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A Phase I Clinical Trial To Evaluate the Toxicity, Antiviral and Immunomodulatory Effects of a Range of Doses of Ampligen in HIV-Infected Subjects

Primary Purpose

HIV Infections

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Ampligen
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 Polyribonucleotides, HIV Seropositivity, Dose-Response Relationship, Drug, Drug Evaluation, Acquired Immunodeficiency Syndrome, ampligen, AIDS-Related Complex, Antiviral Agents

Eligibility Criteria

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

Inclusion Criteria Concurrent Medication: Allowed: Short-course therapy (7 days) with oral acyclovir or ketoconazole. Patients must have: Evidence of HIV infection as measured by a confirmed positive antibody test. A confirmed or pending HIV blood culture, and serum p24 antigen test. The ELISA test confirmed by a licensed Western blot analysis if they are asymptomatic. Exclusion Criteria Concurrent Medication: Excluded: Aspirin or acetaminophen beyond 72 hours without contacting investigator. Chemoprophylaxis for Pneumocystis carinii pneumonia (PCP). Patients with the following are excluded: AIDS. AIDS related symptoms or with advanced ARC and < 200 CD4 cells/mm3 and at least two of the following: Weight loss in excess of 10 lbs or 10 percent of body weight within a 6-month interval. Temperature > 38.5 degrees C with or without night sweats, persisting for more than 14 consecutive days or more than 15 days in a 30-day interval. Diarrhea defined as = or > 3 liquid stools per day, persisting for more than 30 days without definable cause. Recurrent oral candidiasis as documented by morphology or by response to antifungal therapy. Patients cannot have active oral candidiasis at the time of entry into the study; they must be free of candidiasis from baseline 1 to enrollment. Multidermatomal herpes zoster within the past 2 years. Hairy leukoplakia within the past 3 years. Prior Medication: Excluded within 14 days of study entry: Other biologic response modifiers. Corticosteroids. Systemic antibiotics. Excluded within 30 days of study entry: Other antiretroviral agents. Excluded within 60 days of study entry: Ribavirin. Zidovudine. Concurrent neoplasms other than basal cell carcinoma of the skin. Active drug or alcohol abuse.

Sites / Locations

  • Univ of Pittsburgh Med School

Outcomes

Primary Outcome Measures

Secondary Outcome Measures

Full Information

First Posted
November 2, 1999
Last Updated
October 27, 2021
Sponsor
National Institute of Allergy and Infectious Diseases (NIAID)
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1. Study Identification

Unique Protocol Identification Number
NCT00000713
Brief Title
A Phase I Clinical Trial To Evaluate the Toxicity, Antiviral and Immunomodulatory Effects of a Range of Doses of Ampligen in HIV-Infected Subjects
Official Title
A Phase I Clinical Trial To Evaluate the Toxicity, Antiviral and Immunomodulatory Effects of a Range of Doses of Ampligen in HIV-Infected Subjects
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
October 1992 (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 safety of ampligen at several doses in HIV-infected patients who have not yet developed AIDS or advanced AIDS related complex (ARC). Biologic, antiviral, and immunologic effects will be studied. Evidence indicates that a long period with no symptoms follows infection with HIV. Individuals who are infected with the virus could benefit from therapy with a drug that acts to kill the virus or to stimulate the immune system of the individual or both. The immune system is the means the human body has for fighting infections. Ampligen is a suitable drug for clinical trials against HIV because it has been shown to stimulate the immune system and to inhibit HIV in vitro (test tube) at drug levels that can be achieved without noticeable clinical side effects.
Detailed Description
Evidence indicates that a long period with no symptoms follows infection with HIV. Individuals who are infected with the virus could benefit from therapy with a drug that acts to kill the virus or to stimulate the immune system of the individual or both. The immune system is the means the human body has for fighting infections. Ampligen is a suitable drug for clinical trials against HIV because it has been shown to stimulate the immune system and to inhibit HIV in vitro (test tube) at drug levels that can be achieved without noticeable clinical side effects. Individuals entered in the study are given ampligen by intravenous infusion once during the first week of the trial and twice a week during the following 8 weeks. The dose each individual receives is determined by the responses of earlier individuals. Each is followed for 12 weeks after the last dose of ampligen is given. Each individual maintains a daily diary listing any symptoms or problems that occur, such as headache, nausea, or change in appetite. Other anti-HIV drugs cannot be taken during the trial, and aspirin or acetaminophen should not be taken for more than 2 hours without consulting the research staff. Blood is drawn at intervals during the trial and follow-up and used to determine the effect of ampligen on the HIV and the immune system as well as to monitor any toxicity and side effects.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
HIV Infections
Keywords
Polyribonucleotides, HIV Seropositivity, Dose-Response Relationship, Drug, Drug Evaluation, Acquired Immunodeficiency Syndrome, ampligen, AIDS-Related Complex, Antiviral Agents

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Enrollment
40 (false)

8. Arms, Groups, and Interventions

Intervention Type
Drug
Intervention Name(s)
Ampligen

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria Concurrent Medication: Allowed: Short-course therapy (7 days) with oral acyclovir or ketoconazole. Patients must have: Evidence of HIV infection as measured by a confirmed positive antibody test. A confirmed or pending HIV blood culture, and serum p24 antigen test. The ELISA test confirmed by a licensed Western blot analysis if they are asymptomatic. Exclusion Criteria Concurrent Medication: Excluded: Aspirin or acetaminophen beyond 72 hours without contacting investigator. Chemoprophylaxis for Pneumocystis carinii pneumonia (PCP). Patients with the following are excluded: AIDS. AIDS related symptoms or with advanced ARC and < 200 CD4 cells/mm3 and at least two of the following: Weight loss in excess of 10 lbs or 10 percent of body weight within a 6-month interval. Temperature > 38.5 degrees C with or without night sweats, persisting for more than 14 consecutive days or more than 15 days in a 30-day interval. Diarrhea defined as = or > 3 liquid stools per day, persisting for more than 30 days without definable cause. Recurrent oral candidiasis as documented by morphology or by response to antifungal therapy. Patients cannot have active oral candidiasis at the time of entry into the study; they must be free of candidiasis from baseline 1 to enrollment. Multidermatomal herpes zoster within the past 2 years. Hairy leukoplakia within the past 3 years. Prior Medication: Excluded within 14 days of study entry: Other biologic response modifiers. Corticosteroids. Systemic antibiotics. Excluded within 30 days of study entry: Other antiretroviral agents. Excluded within 60 days of study entry: Ribavirin. Zidovudine. Concurrent neoplasms other than basal cell carcinoma of the skin. Active drug or alcohol abuse.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
M Ho
Official's Role
Study Chair
Facility Information:
Facility Name
Univ of Pittsburgh Med School
City
Pittsburgh
State/Province
Pennsylvania
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
1527407
Citation
Armstrong JA, McMahon D, Huang XL, Pazin GJ, Gupta P, Rinaldo CR Jr, Schoenfeld DA, Gaccione P, Tripoli CA, Bensasi S, et al. A phase I study of ampligen in human immunodeficiency virus-infected subjects. J Infect Dis. 1992 Oct;166(4):717-22. doi: 10.1093/infdis/166.4.717.
Results Reference
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A Phase I Clinical Trial To Evaluate the Toxicity, Antiviral and Immunomodulatory Effects of a Range of Doses of Ampligen in HIV-Infected Subjects

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