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Phase III Randomized, Controlled Study of Ganciclovir for Symptomatic Congenital Cytomegalovirus Infection



Phase III Randomized, Controlled Study of Ganciclovir for Symptomatic Congenital Cytomegalovirus Infection

For Condition: Cytomegalovirus Infections
Status: Completed
Sponsor(s): National Center for Research Resources (NCRR) , National Institute of Allergy and Infectious Diseases (NIAID)
Synopsis: OBJECTIVES: I. Evaluate the efficacy of ganciclovir (12 mg/kg per day) versus no treatment in neonates with symptomatic congenital cytomegalovirus infection with central nervous system disease.
Details: PROTOCOL OUTLINE: This is a randomized study. Patients are stratified by participating institution. Patients are randomly assigned to no antiviral therapy or intravenous ganciclovir every 12 hours for 6 weeks. Patients are followed at weeks 1-4 and 12, months 6, 12, 24, 36, 48, and 60, and yearly thereafter until puberty (when possible).
Eligibility:
Study Type:
  Interventional, Treatment, Randomized
Minimum Age/Maximum Age: /1 Month
Genders: Both
Protocol Entry Criteria: PROTOCOL ENTRY CRITERIA: --Disease Characteristics-- - Symptomatic cytomegalovirus (CMV) infection: Central nervous system disease, with or without other organ system involvement, e.g.: Microcephaly, i.e., less than 5% for age Radiologic changes indicating brain disease Cerebrospinal fluid exam abnormal for age Chorioretinitis Hearing defects - CMV confirmed by urine, throat, buffy coat, and/or conjunctiva culture - No hydroencephalopathy or other devastating brain involvement --Prior/Concurrent Therapy-- - No concurrent antiviral agent No concurrent immune globulin --Patient Characteristics-- - Age: Under 1 month (preferably under 2 weeks) - Life expectancy: No imminent demise - Renal: Creatinine no greater than 1.5 mg/dL - Other: Birth weight at least 1200 g Gestational age at least 32 weeks No HIV infection No concurrent bacterial infection Eligible if resolved following 2-week treatment and CMV symptoms persist
Total Enrollment: 130

Location and Contact Information:

Overall Study Official:
RichardWhitley,  Study Chair, 


Additional Information:
Study ID Numbers:
  199/11689;  NIAID-558607
Study Start Date: December 1991
Record last reviewed: July 2000
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00004278

Other Cytomegalovirus Infections Studies:
1. A Phase III Study to Evaluate the Safety and Efficacy of Ganciclovir (Dihydroxypropoxymethyl Guanine [DHPG]) Treatment of Symptomatic Central Nervous System (CNS) Congenital Cytomegalovirus (CMV) Infections.

2. Transfusion Infections Pediatric Prospective Study (TRIPPS)

3. Cytomegalovirus Spread and Reactivation in Blood Cells

4. Follow-up assessment of subjects who received ganciclovir for CMV infections

5. Valganciclovir Prevention of Cytomegalovirus (CMV) Organ Damage

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