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Candidiasis, OralPhase 2NCT00002399

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

A Phase 2 study testing Posaconazole and Fluconazole in people with Candidiasis, Oral and HIV Infections, run by Schering-Plough at 53 sites in 18 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

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. Read more about this study

Who is it for?
Ages 18 to 65 years
Conditions the study is for
Candidiasis, Oral, HIV Infections
What is being tested?
Posaconazole and Fluconazole
How many people
500 participants
Where
53 sitesin 18 countries
Study dates
Start not givento not given
Phase
Phase 2
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • 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.

Who cannot join

  • 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).
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  • 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.

Trial locations and contacts

53 sites in 18 countries.

53 sites in 18 countries

United States17 sites
  • Ponce de Leon Med Ctr

    Atlanta, Georgia, 30308

  • Med College of Georgia

    Augusta, Georgia, 30912

  • Rush Med College / Rush Presbyterian - St Luke's Med Cen

    Chicago, Illinois, 60612

  • Univ of Texas Southwestern Med Ctr

    Dallas, Texas, 75390

  • Wayne State Univ / Harper Hosp

    Detroit, Michigan, 48201

  • Duke Univ Med Ctr

    Durham, North Carolina, 27710

  • Univ of Texas / Med School at Houston

    Houston, Texas, 77030

  • Wishard Hosp

    Indianapolis, Indiana, 46202

  • Northeast Arkansas Clinic

    Jonesboro, Arkansas, 72401

  • Miami Veterans Administration Med Ctr

    Miami, Florida, 33125

  • Mercy Hosp

    Miami, Florida, 33133

  • Vanderbilt Univ Med Ctr

    Nashville, Tennessee, 372321302

  • St Michaels Med Ctr

    Newark, New Jersey, 07102

  • Thomas Jefferson Univ / Division of Infectious Disease

    Philadelphia, Pennsylvania, 19107

  • Univ of Texas Health Sciences Ctr

    San Antonio, Texas, 78284

  • Infections Ltd / Physicians Med Ctr

    Tacoma, Washington, 98405

  • Tucson Veterans Administration Med Ctr

    Tucson, Arizona, 85723

Other trials in United States

France8 sites
  • Hopital Raymond Poincare

    Garches

  • Hopital de La Conception

    Maseille

  • Hopital Guy de Chauliac Service des Maladies Infectieuses

    Montpellier

  • Service des Maladies Infectieuses Hopital de l Archet

    Nice

  • Hopital de l Institut Pasteur

    Paris

  • Hopital Rothchild

    Paris

  • Service des Maladies Infectieuses

    Tours

  • Service des Maladies Infectieuses

    Villejuif

Other trials in France

Germany7 sites
  • Rheinische Friedrich Wilhelms Universitaet Medizinische

    Bonn

  • Universitaet Klinik Koln

    Cologne

  • Heinrich Heine Universitat

    Düsseldorf

  • Allgemeines Krankenhaus St Georg

    Hamburg

  • Universitaets Krankenhaus Eppendorf Medizinische Kernklinik

    Hamburg

  • Staedtisches Krankenhaus Kiel

    Kiel

  • Universitat Munchen / Medizinische Poliklinik

    Munich

Other trials in Germany

Canada3 sites
  • Victoria Gen Hosp

    Halifax, Nova Scotia

  • Montreal Gen Hosp

    Montreal, Quebec

  • St Paul's Hosp

    Vancouver, British Columbia

Other trials in Canada

South Africa3 sites
  • Daniel Rudolph Malan

    Port Elizabeth

  • The Studio

    Rosebank

  • Univ of Stellenbosch Med School Depart Med Phys

    Tygerberg

Other trials in South Africa

Argentina2 sites
  • Centro de Micologia / Facultad de Medicina UBA

    Buenos Aires

  • Hosp Fernandez

    Buenos Aires

Other trials in Argentina

Spain2 sites
  • Hosp Clinic

    Barcelona

  • Hosp Valle D Hebron

    Barcelona

Other trials in Spain

Belgium1 site
  • CHU Saint Pierre

    Brussels

Other trials in Belgium

Chile1 site
  • Fundacion Arriaran

    Santiago

Other trials in Chile

Dominican Republic1 site
  • Avenida Lope de Vega Avenue esq/Calle Jose Amado Soler

    Ensanche Naco/ Santo Domingo

Other trials in Dominican Republic

Ethiopia1 site
  • Faculty of Medicine / Dept of Internal Medicine

    Addis Ababa

Other trials in Ethiopia

Guatemala1 site
  • Hosp Roosevelt Chief Infectious Diseases Unit

    Guatemala City

Other trials in Guatemala

Honduras1 site
  • Hosp Regional del Seguro Social

    San Pedro Sula

Other trials in Honduras

Israel1 site
  • Sheba Med Ctr

    Tel HaShomer

Other trials in Israel

Mexico1 site
  • Hosp de Especialidades Centro Medico La Raza

    México

Other trials in Mexico

Panama1 site
  • Royal Ctr

    Panama City

Other trials in Panama

Thailand1 site
  • Program on AIDS / Thai Red Cross Society

    Bangkok

Other trials in Thailand

Venezuela1 site
  • Policlinica Metropolitana

    Caracas

Other trials in Venezuela

About this study

Official title: A Multicenter, Randomized, Double-Blind, Phase II Study to Evaluate the Safety, Tolerance and Efficacy of Multiple Doses of SCH 56592 Versus Fluconazole in the Treatment of Oropharyngeal Candidiasis (OPC) in HIV-Positive Patients

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.

Read the detailed description

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.

Being tested
Posaconazole, Fluconazole
Keywords
AIDS-Related Opportunistic Infections, Fluconazole, Antifungal Agents, Candidiasis, Triazoles
Medical subject headings
Candidiasis, Oral, HIV Infections, AIDS-Related Opportunistic Infections, Candidiasis

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • PosaconazoleDrug

  • FluconazoleDrug

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted31 Aug 2001 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Masking
Double blind
Enrolment
500 participants
IDs, dates and publications
ClinicalTrials.gov ID
NCT00002399
Sponsor's protocol ID
288A
Other IDs
C96-209, I96-209
Status last verified
Jan 1999
First submitted
2 Nov 1999
Last updated
24 Jun 2005
Results posted
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Posaconazole and Fluconazole in people with Candidiasis, Oral and HIV Infections, run by Schering-Plough at 53 sites in 18 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 34 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 24 Jun 2005. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 53 sites in United States, France, Germany, Canada, South Africa and 13 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 24 Jun 2005.

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