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Open Label Ganciclovir Therapy for Sight- or Life-Threatening Cytomegalovirus Disease in the Immunocompromised Patient



Open Label Ganciclovir Therapy for Sight- or Life-Threatening Cytomegalovirus Disease in the Immunocompromised Patient

For Condition: Cytomegalovirus Infections,Cytomegalovirus Retinitis,HIV Infections
Status: Completed
Sponsor(s): Hoffmann-La Roche ,
Synopsis: To make intravenous (IV) ganciclovir available to immunocompromised patients with life-threatening or sight-threatening Cytomegalovirus (CMV) infection, where the symptoms of the disease are too severe to allow admission to a controlled clinical study of ganciclovir therapy. To determine the safety and tolerance of 2 - 3 weeks induction course of ganciclovir IV followed by a maintenance course of ganciclovir IV for an indefinite duration. To tabulate the patient's clinical response.
Details:
Eligibility:
Study Type:
  Interventional, Treatment, Open Label
Minimum Age/Maximum Age: 3 Months/
Genders: Both
Protocol Entry Criteria: Exclusion Criteria Co-existing Condition: Patients with the following are excluded: - Cytomegalovirus (CMV) disease who meet the criteria for a treatment IND protocol, or other clinical studies, including controlled clinical studies of anticytomegalovirus therapy in peripheral CMV retinitis in patients with AIDS. - Mild to moderate CMV infections who fail to meet the severity criteria. CMV syndrome (i.e., cytopenia, increased liver enzymes, fever, viremia, viruria) is not considered immediately life-threatening. - Transplant patients in whom trial reduction of immunosuppressive drug treatment is feasible. - Children with congenital or neonatal CMV where there is not a documented primary or acquired immunodeficiency. - Hypersensitivity to acyclovir or ganciclovir. - Receiving antimetabolite treatment that cannot be discontinued. Concurrent Medication: Excluded: - Antimetabolites. - Alkylating agents. - Nucleoside analogs (topical ophthalmics are permitted). - Interferon. - Foscarnet. - Cytokines. Patients with the following are excluded: - Cytomegalovirus (CMV) infection who meet the criteria for a treatment IND protocol, or other clinical studies, including controlled clinical studies of anticytomegalovirus therapy in peripheral CMV retinitis in patients with AIDS. - Mild to moderate CMV infections who fail to meet the severity criteria. CMV syndrome (i.e., cytopenia, increased liver enzymes, fever, viremia, viruria) is not considered immediately life-threatening. - Transplant patients in whom trial reduction of immunosuppressive drug treatment is feasible. - Children with congenital or neonatal CMV where there is not a documented primary or acquired immunodeficiency. - Hypersensitivity to acyclovir or ganciclovir. - Receiving antimetabolite treatment that cannot be discontinued. Patients must qualify as follows: - Previously enrolled in compassionate use study (ICM 1257/1257A) or have terminated from another Syntex ganciclovir study. - Diagnosis of AIDS and life-threatening Cytomegalovirus (CMV) infection. - Diagnosis of other immunodeficiencies other than AIDS, with life-threatening or sight-threatening CMV disease.
Total Enrollment: 

Location and Contact Information:

Roche Global Development - Palo Alto
Palo Alto,  California,  94303
United States
 


Additional Information:
Study ID Numbers:
  029D;  ICM 1691
Study Start Date: 
Record last reviewed: September 1989
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00002025

Other Cytomegalovirus Infections Studies:
1. A Study of Cidofovir in HIV-Infected Children with Cytomegalovirus (CMV) Disease

2. A Randomized, Controlled Study of Intravenous Ganciclovir Therapy for Peripheral Cytomegalovirus Retinitis in Patients With AIDS

3. A Study of Foscarnet in the Treatment of Cytomegalovirus (CMV) of the Eyes in Patients with AIDS Who Cannot Use Ganciclovir

4. A Study of ISIS 2922 in the Treatment of Advanced Cytomegalovirus Retinitis

5. Longitudinal Study of Ocular Complications of AIDS (LSOCA)

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Open Label Ganciclovir Therapy for Sight- or Life-Threatening Cytomegalovirus Disease in the Immunocompromised Patient

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