A Study of Two Forms of Ganciclovir in the Treatment of Cytomegalovirus (CMV) of the Eyes in Patients With AIDS

NCT ID: NCT00002330

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

Total Enrollment

280 participants

Study Classification

INTERVENTIONAL

Brief Summary

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To compare the time to progression of Cytomegalovirus (CMV) retinitis among each of three doses of oral ganciclovir, as well as to intravenous therapy, when given as maintenance for 26 weeks. To compare the safety and tolerance among oral doses of ganciclovir at the study doses, as well as to intravenous therapy, when administered as maintenance for 26 weeks.

Detailed Description

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Patients who have received anti-CMV therapy with intravenous ganciclovir for at least 4 weeks that resulted in stable retinitis are randomized to receive one of three doses of oral ganciclovir or intravenous ganciclovir for 26 weeks of maintenance.

Conditions

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Cytomegalovirus Retinitis HIV Infections

Study Design

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Primary Study Purpose

TREATMENT

Interventions

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Ganciclovir

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

Concurrent Medication:

Allowed:

* Topical and ophthalmic nucleoside analogues.

Patients must have:

* HIV positive.
* No more than two episodes of CMV retinitis progression (relapse resulting in reinduction with intravenous anti-CMV therapy) since the original retinitis diagnosis.
* Currently stable retinitis.

Prior Medication:

Allowed:

* Foscarnet prior to the 4 weeks of intravenous induction therapy.

Exclusion Criteria

Co-existing Condition:

Patients with the following symptoms or conditions are excluded:

* Persistent or clinically significant diarrhea, nausea, or abdominal pain.
* Severe odynophagia.
* Other gastrointestinal (GI) symptoms or uncontrolled GI disease.
* Active CMV disease of the GI tract (e.g., CMV colitis, CMV esophagitis).
* Ocular media opacities (corneal, lenticular, or vitreal) that prevent ophthalmologic retinal assessments.
* Dementia, decreased mentation, or other encephalopathic signs and symptoms that would preclude informed consent or study compliance.

Concurrent Medication:

Excluded:

* Acyclovir sodium (Zovirax) by any route other than topical.
* Valacyclovir.
* Brovavir.
* Vidarabine.
* Amantadine hydrochloride.
* Cytarabine.
* Idoxuridine.
* Ribavirin.
* Interferon.
* Foscarnet (non-nucleoside pyrophosphate analogue).
* CMV hyperimmune globulin.
* Soluble CD4.
* Trichosanthin (Compound Q).
* Imipenem-cilastatin.
* Isoprinosine.
* Levamisole.
* Other investigational drugs.

Patients with the following prior condition are excluded:

History of hypersensitivity to acyclovir or ganciclovir.

Prior Medication:

Excluded:

* More than three induction regimens with intravenous anti-CMV therapy.
* Any prior oral ganciclovir.
Minimum Eligible Age

13 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Roche Global Development

OTHER

Sponsor Role lead

Locations

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Univ of Alabama at Birmingham / AIDS Outpatient Clinic

Birmingham, Alabama, United States

Site Status

McDowell Clinic

Phoenix, Arizona, United States

Site Status

Dr Ken Fisher

Phoenix, Arizona, United States

Site Status

Univ of Arizona / Health Science Ctr

Tucson, Arizona, United States

Site Status

East Bay AIDS Ctr

Berkeley, California, United States

Site Status

AIDS Clinical Research Ctr / UCLA Med Ctr

Los Angeles, California, United States

Site Status

UCSD Med Ctr / Pediatrics

San Diego, California, United States

Site Status

Davies Med Ctr

San Francisco, California, United States

Site Status

Mount Zion Med Ctr / UCSF

San Francisco, California, United States

Site Status

San Francisco Veterans Administration Med Ctr

San Francisco, California, United States

Site Status

George Washington Univ Med Ctr

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

Site Status

Community Research Initiative

Coral Gables, Florida, United States

Site Status

AIDS Research Consortium of Atlanta

Atlanta, Georgia, United States

Site Status

Margo Heath - Chiozzi

Honolulu, Hawaii, United States

Site Status

Univ of Maryland School of Medicine

Baltimore, Maryland, United States

Site Status

AIDS Clinical Trials Unit

St Louis, Missouri, United States

Site Status

HIV Wellness Ctr / Univ Med Ctr

Las Vegas, Nevada, United States

Site Status

Univ of New Mexico

Albuquerque, New Mexico, United States

Site Status

AIDS Wellness Clinic

Sante Fe, New Mexico, United States

Site Status

Dr Dorothy Friedberg

New York, New York, United States

Site Status

Saint Luke's - Roosevelt Hosp Ctr

New York, New York, United States

Site Status

New York Hosp - Cornell Med Ctr

New York, New York, United States

Site Status

Univ of North Carolina School of Medicine

Chapel Hill, North Carolina, United States

Site Status

Nalle Clinic

Charlotte, North Carolina, United States

Site Status

Case Western Reserve Univ

Cleveland, Ohio, United States

Site Status

Ohio State Univ Hosp

Columbus, Ohio, United States

Site Status

Associates Med and Mental Health

Tulsa, Oklahoma, United States

Site Status

Portland Veterans Adm Med Ctr / Rsch & Education Grp

Portland, Oregon, United States

Site Status

Buckley Braffman Stern Med Associates

Philadelphia, Pennsylvania, United States

Site Status

Austin Infectious Disease Consultants

Austin, Texas, United States

Site Status

N Texas Ctr for AIDS & Clin Rsch

Dallas, Texas, United States

Site Status

Texas Tech Health Sciences Ctr

El Paso, Texas, United States

Site Status

Dr Daniel Barbero

Fort Worth, Texas, United States

Site Status

Infectious Diseases Association of Houston

Houston, Texas, United States

Site Status

Audie L Murphy Veterans Administration Hosp

San Antonio, Texas, United States

Site Status

Saint Paul's Hosp

Vancouver, British Columbia, Canada

Site Status

Countries

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United States Canada

References

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Lalezari J, Friedberg D, Bisset J, Giordano M, Hardy D, Robinson C. A comparison of the safety and efficacy of 3g, 4.5g and 6g doses of oral ganciclovir versus IV ganciclovir for maintenance treatment of CMV retinitis. Int Conf AIDS. 1996 Jul 7-12;11(2):226 (abstract no ThB305)

Reference Type BACKGROUND

Other Identifiers

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GANs2226

Identifier Type: -

Identifier Source: secondary_id

059F

Identifier Type: -

Identifier Source: org_study_id