NCT00001996

Brief Summary

To compare the safety of atovaquone (566C80) with intravenous (IV) pentamidine for the treatment of mild to moderate Pneumocystis carinii pneumonia (PCP) in AIDS patients who are intolerant of therapy with trimethoprim / sulfamethoxazole (TMP / SMX) by comparing the incidence of premature discontinuation of therapy due to toxicity. To compare the efficacy of 566C80 with intravenous (IV) pentamidine for the treatment of mild to moderate PCP in the same population.

Trial Health

80
On Track

Trial Health Score

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

Geographic Reach
1 country

20 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

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

June 24, 2005

Status Verified

May 1, 1992

First QC Date

November 2, 1999

Last Update Submit

June 23, 2005

Conditions

Keywords

Trimethoprim-Sulfamethoxazole CombinationPneumonia, Pneumocystis cariniiPentamidineAcquired Immunodeficiency Syndromeatovaquone

Interventions

Eligibility Criteria

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

You may qualify if:

  • Patients must have the following:
  • History of, or are currently experiencing, intolerance to TMP / SMX, or to another sulfonamide, which required discontinuation of therapy.
  • Pneumocystis carinii pneumonia (PCP).
  • Willing and able to give informed consent.

You may not qualify if:

  • Co-existing Condition:
  • Patients with the following conditions or symptoms are excluded.
  • Malabsorption disorder or vomiting that would, in the judgement of the investigator, potentially limit the retention and absorption of an oral therapy.
  • Concurrent bacterial, fungal, or viral pneumonitis, pulmonary Kaposi's sarcoma, or other concurrent illness, or chronic pulmonary disease that, in the investigator's opinion, would make interpretation of drug efficacy difficult.
  • Present occurrences of abnormal prolongation of QT interval on standard, 12 lead EKG.
  • Concurrent Medication:
  • Excluded:
  • Drugs with potential anti-pneumocystis effect (eg:
  • sulfonamides, dapsone, trimethoprim, other dihydrofolate reductase (DHFR) inhibitors, primaquine, clindamycin, sulfonylureas).
  • Ganciclovir.
  • Zidovudine.
  • Investigational agents including anti-retroviral agents (ddI, ddC, etc.). Patients receiving these drugs prior to entry must discontinue their use during the therapy phase (21 days) of the trial.
  • Corticosteroids (except replacement therapy) during the 21 day treatment period (Strata A and C Patients).
  • Class 1A antiarrhythmics (ie:
  • quinidine, procainamide, disopyramide).
  • +13 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (20)

East Bay AIDS Ctr

Berkeley, California, 94704, United States

Location

Kaiser Foundation Hosp

Harbor City, California, 90710, United States

Location

Cedars Sinai Med Ctr

Los Angeles, California, 90048, United States

Location

UCLA CARE Ctr

Los Angeles, California, 90095, United States

Location

UCI Med Ctr

Orange, California, 92668, United States

Location

AIDS Community Research Consortium

Redwood City, California, 94063, United States

Location

Davies Med Ctr

San Francisco, California, 94114, United States

Location

Dr Patrick Joseph

San Ramone, California, 94583, United States

Location

Infectious Disease Research Consortium of Georgia

Atlanta, Georgia, 30345, United States

Location

Massachusetts Gen Hosp

Boston, Massachusetts, 02114, United States

Location

Boston City Hosp

Boston, Massachusetts, 02118, United States

Location

Beth Israel Med Ctr

New York, New York, 10003, United States

Location

Saint Vincent's Hosp and Med Ctr

New York, New York, 10011, United States

Location

Harlem AIDS Treatment Group / Harlem Hosp Ctr

New York, New York, 10037, United States

Location

Univ of Cincinnati

Cincinnati, Ohio, 452670405, United States

Location

Portland Veterans Adm Med Ctr / Rsch & Education Grp

Portland, Oregon, 97210, United States

Location

Buckley Braffman Stern Med Associates

Philadelphia, Pennsylvania, 19107, United States

Location

Regional Med Ctr at Memphis

Memphis, Tennessee, 38103, United States

Location

Gathe, Joseph, M.D.

Houston, Texas, 77004, United States

Location

Baylor College of Medicine

Houston, Texas, 77030, United States

Location

Related Publications (1)

  • Dohn M, Weinberg W, Rosenstock J, Follansbee S, Torres R, Caldwell P. Atovaquone vs. pentamidine for pneumocystis carinii pneumonia in patients with AIDS. Int Conf AIDS. 1993 Jun 6-11;9(1):372 (abstract no PO-B10-1421)

    BACKGROUND

MeSH Terms

Conditions

Pneumonia, PneumocystisHIV InfectionsAcquired Immunodeficiency Syndrome

Interventions

AtovaquonePentamidine

Condition Hierarchy (Ancestors)

Lung Diseases, FungalMycosesBacterial Infections and MycosesInfectionsPneumocystis InfectionsRespiratory Tract InfectionsPneumoniaLung DiseasesRespiratory Tract DiseasesBlood-Borne InfectionsCommunicable DiseasesSexually Transmitted Diseases, ViralSexually Transmitted DiseasesLentivirus InfectionsRetroviridae InfectionsRNA Virus InfectionsVirus DiseasesGenital DiseasesUrogenital DiseasesImmunologic Deficiency SyndromesImmune System DiseasesSlow Virus Diseases

Intervention Hierarchy (Ancestors)

NaphthoquinonesQuinonesOrganic ChemicalsNaphthalenesPolycyclic Aromatic HydrocarbonsPolycyclic CompoundsBenzamidinesAmidines

Study Design

Study Type
interventional
Phase
phase 2
Masking
NONE
Purpose
TREATMENT
Sponsor Type
INDUSTRY

Study Record Dates

First Submitted

November 2, 1999

First Posted

August 31, 2001

Last Updated

June 24, 2005

Record last verified: 1992-05

Locations