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Pentoxifylline (Trental) as a Modulator of Tumor Necrosis Factor and of HIV Replication in Patients With AIDS



Pentoxifylline (Trental) as a Modulator of Tumor Necrosis Factor and of HIV Replication in Patients With AIDS

For Condition: HIV Infections
Status: Completed
Sponsor(s): National Institute of Allergy and Infectious Diseases (NIAID) , Hoechst Marion Roussel
Synopsis: To determine whether pentoxifylline lowers tumor necrosis factor (TNF) levels in AIDS patients. Pentoxifylline decreases tumor necrosis factor (TNF), and therefore should decrease such TNF-intensified events as cachexia, enhanced HIV expression, and inhibition of zidovudine (AZT) activity.
Details: Pentoxifylline decreases tumor necrosis factor (TNF), and therefore should decrease such TNF-intensified events as cachexia, enhanced HIV expression, and inhibition of zidovudine (AZT) activity. Twenty-seven AIDS patients with elevated TNF and less than 300 CD4 cells are given pentoxifylline 3 times a day for 8 weeks. If no significant changes are seen in virologic, immunologic, or related measures, 27 additional patients are given a higher dose of pentoxifylline 3 times a day for eight weeks.
Eligibility:
Study Type:
  Interventional, Treatment
Minimum Age/Maximum Age: 18 Years/
Genders: Both
Protocol Entry Criteria: Inclusion Criteria Concurrent Medication: Required: - Zidovudine (AZT), didanosine (ddI), dideoxycytidine (ddC), or a combination thereof, at current dosage for the 8 weeks of study treatment. - Prophylaxis (e.g., aerosolized pentamidine, trimethoprim / sulfamethoxazole (TMP / SMX), dapsone for Pneumocystis carinii pneumonia (PCP) if CD4 cell count is < 200 cells/mm3 Allowed: - Concurrent maintenance therapy for opportunistic infections. Prior Medication: Required: - Zidovudine (AZT), didanosine (ddI), dideoxycytidine (ddC), or a combination thereof, for at least 2 months. Patients must have the following: - Diagnosis of AIDS. - Documented HIV seropositivity. - Ability to give informed consent and willingness to comply with visit schedule and all procedures. Exclusion Criteria Co-existing Condition: Patients with the following conditions or symptoms are excluded: - Lymphoma or visceral Kaposi's sarcoma. - Active peptic ulcer or bleeding disorder. - Hemophilia. Known intolerance to pentoxifylline, theophylline, or caffeine. Concurrent Medication: Excluded: - Warfarin and heparin. - Biological response modifiers (e.g., erythropoietin, interferon, G-CSF, GM-CSF). Cytotoxic chemotherapy. - Megestrol acetate. Corticosteroids. Concurrent Treatment: Excluded: - Radiation therapy. Blood products or transfusions. Patients with the following are excluded: - Presence of an active opportunistic infection. - Major surgery within 30 days of study treatment. Prior Medication: Excluded: - Biological response modifiers (including interferon, interleukin), corticosteroids, or megestrol acetate within 14 days of first (screening) TNF level. - Erythropoietin dependency or within 30 days of study treatment. Prior Treatment: Excluded: - Transfusion or blood product dependency or use within 30 days of study treatment.
Total Enrollment: 54

Location and Contact Information:

Overall Study Official:
DezubeB,  Study Chair, 

Case Western Reserve Univ
Cleveland,  Ohio,  44106
United States
 

Baystate Med Ctr of Springfield
Springfield,  Massachusetts,  01199
United States
 

Beth Israel Deaconess Med Ctr
Boston,  Massachusetts,  02215
United States
 


Additional Information:
Study ID Numbers:
  ACTG 160; 
Study Start Date: 
Record last reviewed: December 1994
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00000646

Other Hiv Infections Studies:
1. HIV Candidate Vaccine, ALVAC-HIV-1, Administration in HIV-Negative Adults

2. Psychosocial Correlates and Coping Strategies Associated with Long-Term Survival of HIV-Infected Children

3. Phase I Safety and Immunogenicity Trial of Vaccinia-HIV Envelope Recombinant Vaccine (HIVAC-1e) in Combination with Soluble Recombinant Envelope Vaccine (gp160; VaxSyn)

4. Trial of an Alternative Dosing Regimen of Oral Retrovir in Patients with AIDS or Advanced ARC

5. A Study of Peldesine (BCX-34) in HIV-Infected Patients

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