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Home > "A" Clinical Trials Conditions > A Comparison of SCH 56592 and Fluconazole in the Treatment of Oropharyngeal Candidiasis (OPC) in HIV-Positive Patients

A Comparison of SCH 56592 and Fluconazole in the Treatment of Oropharyngeal Candidiasis (OPC) in HIV-Positive Patients



A Comparison of SCH 56592 and Fluconazole in the Treatment of Oropharyngeal Candidiasis (OPC) in HIV-Positive Patients

For Condition: Candidiasis, Oral,HIV Infections
Status: Completed
Sponsor(s): Schering-Plough ,
Synopsis: The purpose of this study is to compare the safety and effectiveness of SCH 56592 with that of fluconazole in the treatment of OPC (a fungal infection of the throat) in HIV-positive patients.
Details: This is a randomized, multicenter, double-blind study consisting of 5 arms (4 dose levels of SCH 56592 vs fluconazole) in the treatment of oropharyngeal candidiasis (OPC) in HIV-positive patients.
Eligibility:
Study Type:
  Interventional, Treatment, Double-Blind, Safety Study
Minimum Age/Maximum Age: 18 Years/65 Years
Genders: Both
Protocol Entry Criteria: Inclusion Criteria Patients must have: - Documented HIV seropositivity (by Western blot or other approved confirmatory test) prior to enrollment. - Pseudomembranous oropharyngeal candidiasis. - Fungal stain or KOH consistent with Candida species, confirmed by a positive mycologic culture. - Ability to swallow study medication. Exclusion Criteria Co-existing Condition: Patients with any of the following symptoms and conditions are excluded: - Medical condition requiring use of prohibited drugs. - Primary HIV seroconversion-related mucosal candidiasis. - Systemic candidiasis. - All forms of OPC other than pseudomembranous (unless accompanied by pseudomembranous OPC). - Documented or suspected fungal esophagitis in patients with symptoms of esophagitis. - EKG with prolonged QTc interval or clinically-significant abnormalities. Concurrent Medication: Excluded: - Systemic antifungals (IV or oral). - Topical oral antifungals, e.g., Nystatin, Mycelex, etc. - Medications known to interact with azoles and that may lead to life-threatening side effects: - terfenadine, astemizole, cisapride, ebastine, triazolam, midazolam. - Medications known to lower the serum concentration/efficacy of azole antifungals: - rifampin, carbamazepine, phenytoin, rifabutin, barbiturates, isoniazid, H2 blockers. - Cytokines (except erythropoietin), interferon, or lymphocyte replacement therapy unless patient already taking these agents for at least 30 days prior to enrollment. - Protease inhibitors, starting for the first time, 30 days prior to study enrollment. - Cytotoxic therapy for cancer. - Oral or intravenous corticosteroids at supraphysiologic doses (prednisone 10 mg/day or greater; hydrocortisone 40 mg/day or greater; dexamethasone 2 mg/day or greater. Patients with any of the following prior conditions are excluded: - Prior enrollment in this study. - Less than 3 months life expectancy. - History of hypersensitivity to azole antifungals. - History of failed therapy with fluconazole 100 mg/day for 2 weeks in the last 3 months. Prior Medication: Excluded (wash-outs for medications): - Systemic antifungals (IV, oral) within 14 days prior to enrollment. - Topical oral antifungals within 1 day prior to enrollment. - Oral or intravenous corticosteroids at supraphysiologic doses within 10 days prior to enrollment. - Astemizole within 10 days prior to enrollment. - Drugs known to lower the serum concentration/efficacy of azole antifungals within 30 days prior to enrollment. - Investigational drug (unlicensed new chemical entity) use within 30 days prior to enrollment. Current known drug abuse, in the opinion of the lead investigator, that would interfere with the subject's participation in the study.
Total Enrollment: 500

Location and Contact Information:

Infections Ltd / Physicians Med Ctr
Tacoma,  Washington,  98405
United States
 

Univ of Stellenbosch Med School Depart Med Phys
Tygerberg,  , 
South Africa
 

Fundacion Arriaran
Santiago,  , 
Chile
 

St Paul's Hosp
Vancouver,  British Columbia, 
Canada
 

Hopital de l Institut Pasteur
Paris Cedex,  , 
France
 

Staedtisches Krankenhaus Kiel
Kiel,  , 
Germany
 

Rush Med College / Rush Presbyterian - St Luke's Med Cen
Chicago,  Illinois,  60612
United States
 

Vanderbilt Univ Med Ctr
Nashville,  Tennessee,  372321302
United States
 

Faculty of Medicine / Dept of Internal Medicine
Addis Ababa,  , 
Ethiopia
 

Universitaet Klinik Koln
Koln,  , 
Germany
 

Hosp de Especialidades Centro Medico La Raza
Mexico,  , 
Mexico
 

Univ of Texas Southwestern Med Ctr
Dallas,  Texas,  75390
United States
 

Daniel Rudolph Malan
Port Elizabeth,  , 
South Africa
 

Miami Veterans Administration Med Ctr
Miami,  Florida,  33125
United States
 

Service des Maladies Infectieuses
Tours Cedex,  , 
France
 

Royal Ctr
Panama,  , 
Panama
 

Allgemeines Krankenhaus St Georg
Hamburg,  , 
Germany
 

Rheinische Friedrich Wilhelms Universitaet Medizinische
Bonn,  , 
Germany
 

Hopital Raymond Poincare
Garches,  , 
France
 

Hopital Guy de Chauliac Service des Maladies Infectieuses
Montpellier,  , 
France
 

Northeast Arkansas Clinic
Jonesboro,  Arkansas,  72401
United States
 

Avenida Lope de Vega Avenue esq/Calle Jose Amado Soler
Ensanche NACO/ Santo Domingo,  , 
Dominican Republic
 

Thomas Jefferson Univ / Division of Infectious Disease
Philadelphia,  Pennsylvania,  19107
United States
 

Hopital Rothchild
Paris,  , 
France
 

Duke Univ Med Ctr
Durham,  North Carolina,  27710
United States
 

Univ of Texas Health Sciences Ctr
San Antonio,  Texas,  78284
United States
 

Mercy Hosp
Miami,  Florida,  33133
United States
 

Montreal Gen Hosp
Montreal,  Quebec, 
Canada
 

Hosp Valle D Hebron
Barcelona,  , 
Spain
 

Universitat Munchen / Medizinische Poliklinik
Munich 2,  , 
Germany
 

Universitaets Krankenhaus Eppendorf Medizinische Kernklinik
Hamburg,  , 
Germany
 

Hosp Regional del Seguro Social
San Pedro Sula,  , 
Honduras
 

Service des Maladies Infectieuses
Villejuif Cedex,  , 
France
 

Med College of Georgia
Augusta,  Georgia,  30912
United States
 

CHU Saint Pierre
Brussels,  , 
Belgium
 

Victoria Gen Hosp
Halifax,  Nova Scotia, 
Canada
 

Hosp Clinic
Barcelona,  , 
Spain
 

Hopital de La Conception
Maseille,  , 
France
 

Wishard Hosp
Indianapolis,  Indiana,  46202
United States
 

The Studio
Rosebank,  , 
South Africa
 

Policlinica Metropolitana
Caracas,  , 
Venezuela
 

Heinrich Heine Universitat
Dusseldorf,  , 
Germany
 

Univ of Texas / Med School at Houston
Houston,  Texas,  77030
United States
 

Service des Maladies Infectieuses Hopital de l Archet
Nice,  , 
France
 

Sheba Med Ctr
Tel Hashomer,  , 
Israel
 

Tucson Veterans Administration Med Ctr
Tucson,  Arizona,  85723
United States
 

Ponce de Leon Med Ctr
Atlanta,  Georgia,  30308
United States
 

Hosp Roosevelt Chief Infectious Diseases Unit
Guatemala,  , 
Guatemala
 

Hosp Fernandez
Buenos Aires,  , 
Argentina
 

Program on AIDS / Thai Red Cross Society
Bangkok,  , 
Thailand
 

Wayne State Univ / Harper Hosp
Detroit,  Michigan,  48201
United States
 

St Michaels Med Ctr
Newark,  New Jersey,  07102
United States
 

Centro de Micologia / Facultad de Medicina UBA
Buenos Aires,  , 
Argentina
 


Additional Information:
Study ID Numbers:
  288A;  C96-209,I96-209
Study Start Date: 
Record last reviewed: January 1999
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00002399

Other Hiv Infections Studies:
1. Safety and Effectiveness of Fluconazole Versus SCH 56592 to Treat Thrush in HIV-Positive Patients

2. An Open Study of the Effect of Itraconazole Oral Solution for the Treatment of Fluconazole Refractory Oropharyngeal Candidiasis in HIV-Positive Subjects.

3. A Comparison of the Safety and Effectiveness of Fluconazole or Clotrimazole in the Treatment of Fungal Infections of the Mouth and Throat in Patients with AIDS

4. Safety and Effectiveness of Giving L-743,872 to Patients with Thrush That Has Not Been Cured With Fluconazole

5. Oral Manifestations of Human Immunodeficiency Virus Infection in High Risk Groups

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A Comparison of SCH 56592 and Fluconazole in the Treatment of Oropharyngeal Candidiasis (OPC) in HIV-Positive Patients

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