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A Phase I/II Study to Evaluate Single Agent and Combination Therapy With Megestrol Acetate and Dronabinol for the Treatment of HIV-Wasting Syndrome

Phase 1
Completed
Conditions
Cachexia
HIV Infections
HIV Wasting Syndrome
Registration Number
NCT00000737
Lead Sponsor
National Institute of Allergy and Infectious Diseases (NIAID)
Brief Summary

To obtain data on the safety of administering megestrol acetate and dronabinol as single agents or in combination to patients with human immunodeficiency virus (HIV)-wasting syndrome. To obtain preliminary data on the efficacy of single agent and combination therapy with megestrol acetate and dronabinol with regard to weight gain, appetite increase and quality of life in this patient population. To obtain steady-state pharmacokinetics data when megestrol acetate and dronabinol are administered as single agents and in combination.

HIV-wasting syndrome, which is characterized by severely debilitating anorexia and weight loss, is of particular concern because it can exacerbate the primary illness and is associated with a poor prognosis. Attempts at maintaining body mass through the use of megestrol acetate and dronabinol, two anti-cachectic drugs, may prolong survival.

Detailed Description

HIV-wasting syndrome, which is characterized by severely debilitating anorexia and weight loss, is of particular concern because it can exacerbate the primary illness and is associated with a poor prognosis. Attempts at maintaining body mass through the use of megestrol acetate and dronabinol, two anti-cachectic drugs, may prolong survival.

Fifty-six patients are randomized to one of four treatment arms, as follows: high-dose megestrol acetate alone; dronabinol alone; high-dose megestrol acetate combined with dronabinol; or low-dose megestrol acetate combined with dronabinol. Treatment continues for 12 weeks. Patients are evaluated for toxicity, preliminary evidence of response (e.g., weight gain), and steady-state pharmacokinetics of drug therapies.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
56
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (9)

Denver Public Health Dept

🇺🇸

Denver, Colorado, United States

Univ of Illinois

🇺🇸

Chicago, Illinois, United States

Univ of Kansas School of Medicine

🇺🇸

Wichita, Kansas, United States

Univ of Maryland at Baltimore / Veterans Adm

🇺🇸

Baltimore, Maryland, United States

Tulane Univ Med School

🇺🇸

New Orleans, Louisiana, United States

Portland Veterans Adm Med Ctr / Rsch & Education Grp

🇺🇸

Portland, Oregon, United States

Univ of Rhode Island / College of Pharmacy

🇺🇸

Providence, Rhode Island, United States

Washington Univ

🇺🇸

St Louis, Missouri, United States

SUNY / Health Sciences Ctr at Brooklyn

🇺🇸

Brooklyn, New York, United States

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