NCT00000766

Brief Summary

To assess the safety and efficacy of three therapeutic regimens (foscarnet, ganciclovir, or the combination) for recurrent or persistent AIDS-related cytomegalovirus (CMV) retinitis. Although therapy with foscarnet or ganciclovir halts retinitis progression in 90 percent of patients treated, relapses are common and may accelerate due to development of drug resistance, deteriorating immune function, or other factors. Treatment strategies currently being investigated include switching patients from one drug to the other or combining the two drugs.

Trial Health

80
On Track

Trial Health Score

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

Enrollment
300

participants targeted

Target at P75+ for phase_2

Geographic Reach
1 country

9 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

Primary Completion

Last participant's last visit for primary outcome

September 1, 1995

Completed
4.2 years until next milestone

First Submitted

Initial submission to the registry

November 2, 1999

Completed
1.8 years until next milestone

First Posted

Study publicly available on registry

August 31, 2001

Completed
Last Updated

March 1, 2011

Status Verified

February 1, 2011

First QC Date

November 2, 1999

Last Update Submit

February 28, 2011

Conditions

Keywords

RetinitisGanciclovirFoscarnetCytomegalovirus InfectionsAcquired Immunodeficiency Syndrome

Interventions

Eligibility Criteria

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

You may qualify if:

  • Required:
  • At least 28 days of prior foscarnet or ganciclovir.
  • Concurrent Medication:
  • Allowed:
  • G-CSF.
  • Recommended:
  • Antiretroviral therapy.
  • Patients must have:
  • HIV infection or AIDS.
  • Active CMV retinitis after 28 or more days of either foscarnet or ganciclovir therapy.
  • At least one lesion with one-quarter disk area or more that can be photographed.
  • Visual acuity of 3 or more letters on ETDRS chart (5/200 Snellen) in an affected eye.

You may not qualify if:

  • Co-existing Condition:
  • Patients with the following symptoms and conditions are excluded:
  • Media opacity severe enough to preclude visualization of both fundi.
  • Retinal detachment not scheduled for surgical repair.
  • Patients with the following prior conditions are excluded:
  • History of intolerance to ganciclovir or foscarnet sufficient to contraindicate use.
  • History of combination foscarnet/ganciclovir therapy.
  • Active drug or alcohol abuse sufficient to prevent compliance.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (9)

UCSD - Shiley Eye Ctr / SOCA

La Jolla, California, 920930946, United States

Location

UCLA - Jules Stein Eye Institute / SOCA

Los Angeles, California, 900957003, United States

Location

UCSF - San Francisco Gen Hosp

San Francisco, California, 94143, United States

Location

Northwestern Univ / SOCA

Chicago, Illinois, 60611, United States

Location

Johns Hopkins Hosp / SOCA

Baltimore, Maryland, 212879217, United States

Location

New York Univ Med Ctr / SOCA

New York, New York, 10016, United States

Location

New York Hosp - Cornell Med Ctr / Sloan - Kettering / SOCA

New York, New York, 10021, United States

Location

Mount Sinai Med Ctr / SOCA

New York, New York, 100296574, United States

Location

Univ of North Carolina / SOCA

Chapel Hill, North Carolina, 275997030, United States

Location

Related Publications (1)

  • Jabs DA. Design of clinical trials for drug combinations: cytomegalovirus retinitis--foscarnet and ganciclovir. The CMV retinitis retreatment trial. Antiviral Res. 1996 Jan;29(1):69-71. doi: 10.1016/0166-3542(95)00921-3.

    PMID: 8721550BACKGROUND

MeSH Terms

Conditions

Cytomegalovirus RetinitisHIV InfectionsRetinitisMultiple Acyl Coenzyme A Dehydrogenase DeficiencyCytomegalovirus InfectionsAcquired Immunodeficiency Syndrome

Interventions

FoscarnetGanciclovir

Condition Hierarchy (Ancestors)

Eye Infections, ViralEye InfectionsInfectionsHerpesviridae InfectionsDNA Virus InfectionsVirus DiseasesEye DiseasesRetinal DiseasesBlood-Borne InfectionsCommunicable DiseasesSexually Transmitted Diseases, ViralSexually Transmitted DiseasesLentivirus InfectionsRetroviridae InfectionsRNA Virus InfectionsGenital DiseasesUrogenital DiseasesImmunologic Deficiency SyndromesImmune System DiseasesAmino Acid Metabolism, Inborn ErrorsMetabolism, Inborn ErrorsGenetic Diseases, InbornCongenital, Hereditary, and Neonatal Diseases and AbnormalitiesMetabolic DiseasesNutritional and Metabolic DiseasesMitochondrial DiseasesSlow Virus Diseases

Intervention Hierarchy (Ancestors)

Phosphonoacetic AcidAcetatesAcids, AcyclicCarboxylic AcidsOrganic ChemicalsOrganophosphonatesOrganophosphorus CompoundsAcyclovirGuanineHypoxanthinesPurinonesPurinesHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingHeterocyclic Compounds

Study Design

Study Type
interventional
Phase
phase 2
Purpose
TREATMENT
Sponsor Type
NIH

Study Record Dates

First Submitted

November 2, 1999

First Posted

August 31, 2001

Primary Completion

September 1, 1995

Last Updated

March 1, 2011

Record last verified: 2011-02

Locations