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Comparison of 2',3'-Dideoxyinosine (Didanosine, ddI) and Zidovudine in Therapy of Patients With the AIDS Dementia Complex

Phase 2
Completed
Conditions
AIDS Dementia Complex
HIV Infections
Registration Number
NCT00000657
Lead Sponsor
National Institute of Allergy and Infectious Diseases (NIAID)
Brief Summary

To compare the safety and effectiveness of orally administered didanosine (ddI) with high dose orally administered zidovudine (AZT) in patients who develop or exhibit progression of the AIDS dementia complex (ADC) and who have not previously been intolerant to AZT at doses of up to 1000 mg/day.

HIV-infected or AIDS patients may develop ADC which causes damage to the nervous system. ADC may be caused by some action of the AIDS virus on the nervous system, although similar problems can be caused by other infections because the AIDS virus lowers the body's ability to fight other infections. It is important to determine whether symptoms are due to ADC or to some other infection since treatment varies for different conditions. AZT has been shown to be beneficial to people with ADC although its effectiveness has only been studied in a small number of patients. Studies suggest that higher doses of AZT are more likely to be effective than standard doses in improving symptoms of ADC.

Detailed Description

HIV-infected or AIDS patients may develop ADC which causes damage to the nervous system. ADC may be caused by some action of the AIDS virus on the nervous system, although similar problems can be caused by other infections because the AIDS virus lowers the body's ability to fight other infections. It is important to determine whether symptoms are due to ADC or to some other infection since treatment varies for different conditions. AZT has been shown to be beneficial to people with ADC although its effectiveness has only been studied in a small number of patients. Studies suggest that higher doses of AZT are more likely to be effective than standard doses in improving symptoms of ADC.

Patients are randomly assigned to receive either oral ddI or oral AZT.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
80
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 (13)

San Francisco AIDS Clinic / San Francisco Gen Hosp

🇺🇸

San Francisco, California, United States

San Francisco Gen Hosp

🇺🇸

San Francisco, California, United States

Charity Hosp / Tulane Univ Med School

🇺🇸

New Orleans, Louisiana, United States

Louisiana State Univ Med Ctr / Tulane Med School

🇺🇸

New Orleans, Louisiana, United States

Tulane Univ School of Medicine

🇺🇸

New Orleans, Louisiana, United States

Johns Hopkins Hosp

🇺🇸

Baltimore, Maryland, United States

Univ of Minnesota

🇺🇸

Minneapolis, Minnesota, 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

Julio Arroyo

🇺🇸

West Columbia, South Carolina, United States

Univ of Washington

🇺🇸

Seattle, Washington, United States

Indiana Univ Hosp

🇺🇸

Indianapolis, Indiana, United States

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