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A Randomized, Open, Comparative Multicenter Study of Initial Treatment With Intravenous Itraconazole Versus Amphotericin B Followed by Consolidation Treatment With Itraconazole Capsules in Patients With Blastomycosis or Histoplasmosis - Article


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Histoplasmosis

Parasitic Infection, Histoplasmosis




Clinical Trial: A Randomized, Open, Comparative Multicenter Study of Initial Treatment With Intravenous Itraconazole Versus Amphotericin B Followed by Consolidation Treatment With Itraconazole Capsules in Patients With Blastomycosis or Histoplasmosis

This study has been completed.

Sponsored by: Janssen Pharmaceutica
Information provided by: AIDS Clinical Trials Information Service

Purpose

To assess the safety of intravenous itraconazole compared to amphotericin B in HIV positive or negative persons with blastomycosis or histoplasmosis.

Condition Treatment or Intervention Phase
HIV Infections
Histoplasmosis
Blastomycosis
 Drug: Itraconazole
 Drug: Amphotericin B
Phase III

MedlinePlus related topics:  AIDS;   Fungal Infections;   Skin Diseases

Study Type: Interventional
Study Design: Treatment

Further Study Details: 

Expected Total Enrollment:  60

Patients are randomized to receive IV itraconazole for 2 days, then either itraconazole daily for 5 days or amphotericin B daily for 7 days. IV treatment is followed by consolidation with oral itraconazole for up to 1 year.

Eligibility

Ages Eligible for Study:  13 Years and above,  Genders Eligible for Study:  Both

Criteria

Inclusion Criteria

Patients must have:

  • HIV positive or negative status.
  • Blastomycosis or histoplasmosis.
  • Life expectancy of at least 1 week.

Exclusion Criteria

Co-existing Condition: Patients with the following symptoms or conditions are excluded:

  • Liver disease.
  • Self-limiting fungal disease.
  • Very severe fungal disease such as meningeal involvement.
  • Acute respiratory disease. Concurrent Medication: Excluded at any time:
  • Terfenadine.
  • Astemizole.
  • Oral midazolam.
  • Triazolam.
  • Cisapride.
  • Phenytoin.
  • Phenobarbital.
  • Rifampin.
  • Rifabutin. Excluded during oral consolidation:
  • H2 blockers.
  • Chronic antacids.
  • Omeprazole.
  • Lansoprazole. Patients with the following prior condition are excluded: Hypersensitivity to azole antifungals. Prior Medication: Excluded at any time: More than 3 days of amphotericin B, fluconazole, or ketoconazole. Excluded within 2 weeks prior to study entry:
  • Phenytoin.
  • Phenobarbital.
  • Rifampin.
  • Rifabutin.

Location Information


Alabama
      UAB Station / Infectious Division, Birmingham,  Alabama,  35294,  United States

Arkansas
      Univ of Arkansas for Med Sciences, Little Rock,  Arkansas,  72205,  United States

Georgia
      Division of Infectious Diseases, Atlanta,  Georgia,  30303,  United States

Indiana
      Division of Inf Diseases/ Indiana Univ Hosp, Indianapolis,  Indiana,  46202,  United States

      Community Hosp, Indianapolis,  Indiana,  46218,  United States

Louisiana
      LSU Med Ctr / Div of Pulmonary & Critical Care Med, Shreveport,  Louisiana,  71130,  United States

Michigan
      Ann Arbor Veterans Administration Med Ctr, Ann Arbor,  Michigan,  48105,  United States

Missouri
      Infectious Diseases Association / Research Med Ctr, Kansas City,  Missouri,  64132,  United States

      Univ of Missouri / Division of Infectious Diseases, Kansas City,  Missouri,  641082792,  United States

More Information

Study ID Numbers:  254A; ITR-USA-118
Record last reviewed:  December 1997
Last Updated:  October 13, 2004
Record first received:  November 2, 1999
ClinicalTrials.gov Identifier:  NCT00002159
Health Authority: United States: Food and Drug Administration
ClinicalTrials.gov processed this record on 2005-04-08


Source: ClinicalTrials.gov
Cache Date: April 9, 2005

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December 5, 2008



Page Updated: May 11, 2006
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