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Phase III Ganciclovir +/- rGM-CSF for AIDS-Related CMV Retinitis



Phase III Ganciclovir +/- rGM-CSF for AIDS-Related CMV Retinitis

For Condition: Cytomegalovirus Retinitis,HIV Infections
Status: Completed
Sponsor(s): Schering-Plough ,
Synopsis: To determine whether co-administration of sargramostim (granulocyte-macrophage colony-stimulating factor; GM-CSF) improves tolerance to ganciclovir in patients previously intolerant because of neutropenia defined as an absolute neutrophil count less than 500 cells/mm3. To assess if improved tolerance of ganciclovir is associated with a favorable outcome as defined by a delayed time to progression of retinitis; to confirm the safety and co-administration of ganciclovir and GM-CSF; to assess the changes in the expression of HIV p24 antigen in the serum and number of T4+ lymphocytes in the blood of patients receiving ganciclovir with or without GM-CSF.
Details:
Eligibility:
Study Type:
  Interventional, Treatment
Minimum Age/Maximum Age: 18 Years/
Genders: Both
Protocol Entry Criteria: Inclusion Criteria Patient must have the following: - AIDS as defined by CDC criteria. - Retinitis as diagnosed by the study ophthalmologist. - Performance status 0, 1, or 2. - Ability to give informed consent and suitability of intravenous access for scheduled blood tests. - Patient may have Kaposi's sarcoma or basal skin cancer. Exclusion Criteria Co-existing Condition: Patients with the following are excluded: - Active acute infection requiring treatment. - Corneal, lens, or vitreal opacification which precludes examination of the fundi, or evidence of retinopathy. - Malignancy other than Kaposi's sarcoma (KS) or basal skin cancer. Patients with the following are excluded: - Active acute infection requiring treatment. - Corneal, lens, or vitreal opacification which precludes examination of the fundi, or evidence of retinopathy. - Malignancy other than Kaposi's sarcoma (KS) or basal skin cancer. Prior Medication: Excluded: - Granulocyte macrophage colony-stimulating factor (GM-CSF). - Colony stimulating factor. - Interleukin 3. - Excluded within 7 days of study entry: - Zidovudine (AZT). - Trimethoprim / sulfamethoxazole (TMP / SMX). - Pyrimethamine. - Excluded within 30 days of study entry: - Biologic response modifiers. - Cytotoxic agents. - Investigational agents. Prior Treatment: Excluded: - Radiation therapy. Required within 1 week of study entry: - One or more doses of ganciclovir.
Total Enrollment: 

Location and Contact Information:

Gottlieb Med Group
Sherman Oaks,  California,  91403
United States
 

AIDS Research Consortium of Atlanta
Atlanta,  Georgia,  30308
United States
 

Univ of Pennsylvania
Philadelphia,  Pennsylvania,  19104
United States
 

Children's Hosp of San Francisco
San Francisco,  California,  94118
United States
 

USC School of Medicine / Norris Cancer Hosp
Los Angeles,  California,  90033
United States
 

UCLA CARE Ctr
Los Angeles,  California,  90095
United States
 

Pacific Presbyterian
San Francisco,  California,  94118
United States
 

Methodist Hosp
Houston,  Texas,  77030
United States
 

Dr Douglas Dieterich
New York City,  New York,  10016
United States
 

Univ of Texas Southwestern Med Ctr of Dallas
Dallas,  Texas,  75235
United States
 

Cabrini Med Ctr
New York City,  New York,  10003
United States
 

Infectious Disease Physicians Inc
Annandale,  Virginia,  22203
United States
 

Saint Luke's - Roosevelt Hosp Ctr
New York City,  New York,  10025
United States
 

Rush Presbyterian - Saint Luke's Med Ctr / Rush Med Coll
Chicago,  Illinois,  60612
United States
 


Additional Information:
Study ID Numbers:
  005A;  C88-059
Study Start Date: 
Record last reviewed: May 1991
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00002070

Other Cytomegalovirus Retinitis Studies:
1. A Study of WF 10 IV Solution in Patients with Advanced HIV Disease

2. Rosiglitazone in the Treatment of HIV-Associated Hyperlipidemia

3. Topical Use of 4,4'-Dihydroxybenzophenone-2,4-Dinitrophenylhydrazone (A-007) in the Treatment of Advanced Malignancies Including Kaposi's Sarcoma and Lymphoproliferative Disorders

4. Leukapheresis to Obtain Plasma or Lymphocytes for Studies of HIV-infected Patients, including Long-term Non-progressors

5. A Study to Evaluate the Safety and Effectiveness of WF10 Given to Patients with Late-Stage HIV Disease

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Phase III Ganciclovir +/- rGM-CSF for AIDS-Related CMV Retinitis

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