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Valganciclovir Prevention of Cytomegalovirus (CMV) Organ Damage



Valganciclovir Prevention of Cytomegalovirus (CMV) Organ Damage

For Condition: Cytomegalovirus Infections,HIV Infections
Status: Recruiting
Sponsor(s): National Institute of Allergy and Infectious Diseases (NIAID) ,
Synopsis: The purpose of this study is to find out whether treatment with valganciclovir is safe and effective in preventing CMV organ damage. Some patients with weakened immune systems have a high risk of developing CMV disease, an opportunistic (AIDS-related) infection. Doctors want to see if giving valganciclovir will help prevent the disease in patients who are at high risk for it, and if it is an effective treatment for CMV disease, especially CMV retinitis (eye disease). This study has been changed to include new information: Valganciclovir has been approved by the FDA for the treatment of CMV retinitis.
Details: Patients receiving highly active antiretroviral therapy (HAART), who, despite HAART, have an absolute CD4 count below 100/mm3, may be at risk of CMV EOD. This high risk justifies testing a strategy of screening patients for CMV viremia and pre-emptively treating those who are viremic, with potent anti-CMV therapy. Additionally, patients who develop CMV retinitis or other EOD will be followed for response to therapy. [AS PER AMENDMENT 01/16/02: Induction and maintenance treatment with oral valganciclovir is effective for the treatment of CMV retinitis. Valganciclovir has been approved by the FDA for the treatment of CMV retinitis. Currently, there are no data to support use of this drug for extraocular CMV disease.] Step 1: Patients have an ophthalmologic exam every 24 weeks and are screened every 8 weeks for CMV viremia. Patients positive for CMV DNA at entry to Step 1 or who develop a qualitatively positive result are randomized 1:1 to Step 2. If CMV EOD develops prior to randomization to Step 2, patients are encouraged to enter Step 3. Step 2: Patients receive either valganciclovir or placebo. Patients are monitored for development of CMV EOD with an ophthalmologic exam and an extra-ocular CMV symptoms questionnaire every 8 weeks. Blood samples for CMV viremia continue to be collected every 8 weeks. Patients who develop CMV EOD progress to Step 3. Step 3: Patients are followed every 12 weeks with an ophthalmologic exam, other clinical and laboratory evaluations, and a quality-of-life assessment. Valganciclovir therapy is offered to patients with CMV retinitis for 3 weeks or more if retinitis remains active. Antiviral resistance is assessed in all patients in Step 3. All patients in all steps are followed to a final closing date. After the study is closed, valganciclovir is provided for patients in Step 3 who are receiving valganciclovir for treatment of CMV retinitis, under the auspices of Roche, until it is approved for marketing. [AS PER AMENDMENT 01/16/02: "until it is approved for marketing" has been deleted and replaced by: Valganciclovir has been approved by the FDA for the treatment of CMV retinitis and is now commercially available. Roche will continue to provide this study medication to patients. In addition, patients should be advised to take valganciclovir after a meal.]
Eligibility:
Study Type:
  Interventional, Prevention, Double-Blind, Safety Study
Minimum Age/Maximum Age: 13 Years/
Genders: Both
Protocol Entry Criteria: Inclusion Criteria Patients may be eligible for this study if they: - Are HIV-positive. - Are 13 years or older (consent of parent or guardian required if under 18). - Have a viral load (level of HIV in the blood) of more than 400 copies/ml. - Have a CD4 cell count below 100 cells/mm3. - Have taken an anti-HIV drug combination for 3 months or longer, or are not taking an anti-HIV drug combination and do not plan to start one for at least 3 months after study entry. - Show evidence of CMV. Exclusion Criteria Patients will not be eligible for this study if they: - Have ever had CMV organ disease. - Are receiving certain antiviral drugs for CMV prevention. - Are pregnant or breast-feeding. - Have ongoing requirements for foscarnet and cidofovir. (This study has been changed to include this requirement.)
Total Enrollment: 750

Location and Contact Information:

Overall Study Official:
MarkJacobson,  Study Chair, 

Cornell Univ Med Ctr *Recruiting*
New York City,  New York,  10021
United States
Recruiting Valery  Hughes 212-746-4393

Univ of Rochester Medical Center *Recruiting*
Rochester,  New York,  14642
United States
Recruiting Carol  Greisberger 716-275-5871

Univ of Washington *Recruiting*
Seattle,  Washington,  98104
United States
Recruiting Jeanne  Conley 206-731-8877

Univ of Colorado Health Sciences Ctr *Recruiting*
Denver,  Colorado,  80262
United States
Recruiting M  Ray 303-372-5535

Indiana Univ Hosp *Recruiting*
Indianapolis,  Indiana,  462025250
United States
Recruiting Beth  Zwickl 317-274-8456

Miriam Hosp / Brown Univ *Recruiting*
Providence,  Rhode Island,  02906
United States
Recruiting Joan  Gormley 401-793-4396

San Francisco Gen Hosp *Recruiting*
San Francisco,  California,  941102859
United States
Recruiting Marc  Gould 415-476-9296

Georgetown Univ Med Ctr *Recruiting*
Washington D.C.,  District of Columbia,  20007
United States
Recruiting Scott  Watson 202-687-7387

Univ of California, San Diego *Recruiting*
San Diego,  California,  92103
United States
Recruiting Jill  Kunkel 619-543-8080

University of Maryland, Institute of Human Virology *Recruiting*
Baltimore,  Maryland,  21201
United States
Recruiting Susan  LaSalvia 410-706-2785

Santa Clara Valley Med Ctr / AIDS Community Rsch Consortium *No longer recruiting*
San Jose,  California,  951282699
United States
No longer recruiting  

Wishard Hosp *Recruiting*
Indianapolis,  Indiana,  46202
United States
Recruiting Scott  Hamilton 317-630-6023

Beth Israel Med Ctr *Recruiting*
New York City,  New York,  10003
United States
Recruiting Ann  Marshak 212-420-4432

Boston Medical Center (Harvard) *No longer recruiting*
Boston,  Massachusetts,  02118
United States
No longer recruiting  

Univ of Southern California / LA County USC Med Ctr *Recruiting*
Los Angeles,  California,  900331079
United States
Recruiting Luis  Mendez 323-343-8283

SUNY / Erie County Med Ctr at Buffalo *No longer recruiting*
Buffalo,  New York,  14215
United States
No longer recruiting  

St Mary's Hosp (Univ of Rochester/Infectious Diseases) *Recruiting*
Rochester,  New York,  14642
United States
Recruiting Carol  Greisberger 716-275-5871

Univ of Puerto Rico *Recruiting*
San Juan,  ,  009365067
Puerto Rico
Recruiting Virginia  Ramirez 787-767-9192

Columbia Presbyterian Med Ctr *No longer recruiting*
New York City,  New York,  10032
United States
No longer recruiting  

Univ of Pennsylvania at Philadelphia *Recruiting*
Philadelphia,  Pennsylvania,  19104
United States
Recruiting Christopher  Helker 215-349-8092

Ohio State Univ Hosp Clinic *Recruiting*
Columbus,  Ohio,  432101228
United States
Recruiting Judith  Neidig 614-293-8112

Univ of Minnesota *Recruiting*
Minneapolis,  Minnesota,  55455
United States
Recruiting Christine  Fietzer 612-625-1462

Marin County Specialty Clinic *Recruiting*
San Rafael,  California,  94903
United States
Recruiting Julieann  Lewis 415-514-0550

Community Health Network Inc *Recruiting*
Rochester,  New York,  14642
United States
Recruiting Carol  Greisberger 716-275-5871

Univ of Texas Galveston *Recruiting*
Galveston,  Texas,  775550435
United States
Recruiting Karen  Waterman 409-772-0361

Bellevue Hosp / New York Univ Med Ctr *Recruiting*
New York City,  New York,  10016
United States
Recruiting Maura  Laverty 212-263-6565

Brigham and Womens Hosp *Recruiting*
Boston,  Massachusetts,  02215
United States
Recruiting Carolyn  Koziol 617-732-5635

Univ of Pittsburgh *Recruiting*
Pittsburgh,  Pennsylvania,  15213
United States
Recruiting Christine  Tripoli 412-647-0771

Vanderbilt Univ Med Ctr *Recruiting*
Nashville,  Tennessee,  37203
United States
Recruiting Victoria  Harris 615-467-0154

Case Western Reserve Univ *Recruiting*
Cleveland,  Ohio,  44106
United States
Recruiting Michael  Chance 216-844-8051

Mount Sinai Med Ctr *No longer recruiting*
New York City,  New York,  10029
United States
No longer recruiting  

Brown Univ / The Miriam Hosp *Recruiting*
Providence,  Rhode Island,  02906
United States
Recruiting Joan  Gormley 401-331-8500

Northwestern Univ Med School *Recruiting*
Chicago,  Illinois,  60611
United States
Recruiting Baiba  Berzins 312-695-5012

Stanford Univ Med Ctr *Recruiting*
Stanford,  California,  943055107
United States
Recruiting Debbie  Slamowitz 650-723-2804

Univ of Hawaii *Recruiting*
Honolulu,  Hawaii,  96816
United States
Recruiting Debra  Ogata-Arakaki 808-737-2751

Methodist Hosp of Indiana / Life Care Clinic *Recruiting*
Indianapolis,  Indiana,  46202
United States
Recruiting Sarah  Ryan 317-929-2917

MetroHealth Med Ctr *No longer recruiting*
Cleveland,  Ohio,  441091998
United States
No longer recruiting  

UCLA CARE Ctr *Recruiting*
Los Angeles,  California,  90095
United States
Recruiting Susan  McCarthy 310-206-8029

Boston Med Ctr (Pediatric) *Recruiting*
Boston,  Massachusetts,  02118
United States
Recruiting Anne  Regan 617-414-5813

Cornell Clinical Trials Unit - Chelsea Clinic *Recruiting*
New York City,  New York,  10011
United States
Recruiting Todd  Stroberg 212-746-7198

Emory Univ *Recruiting*
Atlanta,  Georgia,  30308
United States
Recruiting Beth  Dean 404-616-0654

Nebraska Health System *Recruiting*
Omaha,  Nebraska,  68198-5130
United States
Recruiting Frances  Meter 402-559-8163

San Mateo AIDS Program / Stanford Univ *Recruiting*
Stanford,  California,  943055107
United States
Recruiting Debbie  Slamowitz 650-723-2804

Johns Hopkins Hosp *No longer recruiting*
Baltimore,  Maryland,  21287
United States
No longer recruiting  

Willow Clinic *Recruiting*
Menlo Park,  California,  94025
United States
Recruiting Debbie  Slamowitz 650-723-2804

Philadelphia Veterans Administration Med Ctr *Recruiting*
Philadelphia,  Pennsylvania,  19104
United States
Recruiting Joseph  Quinn 215-349-8092

Harvard (Massachusetts Gen Hosp) *Recruiting*
Boston,  Massachusetts,  02114
United States
Recruiting Teri  Flynn 617-726-3819

Univ of Cincinnati *Recruiting*
Cincinnati,  Ohio,  452670405
United States
Recruiting Tammy  Powell 513-584-8373

Presbyterian Med Ctr *Recruiting*
Philadelphia,  Pennsylvania,  19104
United States
Recruiting Maureen  O'Connell 215-349-8092

Beth Israel Deaconess - West Campus *Recruiting*
Boston,  Massachusetts,  02215
United States
Recruiting Helen  Fitch 617-632-0785

Univ of Alabama at Birmingham *No longer recruiting*
Birmingham,  Alabama,  35294
United States
No longer recruiting  

Univ of Iowa Hosp and Clinics *Recruiting*
Iowa City,  Iowa,  52242-1201
United States
Recruiting Julie  Katseres 319-353-8441

Univ of Miami School of Medicine *Recruiting*
Miami,  Florida,  331361013
United States
Recruiting Leslie  Thompson 305-243-3838

Cook County Hosp *Recruiting*
Chicago,  Illinois,  60612
United States
Recruiting Joanne  Despotes 312-572-4545

Univ of North Carolina *Recruiting*
Chapel Hill,  North Carolina,  275997215
United States
Recruiting Barbara  Longmire 919-966-7883

Univ of Texas, Southwestern Med Ctr of Dallas *Recruiting*
Dallas,  Texas,  75390
United States
Recruiting Charla  Andrews 214-590-0414

Julio Arroyo *Recruiting*
West Columbia,  South Carolina,  29169
United States
Recruiting Michael  Klebert 314-454-0058

Rush Presbyterian - Saint Luke's Med Ctr *No longer recruiting*
Chicago,  Illinois,  60612
United States
No longer recruiting  


Additional Information:
Study ID Numbers:
  ACTG A5030;  AACTG A5030
Study Start Date: 
Record last reviewed: May 2004
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00006145

Other Cytomegalovirus Infections Studies:
1. The Safety and Effectiveness of Adefovir Dipivoxil in the Treatment of HIV-Infected Patients

2. A Randomized, Double-Blind Study of the Efficacy and Safety of Oral Ganciclovir for the Prevention of CMV Disease in People Infected With the Human Immunodeficiency Virus

3. Ganciclovir: Compassionate Use in Patients With Serious or Life-Threatening Cytomegalovirus Infections

4. A Study of Lobucavir in Patients with AIDS

5. A Study of AZT Plus Ganciclovir in Patients with AIDS and Cytomegalovirus (CMV) Infection

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Valganciclovir Prevention of Cytomegalovirus (CMV) Organ Damage

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