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A Multicenter Study of Oral Versus Intravenous Hydration in AIDS Patients With CMV Retinitis Treated With Foscavir (Foscarnet Sodium)



A Multicenter Study of Oral Versus Intravenous Hydration in AIDS Patients With CMV Retinitis Treated With Foscavir (Foscarnet Sodium)

For Condition: Cytomegalovirus Retinitis,HIV Infections
Status: Completed
Sponsor(s): Astra USA ,
Synopsis: To assess the relative efficacy of oral versus intravenous hydration during foscarnet sodium (Foscavir) induction therapy, as determined by changes in creatinine clearance. To estimate the timing and volume of oral fluid hydration required to establish a diuresis before and during intravenous Foscavir therapy. To assess the general tolerance of two hydration regimens by the adverse event profile associated with each.
Details: Patients are randomized to receive oral hydration versus intravenous hydration therapy during concomitant intermittent intravenous Foscavir therapy for treatment of cytomegalovirus (CMV) retinitis. Treatment continues during 2 or 3 weeks of induction Foscavir therapy.
Eligibility:
Study Type:
  Interventional, Treatment
Minimum Age/Maximum Age: 18 Years/
Genders: Both
Protocol Entry Criteria: Inclusion Criteria Patients must have: - Documented HIV infection. - Recent diagnosis of CMV retinitis, by ophthalmoscopic appearance, that requires induction therapy. - No corneal, lens, or vitreous opacification that precludes examination of the fundi. - No evidence of other end organ CMV infection. - No evidence of tuberculous, diabetic, or hypertensive retinopathy. Exclusion Criteria Co-existing Condition: Patients with the following symptoms or conditions are excluded: - Clinically significant cardiac, pulmonary, neurologic, gastrointestinal or renal impairment that would prevent adequate voluntary oral hydration (e.g., intubation, coma, status post-gastrectomy, colon resection, gastrointestinal tumors, malabsorption, chronic diarrhea) OR with which hydration would be hazardous (e.g., congestive heart failure). - Known allergy to foscarnet or related compounds. - Considered noncompliant or unreliable for study participation. Concurrent Medication: Excluded: - Any investigational drug. - Potentially nephrotoxic drugs (e.g., amphotericin B, aminoglycosides, cisplatin). Prior Medication: Excluded: - Any investigational drug within 28 days prior to study entry. - Potentially nephrotoxic drugs (e.g., amphotericin B, aminoglycosides, cisplatin) within 7 days prior to study entry.
Total Enrollment: 112

Location and Contact Information:

Overall Study Official:
WoolGM,  Study Chair, 

Ingenix Kern McNeill Decatur
Atlanta,  Georgia,  30309
United States
 

Austin Infectious Disease Consultants
Austin,  Texas,  78705
United States
 

Dr Paul Benson
Berkley,  Michigan,  48072
United States
 

AIDS Community Research Consortium
Redwood City,  California,  94063
United States
 

Dr Ralph Hansen
Beverly Hills,  California,  90210
United States
 

Dr Ronald Nahass
Somerville,  New Jersey,  08876
United States
 

Community Health Network
Rochester,  New York,  14620
United States
 

Dr Ronald J Grossman
New York City,  New York,  10016
United States
 

Dr John Karedes
Indianapolis,  Indiana,  46204
United States
 

Dr Milan Fiala
Los Angeles,  California,  900246970
United States
 

Dr G Michael Wool
Los Angeles,  California,  90067
United States
 


Additional Information:
Study ID Numbers:
  020H;  93-FOS-31
Study Start Date: 
Record last reviewed: June 1997
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00002125

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