Open Label Phase I Study To Evaluate the Safety of Combination Therapy With AZT and Interferon-Beta in Patients With AIDS Related Kaposi's Sarcoma
Completed · Phase 1
Conditions studied: Sarcoma, Kaposi, HIV Infections
In brief
To determine the highest tolerated dose of the safety and tolerance of interferon beta (IFN-B) when it is given at the same time as zidovudine (AZT) to patients with early AIDS related Kaposi's sarcoma. In addition, the studies will determine preliminary data on response, immune function, and subcutaneous absorption. IFN-B has demonstrated a dose-dependent ability to suppress the replication of HIV in the test tube. In addition, previous studies have shown AZT to be an effective inhibitor of HIV reverse transcriptase; Phase I and II study benefits of AZT treatment include increased objective clinical improvement, decreased mortality rate, and decreased incidence of opportunistic infections. Long-term AZT use, however, presents possible limitations secondary to intolerance. This study, therefore, will investigate the potential antiviral activities of a combination of IFN-B and AZT to determine the safety and efficacy of such treatment in patients with AIDS related Kaposi's sarcoma. It is believed that combination drug therapy consisting of low doses of each drug will reduce the potential of toxicity, treatment failures, and disease recurrences resulting from drug-resistant virus mutants.
Key facts
- Study ID
- NCT00000695
- Run by
- National Institute of Allergy and Infectious Diseases (NIAID)
- People needed
- 36
- Expected to finish
- 1991-07-01
- Last updated by the study team
- 2021-11-02
Who can join
Age: 12 and older. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- Concurrent Treatment:
- Allowed:
- Local radiotherapy or laser therapy to cosmetically apparent Kaposi's lesions, provided the dose to any one lesion does not exceed 3000 gray and the total surface area of all lesions treated does not exceed 10 cm2 during the course of the trial.
- Patients must demonstrate the following clinical and laboratory findings:
- Positive for HIV by federally licensed ELISA test.
- Acceptable bone marrow function.
- Acceptable renal function.
- Acceptable hepatic function.
You may not qualify if…
- Concurrent Medication:
- Excluded:
- Other potentially antiretroviral compounds.
- Patients will be excluded from the study for the following reasons:
- Concurrent, active opportunistic infections requiring therapy.
- Extensive Kaposi's sarcoma with more than 100 cutaneous lesions, requiring systemic chemotherapy, prior treatment with more than one chemotherapy regimen, excluding intralesional therapy, or symptomatic visceral Kaposi's sarcoma.
- Evidence of clinically significant cardiac dysfunction (New York Heart Association grade III or IV).
- History of malignant neoplasms other than nonmelanomatous skin cancer or cancer in situ of the cervix.
- Proteinuria of 2+ or greater and/or 24-hour urine protein of greater than 1.
- Prior Medication:
- Excluded:
- More than one chemotherapy regimen for Kaposi's sarcoma.
- Any interferon preparation or zidovudine (AZT).
- Excluded within 30 days of study entry:
- Other immunomodifiers.
- Acyclovir.
- Other investigational drugs.
- Excluded within 60 days of study entry:
- Cytotoxic therapy.
- Patients may not have any of the following diseases or symptoms:
- Development of an AIDS-defining opportunistic infection, other than oral thrush or localized zoster.
- Non-Kaposi's sarcoma, AIDS-defining malignancy.
Where it is running
- Los Angeles County - USC Med Ctr — Los Angeles, California, United States
- USC School of Medicine / Norris Cancer Hosp — Los Angeles, California, United States
- UCLA CARE Ctr — Los Angeles, California, United States
- Northwestern Univ Med School — Chicago, Illinois, United States
Full record on ClinicalTrials.gov
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