrhea

NCT ID: NCT00002252

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 determine the efficacy and safety of Sandostatin (octreotide) compared to placebo in controlling diarrhea which is a manifestation or complication of documented HIV infection and which is refractory (does not respond) to all known treatment classes.

Detailed Description

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Conditions

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Diarrhea HIV Infections

Study Design

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Primary Study Purpose

TREATMENT

Interventions

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Octreotide

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

Patients must have the following:

* Uncontrolled diarrhea that is either a manifestation or complication of documented HIV infection.
* Ability to communicate, participate, and comply with the requirements of the study.
* Capability of self administering injections of study medication or have responsible family member or companion who can.
* Given written consent prior to study entry.

Prior Medication:

Required:

* At least two weeks of conventional dosing regimens of antidiarrheal medication (e.g.:
* Lomotil, Imodium, Paregoric) within one month prior to study entry. OR Patients with evidence of upper or lower GI infection(s) for which there is approved, potentially curative therapy must have failed appropriate treatment for at least two weeks.

Exclusion Criteria

Co-existing Condition:

Patients with the following conditions or symptoms are excluded:

* Evidence of underlying immunosuppressive disease other than due to HIV.
* Diarrhea caused by a known gastrointestinal disorder such as idiopathic ulcerative colitis, Crohn's disease, acute stool culture positive bacterial colitis (documented within the last 2 weeks prior to study entry AND not having at least 2 weeks of antibiotic therapy), pseudomembranous colitis (Clostridium difficile toxin positive), short gut syndrome, chronic pancreatitis (alcoholic or idiopathic), ischemic bowel disease, or enteroenteric fistulae.

Patients with the following are excluded:

* Diarrhea that can be controlled with conventional antidiarrheal agents.
* Stool weight at either of the 2 baseline periods that average \< 500 g/day.
* Evidence of underlying immunosuppressive disease other than due to HIV.
* Diarrhea caused by other gastrointestinal disorders not related to HIV.

Prior Medication:

Excluded:

* Previously treated with Sandostatin as an anti-diarrheal agent.
* Experimental antidiarrheal drugs within one month of study entry.

Present intravenous drug abuse.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Sandoz

INDUSTRY

Sponsor Role lead

Locations

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USC School of Medicine

Los Angeles, California, United States

Site Status

UCSD Med Ctr

San Diego, California, United States

Site Status

UCSF - San Francisco Gen Hosp

San Francisco, California, United States

Site Status

Kaiser Permanente Med Ctr

San Francisco, California, United States

Site Status

San Mateo County Gen Hosp

San Mateo, California, United States

Site Status

Med Service

Miami, Florida, United States

Site Status

Emory Univ School of Medicine

Atlanta, Georgia, United States

Site Status

Rush Presbyterian - Saint Luke's Med Ctr

Chicago, Illinois, United States

Site Status

Maine Med Ctr Med Clinics

Portland, Maine, United States

Site Status

Douglas Plesko

Boston, Massachusetts, United States

Site Status

Boston City Hosp

Boston, Massachusetts, United States

Site Status

Henry Ford Hosp

Detroit, Michigan, United States

Site Status

Univ of Missouri at Kansas City School of Medicine

Kansas City, Missouri, United States

Site Status

Mount Sinai Med Ctr

New York, New York, United States

Site Status

SUNY Stony Brook / Health Sciences Ctr

Stony Brook, New York, United States

Site Status

Einstein Med School

The Bronx, New York, United States

Site Status

Portland Veterans Adm Med Ctr / Rsch & Education Grp

Portland, Oregon, United States

Site Status

Buckley Braffman Stern Med Associates

Philadelphia, Pennsylvania, United States

Site Status

Miriam Hosp / Family Healthcare Ctr at SSTAR

Providence, Rhode Island, United States

Site Status

Univ TX Galveston Med Branch

Galveston, Texas, United States

Site Status

Baylor College of Medicine

Houston, Texas, United States

Site Status

Infectious Disease Physicians Inc

Annandale, Virginia, United States

Site Status

Univ of Wisconsin School of Medicine

Madison, Wisconsin, United States

Site Status

Countries

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United States

References

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Romeu J, Miro JM, Mallolas J, Sirera G, Tortosa F, Clotet B. Sandostatin (SMS-201-995) in the long-term management of chronic diarrhea in AIDS patients. Int Conf AIDS. 1991 Jun 16-21;7(2):272 (abstract no WB2362)

Reference Type BACKGROUND

Other Identifiers

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D203

Identifier Type: -

Identifier Source: secondary_id

102A

Identifier Type: -

Identifier Source: org_study_id