Placebo-Controlled Trial of Safety and Efficacy of Thalidomide in Patients With Infections Due to Mycobacterium and/or HIV
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To demonstrate, in patients with tubercular or nontubercular mycobacterium infections with or without HIV infection, the safety of thalidomide use as judged by symptoms, physical exam, and studies of microbiologic, immunologic, hematologic, renal, and hepatic status. To demonstrate efficacy of the drug as judged by status of fever, nutrition, tuberculosis lesions, and immune responses.
Condition | Intervention | Phase |
---|---|---|
Mycobacterium Avium-Intracellulare Infection HIV Infections Tuberculosis, Mycobacterium Infection |
Drug: Thalidomide |
Phase 1 |
Study Type: | Interventional |
Study Design: | Endpoint Classification: Safety Study Intervention Model: Parallel Assignment Primary Purpose: Treatment |
Official Title: | Placebo-Controlled Trial of Safety and Efficacy of Thalidomide in Patients With Infections Due to Mycobacterium and/or HIV |
Patients are randomized to receive thalidomide or placebo orally at 9 PM the night before beginning anti-tuberculosis chemotherapy and continuing nightly for 7 nights. Patients are followed for 28 days. Patients are stratified according to HIV status and stage of HIV infection.
![](https://webarchive.library.unt.edu/web/20130305101259im_/http://clinicaltrials.gov/ct2/html/images/frame/triangle.gif)
Ages Eligible for Study: | 18 Years to 65 Years |
Genders Eligible for Study: | Both |
Accepts Healthy Volunteers: | No |
Inclusion Criteria
Patients must have:
- Positive AFB smear and/or culture for Mycobacterium tuberculosis, M. avium, or other mycobacterial infection, with or without documented HIV infection. NOTE:
- HIV-positive patients must have CD4 count < 500 cells/mm3 and be on antiretroviral therapy.
- One of the following manifestations:
- Temperature over 38 C on at least two occasions in the week prior to study entry.
- Recent weight loss of more than 5 kilograms.
- Pulmonary involvement of one or more lobes or involvement of other tissues due to tuberculosis or other mycobacterial infections, or symptomatic infections related to HIV status.
- Night sweats on two or more occasions in the week prior to study entry.
NOTE:
- Patients must be hospitalized men aged 18-65 and postmenopausal women to age 65. Anticipated requirement for hospitalization must be at least 10 days.
Exclusion Criteria
Co-existing Condition:
Patients with the following symptoms or conditions are excluded:
- Neuropathy or other disorders with risk of neuropathy.
Required for HIV-positive patients if CD4 count < 500 cells/mm3:
- Antiretroviral therapy.
![](https://webarchive.library.unt.edu/web/20130305101259im_/http://clinicaltrials.gov/ct2/html/images/frame/triangle.gif)
United States, New York | |
Aaron Diamond AIDS Rsch Ctr / Rockefeller Univ | |
New York, New York, United States, 10021 | |
Bellevue Hosp Ctr | |
New York, New York, United States, 10016 |
![](https://webarchive.library.unt.edu/web/20130305101259im_/http://clinicaltrials.gov/ct2/html/images/frame/triangle.gif)
No publications provided
ClinicalTrials.gov Identifier: | NCT00002104 History of Changes |
Other Study ID Numbers: | 133A |
Study First Received: | November 2, 1999 |
Last Updated: | June 23, 2005 |
Health Authority: | United States: Food and Drug Administration |
Keywords provided by NIH AIDS Clinical Trials Information Service:
Mycobacterium tuberculosis Mycobacterium Infections AIDS-Related Opportunistic Infections Mycobacterium avium-intracellulare Infection |
Acquired Immunodeficiency Syndrome AIDS-Related Complex Mycobacterium Infections, Atypical Thalidomide |
Additional relevant MeSH terms:
HIV Infections Acquired Immunodeficiency Syndrome Mycobacterium Infections Mycobacterium avium-intracellulare Infection Tuberculosis Lentivirus Infections Retroviridae Infections RNA Virus Infections Virus Diseases Sexually Transmitted Diseases, Viral Sexually Transmitted Diseases Immunologic Deficiency Syndromes Immune System Diseases Slow Virus Diseases Actinomycetales Infections |
Gram-Positive Bacterial Infections Bacterial Infections Mycobacterium Infections, Atypical Thalidomide Immunosuppressive Agents Immunologic Factors Physiological Effects of Drugs Pharmacologic Actions Leprostatic Agents Anti-Bacterial Agents Anti-Infective Agents Therapeutic Uses Angiogenesis Inhibitors Angiogenesis Modulating Agents Growth Substances |
ClinicalTrials.gov processed this record on March 03, 2013