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A Study to Evaluate the Use of Cidofovir (an Experimental Drug) for the Treatment of Progressive Multifocal Leukoencephalopathy (PML) in AIDS Patients

Not Applicable
Completed
Conditions
HIV Infections
Leukoencephalopathy, Progressive Multifocal
Registration Number
NCT00000945
Lead Sponsor
National Institute of Allergy and Infectious Diseases (NIAID)
Brief Summary

The purpose of this study is to evaluate the safety, tolerance, and overall effectiveness of cidovir to treat PML in AIDS patients.

PML is an opportunistic infection (HIV-associated, due to weak immune system) caused by a virus that attacks the brain. Cidovir has been used effectively to treat cytomegalovirus (CMV) of the eye. Cidovir could be an effective treatment for PML as well.

Detailed Description

PML is a demyelinating disease of the brain's white matter, occurring when the JC virus infects the brain of patients infected with HIV-1. Cidofovir is known to be an effective treatment for cytomegalovirus of the eye and, in laboratory and animal testing, has also been shown to be effective against several other viruses. However, cidofovir is considered investigational as a treatment for PML.

In this multicenter, open-label study 24 patients receive cidofovir iv over 1 hr on days 0, 7, then every 2 wk for a total of 13 doses.

Oral probenecid is given 3h prior to and 2h and 8h following cidofovir administration. Nucleoside and non-nucleoside reverse transcriptors are withheld on days of probenecid administration. Protease inhibitors are continued during probenecid administration.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
24
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 (19)

Rush Presbyterian - Saint Luke's Med Ctr

🇺🇸

Chicago, Illinois, United States

San Francisco AIDS Clinic / San Francisco Gen Hosp

🇺🇸

San Francisco, California, United States

Univ of Alabama at Birmingham

🇺🇸

Birmingham, Alabama, United States

San Francisco Gen Hosp

🇺🇸

San Francisco, California, United States

Univ of Colorado Health Sciences Ctr

🇺🇸

Denver, Colorado, United States

Howard Univ

🇺🇸

Washington, District of Columbia, United States

Cook County Hosp

🇺🇸

Chicago, Illinois, United States

Northwestern Univ Med School

🇺🇸

Chicago, Illinois, United States

Johns Hopkins Hosp

🇺🇸

Baltimore, Maryland, United States

Beth Israel Med Ctr

🇺🇸

New York, New York, United States

SUNY / Erie County Med Ctr at Buffalo

🇺🇸

Buffalo, New York, United States

Louis A Weiss Memorial Hosp

🇺🇸

Chicago, Illinois, United States

Bellevue Hosp / New York Univ Med Ctr

🇺🇸

New York, New York, United States

Mount Sinai Med Ctr

🇺🇸

New York, New York, United States

Univ of Rochester Medical Center

🇺🇸

Rochester, New York, United States

Univ of North Carolina

🇺🇸

Chapel Hill, North Carolina, United States

Univ of Kentucky Lexington

🇺🇸

Cincinnati, Ohio, United States

Julio Arroyo

🇺🇸

West Columbia, South Carolina, United States

Univ of Washington

🇺🇸

Seattle, Washington, United States

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