NCT00000134

Brief Summary

To compare the relative merits of three therapeutic regimens in patients with AIDS and CMV retinitis who have been previously treated but whose retinitis either is nonresponsive or has relapsed. These three therapeutic regimens were (1) foscarnet, (2) high-dose ganciclovir, and (3) combination foscarnet and ganciclovir. To compare two treatment strategies in patients with relapsed or nonresponsive CMV retinitis: (1) continuing the same anti-CMV drug or (2) switching to the alternate drug.

Trial Health

100
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
279

participants targeted

Target at P25-P50 for phase_3 hiv-infections

Timeline
Completed

Started Dec 1992

Shorter than P25 for phase_3 hiv-infections

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

December 1, 1992

Completed
2.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 1, 1995

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

March 1, 1995

Completed
4.6 years until next milestone

First Submitted

Initial submission to the registry

September 23, 1999

Completed
1 day until next milestone

First Posted

Study publicly available on registry

September 24, 1999

Completed
16 years until next milestone

Results Posted

Study results publicly available

September 14, 2015

Completed
Last Updated

September 14, 2015

Status Verified

August 1, 2015

Enrollment Period

2.2 years

First QC Date

September 23, 1999

Results QC Date

June 15, 2015

Last Update Submit

August 11, 2015

Conditions

Outcome Measures

Primary Outcomes (1)

  • Morbidity

    To determine the best therapeutic regimen, using currently approved drugs, for treatment of relapsed cytomegalovirus (CMV) retinitis.

    Patients will be seen at baseline, monthly for six months, and then every three months until death or termination of the trial

Study Arms (3)

intravenous foscarnet

EXPERIMENTAL

intravenous foscarnet reinduction at 90 mg/kg twice daily for 2 weeks, followed by maintenance therapy at 120 mg/kg/day

Drug: Foscarnet

intravenous ganciclovir

ACTIVE COMPARATOR

intravenous ganciclovir reinduction at 5 mg/kg twice daily for 2 weeks followed by maintenance at 10 mg/kg/day

Drug: Ganciclovir

combination therapy

ACTIVE COMPARATOR

combination therapy, wherein patients continued their previous therapy and were reinduced with the second drug and then placed on maintenance therapy with foscarnet at 90 mg/kg/day and ganciclovir at 5 mg/kg/day.

Drug: GanciclovirDrug: Foscarnet

Interventions

intravenous ganciclovir induction at 5 mg/kg twice daily for 2 weeks followed by maintenance at 10 mg/kg/day

Also known as: cytovene
combination therapyintravenous ganciclovir

intravenous foscarnet induction at 90 mg/kg twice daily for 2 weeks, followed by maintenance therapy at 120 mg/kg/day

Also known as: foscavir
combination therapyintravenous foscarnet

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Related Publications (2)

  • Combination foscarnet and ganciclovir therapy vs monotherapy for the treatment of relapsed cytomegalovirus retinitis in patients with AIDS. The Cytomegalovirus Retreatment Trial. The Studies of Ocular Complications of AIDS Research Group in Collaboration with the AIDS Clinical Trials Group. Arch Ophthalmol. 1996 Jan;114(1):23-33. doi: 10.1001/archopht.1996.01100130021004.

    PMID: 8540847BACKGROUND
  • Martin BK, Kaplan Gilpin AM, Jabs DA, Wu AW; Studies of Ocular Complications of AIDS Research Group. Reliability, validity, and responsiveness of general and disease-specific quality of life measures in a clinical trial for cytomegalovirus retinitis. J Clin Epidemiol. 2001 Apr;54(4):376-86. doi: 10.1016/s0895-4356(00)00294-8.

    PMID: 11305288BACKGROUND

MeSH Terms

Conditions

HIV InfectionsAcquired Immunodeficiency SyndromeCytomegalovirus Retinitis

Interventions

GanciclovirFoscarnet

Condition Hierarchy (Ancestors)

Blood-Borne InfectionsCommunicable DiseasesInfectionsSexually Transmitted Diseases, ViralSexually Transmitted DiseasesLentivirus InfectionsRetroviridae InfectionsRNA Virus InfectionsVirus DiseasesGenital DiseasesUrogenital DiseasesImmunologic Deficiency SyndromesImmune System DiseasesSlow Virus DiseasesEye Infections, ViralEye InfectionsCytomegalovirus InfectionsHerpesviridae InfectionsDNA Virus InfectionsEye DiseasesRetinitisRetinal Diseases

Intervention Hierarchy (Ancestors)

AcyclovirGuanineHypoxanthinesPurinonesPurinesHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingHeterocyclic CompoundsPhosphonoacetic AcidAcetatesAcids, AcyclicCarboxylic AcidsOrganic ChemicalsOrganophosphonatesOrganophosphorus Compounds

Results Point of Contact

Title
Curtis Meinert, PhD
Organization
Johns Hopkins University

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
GT60
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Purpose
TREATMENT
Intervention Model
FACTORIAL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Curtis Meinert, PhD

Study Record Dates

First Submitted

September 23, 1999

First Posted

September 24, 1999

Study Start

December 1, 1992

Primary Completion

March 1, 1995

Study Completion

March 1, 1995

Last Updated

September 14, 2015

Results First Posted

September 14, 2015

Record last verified: 2015-08