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A Randomized Phase III Clinical Trial of Daunoxome Versus Combination Chemotherapy With Adriamycin/Bleomycin/Vincristine (ABV) in the Treatment of HIV-Associated Kaposi's Sarcoma.

Primary Purpose

Sarcoma, Kaposi, HIV Infections

Status
Completed
Phase
Phase 3
Locations
United States
Study Type
Interventional
Intervention
Daunorubicin (liposomal)
Bleomycin sulfate
Vincristine sulfate
Doxorubicin hydrochloride
Sponsored by
Nexstar Pharmaceuticals
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional treatment trial for Sarcoma, Kaposi focused on measuring Vincristine, Sarcoma, Kaposi, Liposomes, Doxorubicin, Acquired Immunodeficiency Syndrome, Bleomycin, Daunorubicin, Drug Carriers

Eligibility Criteria

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

Inclusion Criteria Patients must have: HIV infection. Advanced Kaposi's sarcoma. Prior Medication: Allowed: Prior intralesional vinblastine. Exclusion Criteria Co-existing Condition: Patients with the following symptoms and conditions are excluded: Acute intercurrent infection other than genital herpes. Uncompensated cardiovascular, hepatic, renal, or pulmonary disease unrelated to Kaposi's sarcoma. Symptomatic peripheral neuropathy. Any condition that compromises ability to give informed consent or complete the study. Concurrent Medication: Excluded: Concurrent ganciclovir. Patients with the following prior conditions are excluded: Symptomatic AIDS-defining opportunistic infection within 2 weeks of entry. History of malignancy other than Kaposi's sarcoma, basal cell carcinoma, or carcinoma in situ of the cervix. Prior Medication: Excluded: Prior systemic chemotherapy. Intralesional therapies within 7 days prior to study entry. Growth factors (G-CSF or GM-CSF), immune modifiers, or investigational agents within 14 days prior to study entry. Interferon preparations (alpha or beta) within 28 days prior to study entry. Prior Treatment: Excluded within 7 days prior to study entry: Radiation. Local therapies (e.g., cryotherapy).

Sites / Locations

  • Univ of Arizona / Arizona Cancer Ctr
  • Kenneth Norris Jr Cancer Hosp
  • Desert Hosp Comprehensive Cancer Ctr
  • Saint Francis Mem Hosp
  • Davies Med Ctr
  • Denver Gen Hosp
  • George Washington Univ Med Ctr
  • Univ of Miami Dept of Medicine
  • Northwestern Univ Med School
  • New England Deaconess Hosp
  • New York Univ Med Ctr
  • Kaiser Permanente Med Ctr
  • Dr Edward Stool

Outcomes

Primary Outcome Measures

Secondary Outcome Measures

Full Information

First Posted
November 2, 1999
Last Updated
June 23, 2005
Sponsor
Nexstar Pharmaceuticals
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1. Study Identification

Unique Protocol Identification Number
NCT00002093
Brief Title
A Randomized Phase III Clinical Trial of Daunoxome Versus Combination Chemotherapy With Adriamycin/Bleomycin/Vincristine (ABV) in the Treatment of HIV-Associated Kaposi's Sarcoma.
Official Title
A Randomized Phase III Clinical Trial of Daunoxome Versus Combination Chemotherapy With Adriamycin/Bleomycin/Vincristine (ABV) in the Treatment of HIV-Associated Kaposi's Sarcoma.
Study Type
Interventional

2. Study Status

Record Verification Date
March 1996
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
Nexstar Pharmaceuticals

4. Oversight

5. Study Description

Brief Summary
To compare the toxicity profiles (severity and time to onset from initiation of therapy) between daunorubicin (liposomal) and combination chemotherapy with doxorubicin/bleomycin/vincristine (ABV), with both regimens administered in combination with antiretroviral therapy. To compare the duration of responses, response rates, and times to response.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Sarcoma, Kaposi, HIV Infections
Keywords
Vincristine, Sarcoma, Kaposi, Liposomes, Doxorubicin, Acquired Immunodeficiency Syndrome, Bleomycin, Daunorubicin, Drug Carriers

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Allocation
Randomized

8. Arms, Groups, and Interventions

Intervention Type
Drug
Intervention Name(s)
Daunorubicin (liposomal)
Intervention Type
Drug
Intervention Name(s)
Bleomycin sulfate
Intervention Type
Drug
Intervention Name(s)
Vincristine sulfate
Intervention Type
Drug
Intervention Name(s)
Doxorubicin hydrochloride

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria Patients must have: HIV infection. Advanced Kaposi's sarcoma. Prior Medication: Allowed: Prior intralesional vinblastine. Exclusion Criteria Co-existing Condition: Patients with the following symptoms and conditions are excluded: Acute intercurrent infection other than genital herpes. Uncompensated cardiovascular, hepatic, renal, or pulmonary disease unrelated to Kaposi's sarcoma. Symptomatic peripheral neuropathy. Any condition that compromises ability to give informed consent or complete the study. Concurrent Medication: Excluded: Concurrent ganciclovir. Patients with the following prior conditions are excluded: Symptomatic AIDS-defining opportunistic infection within 2 weeks of entry. History of malignancy other than Kaposi's sarcoma, basal cell carcinoma, or carcinoma in situ of the cervix. Prior Medication: Excluded: Prior systemic chemotherapy. Intralesional therapies within 7 days prior to study entry. Growth factors (G-CSF or GM-CSF), immune modifiers, or investigational agents within 14 days prior to study entry. Interferon preparations (alpha or beta) within 28 days prior to study entry. Prior Treatment: Excluded within 7 days prior to study entry: Radiation. Local therapies (e.g., cryotherapy).
Facility Information:
Facility Name
Univ of Arizona / Arizona Cancer Ctr
City
Tucson
State/Province
Arizona
ZIP/Postal Code
85724
Country
United States
Facility Name
Kenneth Norris Jr Cancer Hosp
City
Los Angeles
State/Province
California
ZIP/Postal Code
90033
Country
United States
Facility Name
Desert Hosp Comprehensive Cancer Ctr
City
Palm Springs
State/Province
California
ZIP/Postal Code
92262
Country
United States
Facility Name
Saint Francis Mem Hosp
City
San Francisco
State/Province
California
ZIP/Postal Code
94109
Country
United States
Facility Name
Davies Med Ctr
City
San Francisco
State/Province
California
ZIP/Postal Code
94114
Country
United States
Facility Name
Denver Gen Hosp
City
Denver
State/Province
Colorado
ZIP/Postal Code
802044507
Country
United States
Facility Name
George Washington Univ Med Ctr
City
Washington
State/Province
District of Columbia
ZIP/Postal Code
20037
Country
United States
Facility Name
Univ of Miami Dept of Medicine
City
Miami
State/Province
Florida
ZIP/Postal Code
33136
Country
United States
Facility Name
Northwestern Univ Med School
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60611
Country
United States
Facility Name
New England Deaconess Hosp
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02215
Country
United States
Facility Name
New York Univ Med Ctr
City
New York
State/Province
New York
ZIP/Postal Code
10016
Country
United States
Facility Name
Kaiser Permanente Med Ctr
City
Portland
State/Province
Oregon
ZIP/Postal Code
97227
Country
United States
Facility Name
Dr Edward Stool
City
Houston
State/Province
Texas
ZIP/Postal Code
77004
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
8708728
Citation
Gill PS, Wernz J, Scadden DT, Cohen P, Mukwaya GM, von Roenn JH, Jacobs M, Kempin S, Silverberg I, Gonzales G, Rarick MU, Myers AM, Shepherd F, Sawka C, Pike MC, Ross ME. Randomized phase III trial of liposomal daunorubicin versus doxorubicin, bleomycin, and vincristine in AIDS-related Kaposi's sarcoma. J Clin Oncol. 1996 Aug;14(8):2353-64. doi: 10.1200/JCO.1996.14.8.2353.
Results Reference
background
Citation
Savage GE, Gable C, Motte K, Dixon C, Becker R. A pharmacoeconomic analysis of Kaposi's sarcoma patients based on a clinical trial of ABV vs. DaunoXome. Int Conf AIDS. 1996 Jul 7-12;11(Program Supplement):32 (abstract no LBB6048)
Results Reference
background

Learn more about this trial

A Randomized Phase III Clinical Trial of Daunoxome Versus Combination Chemotherapy With Adriamycin/Bleomycin/Vincristine (ABV) in the Treatment of HIV-Associated Kaposi's Sarcoma.

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