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A Randomized, Comparative Trial of Zidovudine (AZT) Versus 2',3'-Didehydro-3'-Deoxythymidine (Stavudine; d4T) in Children With HIV Infection

Phase 2
Completed
Conditions
HIV Infections
Registration Number
NCT00000789
Lead Sponsor
National Institute of Allergy and Infectious Diseases (NIAID)
Brief Summary

PRIMARY: To compare the relative safety and tolerance of oral zidovudine (AZT) versus oral stavudine (d4T) in symptomatic HIV-infected children.

SECONDARY: To compare the clinical, virologic, and immunologic responses between the two treatment groups, and to obtain pharmacokinetic data for both drugs.

At present, AZT is considered the drug of choice for initial treatment of most children with HIV infection, although disease progression or drug intolerance is associated with its long-term use. In preliminary studies in children, d4T, another HIV inhibitor, has been well tolerated, although an optimum dose has not been determined.

Detailed Description

At present, AZT is considered the drug of choice for initial treatment of most children with HIV infection, although disease progression or drug intolerance is associated with its long-term use. In preliminary studies in children, d4T, another HIV inhibitor, has been well tolerated, although an optimum dose has not been determined.

Patients are randomized to receive either oral AZT or oral d4T. Treatment continues until the last patient enrolled has received 52 weeks of therapy, or until the study is terminated.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
230
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (54)

Usc La Nichd Crs

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Los Angeles, California, United States

The Children's Hosp. of Philadelphia IMPAACT CRS

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Philadelphia, Pennsylvania, United States

St. Christopher's Hosp. for Children

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Philadelphia, Pennsylvania, United States

Univ. of Illinois College of Medicine at Chicago, Dept. of Peds.

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Chicago, Illinois, United States

BMC, Div. of Ped Infectious Diseases

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Boston, Massachusetts, United States

Univ. of Connecticut Health Ctr., Dept. of Ped.

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Farmington, Connecticut, United States

Children's National Med. Ctr., ACTU

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Washington, District of Columbia, United States

Yale Univ. School of Medicine - Dept. of Peds., Div. of Infectious Disease

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New Haven, Connecticut, United States

St. Joseph's Hosp. & Med. Ctr. of New Jersey

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Paterson, New Jersey, United States

Tulane/LSU Maternal/Child CRS

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New Orleans, Louisiana, United States

St. Jude/UTHSC CRS

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Memphis, Tennessee, United States

DUMC Ped. CRS

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Durham, North Carolina, United States

Univ. of Puerto Rico Ped. HIV/AIDS Research Program CRS

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San Juan, Puerto Rico

Univ. of Colorado Denver NICHD CRS

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Aurora, Colorado, United States

Children's Hospital of Michigan NICHD CRS

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Detroit, Michigan, United States

Long Beach Memorial Med. Ctr., Miller Children's Hosp.

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Long Beach, California, United States

UCLA-Los Angeles/Brazil AIDS Consortium (LABAC) CRS

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Los Angeles, California, United States

Children's Hosp. & Research Ctr. Oakland, Ped. Clinical Research Ctr. & Research Lab.

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Oakland, California, United States

UCSD Maternal, Child, and Adolescent HIV CRS

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San Diego, California, United States

UCSF Pediatric AIDS CRS

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San Francisco, California, United States

Harbor - UCLA Med. Ctr. - Dept. of Peds., Div. of Infectious Diseases

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Torrance, California, United States

Howard Univ. Washington DC NICHD CRS

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Washington, District of Columbia, United States

Emory Univ. School of Medicine, Dept. of Peds., Div. of Infectious Diseases

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Atlanta, Georgia, United States

Univ. of Miami Ped. Perinatal HIV/AIDS CRS

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Miami, Florida, United States

Cook County Hosp.

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Chicago, Illinois, United States

Chicago Children's CRS

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Chicago, Illinois, United States

Univ. of Chicago - Dept. of Peds., Div. of Infectious Disease

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Chicago, Illinois, United States

HMS - Children's Hosp. Boston, Div. of Infectious Diseases

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Boston, Massachusetts, United States

Univ. of Maryland Med. Ctr., Div. of Ped. Immunology & Rheumatology

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Baltimore, Maryland, United States

Baystate Health, Baystate Med. Ctr.

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Springfield, Massachusetts, United States

WNE Maternal Pediatric Adolescent AIDS CRS

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Worcester, Massachusetts, United States

UMDNJ - Robert Wood Johnson

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New Brunswick, New Jersey, United States

Cooper Univ. Hosp.

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Camden, New Jersey, United States

Children's Hospital at Albany Medical Center, Dept. of Peds.

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Albany, New York, United States

SUNY Downstate Med. Ctr., Children's Hosp. at Downstate NICHD CRS

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Brooklyn, New York, United States

Bronx-Lebanon Hosp. IMPAACT CRS

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Bronx, New York, United States

North Shore-Long Island Jewish Health System, Dept. of Peds.

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Great Neck, New York, United States

Schneider Children's Hosp., Div. of Infectious Diseases

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New Hyde Park, New York, United States

NYU Med. Ctr., Dept. of Medicine

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New York, New York, United States

Metropolitan Hosp. NICHD CRS

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New York, New York, United States

Columbia IMPAACT CRS

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New York, New York, United States

Incarnation Children's Ctr.

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New York, New York, United States

SUNY Upstate Med. Univ., Dept. of Peds.

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Syracuse, New York, United States

Harlem Hosp. Ctr. NY NICHD CRS

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New York, New York, United States

SUNY Stony Brook NICHD CRS

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Stony Brook, New York, United States

UNC at Chapel Hill School of Medicine - Dept. of Peds., Div. of Immunology & Infectious Diseases

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Chapel Hill, North Carolina, United States

Univ. of Rochester ACTG CRS

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Rochester, New York, United States

Children's Med. Ctr. Dallas

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Dallas, Texas, United States

Med. Univ. of South Carolina, Div. of Ped. Infectious Diseases

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Charleston, South Carolina, United States

Texas Children's Hosp. CRS

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Houston, Texas, United States

UW School of Medicine - CHRMC

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Seattle, Washington, United States

Univ. Hosp. Ramรณn Ruiz Arnau, Dept. of Peds.

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Bayamon, Puerto Rico

San Juan City Hosp. PR NICHD CRS

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San Juan, Puerto Rico

Univ. of Florida Jacksonville NICHD CRS

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Jacksonville, Florida, United States

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