Completed

Phase 2
Age: 3Months - 15Years
All Genders
ID00001066

A Randomized Comparative Study of Combined Zidovudine-Lamivudine (3TC) vs. the Better of ddI Monotherapy vs. Zidovudine Plus Ddl in Symptomatic HIV-1 Infected Children

Led by National Institute of Allergy and Infectious Diseases (NIAID) · Updated on 2011-03-02

740

Participants Needed

91

Research Sites

N/A

Total Duration

On this page

Sponsors

N

National Institute of Allergy and Infectious Diseases (NIAID)

Lead Sponsor

B

Bristol-Myers Squibb

Collaborating Sponsor

AI-Summary

What this Trial Is About

To compare the efficacy of lamivudine (3TC) and zidovudine (AZT) in combination versus the better of didanosine (ddI) monotherapy or ddI/AZT combination, in symptomatic HIV-1 infected children who received less than 56 days of prior antiretroviral therapy. To evaluate the safety and tolerance of 3TC/AZT in this patient population. To determine other measures of diseases in response to the study regimens. Currently, none of the potential treatments for HIV-1 infection has proven to be both nontoxic and effective in long-term use. However, previous studies in both adults and children have shown that 3TC combined with AZT reduced HIV load in blood and increased white blood cells. Additionally, 3TC has demonstrated a favorable safety profile.

CONDITIONS

Official Title

A Comparison of Zidovudine Plus Lamivudine Versus ddI Used Alone or in Combination With Zidovudine in HIV-1 Infected Children

Who Can Participate

Age: 3Months - 15Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

Inclusion Criteria

Concurrent Medication:

Allowed:

  • IVIG.
  • Prophylaxis for opportunistic infection.
  • EPO.
  • G-CSF or GM-CSF.

Patients must have:

  • Symptomatic HIV infection.
  • Less than 56 days of prior antiretroviral therapy.
  • Consent of parent or guardian.

NOTE:

  • Co-enrollment on ACTG 219, ACTG 220, and certain ACTG opportunistic infection protocols is permitted.

Prior Medication:

Allowed:

  • Up to 56 days of prior antiretroviral therapy.
  • Prior immunomodulator therapy.

Exclusion Criteria

Co-existing Condition:

Patients with the following symptoms or conditions are excluded:

  • Malignancy.
  • Hypersensitivity to a nucleoside analog.
  • Current grade 2 or higher amylase/lipase toxicity or grade 3 or 4 other toxicity.

PER AMENDMENT 4/29/96:

  • Active opportunistic infection and/or serious bacterial infection at the time of entry.

Concurrent Medication:

Excluded:

  • Any other anti-HIV therapy.
  • Megestrol acetate ( Megace ).
  • Probenecid.
  • IV pentamidine.
  • Human growth hormone ( hGH ).
  • Systemic corticosteroids for more than 2 weeks.

Prior Medication:

Excluded:

  • Investigational drug therapy within 14 days prior to study entry.
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: 91 locations

1

Univ of Alabama at Birmingham Schl of Med / Pediatrics

Birmingham, Alabama, United States, 35294

Status Unknown

2

Arkansas Children's Hosp

Little Rock, Arkansas, United States, 72202

Status Unknown

3

UCSD Med Ctr / Pediatrics / Clinical Sciences

La Jolla, California, United States, 920930672

Status Unknown

4

Long Beach Memorial (Pediatric)

Long Beach, California, United States, 90801

Status Unknown

5

Children's Hosp of Los Angeles/UCLA Med Ctr

Los Angeles, California, United States, 900276016

Status Unknown

6

Los Angeles County - USC Med Ctr

Los Angeles, California, United States, 90033

Status Unknown

7

UCLA Med Ctr / Pediatric

Los Angeles, California, United States, 900951752

Status Unknown

8

Harbor - UCLA Med Ctr / UCLA School of Medicine

Los Angeles, California, United States, 905022004

Status Unknown

9

Children's Hosp of Oakland

Oakland, California, United States, 946091809

Status Unknown

10

Univ of California / Davis

Sacramento, California, United States, 958172208

Status Unknown

11

UCSF / Moffitt Hosp - Pediatric

San Francisco, California, United States, 941430105

Status Unknown

12

Stanford Univ School of Medicine

Stanford, California, United States, 943054149

Status Unknown

13

Children's Hosp of Denver

Denver, Colorado, United States, 802181088

Status Unknown

14

Univ of Connecticut / Farmington

Farmington, Connecticut, United States, 06032

Status Unknown

15

Yale Univ Med School

New Haven, Connecticut, United States, 06504

Status Unknown

16

Children's Hosp of Washington DC

Washington D.C., District of Columbia, United States, 200102916

Status Unknown

17

Howard Univ Hosp

Washington D.C., District of Columbia, United States, 20060

Status Unknown

18

Children's Diagnostic and Treatment Ctr of South Florida

Fort Lauderdale, Florida, United States, 33301

Status Unknown

19

Univ of Florida

Gainesville, Florida, United States, 32610

Status Unknown

20

Univ of Florida Health Science Ctr / Pediatrics

Jacksonville, Florida, United States, 32209

Status Unknown

21

Univ of Miami (Pediatric)

Miami, Florida, United States, 33161

Status Unknown

22

Arnold Palmer Hosp for Children & Women

Orlando, Florida, United States, 32806

Status Unknown

23

All Children's Hosp

St. Petersburg, Florida, United States, 33701

Status Unknown

24

Univ of South Florida

Tampa, Florida, United States, 33606

Status Unknown

25

Saint Joseph's Hosp

Tampa, Florida, United States, 33614

Status Unknown

26

HRS Palm Beach County Public Health Unit

West Palm Beach, Florida, United States, 33407

Status Unknown

27

Emory Univ Hosp / Pediatrics

Atlanta, Georgia, United States, 30306

Status Unknown

28

Med College of Georgia

Augusta, Georgia, United States, 30912

Status Unknown

29

Mem Children's Hosp

Savannah, Georgia, United States, 31404

Status Unknown

30

Mount Sinai Hosp Med Ctr

Chicago, Illinois, United States, 60608

Status Unknown

31

Cook County Hosp

Chicago, Illinois, United States, 60612

Status Unknown

32

Univ of Illinois College of Medicine / Pediatrics

Chicago, Illinois, United States, 60612

Status Unknown

33

Chicago Children's Memorial Hosp

Chicago, Illinois, United States, 606143394

Status Unknown

34

Univ of Chicago Children's Hosp

Chicago, Illinois, United States, 606371470

Status Unknown

35

Tulane Univ / Charity Hosp of New Orleans

New Orleans, Louisiana, United States, 701122699

Status Unknown

36

Univ of Maryland at Baltimore / Univ Med Ctr

Baltimore, Maryland, United States, 21201

Status Unknown

37

Johns Hopkins Hosp - Pediatric

Baltimore, Maryland, United States, 212874933

Status Unknown

38

Children's Hosp of Boston

Boston, Massachusetts, United States, 021155724

Status Unknown

39

Boston City Hosp / Pediatrics

Boston, Massachusetts, United States, 02118

Status Unknown

40

Baystate Med Ctr of Springfield

Springfield, Massachusetts, United States, 01199

Status Unknown

41

Univ of Massachusetts Med School

Worcester, Massachusetts, United States, 016550001

Status Unknown

42

Children's Hosp of Michigan

Detroit, Michigan, United States, 48201

Status Unknown

43

Univ of Minnesota Med School

Minneapolis, Minnesota, United States, 55455

Status Unknown

44

Univ of Mississippi Med Ctr

Jackson, Mississippi, United States, 392165405

Status Unknown

45

St Louis Children's Hosp

St Louis, Missouri, United States, 63110

Status Unknown

46

UMDNJ - Robert Wood Johnson Med School / Pediatrics

New Brunswick, New Jersey, United States, 089030019

Status Unknown

47

Univ of Medicine & Dentistry of New Jersey / Univ Hosp

Newark, New Jersey, United States, 071032714

Status Unknown

48

Saint Joseph's Hosp and Med Ctr/UMDNJ - New Jersey Med Schl

Newark, New Jersey, United States, 07103

Status Unknown

49

Children's Hosp of New Jersey / UMDNJ - New Jersey Med Schl

Newark, New Jersey, United States, 071072198

Status Unknown

50

Children's Hosp at Albany Med Ctr

Albany, New York, United States, 12208

Status Unknown

51

King's County Hosp Ctr / Pediatrics

Brooklyn, New York, United States, 11203

Status Unknown

52

SUNY - Brooklyn

Brooklyn, New York, United States, 11203

Status Unknown

53

Children's Hosp of Buffalo

Buffalo, New York, United States, 14222

Status Unknown

54

North Shore Univ Hosp

Great Neck, New York, United States, 11021

Status Unknown

55

Schneider Children's Hosp

New Hyde Park, New York, United States, 11040

Status Unknown

56

Beth Israel Med Ctr / Pediatrics

New York, New York, United States, 10003

Status Unknown

57

Bellevue Hosp / New York Univ Med Ctr

New York, New York, United States, 10016

Status Unknown

58

Saint Luke's - Roosevelt Hosp Ctr

New York, New York, United States, 10025

Status Unknown

59

Metropolitan Hosp Ctr

New York, New York, United States, 10029

Status Unknown

60

Mount Sinai Med Ctr / Pediatrics

New York, New York, United States, 10029

Status Unknown

61

Columbia Presbyterian Med Ctr

New York, New York, United States, 10032

Status Unknown

62

Harlem Hosp Ctr

New York, New York, United States, 10037

Status Unknown

63

Univ of Rochester Medical Center

Rochester, New York, United States, 14642

Status Unknown

64

State Univ of New York at Stony Brook

Stony Brook, New York, United States, 117948111

Status Unknown

65

SUNY Health Sciences Ctr at Syracuse / Pediatrics

Syracuse, New York, United States, 13210

Status Unknown

66

Bronx Lebanon Hosp Ctr

The Bronx, New York, United States, 10457

Status Unknown

67

Westchester Hosp

Valhalla, New York, United States, 10595

Status Unknown

68

Duke Univ Med Ctr

Durham, North Carolina, United States, 277103499

Status Unknown

69

Univ of North Carolina at Chapel Hill / Duke Univ Med Ctr

Durham, North Carolina, United States, 27710

Status Unknown

70

Cincinnati Children's Hosp / Univ Hosp

Cincinnati, Ohio, United States, 452292899

Status Unknown

71

Case Western Reserve Univ - Pediatric

Cleveland, Ohio, United States, 44106

Status Unknown

72

Columbus Children's Hosp

Columbus, Ohio, United States, 432052696

Status Unknown

73

Children's Med Ctr

Dayton, Ohio, United States, 454041518

Status Unknown

74

Children's Hosp of Philadelphia

Philadelphia, Pennsylvania, United States, 191044318

Status Unknown

75

Saint Christopher's Hosp for Children

Philadelphia, Pennsylvania, United States, 191341095

Status Unknown

76

Rhode Island Hosp / Brown Univ

Providence, Rhode Island, United States, 02903

Status Unknown

77

Med Univ of South Carolina

Charleston, South Carolina, United States, 294253312

Status Unknown

78

Univ of South Carolina School of Med

Columbia, South Carolina, United States, 29203

Status Unknown

79

Saint Jude Children's Research Hosp of Memphis

Memphis, Tennessee, United States, 381052794

Status Unknown

80

Children's Med Ctr of Dallas

Dallas, Texas, United States, 75235

Status Unknown

81

Cook - Fort Worth Children's Med Ctr

Fort Worth, Texas, United States, 76104

Status Unknown

82

Hermann Hosp / Univ Texas Health Science Ctr

Houston, Texas, United States, 77030

Status Unknown

83

Texas Children's Hosp / Baylor Univ

Houston, Texas, United States, 77030

Status Unknown

84

Univ of Texas Health Science Ctr

San Antonio, Texas, United States, 78240

Status Unknown

85

Senetara Norfolk Gen Hosp

Norfolk, Virginia, United States, 23507

Status Unknown

86

Virginia Commonwealth Univ

Richmond, Virginia, United States, 232980413

Status Unknown

87

Children's Hospital & Medical Center / Seattle ACTU

Seattle, Washington, United States, 981050371

Status Unknown

88

Ramon Ruiz Arnau Univ Hosp / Pediatrics

Bayamón, Puerto Rico, 00956

Status Unknown

89

Mayaguez Med Ctr

Mayagüez, Puerto Rico, 00680

Status Unknown

90

Univ of Puerto Rico / Univ Children's Hosp AIDS

San Juan, Puerto Rico, 009365067

Status Unknown

91

San Juan City Hosp

San Juan, Puerto Rico, 009367344

Status Unknown

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How is the study designed?

Study Type

INTERVENTIONAL

Masking

DOUBLE

Allocation

N/A

Model

N/A

Primary Purpose

TREATMENT

Number of Arms

0

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Published Research Related To This Trial

A Randomized Comparative Study of Combined Zidovudine-Lamivudine (3TC) vs. the Better of ddI Monotherapy vs. Zidovudine Plus Ddl in Symptomatic HIV-1 Infected Children | DecenTrialz