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Initial Phase II Efficacy and Safety Study of SC-48334 Administered in Combination With Low-Dose Zidovudine (AZT) to Symptomatic HIV-1 Infected Patients With = or > 200 to = or < 500 CD4+ Cells/mm3

Primary Purpose

HIV Infections

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
Butyldeoxynojirimycin
Zidovudine
Sponsored by
G D Searle
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional treatment trial for HIV Infections focused on measuring Drug Therapy, Combination, Zidovudine

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria Concurrent Medication: Allowed: Medications for the prophylaxis of opportunistic infections, such as: Aerosolized pentamidine. Trimethoprim/sulfamethoxazole. Nystatin. Clotrimazole. Anti-mycobacterial agents. Ganciclovir. Topical acyclovir. Patients must have the following: CD4+ cells counts = or > 200 < 500 /cell mm3. For purposes of inclusion the absolute CD4+ cell count must be = or > 200 < 500 cells/mm3 on the first sample and = or > 190 < 510 cells/mm3 on the second sample. Have at least one of the following: Oral candidiasis. Herpes zoster during the last 3 years. Oral hairy leukoplakia during the past three years. Chronic ( > 30 day period), recurrent seborrheic dermatitis, or topical, pruritic folliculitis (itchy bumps). Unintentional weight loss in excess of 10 pounds or 10 percent of usual body weight. Chronic fatigue present for the past 6 months, which has interfered with normal activity at least 1 to 2 times per week. HIV antibody positive as determined by federally licensed Enzyme-linked Immunosorbent Assay (ELISA). Documented, written informed consent must be obtained prior to admission to the study. Prior Medication: Allowed for no more than 12 weeks prior to study entry: Zidovudine (AZT). Exclusion Criteria Co-existing Condition: Patients with the following conditions or symptoms are excluded: Malignancies, with the exception of basal cell carcinoma. Significant organ dysfunction. Concurrent Medication: Excluded: All anti-retroviral drugs with the exception of Zidovudine. Cancer chemotherapeutic agents. Anti-metabolites and alkylating agents. All investigational non-FDA approved drugs. Patients with the following are excluded: Clinically significant diarrhea (> 3 liquid stools per day for > 7 days) without definable cause, within 6 months prior to enrollment). Diarrhea, as above, with known, non-HIV related cause occurring within one month prior to enrollment. Meets CDC criteria for AIDS classification. Chronic fever (> 38.5 C persisting for more than 14 consecutive days, or for more than 15 days in any 30-day interval prior to study entry). Malignancies, with the exception of basal cell carcinoma. Significant organ dysfunction. Known hypersensitivity to SC-48334 or related compounds. History of lactose intolerance. Prior Medication: Excluded within 30 days of study entry: Any investigational medication. Treatment with a drug (other than Zidovudine) with anti-HIV activity. Excluded for > 12 weeks prior to study entry: Zidovudine (AZT). Excluded within 90 days of study entry: Ribavirin. Excluded within 6 months of study entry: Cancer chemotherapy. Excluded: Treatment with SC-48334. Prior Treatment: Excluded within 30 days of study entry: Electron beam radiation. Excluded within 6 months prior to study entry: Required HIV-related blood transfusions. Whole body radiation. Current use of illicit substances; or current abuse of alcohol, the use of which would limit compliance with the protocol.

Sites / Locations

  • Univ of Miami School of Medicine
  • Rush Presbyterian - Saint Luke's Med Ctr
  • Infectious Diseases Research Clinic / Indiana Univ Hosp
  • Ohio State Univ Hosp Clinic
  • Julio Arroyo
  • Univ of Washington

Outcomes

Primary Outcome Measures

Secondary Outcome Measures

Full Information

First Posted
November 2, 1999
Last Updated
June 23, 2005
Sponsor
G D Searle
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1. Study Identification

Unique Protocol Identification Number
NCT00001993
Brief Title
Initial Phase II Efficacy and Safety Study of SC-48334 Administered in Combination With Low-Dose Zidovudine (AZT) to Symptomatic HIV-1 Infected Patients With = or > 200 to = or < 500 CD4+ Cells/mm3
Official Title
Initial Phase II Efficacy and Safety Study of SC-48334 Administered in Combination With Low-Dose Zidovudine (AZT) to Symptomatic HIV-1 Infected Patients With = or > 200 to = or < 500 CD4+ Cells/mm3
Study Type
Interventional

2. Study Status

Record Verification Date
February 1992
Overall Recruitment Status
Completed
Study Start Date
undefined (undefined)
Primary Completion Date
undefined (undefined)
Study Completion Date
undefined (undefined)

3. Sponsor/Collaborators

Name of the Sponsor
G D Searle

4. Oversight

5. Study Description

Brief Summary
The primary objective of this study is to determine the preliminary efficacy and tolerability of combining a selected dose of SC-48334 with low-dose AZT in the treatment of symptomatic HIV+ patients with 200 to 500 CD4+ cells/mm3. The secondary objective is to determine the pharmacokinetics and bioavailability of both SC-48334 and AZT, when administered together, in symptomatic HIV+ patients with 200 - 500 CD4+ cells/mm3.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
HIV Infections
Keywords
Drug Therapy, Combination, Zidovudine

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Enrollment
120 (false)

8. Arms, Groups, and Interventions

Intervention Type
Drug
Intervention Name(s)
Butyldeoxynojirimycin
Intervention Type
Drug
Intervention Name(s)
Zidovudine

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria Concurrent Medication: Allowed: Medications for the prophylaxis of opportunistic infections, such as: Aerosolized pentamidine. Trimethoprim/sulfamethoxazole. Nystatin. Clotrimazole. Anti-mycobacterial agents. Ganciclovir. Topical acyclovir. Patients must have the following: CD4+ cells counts = or > 200 < 500 /cell mm3. For purposes of inclusion the absolute CD4+ cell count must be = or > 200 < 500 cells/mm3 on the first sample and = or > 190 < 510 cells/mm3 on the second sample. Have at least one of the following: Oral candidiasis. Herpes zoster during the last 3 years. Oral hairy leukoplakia during the past three years. Chronic ( > 30 day period), recurrent seborrheic dermatitis, or topical, pruritic folliculitis (itchy bumps). Unintentional weight loss in excess of 10 pounds or 10 percent of usual body weight. Chronic fatigue present for the past 6 months, which has interfered with normal activity at least 1 to 2 times per week. HIV antibody positive as determined by federally licensed Enzyme-linked Immunosorbent Assay (ELISA). Documented, written informed consent must be obtained prior to admission to the study. Prior Medication: Allowed for no more than 12 weeks prior to study entry: Zidovudine (AZT). Exclusion Criteria Co-existing Condition: Patients with the following conditions or symptoms are excluded: Malignancies, with the exception of basal cell carcinoma. Significant organ dysfunction. Concurrent Medication: Excluded: All anti-retroviral drugs with the exception of Zidovudine. Cancer chemotherapeutic agents. Anti-metabolites and alkylating agents. All investigational non-FDA approved drugs. Patients with the following are excluded: Clinically significant diarrhea (> 3 liquid stools per day for > 7 days) without definable cause, within 6 months prior to enrollment). Diarrhea, as above, with known, non-HIV related cause occurring within one month prior to enrollment. Meets CDC criteria for AIDS classification. Chronic fever (> 38.5 C persisting for more than 14 consecutive days, or for more than 15 days in any 30-day interval prior to study entry). Malignancies, with the exception of basal cell carcinoma. Significant organ dysfunction. Known hypersensitivity to SC-48334 or related compounds. History of lactose intolerance. Prior Medication: Excluded within 30 days of study entry: Any investigational medication. Treatment with a drug (other than Zidovudine) with anti-HIV activity. Excluded for > 12 weeks prior to study entry: Zidovudine (AZT). Excluded within 90 days of study entry: Ribavirin. Excluded within 6 months of study entry: Cancer chemotherapy. Excluded: Treatment with SC-48334. Prior Treatment: Excluded within 30 days of study entry: Electron beam radiation. Excluded within 6 months prior to study entry: Required HIV-related blood transfusions. Whole body radiation. Current use of illicit substances; or current abuse of alcohol, the use of which would limit compliance with the protocol.
Facility Information:
Facility Name
Univ of Miami School of Medicine
City
Miami
State/Province
Florida
ZIP/Postal Code
331361013
Country
United States
Facility Name
Rush Presbyterian - Saint Luke's Med Ctr
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60612
Country
United States
Facility Name
Infectious Diseases Research Clinic / Indiana Univ Hosp
City
Indianapolis
State/Province
Indiana
ZIP/Postal Code
46202
Country
United States
Facility Name
Ohio State Univ Hosp Clinic
City
Columbus
State/Province
Ohio
ZIP/Postal Code
432101228
Country
United States
Facility Name
Julio Arroyo
City
West Columbia
State/Province
South Carolina
ZIP/Postal Code
29169
Country
United States
Facility Name
Univ of Washington
City
Seattle
State/Province
Washington
ZIP/Postal Code
981224304
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
7905523
Citation
Fischl MA, Resnick L, Coombs R, Kremer AB, Pottage JC Jr, Fass RJ, Fife KH, Powderly WG, Collier AC, Aspinall RL, et al. The safety and efficacy of combination N-butyl-deoxynojirimycin (SC-48334) and zidovudine in patients with HIV-1 infection and 200-500 CD4 cells/mm3. J Acquir Immune Defic Syndr (1988). 1994 Feb;7(2):139-47.
Results Reference
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Initial Phase II Efficacy and Safety Study of SC-48334 Administered in Combination With Low-Dose Zidovudine (AZT) to Symptomatic HIV-1 Infected Patients With = or > 200 to = or < 500 CD4+ Cells/mm3

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