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A Study of AS-101 in Patients With AIDS or AIDS Related Complex (ARC)

Primary Purpose

HIV Infections

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
AS-101
Sponsored by
National Institute of Allergy and Infectious Diseases (NIAID)
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional treatment trial for HIV Infections focused on measuring Infusions, Intravenous, Immunologic Surveillance, Drug Evaluation, Adjuvants, Immunologic, Acquired Immunodeficiency Syndrome, AIDS-Related Complex, ammonium trichloro(dioxoethylene-O,O'-)tellurute

Eligibility Criteria

18 Years - 60 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria Concurrent Medication: Allowed: Inhaled pentamidine for Pneumocystis carinii pneumonia (PCP) prophylaxis. Ketoconazole. Standard outpatient therapy for infections developing during the trial. Oral acyclovir for up to 7 days. Patients must have: Antibody to HIV by ELISA. AIDS or AIDS related complex (ARC). T4 cell count < 400 cells/mm3 on 2 determinations at least 72 hours apart. Prior Medication: Allowed: Inhaled pentamidine for Pneumocystis carinii pneumonia (PCP) prophylaxis. Ketoconazole. Oral acyclovir for up to 7 days. Exclusion Criteria Co-existing Condition: Patients with the following conditions or symptoms are excluded: Active opportunistic infection or malignancy requiring concurrent treatment. Serious medical problems, such as diabetes, renal disease, ASHD, or hypertension, which would complicate interpretation of treatment results. Transfusion requirements exceeding 2 transfusions per month in order to achieve hemoglobin > 9 g/dl. Concurrent Medication: Excluded: Treatment for active opportunistic infection or malignancy. Systemic antiviral preparations. Immunosuppressive agents. Immunostimulation therapy. Specific therapy for Kaposi's sarcoma or other malignancies. Concurrent Treatment: Excluded: More than 2 units of red blood cell transfusions per month in order to achieve hemoglobin > 8 g/dl. Patients unlikely or unable, for reasons such as distance from the hospital or psychological considerations, to comply with the requirements of the protocol, especially in regard to regular attendance for treatment, are excluded. Prior Medication: Excluded: Systemic antiviral preparations. Isoprinosine. Excluded with 1 month of study entry: Immunosuppressive agents. Immunomodulators. Prior Treatment: Excluded: Immunostimulation therapy, such as BCG vaccine. Active drug or alcohol abuse.

Sites / Locations

  • Mount Sinai Med Ctr

Outcomes

Primary Outcome Measures

Secondary Outcome Measures

Full Information

First Posted
November 2, 1999
Last Updated
October 28, 2021
Sponsor
National Institute of Allergy and Infectious Diseases (NIAID)
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1. Study Identification

Unique Protocol Identification Number
NCT00001006
Brief Title
A Study of AS-101 in Patients With AIDS or AIDS Related Complex (ARC)
Official Title
A Phase One Study of AS-101 in Patients With Acquired Immune Deficiency Syndrome (AIDS) or AIDS-Related Complex (ARC)
Study Type
Interventional

2. Study Status

Record Verification Date
October 2021
Overall Recruitment Status
Completed
Study Start Date
undefined (undefined)
Primary Completion Date
undefined (undefined)
Study Completion Date
March 1993 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
National Institute of Allergy and Infectious Diseases (NIAID)

4. Oversight

5. Study Description

Brief Summary
To determine the toxic effects of AS-101 at various doses in patients with AIDS or AIDS related complex. Also to determine the effect of various doses of AS-101 on immune functions and the occurrence of infections in these patients. AIDS is a viral disease that is characterized by a loss of some immune function and the development of frequent, eventually fatal, infectious diseases. Although zidovudine (AZT) has prolonged survival in some patients with AIDS, AZT is quite toxic and there is a need for more effective and less toxic drugs. AS-101 is a synthetic organic compound containing the metal tellurium that is being tested because in laboratory studies it improved immune functions.
Detailed Description
AIDS is a viral disease that is characterized by a loss of some immune function and the development of frequent, eventually fatal, infectious diseases. Although zidovudine (AZT) has prolonged survival in some patients with AIDS, AZT is quite toxic and there is a need for more effective and less toxic drugs. AS-101 is a synthetic organic compound containing the metal tellurium that is being tested because in laboratory studies it improved immune functions. Patients are given intravenous infusions of AS-101 3 times a week for 12 weeks. The first group of 6 patients receives a dose that did not cause toxic effects in a preliminary study. If no adverse effects occur, the next 6 patients receive a higher dose level and so on, until an optimum dose has been reached. The investigators will determine the optimum dose based on the type and severity of adverse effects experienced by the patients on the study and by the effect of the drug on the immune function of the patient and its effect on the HIV infection. Samples of blood and urine are taken periodically during the study and skin tests are performed 3 times to aid in the evaluation of AS-101. Patients receive standard treatment for any infections that develop during the study.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
HIV Infections
Keywords
Infusions, Intravenous, Immunologic Surveillance, Drug Evaluation, Adjuvants, Immunologic, Acquired Immunodeficiency Syndrome, AIDS-Related Complex, ammonium trichloro(dioxoethylene-O,O'-)tellurute

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Masking
None (Open Label)
Enrollment
30 (false)

8. Arms, Groups, and Interventions

Intervention Type
Drug
Intervention Name(s)
AS-101

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria Concurrent Medication: Allowed: Inhaled pentamidine for Pneumocystis carinii pneumonia (PCP) prophylaxis. Ketoconazole. Standard outpatient therapy for infections developing during the trial. Oral acyclovir for up to 7 days. Patients must have: Antibody to HIV by ELISA. AIDS or AIDS related complex (ARC). T4 cell count < 400 cells/mm3 on 2 determinations at least 72 hours apart. Prior Medication: Allowed: Inhaled pentamidine for Pneumocystis carinii pneumonia (PCP) prophylaxis. Ketoconazole. Oral acyclovir for up to 7 days. Exclusion Criteria Co-existing Condition: Patients with the following conditions or symptoms are excluded: Active opportunistic infection or malignancy requiring concurrent treatment. Serious medical problems, such as diabetes, renal disease, ASHD, or hypertension, which would complicate interpretation of treatment results. Transfusion requirements exceeding 2 transfusions per month in order to achieve hemoglobin > 9 g/dl. Concurrent Medication: Excluded: Treatment for active opportunistic infection or malignancy. Systemic antiviral preparations. Immunosuppressive agents. Immunostimulation therapy. Specific therapy for Kaposi's sarcoma or other malignancies. Concurrent Treatment: Excluded: More than 2 units of red blood cell transfusions per month in order to achieve hemoglobin > 8 g/dl. Patients unlikely or unable, for reasons such as distance from the hospital or psychological considerations, to comply with the requirements of the protocol, especially in regard to regular attendance for treatment, are excluded. Prior Medication: Excluded: Systemic antiviral preparations. Isoprinosine. Excluded with 1 month of study entry: Immunosuppressive agents. Immunomodulators. Prior Treatment: Excluded: Immunostimulation therapy, such as BCG vaccine. Active drug or alcohol abuse.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Sacks HS
Official's Role
Study Chair
First Name & Middle Initial & Last Name & Degree
Hassett J
Official's Role
Study Chair
Facility Information:
Facility Name
Mount Sinai Med Ctr
City
New York
State/Province
New York
ZIP/Postal Code
10029
Country
United States

12. IPD Sharing Statement

Citations:
Citation
Lewi DS, Acceturi CA, Diaz RS, Lofty C, Sader H. AS 101: tolerability, safety and clinical efficacy in HIV positive patients with advanced disease. Int Conf AIDS. 1992 Jul 19-24;8(3):100 (abstract no PuB 7310)
Results Reference
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A Study of AS-101 in Patients With AIDS or AIDS Related Complex (ARC)

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