Completed

Phase 1
Age: 18Years +
All Genders
ID00001113

A Phase I Study of AZT and Human Interferon Alpha (Recombinant Alpha-2A and Lymphoblastoid) in the Treatment of AIDS-Associated Kaposi's Sarcoma

Led by National Institute of Allergy and Infectious Diseases (NIAID) · Updated on 2021-11-04

48

Participants Needed

1

Research Sites

N/A

Total Duration

On this page

AI-Summary

What this Trial Is About

To evaluate the safety and toxicity of combination therapy for AIDS-associated Kaposi's sarcoma with zidovudine (AZT) and two kinds of interferon alpha. The two kinds are interferon alpha (IFN-A) and interferon alpha-2A (recombinant) (IFN-A2A). To define the pharmacokinetics of AZT and IFN-A or AZT and IFN-A2A when given in combination. To define the maximum tolerated dose (MTD) of each drug in combination and to define doses to be used in Phase II trial. AZT has been found to be effective against the effects of HIV in vitro (test tube) and both interferons have shown antiviral and antitumor effect on Kaposi's sarcoma. It is reasonable to assume that a synergism and an enhanced antitumor response may be seen with combination therapy. A study to evaluate the safety and effectiveness of AZT in the combination with IFN-A2A is warranted.

CONDITIONS

Official Title

A Study of AZT Plus Human Interferon Alpha in the Treatment of AIDS-Related Kaposi's Sarcoma

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

Inclusion Criteria

  • Patient must have a histologically confirmed diagnosis of Kaposi's sarcoma.
  • Positive antibody to HIV confirmed by ELISA or Western blot on the same serum.

Exclusion Criteria

  • Active drug or alcohol abuse.

Co-existing Condition:

Patients with the following complications are excluded:

  • Active opportunistic infections requiring ongoing therapy.
  • Pneumocystis carinii pneumonia (PCP) unless recovered must be off therapy within 90 days prior to study.
  • Clinically significant cardiac disease, including a history of myocardial infarction or arrhythmia.
  • Concurrent neoplasms other than basal cell carcinoma of skin.
  • Known sensitivity to polymycin or neomycin.

Patients with the following complications are excluded:

  • Active opportunistic infections requiring ongoing therapy.
  • Pneumocystis carinii pneumonia (PCP) unless recovered must be off therapy within 90 days prior to study.
  • Clinically significant cardiac disease, including a history of myocardial infarction or arrhythmia.
  • Concurrent neoplasms other than basal cell carcinoma of skin.
  • Known sensitivity to polymycin or neomycin.

Prior Medication:

Excluded:

  • Any prior zidovudine (AZT) or interferon alpha protocol participation.
  • Excluded within 30 days of study entry:
  • Immunomodulating agents.
  • Other drugs that can cause neutropenia or significant nephrotoxicity, or systemic anti-infectives.
  • Excluded within 90 days of study entry:
  • Antiretroviral agents.
  • Treatment of Pneumocystis carinii pneumonia (PCP).

Prior Treatment:

Excluded within 30 days of study entry:

  • Radiation therapy.
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: 1 location

1

Mem Sloan - Kettering Cancer Ctr

New York, New York, United States, 10021

Status Unknown

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How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

N/A

Model

N/A

Primary Purpose

TREATMENT

Number of Arms

0

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Published Research Related To This Trial

A phase I study of recombinant human interferon-alpha 2a or human lymphoblastoid interferon-alpha n1 and concomitant zidovudine in patients with AIDS-related Kaposi's sarcoma.

M A Fischl, R B Uttamchandani, L Resnick...

https://pubmed.ncbi.nlm.nih.gov/1670585

Synergistic cytotoxic effect of azidothymidine and recombinant interferon alpha on normal human bone marrow progenitor cells.

E Berman, R Duigou-Osterndorf, S E Krown...

https://pubmed.ncbi.nlm.nih.gov/2765664

Interferon-alpha with zidovudine: safety, tolerance, and clinical and virologic effects in patients with Kaposi sarcoma associated with the acquired immunodeficiency syndrome (AIDS).

S E Krown, J W Gold, D Niedzwiecki...

https://pubmed.ncbi.nlm.nih.gov/1971504

Relationship and prognostic value of endogenous interferon-alpha, beta 2-microglobulin, and neopterin serum levels in patients with Kaposi sarcoma and AIDS.

S E Krown, D Niedzwiecki, R B Bhalla...

https://pubmed.ncbi.nlm.nih.gov/1895208