The Safety and Effectiveness of Clarithromycin Plus Ethambutol Used With or Without Clofazimine in the Treatment of MAC in Patients With AIDS

NCT ID: NCT00002331

Last Updated: 2015-01-16

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 Start Date

1994-01-31

Study Completion Date

1995-03-31

Brief Summary

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PRIMARY: To assess the tolerability of the combination regimen of clarithromycin plus ethambutol with or without clofazimine in patients with disseminated Mycobacterium avium Complex (dMAC).

SECONDARY: To determine the proportion of patients achieving a sterile blood culture along with the time required to achieve it. To determine the duration of bacteriological response, defined as length of time that blood cultures remain sterile.

Detailed Description

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Conditions

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Mycobacterium Avium-intracellular Infection HIV Infections

Study Design

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Primary Study Purpose

TREATMENT

Interventions

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Ethambutol hydrochloride

Intervention Type DRUG

Clarithromycin

Intervention Type DRUG

Clofazimine

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

Patients must have:

* History of HIV seropositivity.
* Disseminated MAC.
* Positive blood culture for MAC within 4 weeks prior to study entry.
* Consent of parent or guardian if less than 18 years of age.
* Ability to complete the study.

NOTE:

* Patients with active opportunistic infections other than dMAC are permitted if dosage and clinical parameters have been stable for 4 weeks prior to enrollment.

Exclusion Criteria

Concurrent Medication:

Excluded:

* Active therapy with carbamazepine or theophylline, unless investigator agrees to carefully monitor blood levels.
* Active therapy with investigational drugs other than treatment for HIV disease, except with approval of the sponsor.
* Concomitant terfenadine (Seldane or Seldane-D) or astemizole (Hismanal).
* Amikacin.
* Azithromycin.
* Capreomycin.
* Ciprofloxacin.
* Cycloserine.
* Ethionamide.
* Gentamicin.
* Kanamycin.
* Levofloxacin.
* Lomefloxacin.
* Ofloxacin.
* Rifampin.
* Rifabutin.
* Sparfloxacin.
* Streptomycin.
* Any other aminoglycosides, quinolones, and macrolides.

Patients with the following prior conditions are excluded:

History of allergy or hypersensitivity to macrolides, ethambutol, or clofazimine.

Prior Medication:

Excluded:

* Other antimycobacterials, including aminoglycosides, ansamycin (rifabutin), other macrolides (such as clindamycin), quinolones, and rifampin, between screening and study entry.
* Clarithromycin or azithromycin as prophylaxis or treatment (for any cause) for more than 14 days cumulative within the past 2 months.
Minimum Eligible Age

13 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Abbott

INDUSTRY

Sponsor Role lead

Locations

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Kaiser Permanente Med Ctr

Los Angeles, California, United States

Site Status

UCD Med Ctr

Sacramento, California, United States

Site Status

Kaiser Permanente Med Ctr

San Francisco, California, United States

Site Status

Santa Clara Valley Med Ctr

San Jose, California, United States

Site Status

George Washington Univ Med Ctr

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

Site Status

Dr Margaret Fischel

Miami, Florida, United States

Site Status

Saint Joseph's Hosp / Infectious Disease Rsch Institute

Tampa, Florida, United States

Site Status

Rush Presbyterian - Saint Luke's Med Ctr

Chicago, Illinois, United States

Site Status

Tulane Univ Med School

New Orleans, Louisiana, United States

Site Status

Johns Hopkins Univ School of Medicine

Baltimore, Maryland, United States

Site Status

Beth Israel Med Ctr

New York, New York, United States

Site Status

Mount Sinai 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

Dr Stephen Hauptman

Philadelphia, Pennsylvania, United States

Site Status

Vanderbilt Univ School of Medicine

Nashville, Tennessee, United States

Site Status

Univ of Texas Southwestern Med Ctr of Dallas

Dallas, Texas, United States

Site Status

Houston Veterans Administration Med Ctr

Houston, Texas, United States

Site Status

Dr Javier Morales

Condado San Juan, , Puerto Rico

Site Status

Countries

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United States Puerto Rico

References

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Chaisson RE, Keiser P, Pierce M, Fessel WJ, Ruskin J, Lahart C, Benson CA, Meek K, Siepman N, Craft JC. Clarithromycin and ethambutol with or without clofazimine for the treatment of bacteremic Mycobacterium avium complex disease in patients with HIV infection. AIDS. 1997 Mar;11(3):311-7. doi: 10.1097/00002030-199703110-00008.

Reference Type BACKGROUND
PMID: 9147422 (View on PubMed)

Other Identifiers

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M93-069

Identifier Type: -

Identifier Source: secondary_id

214A

Identifier Type: -

Identifier Source: org_study_id

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