The Safety and Effectiveness of RMP-7 Plus Amphotericin B in Patients With HIV and Cryptococcal Meningitis

NCT ID: NCT00002316

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

PHASE1

Study Classification

INTERVENTIONAL

Brief Summary

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To evaluate the safety of escalating doses of RMP-7 administered in persons with HIV infection and cryptococcal meningitis and to determine the MTD of the drug. To evaluate the pharmacokinetics, including cerebrospinal fluid (CSF) penetration, of amphotericin B when administered with RMP-7.

Detailed Description

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Patients receive intravenous RMP-7 added to conventional therapy with intravenous amphotericin B (with or without flucytosine). Treatment continues for 14 days, with follow-up visits 4 and 12 weeks later.

Conditions

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Meningitis, Cryptococcal HIV Infections

Study Design

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Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Interventions

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Lobradimil

Intervention Type DRUG

Amphotericin B

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

Concurrent Medication:

Allowed:

* Up to 1 mg/kg amphotericin B for the current episode of cryptococcal meningitis.

Patients must have:

* HIV infection.
* Acute cryptococcal meningitis.

Exclusion Criteria

Co-existing Condition:

Patients with the following symptoms or conditions are excluded:

* Cardiovascular disorders including congestive heart failure, uncontrolled hypertension (seated diastolic blood pressure \> 95 mm Hg), or symptomatic ischemic heart disease (angina).
* Orthostatic hypotension, defined as a decrease in systolic blood pressure of \>= 20 mm Hg upon standing.
* Coma.
* Other CNS disease (e.g., other intracranial infections) that may interfere with assessment of response.
* Opening CSF pressure \>= 350 mm or papilledema. (For patients with recurrent disease, evidence of mass effect on either MRI or CT excludes.)
* Any concurrent disease that would preclude participation in the study.

Patients with the following prior conditions are excluded:

* History of any bleeding disorder.
* History of active renal or hepatic disease.
* Myocardial infarction within the previous 3 months.
* Stroke within the previous 3 months.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Alkermes, Inc.

INDUSTRY

Sponsor Role lead

Locations

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Los Angeles County - USC Med Ctr

Los Angeles, California, United States

Site Status

UCI Med Ctr

Orange, California, United States

Site Status

UCSD Treatment Ctr

San Diego, California, United States

Site Status

Univ of Kansas School of Medicine

Wichita, Kansas, United States

Site Status

SUNY / Health Sciences Ctr at Stony Brook

Stony Brook, New York, United States

Site Status

Duke Univ Med Ctr

Durham, North Carolina, United States

Site Status

East Carolina Univ School of Medicine

Greenville, North Carolina, United States

Site Status

Bowman Gray School of Medicine

Winston-Salem, North Carolina, United States

Site Status

Case Western Reserve Univ

Cleveland, Ohio, United States

Site Status

Pennsylvania State Univ / Hershey Med Ctr

Hershey, Pennsylvania, United States

Site Status

Univ TX Galveston Med Branch

Galveston, Texas, United States

Site Status

Countries

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United States

Other Identifiers

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ALK01-006

Identifier Type: -

Identifier Source: secondary_id

131A

Identifier Type: -

Identifier Source: org_study_id