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Note: This record shows only 22 elements of the WHO Trial Registration Data Set. To view changes that have been made to the source record, or for additional information about this trial, click on the URL below to go to the source record in the primary register.
Register: ClinicalTrials.gov
Last refreshed on: 19 February 2015
Main ID:  NCT00002074
Date of registration: 02/11/1999
Prospective Registration: No
Primary sponsor: Pfizer
Public title: Multicenter Comparison of Fluconazole (UK-49,858) and Amphotericin B as Maintenance Treatment for the Prevention of Relapse of Cryptococcal Meningitis in Patients With Acquired Immunodeficiency Syndrome
Scientific title: Multicenter Comparison of Fluconazole (UK-49,858) and Amphotericin B as Maintenance Treatment for the Prevention of Relapse of Cryptococcal Meningitis in Patients With Acquired Immunodeficiency Syndrome
Date of first enrolment: January 1976
Target sample size:
Recruitment status: Completed
URL:  http://clinicaltrials.gov/show/NCT00002074
Study type:  Interventional
Study design:  Primary Purpose: Treatment  
Phase:  N/A
Countries of recruitment
Canada United States
Contacts
Key inclusion & exclusion criteria

Inclusion Criteria

Concurrent Medication:

Allowed:

- Antivirals such as zidovudine.

- Prophylaxis (including aerosolized pentamidine) for Pneumocystis carinii pneumonia
(PCP).

- Pfizer must be notified if the patient is receiving ganciclovir (DHPG) at entry.

Concurrent Treatment:

Allowed:

- Radiation therapy for mucocutaneous Kaposi's sarcoma.

Patients must be oriented to person, place, and time, and able to give written informed
consent.

- Patients must have had an acute episode of cryptococcal meningitis that was
documented by recovery and identification of Cryptococcus neoformans from lumbar
cerebrospinal fluid (CSF) culture within 6 months prior to entry.

- Minimum total dose of 15 mg/kg of amphotericin B must have been given (either alone
or in combination with flucytosine) during primary therapy.

- Patients need not be receiving amphotericin B at the time of randomization but must
begin study maintenance therapy within 6 weeks of completion of primary amphotericin
B therapy. Patients may receive maintenance amphotericin B during the period between
completion of primary therapy and study entry.

Prior Medication:

Allowed:

- Antivirals such as zidovudine (AZT).

- Prophylaxis (including aerosolized pentamidine) for Pneumocystis carinii pneumonia
(PCP).

Exclusion Criteria

Co-existing Condition:

Patients with the following are excluded:

- Clinical evidence of acute or chronic meningitis based upon any etiology other than
cryptococcosis.

- History of allergy or intolerance of imidazoles, azoles, or amphotericin B.

- Moderate or severe liver disease.

Concurrent Medication:

Excluded:

- Ketoconazole.

- Fluconazole.

- Itraconazole.

- Miconazole.

- Any systemic imidazole or azole for more than 7 days after initiation of primary
therapy for cryptococcosis.

- Intrathecal amphotericin B.

- Coumarin-type anticoagulants.

- Oral hypoglycemics.

- Barbiturates.

- Phenytoin.

- Immunostimulants.

- Investigational drugs or approved (licensed) drugs for investigational indications.

Concurrent Treatment:

Excluded:

- Lymphocyte replacement.

Patients with the following are excluded:

- Clinical evidence of acute or chronic meningitis based upon any etiology other than
cryptococcosis.

- History of allergy or intolerance of imidazoles, azoles, or amphotericin B.

- Moderate or severe liver disease.

- Inability to take oral medications reliably.

Prior Medication:

Excluded:

- Ketoconazole.

- Fluconazole.

- Itraconazole.

- Miconazole.

- Any systemic imidazole or azole for more than 7 days after initiation of primary
therapy for cryptococcosis.

- Intrathecal amphotericin B.

- Coumarin-type anticoagulants.

- Oral hypoglycemics.

- Barbiturates.

- Phenytoin.

- Immunostimulants.

- Investigational drugs or approved (licensed) drugs for investigational indications.

- Any exceptions to these prohibitions of concomitant medications must be approved by
Pfizer Central Research.

Prior Treatment:

Excluded:

- Lymphocyte replacement.



Age minimum: 18 Years
Age maximum: N/A
Gender: Both
Health Condition(s) or Problem(s) studied
Meningitis, Cryptococcal
HIV Infections
Intervention(s)
Drug: Fluconazole
Drug: Amphotericin B
Primary Outcome(s)
Secondary Outcome(s)
Secondary ID(s)
012D
056-157
Source(s) of Monetary Support
Please refer to primary and secondary sponsors
Secondary Sponsor(s)
Ethics review
Results
Results available:
Date Posted:
Date Completed:
URL:
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