Rifabutin Therapy for the Prevention of Mycobacterium Avium Complex (MAC) Bacteremia in AIDS Patients With CD4 Counts = or < 200: A Double-Blind, Placebo-Controlled Trial

NCT ID: NCT00002267

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

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

750 participants

Study Classification

INTERVENTIONAL

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

The primary objective of this trial is to assess the safety and the relative benefit of rifabutin monotherapy in preventing or delaying the incidence of Mycobacterium avium complex (MAC) bacteremia in AIDS patients with CD4 counts less than or equal to 200, as compared to placebo, and to assess if survival is prolonged in patients who receive rifabutin prophylaxis.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Mycobacterium Avium-intracellulare Infection HIV Infections

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

Rifabutin

Intervention Type DRUG

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

Patients must have the following:

* Diagnosis of AIDS with a case defining infection other than Mycobacterium avium complex (MAC).
* Written informed consent obtained, which must include a statement that treatment may involve risks to the embryo or fetus, which are currently unforeseeable, if the subject becomes pregnant.

Exclusion Criteria

Co-existing Condition:

Patients with the following conditions or symptoms are excluded:

* Known hypersensitivity to rifabutin, rifampin, other rifamycins, zidovudine or didanosine (ddI).
* Previous or current infection due to Mycobacterium avium complex (MAC) disease as evaluated by two successive blood cultures and two successive stool cultures taken within 14 days prior to study initiation.

Concurrent Medication:

Excluded:

* Antiretroviral agents other than zidovudine (AZT).
* Didanosine (ddI).
* Antimycobacterial therapy.
* Rifampin.
* Isoniazid.
* Clofazimine.
* Ethambutol.
* Cycloserine.
* Ethionamide.
* Amikacin.
* Ciprofloxacin.
* Streptomycin.
* Other investigational drugs.
* If antimicrobial therapy is required to treat bacterial infections (= or \< 14 days), Adria Laboratories must be contacted prior to initiation of therapy.

Patients with the following are excluded:

* Known hypersensitivity to rifabutin, rifampin, other rifamycins, zidovudine (AZT), or didanosine (ddI).
* Previous or current Mycobacterium avium complex (MAC) infection.
* Perceived patient unreliability or unavailability for frequent monitoring.

Prior Medication:

Excluded within 4 weeks of study entry:

* Antiretroviral agents other than zidovudine (AZT) or didanosine (ddI).
* Antimycobacterial therapy.
* Rifampin.
* Isoniazid.
* Clofazimine.
* Ethambutol.
* Cycloserine.
* Ethionamide.
* Amikacin.
* Ciprofloxacin.

Required:

* Zidovudine (AZT).
* Antipneumocystis prophylactic therapy.

Required for at least 4 weeks prior to study entry:

* Zidovudine (AZT) or didanosine (ddI).
* Antipneumocystis prophylaxis.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Pharmacia

INDUSTRY

Sponsor Role lead

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

Maricopa County Med Ctr

Phoenix, Arizona, United States

Site Status

East Bay AIDS Ctr

Berkeley, California, United States

Site Status

Pacific Oaks Med Group

Beverly Hills, California, United States

Site Status

AIDS Community Research Consortium

Redwood City, California, United States

Site Status

HIV Research Group

San Diego, California, United States

Site Status

Dr Larry A Waites

San Francisco, California, United States

Site Status

Saint Francis Mem Hosp / HIV Care

San Francisco, California, United States

Site Status

Dr Marcus Conant

San Francisco, California, United States

Site Status

San Francisco Veterans Administration Med Ctr

San Francisco, California, United States

Site Status

Dr Marshall Kubota

Santa Rosa, California, United States

Site Status

Dr Jeffrey Galpin

Tarzana, California, United States

Site Status

Miami Veterans Administration Med Ctr

Miami, Florida, United States

Site Status

Community Research Initiative of South Florida

Miami, Florida, United States

Site Status

Northwestern Univ Med School

Chicago, Illinois, United States

Site Status

AIDS Research Alliance - Chicago

Chicago, Illinois, United States

Site Status

Tulane Univ School of Medicine

New Orleans, Louisiana, United States

Site Status

Comprehensive AIDS Alliance of Detroit / Harper Hosp

Detroit, Michigan, United States

Site Status

Univ of Minnesota

Minneapolis, Minnesota, United States

Site Status

St Paul Ramsey Med Ctr

Saint Paul, Minnesota, United States

Site Status

Univ of Nevada / Veterans Administration Med Ctr

Reno, Nevada, United States

Site Status

North Jersey Community Research Initiative

Newark, New Jersey, United States

Site Status

Univ of New Mexico Hlth Sciences Ctr / Dept of Med

Albuquerque, New Mexico, United States

Site Status

Dr Donald Romig

Sante Fe, New Mexico, United States

Site Status

Albany Veterans Administration

Albany, New York, United States

Site Status

AIDS Services Erie County Med Ctr

Buffalo, New York, United States

Site Status

Community Health Network

Rochester, New York, United States

Site Status

Buckley Braffman Stern Med Associates

Philadelphia, Pennsylvania, United States

Site Status

Thomas Jefferson Med College

Philadelphia, Pennsylvania, United States

Site Status

Dr Alfred F Burnside Jr

Columbia, South Carolina, United States

Site Status

Infectious Disease Physicians Inc

Annandale, Virginia, United States

Site Status

Milwaukee County Med Complex

Milwaukee, Wisconsin, United States

Site Status

Univ of Calgary Health Science Ctr

Calgary, Alberta, Canada

Site Status

Univ of Alberta/Division of Inf Dis/Dept of Med

Edmonton, Alberta, Canada

Site Status

Saint Paul's Hosp

Vancouver, British Columbia, Canada

Site Status

Victoria Gen Hosp

Halifax, Nova Scotia, Canada

Site Status

McMaster Univ Med Ctr

Hamilton, Ontario, Canada

Site Status

Ottawa Gen Hosp

Ottawa, Ontario, Canada

Site Status

Mount Sinai Hosp

Toronto, Ontario, Canada

Site Status

Saint Michael's Hosp

Toronto, Ontario, Canada

Site Status

Sunnybrook Health Science Ctr

Toronto, Ontario, Canada

Site Status

Dr Emil Toma / Hotel Dieu de Montreal

Montreal, Quebec, Canada

Site Status

Montreal Chest Institute

Montreal, Quebec, Canada

Site Status

Montreal Gen Hosp

Montreal, Quebec, Canada

Site Status

Countries

Review the countries where the study has at least one active or historical site.

United States Canada

References

Explore related publications, articles, or registry entries linked to this study.

Dautzenberg B, Castellani P, Pellegrin JL, Vittecoq D, Truffot-Pernot C, Pirotta N, Sassella D. Early bactericidal activity of rifabutin versus that of placebo in treatment of disseminated Mycobacterium avium complex bacteremia in AIDS patients. Antimicrob Agents Chemother. 1996 Jul;40(7):1722-5. doi: 10.1128/AAC.40.7.1722.

Reference Type BACKGROUND
PMID: 8807071 (View on PubMed)

Moore RD, Chaisson RE. Survival analysis of two controlled trials of rifabutin prophylaxis against Mycobacterium avium complex in AIDS. AIDS. 1995 Dec;9(12):1337-42. doi: 10.1097/00002030-199512000-00006.

Reference Type BACKGROUND
PMID: 8605053 (View on PubMed)

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

087027-999

Identifier Type: -

Identifier Source: secondary_id

048B

Identifier Type: -

Identifier Source: org_study_id