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Safety and Effectiveness of Giving Isotretinoin to HIV-Infected Women to Treat Cervical Tumors Clinical Trials References presented on Clinical Trials Search is not intended to be a substitute for proven healthcare advice, trips or professional assistance by using a real medical. We aren't mDs. Always confer with your physician about Safety and Effectiveness of Giving Isotretinoin to HIV-Infected Women to Treat Cervical Tumors conditions. Clinical Trials Search.org is a website devoted to listing clinical research studies in human subjects. Safety and Effectiveness of Giving Isotretinoin to HIV-Infected Women to Treat Cervical Tumors Clinical research trials and Safety and Effectiveness of Giving Isotretinoin to HIV-Infected Women to Treat Cervical Tumors medical trials take place in hundreds of localities across the U.S.. A clinical trial or clinical study is a research project with human volunteer subjects. Clinical drug trials and pharmaceutical clinical trials usually evaluate the effectualness of new does drugs. The purpose of the studies / projects is to solve specific human health questions. Clinical trials are a popular way for physicians, government agencies, and private sector companies to discover treatments for all sorts of conditions, such as Safety and Effectiveness of Giving Isotretinoin to HIV-Infected Women to Treat Cervical Tumors. Safety and Effectiveness of Giving Isotretinoin to HIV-Infected Women to Treat Cervical Tumors Clinical Trials and other clinical trials permit volunteers to access healthcare treatment choices before they are available to the general public. Some times the subjects recieve professional assistance for without cost, and every now and again they are compensated for their time. Sometimes there is a cost for a Safety and Effectiveness of Giving Isotretinoin to HIV-Infected Women to Treat Cervical Tumors clinical trial. Subjects often receive the most expert healthcare possible for their Safety and Effectiveness of Giving Isotretinoin to HIV-Infected Women to Treat Cervical Tumors condition. Risks are a reality, nevertheless, and could include additional or frequent dr. calls, healthcare dangers (perhaps life-jeopardising), and/or the treatment being ineffective. Trials are federally governed with stern guidelines to protect clinical trials subjects.

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Safety and Effectiveness of Giving Isotretinoin to HIV-Infected Women to Treat Cervical Tumors



Safety and Effectiveness of Giving Isotretinoin to HIV-Infected Women to Treat Cervical Tumors

For Condition: HIV Infections,Cervix, Dysplasia
Status: Completed
Sponsor(s): National Institute of Allergy and Infectious Diseases (NIAID) ,
Synopsis: The purpose of this study is to see if it is safe and effective to give isotretinoin to HIV-infected women with cervical tumors to prevent these tumors from becoming cancerous. Cervical tumors are found in both HIV-infected and HIV-negative women. However, HIV-infected women are at a greater risk, and often their tumors become cancerous more quickly than those in HIV-negative women. Isotretinoin may be able to prevent this from happening. However, since these tumors tend to disappear over time, many doctors are hesitant to give their patients isotretinoin since this drug causes birth defects. This study looks at whether it is better to treat cervical tumors in HIV-infected women or to wait and see if they will disappear by themselves.
Details: Cervical neoplasia is frequently seen in HIV-infected women, apparently resulting from immunosuppression and common risk factors, including sexual behavior patterns. In HIV seronegative women, progression of preinvasive neoplasia is relatively slow, and up to 40 percent of low grade squamous intraepithelial lesions (grade I CIN/HPV-associated changes) regress to a normal appearance over time. Many clinicians have opted not to treat CIN I/HPV-associated changes due to this high spontaneous regression rate. Currently, retinoids, principally isotretinoin, are the most consistently effective medical therapy for CIN/HPV-associated changes, but use of isotretinoin in HIV-infected patients has not been extensively documented. (AS PER AMENDMENT 6/10/97) Patients are randomized to receive oral isotretinoin for 6 months or be observed only for 6 months, with 12 additional months of follow-up. [AS PER AMENDMENT 7/23/99: Follow-up time has been decreased to 9 months from the last patient enrolled.]
Eligibility:
Study Type:
  Interventional, Treatment, Efficacy Study
Minimum Age/Maximum Age: 13 Years/
Genders: Female
Protocol Entry Criteria: Inclusion Criteria You may be eligible for this study if you: - Are an HIV-positive female. - Are at least 13 years old. (Need consent of parent or guardian if under 18.) - Have cervical tumors, as determined by a biopsy performed by a doctor. - Agree to use both condoms and the pill during the study. Exclusion Criteria You will not be eligible for this study if you: - Have received certain cancer therapies (such as chemotherapy) within the past 3 or 4 months. - Have had a hysterectomy (uterus removed) within the past 4 months. - Are taking tetracycline or Vitamin A. - Have taken certain medications. (Approved anti-HIV drugs and medications to prevent AIDS-related opportunistic infections are okay.) - Are pregnant.
Total Enrollment: 150

Location and Contact Information:

Overall Study Official:
WilliamRobinson,  Study Chair, 

Boston Med Ctr
Boston,  Massachusetts,  02118
United States
 

Univ of California / San Diego Treatment Ctr
San Diego,  California,  921036325
United States
 

Univ of Rochester Medical Center
Rochester,  New York,  14642
United States
 

Bellevue Hosp / New York Univ Med Ctr
New York City,  New York,  10016
United States
 

San Francisco Gen Hosp
San Francisco,  California,  941102859
United States
 

Mem Sloan - Kettering Cancer Ctr
New York City,  New York,  10021
United States
 

Johns Hopkins Hosp
Baltimore,  Maryland,  21287
United States
 

Univ of Texas Galveston
Galveston,  Texas,  775550435
United States
 

Cook County Hosp
Chicago,  Illinois,  60612
United States
 

Santa Clara Valley Med Ctr / AIDS Community Rsch Consortium
San Jose,  California,  951282699
United States
 

Charity Hosp / Tulane Univ Med School
New Orleans,  Louisiana,  70112
United States
 

SUNY / Erie County Med Ctr at Buffalo
Buffalo,  New York,  14215
United States
 

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

San Mateo AIDS Program / Stanford Univ
Stanford,  California,  943055107
United States
 

Howard Univ
Washington D.C.,  District of Columbia,  20059
United States
 

Univ of Pennsylvania at Philadelphia
Philadelphia,  Pennsylvania,  19104
United States
 

Univ of Southern California / LA County USC Med Ctr
Los Angeles,  California,  900331079
United States
 

Univ of Washington
Seattle,  Washington,  98104
United States
 

Division of Inf Diseases/ Indiana Univ Hosp
Indianapolis,  Indiana,  46202
United States
 

Julio Arroyo
West Columbia,  South Carolina,  29169
United States
 

Univ of North Carolina
Chapel Hill,  North Carolina,  275997215
United States
 

Beth Israel Med Ctr
New York City,  New York,  10003
United States
 

St Vincent's Hosp / Mem Sloan-Kettering Cancer Ctr
New York City,  New York,  10021
United States
 

Univ of Nebraska Med Ctr
Omaha,  Nebraska,  681985130
United States
 

Tulane Univ / Charity Hosp of New Orleans
New Orleans,  Louisiana,  701122699
United States
 

Univ of Alabama at Birmingham
Birmingham,  Alabama,  35294
United States
 

Willow Clinic
Menlo Park,  California,  94025
United States
 

Indiana Univ Hosp
Indianapolis,  Indiana,  462025250
United States
 

Univ of Miami School of Medicine
Miami,  Florida,  331361013
United States
 

St Louis Regional Hosp / St Louis Regional Med Ctr
St. Louis,  Missouri,  63112
United States
 

Northwestern Univ Med School
Chicago,  Illinois,  60611
United States
 

Duke Univ Med Ctr
Durham,  North Carolina,  27710
United States
 

UCLA CARE Ctr
Los Angeles,  California,  90095
United States
 

Univ of Hawaii
Honolulu,  Hawaii,  96816
United States
 

Univ of Puerto Rico
San Juan,  ,  009365067
Puerto Rico
 

Saint Clare's Hosp and Health Ctr
New York City,  New York,  10019
United States
 


Additional Information:
Study ID Numbers:
  ACTG 293; 
Study Start Date: 
Record last reviewed: April 2001
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00001073

Other Hiv Infections Studies:
1. Safety and Effectiveness of Giving Isotretinoin to HIV-Infected Women to Treat Cervical Tumors

2. A Phase III Randomized Trial of Topical Vaginal Fluorouracil (5-Fluorouracil, 5-FU) Maintenance Therapy Versus Observation After Standard Treatment for High-Grade Cervical Dysplasia in HIV-Infected Women

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Safety and Effectiveness of Giving Isotretinoin to HIV-Infected Women to Treat Cervical Tumors

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