Status:
UNKNOWN
ALCAR Prophylaxis Study
Lead Sponsor:
Royal Free Hampstead NHS Trust
Collaborating Sponsors:
Bristol-Myers Squibb
Sigma-Tau Research, Inc.
Conditions:
HIV Infections
Distal Symmetric Polyneuropathy
Eligibility:
All Genders
18+ years
Phase:
PHASE2
Brief Summary
The purpose of this study is to determine whether Acetyl L-carnitine can prevent the development of nerve damage, known as neuropathy, in individuals taking anti-HIV drugs over a 48-week period. In ad...
Eligibility Criteria
Inclusion
- Male or female, aged \> 18 years of age
- HIV-1 infected as documented by a licensed HIV-1 antibody ELISA
- Women of childbearing potential must have a negative serum (beta-HCG; performed by a medical doctor - Austria only) pregnancy test within 28 days of starting study drug (and at monthly intervals for the duration for the trial (-Austria only)
- Ability to assess level of pain and complete a pain log
- Ability to understand and provide written informed consent to participation in this trial
- All clinical laboratory values must be considered not clinically significant - for the potential response to the planned new regimen - in the opinion of the investigator
- Naïve to antiretroviral therapy
Exclusion
- Diminished ankle reflexes (compared to the knee) or absent ankle reflexes. OR
- Distal diminution of either vibration sense in the legs (defined as perception vibration \< 10 seconds at the great toe with a tuning fork initially struck hard enough to be audible) or pain or temperature sensation.
- Subjects who in the investigator's opinion are unlikely to complete the 48 weeks trial period.
- Subjects with current alcohol or illicit drug use which, in the opinion of the investigator, may interfere with the subjects' ability to comply with the dosing schedule and protocol evaluations.
- Previous treatment with any drug known to induce peripheral neuropathy, specifically excessive alcohol, isoniazid \& vincristine.
- Subjects with insulin dependent diabetes or cancer and an existing peripheral neuropathy or hereditary neuropathy.
- Subjects with Vitamin B 12 deficiency (level \< 150pg/mL)
- Subjects using neurotoxic systemic therapeutic agents, systemic corticosteroids or immunomodulators within 30 days of randomisation.
- Use of a medication for neuropathic pain during 2 weeks prior to randomisation (including tricyclic antidepressants, mexilitene, phenytoin or carbamazepine).
- Subjects who have taken L-carnitine within 6 last months, or who have ever taken ALCAR.
- Subjects being pregnant or breast feeding.
- Subjects suffering from a serious medical condition, including one or more AIDS defining events (Appendix 8), which in the opinion of the investigator, would compromise the safety of the subject
Key Trial Info
Start Date :
November 1 2003
Trial Type :
INTERVENTIONAL
End Date :
Estimated Enrollment :
50 Patients enrolled
Trial Details
Trial ID
NCT00225160
Start Date
November 1 2003
Last Update
September 18 2008
Active Locations (1)
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1
Royal Free Hospital
London, United Kingdom, NW3 2QG