NCT00000143

Brief Summary

To compare the newest CMV retinitis drug, cidofovir, with a regimen of the ganciclovir intraocular device plus oral ganciclovir with respect to efficacy in preventing vision loss. To compare a treatment regimen that incorporates highly active local therapy (ganciclovir device) with a treatment regimen that does not.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
61

participants targeted

Target at below P25 for phase_3

Timeline
Completed

Started May 1997

Typical duration for phase_3

Geographic Reach
1 country

19 active sites

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

May 1, 1997

Completed
2.4 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
8 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 1, 2000

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

June 1, 2000

Completed
15.8 years until next milestone

Results Posted

Study results publicly available

March 14, 2016

Completed
Last Updated

March 14, 2016

Status Verified

July 1, 2015

Enrollment Period

3.1 years

First QC Date

September 23, 1999

Results QC Date

July 1, 2015

Last Update Submit

February 18, 2016

Conditions

Outcome Measures

Primary Outcomes (1)

  • Survival

    3 years

Study Arms (2)

Ganciclovir implant and oral ganciclovir

EXPERIMENTAL

Ganciclovir device and oral dose of Ganciclovir 1 gm three times daily

Device: Ganciclovir implant and oral ganciclovir

Cidofovir IV (Intravenous)

EXPERIMENTAL

cidofovir intravenous (IV) start off with 5 mg/kg once weekly for two doses then followed by 5 mg/kg every other week

Drug: Cidofovir intravenous

Interventions

oral ganciclovir, 1 gm three times daily

Also known as: Vitraset
Ganciclovir implant and oral ganciclovir

intravenous, 5 mg/kg once weekly for two doses, followed by 5 mg/kg every other week

Also known as: Vistide
Cidofovir IV (Intravenous)

Eligibility Criteria

Age13 Years+
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

  • Age 13 years or older
  • Diagnosis of AIDS according to current Centers for Disease Control and Prevention (CDC) definition
  • Diagnosis of active CMV retinitis by a SOCA-certified ophthalmologist (involvement of any zone or amount of retina is allowed)
  • Best corrected visual acuity of 20/100 or better in at least one eye
  • At least one lesion 750 cells/µL or greater
  • Platelet count 50,000 cells/µL or greater
  • Willingness and ability, with the assistance of a caregiver if necessary to comply with treatment and follow up procedures
  • Willingness of all men and women of childbearing potential to practice adequate birth control to prevent pregnancies during the study and for 3 months afterwards
  • Collection of all baseline data within 5 days prior to randomization
  • Signed consent statement

You may not qualify if:

  • Media opacities that preclude visualization of the fundus of all otherwise eligible eyes
  • Treatment for CMV retinitis with the ganciclovir intraocular implant within 9 months of study entry
  • Medical problems or drug or alcohol abuse sufficient to hinder adherence to treatment or follow up procedures
  • Unwillingness to refrain from breast-feeding during the study and for 3 months afterwards

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (19)

Department of Ophthalmology, University of California, Irvine

Irvine, California, 92697-4375, United States

Location

Shiley Eye Center Center, 0946, University of California, San Diego

La Jolla, California, 92093-0946, United States

Location

LAC/USC Medical Center, 5P21 Rand Schrader Clinic

Los Angeles, California, 90033, United States

Location

Jules Stein Eye Institute, University of California, Los Angeles

Los Angeles, California, 90095-7003, United States

Location

Beckman Vision Center, University of California, San Francisco

San Francisco, California, 94143, United States

Location

Bascom Palmer Eye Institute, University of Miami

Miami, Florida, 33136, United States

Location

University of South Florida, MDC Box 21

Tampa, Florida, 33612-4799, United States

Location

The Emory Clinic, Emory University

Atlanta, Georgia, 30322, United States

Location

Department of Ophthalmology, Northwestern University

Chicago, Illinois, 60611, United States

Location

Division of Infectious Diseases, Indiana University, Indianapolis

Indianapolis, Indiana, 46202-2879, United States

Location

LSU Eye Center, Louisiana State University Medical Center

New Orleans, Louisiana, 70112, United States

Location

The Wilmer Ophthalmological Institute, The Johns Hopkins University School of Medicine

Baltimore, Maryland, 21287-9217, United States

Location

Harvard/BCH AIDS Clinical Trials Unit, Massachusetts General Hospital

Boston, Massachusetts, 02114, United States

Location

UMDNJ-New Jersey Medical School

Newark, New Jersey, 07103-2499, United States

Location

Department of Ophthalmology, New York University Medical Center

New York, New York, 10016, United States

Location

Department of Ophthalmology, New York Hospital-Cornell Medical Center

New York, New York, 10021, United States

Location

Department of Ophthalmology, Mount Sinai School of Medicine

New York, New York, 10029-6574, United States

Location

University of North Carolina at Chapel Hill

Chapel Hill, North Carolina, 27599-7030, United States

Location

Cullen Eye Institute, Baylor College of Medicine

Houston, Texas, 77030, United States

Location

Related Publications (2)

  • Studies of Ocular Complications of AIDS Research Group. The AIDS Clinical Trials Group.. The ganciclovir implant plus oral ganciclovir versus parenteral cidofovir for the treatment of cytomegalovirus retinitis in patients with acquired immunodeficiency syndrome: The Ganciclovir Cidofovir Cytomegalovirus Retinitis Trial. Am J Ophthalmol. 2001 Apr;131(4):457-67. doi: 10.1016/s0002-9394(01)00840-6.

    PMID: 11292409BACKGROUND
  • Dunn JP, Van Natta M, Foster G, Kuppermann BD, Martin DF, Zong A, Jabs DA; Studies of Ocular Complications of AIDS Research Group. Complications of ganciclovir implant surgery in patients with cytomegalovirus retinitis: the Ganciclovir Cidofovir Cytomegalovirus Retinitis Trial. Retina. 2004 Feb;24(1):41-50. doi: 10.1097/00006982-200402000-00007.

    PMID: 15076943BACKGROUND

MeSH Terms

Conditions

Cytomegalovirus RetinitisHIV Infections

Interventions

Cidofovir

Condition Hierarchy (Ancestors)

Eye Infections, ViralEye InfectionsInfectionsCytomegalovirus InfectionsHerpesviridae InfectionsDNA Virus InfectionsVirus DiseasesEye DiseasesRetinitisRetinal DiseasesBlood-Borne InfectionsCommunicable DiseasesSexually Transmitted Diseases, ViralSexually Transmitted DiseasesLentivirus InfectionsRetroviridae InfectionsRNA Virus InfectionsGenital DiseasesUrogenital DiseasesImmunologic Deficiency SyndromesImmune System Diseases

Intervention Hierarchy (Ancestors)

OrganophosphonatesOrganophosphorus CompoundsOrganic ChemicalsCytosinePyrimidinonesPyrimidinesHeterocyclic Compounds, 1-RingHeterocyclic Compounds

Results Point of Contact

Title
Curtis Meinert, PhD
Organization
Johns Hopkins School of Public Health

Study Officials

  • Douglas Jabs, MD

    SOCA Chairman's Office

    STUDY CHAIR

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
No

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

September 23, 1999

First Posted

September 24, 1999

Study Start

May 1, 1997

Primary Completion

June 1, 2000

Study Completion

June 1, 2000

Last Updated

March 14, 2016

Results First Posted

March 14, 2016

Record last verified: 2015-07

Data Sharing

IPD Sharing
Will share

Locations