Completed

Phase 2
Age: 3Months - 18Years
All Genders
ID00000963

A Randomized Comparative Trial of Two Doses of 2',3'-Dideoxyinosine (ddI) in Children With Symptomatic HIV Infection Who Are Either Unresponsive to Zidovudine and/or Who Are Intolerant to Zidovudine

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

300

Participants Needed

52

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 evaluate the effectiveness, safety, and tolerance of two doses of didanosine (ddI) in the treatment of children with symptomatic HIV disease who have had to discontinue zidovudine (AZT) because of intolerance and/or who have experienced progressive disease while on AZT. The progression of immunodeficiency due to HIV infection can be delayed by using AZT. The benefits of AZT in adults with AIDS and severe AIDS-related complex (ARC) appear to last for approximately 12 to 18 months, at which time most patients have progressive deterioration. Recently published literature has described a reduced sensitivity of HIV isolated from patients after prolonged AZT treatment. Although the clinical significance of this is unclear, it makes the development of new antiretroviral drugs important.

CONDITIONS

Official Title

A Study of Dideoxyinosine (ddI) in HIV-Infected Children Who Have Not Had Success With Zidovudine or Who Cannot Take Zidovudine

Who Can Participate

Age: 3Months - 18Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

Inclusion Criteria

Concurrent Medication:

Allowed:

  • Prophylaxis treatment for Pneumocystis carinii pneumonia (PCP).
  • Immunoglobulin.
  • Maintenance therapy with amphotericin B (l mg/kg) up to 5 days/week.

Concurrent Treatment:

Allowed:

  • Blood transfusions.

Prior Medication:

Allowed:

  • Prophylaxis treatment for Pneumocystis carinii pneumonia (PCP).

Patients enrolled in ACTG 128 and ACTG 138 must meet study end points or meet protocol definitions for being permanently off zidovudine (AZT) before enrolling in this study.

  • Patients currently enrolled in ACTG 051 who have not reached the study end points but who meet the entry criteria for ACTG 144 may be co-enrolled in ACTG 144.
  • Patient or guardian available to give written informed consent.

Exclusion Criteria

Co-existing Condition:

Patients with the following conditions or symptoms are excluded.

  • Hypersensitivity to didanosine (ddI).
  • Symptomatic cardiomyopathy.
  • Seizures that are not well controlled by ongoing anticonvulsant therapy.
  • Symptomatic pancreatitis.
  • Grade 1 or higher peripheral neuropathy.
  • Active malignancy requiring chemotherapy.

Concurrent Medication:

Excluded:

  • Zidovudine (AZT), other antiretroviral agents, biological modifiers, and investigational medications.

Avoid:

  • Drugs with potential to cause peripheral neuropathy or pancreatitis.

Patients with the following are excluded:

  • Active malignancy requiring concomitant chemotherapy.

Prior Medication:

Excluded:

  • Antiretroviral agents other than zidovudine (AZT) or dideoxycytidine (ddC) within 4 weeks of study entry.
  • Immunomodulating agents such as interferons, isoprinosine, or interleukin-2 within 2 weeks of entry.
  • Any other experimental therapy within 1 week of entry.
  • Drugs that have or will cause prolonged neutropenia, significant pancreatitis, significant nephrotoxicity, or peripheral neuropathy within 1 week of 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: 52 locations

1

Long Beach Memorial Med. Ctr., Miller Children's Hosp.

Long Beach, California, United States, 90801

Status Unknown

2

Usc La Nichd Crs

Los Angeles, California, United States, 90033

Status Unknown

3

UCLA-Los Angeles/Brazil AIDS Consortium (LABAC) CRS

Los Angeles, California, United States

Status Unknown

4

Children's Hosp. & Research Ctr. Oakland, Ped. Clinical Research Ctr. & Research Lab.

Oakland, California, United States, 94609

Status Unknown

5

UCSD Maternal, Child, and Adolescent HIV CRS

San Diego, California, United States, 92093

Status Unknown

6

UCSF Pediatric AIDS CRS

San Francisco, California, United States, 94143

Status Unknown

7

Harbor - UCLA Med. Ctr. - Dept. of Peds., Div. of Infectious Diseases

Torrance, California, United States

Status Unknown

8

Univ. of Connecticut Health Ctr., Dept. of Ped.

Farmington, Connecticut, United States, 06032

Status Unknown

9

Yale Univ. School of Medicine - Dept. of Peds., Div. of Infectious Disease

New Haven, Connecticut, United States, 06504

Status Unknown

10

Children's National Med. Ctr., ACTU

Washington D.C., District of Columbia, United States, 20010

Status Unknown

11

Howard Univ. Washington DC NICHD CRS

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

Status Unknown

12

Univ. of Miami Ped. Perinatal HIV/AIDS CRS

Miami, Florida, United States, 33161

Status Unknown

13

Emory Univ. School of Medicine, Dept. of Peds., Div. of Infectious Diseases

Atlanta, Georgia, United States, 30306

Status Unknown

14

Cook County Hosp.

Chicago, Illinois, United States, 60612

Status Unknown

15

Univ. of Illinois College of Medicine at Chicago, Dept. of Peds.

Chicago, Illinois, United States, 60612

Status Unknown

16

Chicago Children's CRS

Chicago, Illinois, United States, 60614

Status Unknown

17

Univ. of Chicago - Dept. of Peds., Div. of Infectious Disease

Chicago, Illinois, United States, 60637

Status Unknown

18

Tulane Med. Ctr. - Charity Hosp. of New Orleans, ACTU

New Orleans, Louisiana, United States

Status Unknown

19

Tulane/LSU Maternal/Child CRS

New Orleans, Louisiana, United States

Status Unknown

20

Univ. of Maryland Med. Ctr., Div. of Ped. Immunology & Rheumatology

Baltimore, Maryland, United States, 21201

Status Unknown

21

Johns Hopkins Hosp. & Health System - Dept. of Peds., Div. of Infectious Diseases

Baltimore, Maryland, United States, 21287

Status Unknown

22

HMS - Children's Hosp. Boston, Div. of Infectious Diseases

Boston, Massachusetts, United States, 02115

Status Unknown

23

BMC, Div. of Ped Infectious Diseases

Boston, Massachusetts, United States, 02118

Status Unknown

24

Baystate Health, Baystate Med. Ctr.

Springfield, Massachusetts, United States, 01199

Status Unknown

25

WNE Maternal Pediatric Adolescent AIDS CRS

Worcester, Massachusetts, United States, 01655

Status Unknown

26

Children's Hospital of Michigan NICHD CRS

Detroit, Michigan, United States, 48201

Status Unknown

27

UMDNJ - Robert Wood Johnson

New Brunswick, New Jersey, United States

Status Unknown

28

St. Joseph's Hosp. & Med. Ctr. of New Jersey

Paterson, New Jersey, United States

Status Unknown

29

Children's Hospital at Albany Medical Center, Dept. of Peds.

Albany, New York, United States, 12208

Status Unknown

30

SUNY Downstate Med. Ctr., Children's Hosp. at Downstate NICHD CRS

Brooklyn, New York, United States, 11203

Status Unknown

31

North Shore-Long Island Jewish Health System, Dept. of Peds.

Great Neck, New York, United States, 11021

Status Unknown

32

Schneider Children's Hosp., Div. of Infectious Diseases

New Hyde Park, New York, United States, 11040

Status Unknown

33

NYU Med. Ctr., Dept. of Medicine

New York, New York, United States, 10016

Status Unknown

34

Metropolitan Hosp. NICHD CRS

New York, New York, United States, 10029

Status Unknown

35

Columbia IMPAACT CRS

New York, New York, United States, 10032

Status Unknown

36

Incarnation Children's Ctr.

New York, New York, United States, 10032

Status Unknown

37

Harlem Hosp. Ctr. NY NICHD CRS

New York, New York, United States, 10037

Status Unknown

38

Univ. of Rochester ACTG CRS

Rochester, New York, United States, 14642

Status Unknown

39

SUNY Stony Brook NICHD CRS

Stony Brook, New York, United States, 11794

Status Unknown

40

SUNY Upstate Med. Univ., Dept. of Peds.

Syracuse, New York, United States, 13210

Status Unknown

41

Bronx-Lebanon Hosp. IMPAACT CRS

The Bronx, New York, United States, 10457

Status Unknown

42

DUMC Ped. CRS

Durham, North Carolina, United States, 27710

Status Unknown

43

Case CRS

Cleveland, Ohio, United States, 44106

Status Unknown

44

The Children's Hosp. of Philadelphia IMPAACT CRS

Philadelphia, Pennsylvania, United States, 19104

Status Unknown

45

St. Christopher's Hosp. for Children

Philadelphia, Pennsylvania, United States, 19134

Status Unknown

46

Med. Univ. of South Carolina, Div. of Ped. Infectious Diseases

Charleston, South Carolina, United States, 29425

Status Unknown

47

Children's Med. Ctr. Dallas

Dallas, Texas, United States, 75235

Status Unknown

48

Texas Children's Hosp. CRS

Houston, Texas, United States, 77030

Status Unknown

49

UW School of Medicine - CHRMC

Seattle, Washington, United States, 98105

Status Unknown

50

Univ. Hosp. Ramón Ruiz Arnau, Dept. of Peds.

Bayamón, Puerto Rico, 00956

Status Unknown

51

San Juan City Hosp. PR NICHD CRS

San Juan, Puerto Rico, 00936

Status Unknown

52

Univ. of Puerto Rico Ped. HIV/AIDS Research Program CRS

San Juan, Puerto Rico

Status Unknown

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How is the study designed?

Study Type

INTERVENTIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

TREATMENT

Number of Arms

0

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