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The Safety and Effectiveness of Clarithromycin Plus Ethambutol Used with or without Clofazimine in the Treatment of MAC in Patients with AIDS



The Safety and Effectiveness of Clarithromycin Plus Ethambutol Used with or without Clofazimine in the Treatment of MAC in Patients with AIDS

For Condition: Mycobacterium avium-intracellulare Infection,HIV Infections
Status: Completed
Sponsor(s): Abbott Laboratories ,
Synopsis: PRIMARY: To assess the tolerability of the combination regimen of clarithromycin plus ethambutol with or without clofazimine in patients with disseminated Mycobacterium avium Complex (dMAC). SECONDARY: To determine the proportion of patients achieving a sterile blood culture along with the time required to achieve it. To determine the duration of bacteriological response, defined as length of time that blood cultures remain sterile.
Details:
Eligibility:
Study Type:
  Interventional, Treatment, Efficacy Study
Minimum Age/Maximum Age: 13 Years/
Genders: Both
Protocol Entry Criteria: Inclusion Criteria Patients must have: - History of HIV seropositivity. - Disseminated MAC. - Positive blood culture for MAC within 4 weeks prior to study entry. - Consent of parent or guardian if less than 18 years of age. - Ability to complete the study. NOTE: - Patients with active opportunistic infections other than dMAC are permitted if dosage and clinical parameters have been stable for 4 weeks prior to enrollment. Exclusion Criteria Concurrent Medication: Excluded: - Active therapy with carbamazepine or theophylline, unless investigator agrees to carefully monitor blood levels. - Active therapy with investigational drugs other than treatment for HIV disease, except with approval of the sponsor. - Concomitant terfenadine (Seldane or Seldane-D) or astemizole (Hismanal). - Amikacin. - Azithromycin. - Capreomycin. - Ciprofloxacin. - Cycloserine. - Ethionamide. - Gentamicin. - Kanamycin. - Levofloxacin. - Lomefloxacin. - Ofloxacin. - Rifampin. - Rifabutin. - Sparfloxacin. - Streptomycin. - Any other aminoglycosides, quinolones, and macrolides. Patients with the following prior conditions are excluded: History of allergy or hypersensitivity to macrolides, ethambutol, or clofazimine. Prior Medication: Excluded: - Other antimycobacterials, including aminoglycosides, ansamycin (rifabutin), other macrolides (such as clindamycin), quinolones, and rifampin, between screening and study entry. - Clarithromycin or azithromycin as prophylaxis or treatment (for any cause) for more than 14 days cumulative within the past 2 months.
Total Enrollment: 

Location and Contact Information:

Dr Margaret Fischel
Miami,  Florida,  33136
United States
 

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

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

Santa Clara Valley Med Ctr
San Jose,  California,  951282699
United States
 

Houston Veterans Administration Med Ctr
Houston,  Texas,  77030
United States
 

Vanderbilt Univ School of Medicine
Nashville,  Tennessee,  37212
United States
 

Mount Sinai Med Ctr
New York City,  New York,  10029
United States
 

Johns Hopkins Univ School of Medicine
Baltimore,  Maryland,  21205
United States
 

Kaiser Permanente Med Ctr
San Francisco,  California,  94115
United States
 

George Washington Univ Med Ctr
Washington D.C.,  District of Columbia,  20037
United States
 

Kaiser Permanente Med Ctr
Los Angeles,  California,  90027
United States
 

Dr Javier Morales
Condado San Juan,  ,  00907
Puerto Rico
 

Dr Stephen Hauptman
Philadelphia,  Pennsylvania,  19107
United States
 

Tulane Univ Med School
New Orleans,  Louisiana,  701122699
United States
 

UCD Med Ctr
Sacramento,  California,  95817
United States
 

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

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

Saint Joseph's Hosp / Infectious Disease Rsch Institute
Tampa,  Florida,  33614
United States
 


Additional Information:
Study ID Numbers:
  214A;  M93-069
Study Start Date: 
Record last reviewed: March 1996
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00002331

Other Mycobacterium Avium-Intracellulare Infection Studies:
1. A Comparison of Three Drug Combinations Containing Clarithromycin in the Treatment of Mycobacterium Avium Complex (MAC) Disease in Patients with AIDS

2. A Study to Evaluate the Effects of Azithromycin on MAC Disease Prevention in HIV-Positive Patients

3. A Double-Blind Randomized Clinical Trial of a Rifabutin Regimen in the Treatment of Mycobacterium-avium Complex (MAC) Bacteremia in Patients With AIDS

4. A Phase II Safety and Efficacy Study of Clarithromycin in the Treatment of Disseminated M. avium Complex (MAC) Infections in Patients With AIDS

5. The Safety and Effectiveness of Clarithromycin Plus Zidovudine or Dideoxyinosine in the Treatment of Mycobacterium Avium Complex (MAC) Infections in Children with AIDS

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The Safety and Effectiveness of Clarithromycin Plus Ethambutol Used with or without Clofazimine in the Treatment of MAC in Patients with AIDS

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