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

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.