Completed

Phase Not Applicable
Age: 13Years +
FEMALE
ID00000744

A Randomized, Prospective, Double-Blind Study Comparing Fluconazole With Placebo for Primary and Secondary Prophylaxis of Mucosal Candidiasis in HIV-Infected Women

Led by National Institute of Allergy and Infectious Diseases (NIAID) · Updated on 2021-11-03

400

Participants Needed

16

Research Sites

N/A

Total Duration

On this page

Sponsors

N

National Institute of Allergy and Infectious Diseases (NIAID)

Lead Sponsor

P

Pfizer

Collaborating Sponsor

AI-Summary

What this Trial Is About

To compare the efficacy of fluconazole versus placebo for the prevention of Candida esophagitis and vaginal/oropharyngeal candidiasis, including a comparison of the development of clinical resistance. Fluconazole has been shown to be effective in preventing or suppressing candidiasis in HIV-negative women. An increasing likelihood of oral and esophageal candidiasis in conjunction with progressive immunosuppression raises the question of the potential role of prophylactic antifungal therapy in high-risk persons.

CONDITIONS

Official Title

A Randomized, Prospective, Double-Blind Study Comparing Fluconazole With Placebo for Primary and Secondary Prophylaxis of Mucosal Candidiasis in HIV-Infected Women

Who Can Participate

Age: 13Years +
FEMALE

Eligibility Criteria

Eligible

You may qualify if you...

Inclusion Criteria

Patients must have:

  • Evidence of HIV infection.
  • CD4+ count <= 300 cells/mm3 or <= 20 percent of total lymphocyte count.
  • Reasonably good health with a life expectancy of at least 6 months.
  • Pelvic exam including Pap smear or colposcopy performed within the past 90 days.

Prior Medication:

Allowed:

  • Topical or systemic treatment or prophylaxis with an antifungal agent.

Exclusion Criteria

Co-existing Condition:

Patients with the following symptoms and conditions are excluded:

  • Current diagnosis of Candida esophagitis.
  • Known intolerance to azoles.

Concurrent Medication:

Excluded:

  • Systemic treatment or prophylaxis with an antifungal agent.

Patients with the following prior conditions are excluded:

  • Past history of Candida esophagitis.
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: 16 locations

1

Community Consortium of San Francisco

San Francisco, California, United States, 94110

Status Unknown

2

Denver CPCRA / Denver Public Hlth

Denver, Colorado, United States, 80204

Status Unknown

3

Wilmington Hosp / Med Ctr of Delaware

Wilmington, Delaware, United States, 19899

Status Unknown

4

Veterans Administration Med Ctr / Regional AIDS Program

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

Status Unknown

5

AIDS Research Consortium of Atlanta

Atlanta, Georgia, United States, 30308

Status Unknown

6

AIDS Research Alliance - Chicago

Chicago, Illinois, United States, 60657

Status Unknown

7

Louisiana Comm AIDS Rsch Prog / Tulane Univ Med

New Orleans, Louisiana, United States, 70112

Status Unknown

8

Comprehensive AIDS Alliance of Detroit

Detroit, Michigan, United States, 48201

Status Unknown

9

Henry Ford Hosp

Detroit, Michigan, United States, 48202

Status Unknown

10

North Jersey Community Research Initiative

Newark, New Jersey, United States, 07103

Status Unknown

11

Addiction Research and Treatment Corp

Brooklyn, New York, United States, 11201

Status Unknown

12

Clinical Directors Network of Region II

New York, New York, United States, 10011

Status Unknown

13

Harlem AIDS Treatment Group / Harlem Hosp Ctr

New York, New York, United States, 10037

Status Unknown

14

Bronx Lebanon Hosp Ctr

The Bronx, New York, United States, 10456

Status Unknown

15

Portland Veterans Adm Med Ctr / Rsch & Education Grp

Portland, Oregon, United States, 97210

Status Unknown

16

Richmond AIDS Consortium

Richmond, Virginia, United States, 23298

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

Weekly fluconazole for the prevention of mucosal candidiasis in women with HIV infection. A randomized, double-blind, placebo-controlled trial. Terry Beirn Community Programs for Clinical Research on AIDS.

P Schuman, L Capps, G Peng...

https://pubmed.ncbi.nlm.nih.gov/9139554

Sexually transmitted infections in women infected with the human immunodeficiency virus. Terry Beirn Community Programs for Clinical Research on AIDS (CPCRA).

L Capps, G Peng, M Doyle...

https://pubmed.ncbi.nlm.nih.gov/9773440

Evolution of vaginal Candida species recovered from human immunodeficiency virus-infected women receiving fluconazole prophylaxis: the emergence of Candida glabrata? Terry Beirn Community Programs for Clinical Research in AIDS (CPCRA).

J A Vazquez, J D Sobel, G Peng...

https://pubmed.ncbi.nlm.nih.gov/10452629

Evolution of antifungal susceptibility among Candida species isolates recovered from human immunodeficiency virus-infected women receiving fluconazole prophylaxis.

J A Vazquez, G Peng, J D Sobel...

https://pubmed.ncbi.nlm.nih.gov/11528582