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A Randomized, Multicenter, Double-Blind, Parallel-Group, Placebo-Controlled Trial of the Efficacy and Safety of Bovine Anti-Cryptosporidium Immunoglobulin (BACI) in the Treatment of Cryptosporidium Enteritis in AIDS Patients

Primary Purpose

Cryptosporidiosis, HIV Infections

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Cryptosporidium Immune Whey Protein Concentrate (Bovine)
Sponsored by
Univax Biologics Inc
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional treatment trial for Cryptosporidiosis focused on measuring Antidiarrheals, Cryptosporidiosis, Diarrhea, Acquired Immunodeficiency Syndrome, Cryptosporidium, Immunization, Passive

Eligibility Criteria

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

Inclusion Criteria Concurrent Medication: Allowed: Antidiarrheal compounds (if dose remains stable). Zidovudine (AZT), dideoxyinosine (ddI), dideoxycytidine (ddC), or alternative HIV therapy (provided dose was stable for at least 4 weeks prior to study entry). Patients must have: AIDS. Cryptosporidium parvum enteritis. Chronic diarrhea. Life expectancy of at least 4 weeks. Ability to tolerate food by mouth. Ability to take the histamine H2-receptor antagonist famotidine (Pepcid). Prior Medication: Allowed: Antidiarrheal compounds (provided dose has remained stable in the 7 days prior to study entry). Zidovudine (AZT), dideoxyinosine (ddI), dideoxycytidine (ddC), or alternative HIV therapy (provided dose has remained stable for at least 4 weeks prior to study entry). Exclusion Criteria Co-existing Condition: Patients with the following symptoms or conditions are excluded: Concurrent unresolved clinical infections with enteric pathogens other than C. parvum (e.g., rotavirus, Salmonella, Shigella, Campylobacter, Giardia, C. difficile toxin, Yersinia, amebiasis, MAI, CMV, Microsporida) as determined by history or routine microbiology screening. Other acute infections or concurrent immediately life-threatening medical crisis other than cryptosporidiosis. Grossly bloody diarrhea. Known allergy to milk or milk products (other than lactose intolerance). Prior Medication: Excluded: Other experimental therapy (e.g., macrolide antibiotics, paromomycin) within 30 days prior to study entry.

Sites / Locations

  • Gabin Med Group
  • UCSF - San Francisco Gen Hosp
  • AIDS Research Consortium of Atlanta
  • New England Med Ctr
  • Saint Elizabeth's Hosp
  • Cornell Univ Med Ctr

Outcomes

Primary Outcome Measures

Secondary Outcome Measures

Full Information

First Posted
November 2, 1999
Last Updated
June 23, 2005
Sponsor
Univax Biologics Inc
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1. Study Identification

Unique Protocol Identification Number
NCT00002248
Brief Title
A Randomized, Multicenter, Double-Blind, Parallel-Group, Placebo-Controlled Trial of the Efficacy and Safety of Bovine Anti-Cryptosporidium Immunoglobulin (BACI) in the Treatment of Cryptosporidium Enteritis in AIDS Patients
Official Title
A Randomized, Multicenter, Double-Blind, Parallel-Group, Placebo-Controlled Trial of the Efficacy and Safety of Bovine Anti-Cryptosporidium Immunoglobulin (BACI) in the Treatment of Cryptosporidium Enteritis in AIDS Patients
Study Type
Interventional

2. Study Status

Record Verification Date
April 1993
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
Univax Biologics Inc

4. Oversight

5. Study Description

Brief Summary
PRIMARY: To assess the effect of bovine anti-Cryptosporidium immunoglobulin (BACI) on the volume of diarrhea due to Cryptosporidium parvum in AIDS patients who have protracted Cryptosporidium enteritis. SECONDARY: To assess changes in stool consistency and frequency, body weight, and safety in this patient population.
Detailed Description
Forty patients are randomized to receive either BACI or placebo (bovine colostrum from non-immunized cattle) for 1 week. The double-blind portion of the study will be followed by an open-label phase in which all 40 patients receive BACI for 1 week.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Cryptosporidiosis, HIV Infections
Keywords
Antidiarrheals, Cryptosporidiosis, Diarrhea, Acquired Immunodeficiency Syndrome, Cryptosporidium, Immunization, Passive

7. Study Design

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

8. Arms, Groups, and Interventions

Intervention Type
Drug
Intervention Name(s)
Cryptosporidium Immune Whey Protein Concentrate (Bovine)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria Concurrent Medication: Allowed: Antidiarrheal compounds (if dose remains stable). Zidovudine (AZT), dideoxyinosine (ddI), dideoxycytidine (ddC), or alternative HIV therapy (provided dose was stable for at least 4 weeks prior to study entry). Patients must have: AIDS. Cryptosporidium parvum enteritis. Chronic diarrhea. Life expectancy of at least 4 weeks. Ability to tolerate food by mouth. Ability to take the histamine H2-receptor antagonist famotidine (Pepcid). Prior Medication: Allowed: Antidiarrheal compounds (provided dose has remained stable in the 7 days prior to study entry). Zidovudine (AZT), dideoxyinosine (ddI), dideoxycytidine (ddC), or alternative HIV therapy (provided dose has remained stable for at least 4 weeks prior to study entry). Exclusion Criteria Co-existing Condition: Patients with the following symptoms or conditions are excluded: Concurrent unresolved clinical infections with enteric pathogens other than C. parvum (e.g., rotavirus, Salmonella, Shigella, Campylobacter, Giardia, C. difficile toxin, Yersinia, amebiasis, MAI, CMV, Microsporida) as determined by history or routine microbiology screening. Other acute infections or concurrent immediately life-threatening medical crisis other than cryptosporidiosis. Grossly bloody diarrhea. Known allergy to milk or milk products (other than lactose intolerance). Prior Medication: Excluded: Other experimental therapy (e.g., macrolide antibiotics, paromomycin) within 30 days prior to study entry.
Facility Information:
Facility Name
Gabin Med Group
City
Los Angeles
State/Province
California
ZIP/Postal Code
90067
Country
United States
Facility Name
UCSF - San Francisco Gen Hosp
City
San Francisco
State/Province
California
ZIP/Postal Code
94110
Country
United States
Facility Name
AIDS Research Consortium of Atlanta
City
Atlanta
State/Province
Georgia
ZIP/Postal Code
30308
Country
United States
Facility Name
New England Med Ctr
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02111
Country
United States
Facility Name
Saint Elizabeth's Hosp
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02135
Country
United States
Facility Name
Cornell Univ Med Ctr
City
New York
State/Province
New York
ZIP/Postal Code
10021
Country
United States

12. IPD Sharing Statement

Citations:
Citation
Nord J, Ma P, Tacket CO, Dijohn D, Tzipori S, Sahner D, Shieb G. Treatment of AIDS associated cryptosporidiosis with hyperimmune colostrum from cows vaccinated with cryptosporidium. Int Conf AIDS. 1989 Jun 4-9;5:656 (abstract no C586)
Results Reference
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A Randomized, Multicenter, Double-Blind, Parallel-Group, Placebo-Controlled Trial of the Efficacy and Safety of Bovine Anti-Cryptosporidium Immunoglobulin (BACI) in the Treatment of Cryptosporidium Enteritis in AIDS Patients

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