A Randomized Comparative Trial of Zidovudine (AZT) Versus 2',3'-Dideoxyinosine (ddI) Versus AZT Plus ddI in Symptomatic HIV-Infected Children
HIV Infections
About this trial
This is an interventional treatment trial for HIV Infections focused on measuring Didanosine, Drug Evaluation, Drug Therapy, Combination, Acquired Immunodeficiency Syndrome, AIDS-Related Complex, Zidovudine
Eligibility Criteria
Inclusion Criteria Concurrent Medication: Allowed: Acetaminophen, ibuprofen, or aspirin, but not on a continual basis for > 72 hours. Systemic ketoconazole and fluconazole for acute therapy. Recommended: Prophylaxis for PCP. (Primary prophylaxis with TMP / SMX is encouraged.) IV pentamidine may be used in selected cases if not administered on a weekly basis. Patients must have the following: HIV infection. Children randomized prior to their eighteenth birthday are eligible. Co-enrollment in either ACTG 179 or 189 is permitted. Prior Medication: Allowed: Up to six weeks of antiretroviral or immunomodulator treatment excluding steroids and intravenous immunoglobulin. Exclusion Criteria Co-existing Condition: Patients with the following conditions or symptoms are excluded: Active malignancy. Pancreatitis or history of pancreatitis within one year prior to study entry associated with compatible symptoms. History of uncontrolled seizure disorder. Grade 3 or higher peripheral neuropathy. Cardiomyopathy. Concurrent Medication: Excluded: Chemotherapy for malignancy. Oral acidifying agents. Acetaminophen, ibuprofen, or aspirin on a continual basis for > 72 hours. Ketoconazole or fluconazole for prophylaxis. Drugs with potential to cause peripheral neuropathy or pancreatitis should not be given daily for > 4 weeks. Patients with the following are excluded: Active malignancy. Pancreatitis or history of pancreatitis within one year prior to study entry associated with compatible symptoms. History of uncontrolled seizure disorder. Grade 3 or higher peripheral neuropathy. Prior Medication: Excluded: Steroids. Intravenous immunoglobulin. Antiretroviral drugs or specific immunomodulator treatment (excluding steroids and intravenous immunoglobulin) for > 6 weeks and within 7 days prior to study entry. Prior Treatment: Excluded: Red blood cell transfusion within four weeks prior to study entry. Ongoing drug or alcohol use.
Sites / Locations
- Univ of Alabama at Birmingham Schl of Med / Pediatrics
- Kaiser Permanente / UCLA Med Ctr
- UCSD Med Ctr / Pediatrics / Clinical Sciences
- Long Beach Memorial (Pediatric)
- Los Angeles County - USC Med Ctr
- Cedars Sinai / UCLA Med Ctr
- UCLA Med Ctr / Pediatric
- Harbor - UCLA Med Ctr / UCLA School of Medicine
- Children's Hosp of Oakland
- Huntington Memorial Hosp / Children's Hosp of Los Angeles
- Univ of California / San Diego Treatment Ctr
- UCSF / Moffitt Hosp - Pediatric
- Stanford Univ School of Medicine / Pediatrics
- Children's Hosp of Denver
- Univ of Connecticut Health Ctr
- Yale Univ Med School
- Georgetown Univ Med Ctr
- Children's Hosp of Washington DC
- Howard Univ Hosp
- Univ of Miami (Pediatric)
- Emory Univ Hosp / Pediatrics
- Cook County Hosp
- Univ of Illinois College of Medicine / Pediatrics
- Chicago Children's Memorial Hosp
- Univ of Chicago Children's Hosp
- Univ of Maryland at Baltimore / Univ Med Ctr
- Johns Hopkins Hosp - Pediatric
- Children's Hosp of Boston
- Boston City Hosp / Pediatrics
- Baystate Med Ctr of Springfield
- Univ of Massachusetts Med Ctr
- Children's Hosp of Michigan
- St Louis Univ School of Medicine
- UMDNJ - Robert Wood Johnson Med School / Pediatrics
- Robert Wood Johnson Med School / Hershey Med Ctr
- Saint Joseph's Hosp and Med Ctr/UMDNJ - New Jersey Med Schl
- Children's Hosp of New Jersey / UMDNJ - New Jersey Med Schl
- Children's Hosp at Albany Med Ctr
- Lincoln Hosp Ctr
- Bronx Lebanon Hosp Ctr / Pediatrics
- Bronx Lebanon Hosp Ctr
- Albert Einstein College of Medicine
- King's County Hosp Ctr / Pediatrics
- SUNY - Brooklyn
- SUNY / Health Sciences Ctr at Brooklyn / Pediatrics
- Children's Hosp Pact Prog / Children's Hosp of Buffalo
- North Shore Univ Hosp
- Schneider Children's Hosp
- Beth Israel Med Ctr / Pediatrics
- Bellevue Hosp / New York Univ Med Ctr
- Cornell Univ Med College
- Saint Luke's - Roosevelt Hosp Ctr
- Metropolitan Hosp Ctr
- Mount Sinai Med Ctr / Pediatrics
- Columbia Presbyterian Med Ctr
- Incarnation Children's Ctr / Columbia Presbyterian Med Ctr
- Harlem Hosp Ctr
- Univ of Rochester Medical Center
- State Univ of New York at Stony Brook
- SUNY Health Sciences Ctr at Syracuse / Pediatrics
- Westchester Hosp
- Univ of North Carolina
- Duke Univ Med Ctr
- Cincinnati Children's Hosp / Univ Hosp
- Case Western Reserve Univ
- Columbus Children's Hosp
- Children's Hosp of Philadelphia
- Saint Christopher's Hosp for Children
- Hemophilia Ctr of Western PA / Univ of Pittsburgh
- Rhode Island Hosp / Brown Univ
- Med Univ of South Carolina
- Saint Jude Children's Research Hosp of Memphis
- Children's Med Ctr of Dallas
- Hermann Hosp / Univ Texas Health Science Ctr
- Texas Children's Hosp / Baylor Univ
- Children's Hosp of Seattle
- Ramon Ruiz Arnau Univ Hosp / Pediatrics
- Univ of Puerto Rico / Univ Children's Hosp AIDS
- UPR Children's Hosp / UPR School of Medicine
- San Juan City Hosp