A Comparison of 882C87 Versus Acyclovir in the Treatment of Herpes Zoster in Patients With Weakened Immune Systems

NCT ID: NCT00002315

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

PHASE3

Total Enrollment

400 participants

Study Classification

INTERVENTIONAL

Brief Summary

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To determine the efficacy of oral 882C87 compared with oral acyclovir in the treatment of localized herpes zoster in immunocompromised patients. To assess the safety and tolerance of oral 882C87 in immunocompromised patients.

Detailed Description

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Patients are randomized to receive either 882C87 or acyclovir with corresponding placebos for 14 days, with two hundred patients in each of the two groups. They are stratified by presence or absence of HIV infection. Patients undergo 6 months of follow-up.

Conditions

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HIV Infections Chickenpox

Study Design

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Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Interventions

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Netivudine

Intervention Type DRUG

Acyclovir

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

Patients must have:

* Acute localized herpes zoster or rash present less than 72 hours, verified by clinical diagnosis.
* Immunocompromised condition primarily as a result of documented HIV infection, malignancy, chemotherapy or radiation therapy, solid organ or bone marrow transplant, or chronic immunosuppressive therapy.
* Life expectancy of at least 6 months.
* Ability to cooperate with the requirements of the study.

Exclusion Criteria

Co-existing Condition:

Patients with the following symptoms or conditions are excluded:

* Evidence of cutaneous or visceral dissemination (more than 20 discrete lesions outside adjacent dermatomes).
* Acute, life-threatening condition.
* Significant malabsorption syndrome or other gastrointestinal dysfunction that may severely reduce drug absorption.
* Intolerance of oral medication.

Concurrent Medication:

Excluded:

* Tricyclic antidepressants or anti-epileptics.
* Topical applications to the zoster lesions that would obscure evaluation.
* Fluorouracil and flucytosine.
* Systemic therapy with agents with antiherpetic activity (from 2 weeks prior to first dose to day 28 of study).
* Probenecid or other drugs likely to affect elimination of study drugs (from 2 days prior to first dose to day 14 of the study).
* Capsaicin (Zostrix).
* Warfarin (Coumadin) during 14 days of treatment.

Patients with the following prior conditions are excluded:

History of intolerance, hypersensitivity, or severe drug reaction to acyclovir.

Prior Medication:

Excluded:

* Systemic therapy with agents with antiherpetic activity (including interferon) within the past 2 weeks.
* Probenecid or other drugs likely to affect the elimination of 882C87 or acyclovir within the past 48 hours.
* Drugs likely to interact with 882C87 (e.g., fluorouracil or flucytosine) within the past 7 days.
* Zoster immune globulin or zoster immune plasma within the previous month. History of alcohol or drug abuse within the previous 6 months or current methadone therapy.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Glaxo Wellcome

INDUSTRY

Sponsor Role lead

Locations

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Simon - Williamson Clinic

Birmingham, Alabama, United States

Site Status

SORRA / NC Research Ctr

Birmingham, Alabama, United States

Site Status

Univ of Arizona / Univ Med Ctr

Tucson, Arizona, United States

Site Status

Cedars Sinai Med Ctr

Los Angeles, California, United States

Site Status

AIDS Community Research Consortium

Redwood City, California, United States

Site Status

Saint Francis Mem Hosp

San Francisco, California, United States

Site Status

Sunnyvale Med Clinic

Sunnyvale, California, United States

Site Status

Clinical Research Consultants

Trumbull, Connecticut, United States

Site Status

Med Associates Clinic

Dubuque, Iowa, United States

Site Status

Oschner Clinic

New Orleans, Louisiana, United States

Site Status

Washington Univ

St Louis, Missouri, United States

Site Status

New Mexico Med Group

Albuquerque, New Mexico, United States

Site Status

Jordon Diagnostics and Research Inc

High Point, North Carolina, United States

Site Status

Hanover Med Specialists

Wilmington, North Carolina, United States

Site Status

Oregon Research Group

Eugene, Oregon, United States

Site Status

Oregon Health Sciences Univ

Portland, Oregon, United States

Site Status

Roger Williams Med Ctr

Providence, Rhode Island, United States

Site Status

Silver Lake Med Inc

Providence, Rhode Island, United States

Site Status

Vanderbilt Med Ctr

Nashville, Tennessee, United States

Site Status

N Texas Ctr for AIDS & Clin Rsch

Dallas, Texas, United States

Site Status

MacGregor Med Association

Houston, Texas, United States

Site Status

Univ TX Med Branch

Nassau Bay, Texas, United States

Site Status

Infections Ltd / Physicians Med Ctr

Tacoma, Washington, United States

Site Status

Med Consultants LTD

Milwaukee, Wisconsin, United States

Site Status

Rhinelander Med Ctr

Rhinelander, Wisconsin, United States

Site Status

Countries

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United States

Other Identifiers

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130A

Identifier Type: -

Identifier Source: org_study_id