Completed

Phase 4
Age: 13Years +
All Genders
ID00000951

A Phase IV Randomized Study of the Use of Fluconazole as Chronic Suppressive Therapy Versus Episodic Therapy in HIV Positive Subjects With Recurrent Oropharyngeal Candidiasis

Led by National Institute of Allergy and Infectious Diseases (NIAID) · Updated on 2021-10-29

948

Participants Needed

54

Research Sites

N/A

Total Duration

On this page

Sponsors

N

National Institute of Allergy and Infectious Diseases (NIAID)

Lead Sponsor

W

Washington University School of Medicine

Collaborating Sponsor

AI-Summary

What this Trial Is About

The purpose of this study is to determine whether it is better to treat patients with fluconazole on a continuous basis to prevent thrush (yeast infection in the mouth) from coming back or to wait and treat each episode of thrush. Fluconazole is one of the most commonly prescribed drugs to treat thrush and other yeast infections. However, the number of patients with fluconazole-resistant thrush is increasing, and it is not known whether continuous or intermittent use of fluconazole leads to greater resistance. Therefore, it is important to determine the most effective treatment strategy.

CONDITIONS

Official Title

A Study to Compare the Use of Fluconazole as Continuous Therapy Versus Periodic Therapy in HIV-Positive Patients With Recurrent Thrush

Who Can Participate

Age: 13Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

Inclusion Criteria

You may be eligible for this study if you:

  • Are HIV-positive.
  • Have a CD4+ cell count less than 150 cells/mm3.
  • Had at least one episode of thrush in the 24 months before study entry.
  • Have a life expectancy of at least 12 months.
  • Weigh at least 88 pounds.
  • Are 13 years of age or older (consent of parent or guardian required if under 18).
  • Agree to practice abstinence or use effective methods of birth control during the study.

Exclusion Criteria

You will not be eligible for this study if you:

  • Have an allergy to azoles.
  • Have had 3 episodes or more of thrush within 12 weeks of study entry.
  • Have a history of esophageal candidiasis.
  • Have a history of fluconazole-resistant infection.
  • Have an active opportunistic infection requiring treatment within 14 days before study entry.
  • Have a fungal infection requiring certain medications.
  • Have a severe liver disease (e.g., cirrhosis).
  • Are unable to tolerate oral medications.
  • Take certain medications.
  • Are pregnant or breast-feeding.
Not Eligible

You will not qualify if you...

History of severe allergic reactions to study medication Currently pregnant or breastfeeding Recent participation in another clinical trial within the last 30 days Presence of uncontrolled medical conditions that could affect safety

Trial Site Locations

Total: 54 locations

1

Univ of Southern California / LA County USC Med Ctr

Los Angeles, California, United States, 900331079

Status Unknown

2

UCLA CARE Ctr

Los Angeles, California, United States, 90095

Status Unknown

3

Univ of California / San Diego Treatment Ctr

San Diego, California, United States, 921036325

Status Unknown

4

San Francisco Gen Hosp

San Francisco, California, United States, 941102859

Status Unknown

5

Univ of Colorado Health Sciences Ctr

Denver, Colorado, United States, 80262

Status Unknown

6

Howard Univ

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

Status Unknown

7

Institute for Clinical Research

Washington D.C., District of Columbia, United States, 20422

Status Unknown

8

Univ of Miami School of Medicine

Miami, Florida, United States, 331361013

Status Unknown

9

Emory Univ

Atlanta, Georgia, United States, 30308

Status Unknown

10

Emory Hemo Comp Evaluation Clinic / East TN Comp Hemo Ctr

Atlanta, Georgia, United States, 303652225

Status Unknown

11

Queens Med Ctr

Honolulu, Hawaii, United States, 96816

Status Unknown

12

Univ of Hawaii

Honolulu, Hawaii, United States, 96816

Status Unknown

13

Northwestern Univ Med School

Chicago, Illinois, United States, 60611

Status Unknown

14

Cook County Hosp

Chicago, Illinois, United States, 60612

Status Unknown

15

Rush Presbyterian - Saint Luke's Med Ctr

Chicago, Illinois, United States, 60612

Status Unknown

16

Louis A Weiss Memorial Hosp

Chicago, Illinois, United States, 60640

Status Unknown

17

Indiana Univ Hosp

Indianapolis, Indiana, United States, 462025250

Status Unknown

18

Division of Inf Diseases/ Indiana Univ Hosp

Indianapolis, Indiana, United States, 46202

Status Unknown

19

Methodist Hosp of Indiana / Life Care Clinic

Indianapolis, Indiana, United States, 46202

Status Unknown

20

Univ of Iowa Hosp and Clinic

Iowa City, Iowa, United States, 52242

Status Unknown

21

State of MD Div of Corrections / Johns Hopkins Univ Hosp

Baltimore, Maryland, United States, 212052196

Status Unknown

22

Johns Hopkins Hosp

Baltimore, Maryland, United States, 21287

Status Unknown

23

Harvard (Massachusetts Gen Hosp)

Boston, Massachusetts, United States, 02114

Status Unknown

24

Boston Med Ctr

Boston, Massachusetts, United States, 02118

Status Unknown

25

Hennepin County Med Clinic

Minneapolis, Minnesota, United States, 55415

Status Unknown

26

Univ of Minnesota

Minneapolis, Minnesota, United States, 55455

Status Unknown

27

St Paul Ramsey Med Ctr

Saint Paul, Minnesota, United States, 55101

Status Unknown

28

St Louis Regional Hosp / St Louis Regional Med Ctr

St Louis, Missouri, United States, 63112

Status Unknown

29

Univ of Nebraska Med Ctr

Omaha, Nebraska, United States, 681985130

Status Unknown

30

SUNY / Erie County Med Ctr at Buffalo

Buffalo, New York, United States, 14215

Status Unknown

31

Beth Israel Med Ctr

New York, New York, United States, 10003

Status Unknown

32

Bellevue Hosp / New York Univ Med Ctr

New York, New York, United States, 10016

Status Unknown

33

Saint Clare's Hosp and Health Ctr

New York, New York, United States, 10019

Status Unknown

34

Cornell Univ Med Ctr

New York, New York, United States, 10021

Status Unknown

35

Mem Sloan - Kettering Cancer Ctr

New York, New York, United States, 10021

Status Unknown

36

St Vincent's Hosp / Mem Sloan-Kettering Cancer Ctr

New York, New York, United States, 10021

Status Unknown

37

Mount Sinai Med Ctr

New York, New York, United States, 10029

Status Unknown

38

St Mary's Hosp (Univ of Rochester/Infectious Diseases)

Rochester, New York, United States, 14642

Status Unknown

39

Univ of Rochester Medical Center

Rochester, New York, United States, 14642

Status Unknown

40

Albert Einstein College of Medicine

The Bronx, New York, United States, 10461

Status Unknown

41

Univ of North Carolina

Chapel Hill, North Carolina, United States, 275997215

Status Unknown

42

Duke Univ Med Ctr

Durham, North Carolina, United States, 27710

Status Unknown

43

Univ of Cincinnati

Cincinnati, Ohio, United States, 452670405

Status Unknown

44

Univ of Kentucky Lexington

Cincinnati, Ohio, United States, 45267

Status Unknown

45

Case Western Reserve Univ

Cleveland, Ohio, United States, 44106

Status Unknown

46

MetroHealth Med Ctr

Cleveland, Ohio, United States, 441091998

Status Unknown

47

Ohio State Univ Hosp Clinic

Columbus, Ohio, United States, 432101228

Status Unknown

48

Philadelphia Veterans Administration Med Ctr

Philadelphia, Pennsylvania, United States, 19104

Status Unknown

49

Univ of Pennsylvania at Philadelphia

Philadelphia, Pennsylvania, United States, 19104

Status Unknown

50

Julio Arroyo

West Columbia, South Carolina, United States, 29169

Status Unknown

51

Univ of Tennessee / E Tennessee Comprehensive Hemophilia Ctr

Knoxville, Tennessee, United States, 37920

Status Unknown

52

Univ of Texas Galveston

Galveston, Texas, United States, 775550435

Status Unknown

53

Univ of Washington

Seattle, Washington, United States, 98104

Status Unknown

54

Univ of Puerto Rico

San Juan, Puerto Rico, 009365067

Status Unknown

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How is the study designed?

Study Type

INTERVENTIONAL

Masking

N/A

Allocation

N/A

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

0

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