Multicenter Comparison of Fluconazole (UK-49,858) and Amphotericin B as Maintenance Treatment for the Prevention of Relapse of Cryptococcal Meningitis in Patients With Acquired Immunodeficiency Syndrome

• Status: Completed
• Trial end date: 1969-12-31
• Target enrollment: 0
• Participant gender: All

Summary

To compare the safety and effectiveness of fluconazole and amphotericin B as maintenance treatment for preventing the relapse of cryptococcal meningitis in patients with AIDS.

• Phase: N/A
• Accepts Healthy Volunteers?: No

Details

• Lead Sponsor: Pfizer
• Treatments: Amphotericin B; Fluconazole; Liposomal amphotericin B

Criteria

Inclusion Criteria

Concurrent Medication:

Allowed:

• Antivirals such as zidovudine.

• Prophylaxis (including aerosolized pentamidine) for Pneumocystis carinii pneumonia (PCP).

• Pfizer must be notified if the patient is receiving ganciclovir (DHPG) at entry.

Concurrent Treatment:

Allowed:

• Radiation therapy for mucocutaneous Kaposi's sarcoma.

Patients must be oriented to person, place, and time, and able to give written informed consent.

• Patients must have had an acute episode of cryptococcal meningitis that was documented by recovery and identification of Cryptococcus neoformans from lumbar cerebrospinal fluid (CSF) culture within 6 months prior to entry.

• Minimum total dose of 15 mg/kg of amphotericin B must have been given (either alone or in combination with flucytosine) during primary therapy.

• Patients need not be receiving amphotericin B at the time of randomization but must begin study maintenance therapy within 6 weeks of completion of primary amphotericin B therapy. Patients may receive maintenance amphotericin B during the period between completion of primary therapy and study entry.

Prior Medication:

Allowed:

• Antivirals such as zidovudine (AZT).

• Prophylaxis (including aerosolized pentamidine) for Pneumocystis carinii pneumonia (PCP).

Exclusion Criteria

Co-existing Condition:

Patients with the following are excluded:

• Clinical evidence of acute or chronic meningitis based upon any etiology other than cryptococcosis.

• History of allergy or intolerance of imidazoles, azoles, or amphotericin B.

• Moderate or severe liver disease.

Concurrent Medication:

Excluded:

• Ketoconazole.

• Fluconazole.

• Itraconazole.

• Miconazole.

• Any systemic imidazole or azole for more than 7 days after initiation of primary therapy for cryptococcosis.

• Intrathecal amphotericin B.

• Coumarin-type anticoagulants.

• Oral hypoglycemics.

• Barbiturates.

• Phenytoin.

• Immunostimulants.

• Investigational drugs or approved (licensed) drugs for investigational indications.

Concurrent Treatment:

Excluded:

• Lymphocyte replacement.

Patients with the following are excluded:

• Clinical evidence of acute or chronic meningitis based upon any etiology other than cryptococcosis.

• History of allergy or intolerance of imidazoles, azoles, or amphotericin B.

• Moderate or severe liver disease.

• Inability to take oral medications reliably.

Prior Medication:

Excluded:

• Ketoconazole.

• Fluconazole.

• Itraconazole.

• Miconazole.

• Any systemic imidazole or azole for more than 7 days after initiation of primary therapy for cryptococcosis.

• Intrathecal amphotericin B.

• Coumarin-type anticoagulants.

• Oral hypoglycemics.

• Barbiturates.

• Phenytoin.

• Immunostimulants.

• Investigational drugs or approved (licensed) drugs for investigational indications.

• Any exceptions to these prohibitions of concomitant medications must be approved by Pfizer Central Research.

Prior Treatment:

Excluded:

• Lymphocyte replacement.