A Comparison of Fluconazole and Ketoconazole in the Treatment of Fungal Infections of the Throat in Patients With Weakened Immune Systems

NCT ID: NCT00002304

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 compare the safety, tolerance, and effectiveness of fluconazole and ketoconazole in the treatment of candidal esophagitis in immunocompromised patients.

Detailed Description

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Conditions

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Candidiasis, Esophageal HIV Infections

Study Design

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Primary Study Purpose

TREATMENT

Interventions

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Ketoconazole

Intervention Type DRUG

Fluconazole

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

Prior Medication:

Allowed:

* Cyclosporin if levels can be monitored for proper cyclosporin dose adjustment.

Exclusion Criteria

Co-existing Condition:

Patients with the following are excluded:

* Evidence of noncandidal systemic fungal infections.
* Leukopenia (white blood cell count less than 1000/mm3), or expected to develop leukopenia during the study.
* Other condition known to be associated with poor ketoconazole absorption, e.g., hypochlorhydria.
* Leukemia requiring chemotherapy.
* Any other condition which in the opinion of the investigator would make the patient unsuitable for enrollment.

Concurrent Medication:

Excluded:

* Warfarin.
* Immunostimulants.
* Interferon.
* Oral or topical antifungal agents.

Concurrent Treatment:

Excluded:

* Lymphocyte replacement.

Patients with the following are excluded:

* History of allergy to imidazoles.
* Abnormalities which may preclude esophagoscopy or endoscopy before or during the study.
* Inability to tolerate fluconazole or ketoconazole.
* Inability or unwillingness to give written informed consent.
* Life expectancy \< 2 months.

Prior Medication:

Excluded:

* Rifampin or ansamycin, pending clarification of drug interactions between these drugs and fluconazole.
* Warfarin.

Patients must meet the CDC criteria for the diagnosis of AIDS or be otherwise immunocompromised (e.g., malignancy, renal transplant) and have a diagnosis of oral candidiasis and/or esophageal symptoms of dysphagia and/or odynophagia.

Illicit or illegal drug use.
Minimum Eligible Age

13 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Pfizer

INDUSTRY

Sponsor Role lead

Locations

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Good Samaritan Med Ctr

Phoenix, Arizona, United States

Site Status

Arkansas Children's Hosp

Little Rock, Arkansas, United States

Site Status

Los Angeles County - USC Med Ctr

Los Angeles, California, United States

Site Status

Eisenhower Med Ctr

Rancho Mirage, California, United States

Site Status

ViRx Inc

San Francisco, California, United States

Site Status

UCSF Hosp

San Francisco, California, United States

Site Status

George Washington Univ Med Ctr

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

Site Status

Regional Oncology Ctr

Daytona Beach, Florida, United States

Site Status

Ctr for Special Immunology

Fort Lauderdale, Florida, United States

Site Status

Mem Hosp Hollywood

Hollywood, Florida, United States

Site Status

Med Ctr Clinic

Pensacola, Florida, United States

Site Status

St Petersburg Med Clinics

St. Petersburg, Florida, United States

Site Status

Georgia Baptist Med Ctr

Atlanta, Georgia, United States

Site Status

DeKalb Gen Hosp

Decatur, Georgia, United States

Site Status

Gwinnett Med Ctr

Lawrenceville, Georgia, United States

Site Status

Atlanta Hosp

Riverdale, Georgia, United States

Site Status

Clayton Gen Hosp

Riverdale, Georgia, United States

Site Status

Dr Winkler Weinberg

Roswell, Georgia, United States

Site Status

Univ Hosp

Boston, Massachusetts, United States

Site Status

Baystate Med Ctr of Springfield

Springfield, Massachusetts, United States

Site Status

Leila Hosp and Health Care Ctr

Battle Creek, Michigan, United States

Site Status

Harper Hosp

Detroit, Michigan, United States

Site Status

Butterworth Hosp

Grand Rapids, Michigan, United States

Site Status

Holland Community Hosp

Holland, Michigan, United States

Site Status

Munson Med Ctr

Traverse City, Michigan, United States

Site Status

Dr Eugene Speck

Las Vegas, Nevada, United States

Site Status

Univ of New Mexico School of Medicine

Albuquerque, New Mexico, United States

Site Status

SUNY / Health Sciences Ctr at Brooklyn

Brooklyn, New York, United States

Site Status

Roswell Park Memorial Institute

Buffalo, New York, United States

Site Status

Cornell Univ Med Ctr

New York, New York, United States

Site Status

Bowman Gray School of Medicine / North Carolina Baptist Hosp

Winston-Salem, North Carolina, United States

Site Status

Buckley Braffman Stern Med Associates

Philadelphia, Pennsylvania, United States

Site Status

Wilson Brailsford Clinic

Spartanburg, South Carolina, United States

Site Status

Baroness Erlanger Hosp

Chattanooga, Tennessee, United States

Site Status

Univ of Tennessee

Memphis, Tennessee, United States

Site Status

Univ TX Galveston Med Branch

Galveston, Texas, United States

Site Status

Audie L Murphy Veterans Administration Hosp

San Antonio, Texas, United States

Site Status

Univ TX San Antonio Health Science Ctr

San Antonio, Texas, United States

Site Status

Infectious Disease Physicians Inc

Annandale, Virginia, United States

Site Status

McGuire Virginia Med Ctr

Richmond, Virginia, United States

Site Status

Virginia Mason Med Ctr

Seattle, Washington, United States

Site Status

Henderson Gen Hosp

Hamilton, Ontario, Canada

Site Status

Countries

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United States Canada

References

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Laine L, Dretler RH, Conteas CN, Tuazon C, Koster FM, Sattler F, Squires K, Islam MZ. Fluconazole compared with ketoconazole for the treatment of Candida esophagitis in AIDS. A randomized trial. Ann Intern Med. 1992 Oct 15;117(8):655-60. doi: 10.7326/0003-4819-117-8-655.

Reference Type BACKGROUND
PMID: 1308663 (View on PubMed)

Other Identifiers

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056-150

Identifier Type: -

Identifier Source: secondary_id

012B

Identifier Type: -

Identifier Source: org_study_id