A Comparison of Zidovudine (AZT) and Stavudine in HIV-Infected Patients

NCT ID: NCT00002307

Last Updated: 2011-08-05

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 Completion Date

1994-12-31

Brief Summary

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To compare stavudine (d4T) and zidovudine (AZT) in slowing the progression of HIV disease. To compare the antiviral activity of d4T versus AZT as measured by plasma levels of p24 antigen and HIV viremia, and their relative efficacy by improvement and/or absence of adverse changes over time in laboratory parameters associated with HIV infection. To compare the safety of oral doses of d4T to AZT in patients with HIV infection.

Detailed Description

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Conditions

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HIV Infections

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Interventions

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Stavudine

Intervention Type DRUG

Zidovudine

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

Concurrent Medication:

Allowed:

* AZT.

Patients must have:

* Documented HIV infection as determined by a positive ELISA and/or Western blot.
* Absolute CD4 count of 100 - 500 cells/mm3 within 90 days prior to registration OR a CD4 count of 50 - 99 cells/mm3 within 30 days prior to registration.
* Prior zidovudine therapy for at least 6 months and currently tolerating at least 500 mg daily.

Exclusion Criteria

Co-existing Condition:

Patients with the following symptoms and conditions are excluded:

* Newly diagnosed AIDS-defining opportunistic infection requiring acute therapy at time of enrollment.
* Need for chronic systemic therapy at time of enrollment.
* Intractable diarrhea.
* Signs or symptoms of bilateral peripheral neuropathy at time of screening.
* Demonstrated intolerance to zidovudine therapy.
* Any other clinical conditions that would render the patient unsuitable for study or unable to comply with the dosing requirements.

Concurrent Medication:

Excluded:

* Chronic systemic therapy with agents likely to suppress bone marrow, cause neurotoxicity, or create hepatic dysfunction.

Patients with the following prior conditions are excluded:

* Prior history of bilateral peripheral neuropathy.
* Demonstrated intolerance to zidovudine therapy.

Prior Medication:

Excluded:

* Prior d4T, ddI, or ddC.
* Other investigational antiretroviral drugs (e.g., AZddU, Al 721, interferon, or immunomodulating drugs within 1 month prior to study entry or ribavirin within 3 months prior to study entry).
* Prior myelosuppressive, neurotoxic, or cytotoxic anticancer therapy within 3 months prior to study entry.
* Any prior therapy that would render the patient unsuitable for study or unable to comply with dosing requirements.

Required:

* At least 6 months of prior AZT and currently tolerating at least 500 mg daily, with the last dose received no more than 7 days prior to study entry.
Minimum Eligible Age

13 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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Univ of Arizona / Health Science Ctr

Tucson, Arizona, United States

Site Status

East Bay AIDS Ctr

Berkeley, California, United States

Site Status

Children's Hosp of Los Angeles

Los Angeles, California, United States

Site Status

Combat Group

Los Angeles, California, United States

Site Status

Los Angeles County - USC Med Ctr

Los Angeles, California, United States

Site Status

Cedars Sinai Med Ctr

Los Angeles, California, United States

Site Status

UCD Med Ctr / AIDS and Related Disorders Clinic

Sacramento, California, United States

Site Status

Children's Hosp of San Francisco

San Francisco, California, United States

Site Status

Harbor UCLA Med Ctr

Torrance, California, United States

Site Status

Univ of Colorado Health Sciences Ctr

Denver, Colorado, United States

Site Status

Whitman - Walker Clinic

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

Site Status

George Washington Univ Med Ctr

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

Site Status

Community Research Initiative of South Florida

Coral Gables, Florida, United States

Site Status

TheraFirst Med Ctrs Inc

Fort Lauderdale, Florida, United States

Site Status

Univ of Miami

Miami, Florida, United States

Site Status

Infectious Disease Research Institute Inc

Tampa, Florida, United States

Site Status

Dr Steven Marlowe

Atlanta, Georgia, United States

Site Status

Northwestern Univ Med School

Chicago, Illinois, United States

Site Status

Rush Presbyterian - Saint Luke's Med Ctr

Chicago, Illinois, United States

Site Status

Infectious Diseases Research Clinic / Indiana Univ Hosp

Indianapolis, Indiana, United States

Site Status

Univ of Kansas School of Medicine / Univ Hosp

Kansas City, Kansas, United States

Site Status

Univ of Kansas School of Medicine

Wichita, Kansas, United States

Site Status

Chase Braxton Health Service

Baltimore, Maryland, United States

Site Status

New England Deaconess Hosp

Boston, Massachusetts, United States

Site Status

Univ of Nebraska Med Ctr / HIV Clinic

Omaha, Nebraska, United States

Site Status

Univ of New Mexico School of Medicine

Albuquerque, New Mexico, United States

Site Status

Beth Israel Med Ctr

New York, New York, United States

Site Status

Saint Luke's - Roosevelt Hosp Ctr

New York, New York, United States

Site Status

Cornell Univ Med College

New York, New York, United States

Site Status

Mount Sinai Med Ctr

New York, New York, United States

Site Status

SUNY / Health Sciences Ctr at Stony Brook

Stony Brook, New York, United States

Site Status

Bronx Veterans Affairs Med Ctr

The Bronx, New York, United States

Site Status

Nalle Clinic

Charlotte, North Carolina, United States

Site Status

Duke Univ Med Ctr

Durham, North Carolina, United States

Site Status

Univ of Pennsylvania / HIV Clinic

Philadelphia, Pennsylvania, United States

Site Status

Buckley Braffman Stern Med Associates

Philadelphia, Pennsylvania, United States

Site Status

Montefiore Hosp

Pittsburgh, Pennsylvania, United States

Site Status

Med Univ of South Carolina

Charleston, South Carolina, United States

Site Status

Univ of Texas Southwestern Med Ctr of Dallas

Dallas, Texas, United States

Site Status

Dr Edward Stool

Houston, Texas, United States

Site Status

Houston Clinical Research Network

Houston, Texas, United States

Site Status

Univ TX San Antonio Health Science Ctr

San Antonio, Texas, United States

Site Status

Univ of Utah School of Medicine

Salt Lake City, Utah, United States

Site Status

Milwaukee County Med Complex

Milwaukee, Wisconsin, United States

Site Status

UPR School of Medicine / San Juan Veterans Adm Med Ctr

San Juan, , Puerto Rico

Site Status

Countries

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United States Puerto Rico

References

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Spruance SL, Pavia AT, Mellors JW, Murphy R, Gathe J Jr, Stool E, Jemsek JG, Dellamonica P, Cross A, Dunkle L. Clinical efficacy of monotherapy with stavudine compared with zidovudine in HIV-infected, zidovudine-experienced patients. A randomized, double-blind, controlled trial. Bristol-Myers Squibb Stavudine/019 Study Group. Ann Intern Med. 1997 Mar 1;126(5):355-63. doi: 10.7326/0003-4819-126-5-199703010-00003.

Reference Type BACKGROUND
PMID: 9054279 (View on PubMed)

Other Identifiers

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AI455-019

Identifier Type: -

Identifier Source: secondary_id

116A

Identifier Type: -

Identifier Source: org_study_id

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