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Phase II Placebo Controlled Study of Thalidomide in Patients With Mycobacterial and HIV Infections



Phase II Placebo Controlled Study of Thalidomide in Patients With Mycobacterial and HIV Infections

For Condition: HIV Infections,Mycobacterium Infections,Tuberculosis
Status: Completed
Sponsor(s): National Center for Research Resources (NCRR) , National Institute of Allergy and Infectious Diseases (NIAID),Rockefeller University
Synopsis: OBJECTIVES: I. Evaluate whether thalidomide modulates toxic host inflammatory responses in patients receiving antitubercular therapy. II. Evaluate whether thalidomide modifies tumor necrosis factor-mediated toxic symptoms of HIV and mycobacterial infections, and limits progression of HIV immunodeficiency. III. Evaluate whether thalidomide stimulates immunity in patients with HIV and/or mycobacterial infections.
Details: PROTOCOL OUTLINE: This is a randomized, double blind study. Patients are stratified by type of infection. Patients are randomly assigned to oral thalidomide or placebo. Therapy is administered daily for up to 8 weeks, beginning the night before antitubercular treatment is initiated.
Eligibility:
Study Type:
  Interventional, Treatment, Randomized, Double-Blind, Placebo Control
Minimum Age/Maximum Age: 18 Years/65 Years
Genders: Both
Protocol Entry Criteria: PROTOCOL ENTRY CRITERIA: --Disease Characteristics-- Human immunodeficiency virus (HIV) or mycobacterial infection that requires at least 10 days of inpatient antitubercular treatment Mycobacterial infection confirmed by positive acid-fast bacilli smear or culture for Mycobacterium tuberculosis At least 1 of the following signs and symptoms required: - Temperature over 38 degrees C on at least 2 occasions within 1 week prior to treatment - Weight loss greater than 5 kg - Pulmonary involvement in at least 1 lobe on x-ray Night sweats on at least 2 occasions within 1 week prior to treatment --Prior/Concurrent Therapy-- Concurrent rifampicin, isoniazid, pyrazinamide, and ethambutol for tuberculosis allowed --Patient Characteristics-- - No neuropathy and not at risk for neuropathy - Not pregnant - Negative pregnancy test - Fertile patients must use effective contraception during and for 4 weeks after study
Total Enrollment: 50

Location and Contact Information:

Overall Study Official:
GillaKaplan,  Study Chair,  Rockefeller University


Additional Information:
Study ID Numbers:
  199/11682;  RU-0300395
Study Start Date: September 1990
Record last reviewed: December 2001
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00004276

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