Thalidomide to Treat Oral Lesions in HIV-Infected Patients
Status:
Completed
Trial end date:
2004-12-01
Target enrollment:
Participant gender:
Summary
This study will test the effectiveness of topical thalidomide in healing mouth sores in HIV
infected patients. Oral (PO) thalidomide heals these sores at a dose of 200 mg per day.
However, PO thalidomide can cause drowsiness, skin rashes, allergic reactions, increased
viral load, and even nerve damage that may not be reversible. This study will evaluate the
efficacy of a topical formulation of thalidomide (placed directly on the surface of the sore)
for the healing of these sores.
Persons with HIV infection of acquired immunodeficiency of at least 18 years of age with one
or more chronic, painful intraoral lesions may be eligible for this study. Subjects must be
referred by a primary care physician who is managing their care, and must have HIV/AIDS
status confirmed. Patients' HIV treatment regimen will not be altered and those receiving
highly active therapy will not be excluded.
Patients will be excluded if they are concurrently being treated for mucosal lesions
(including topical or systemic steroids, viscous lidocaine, topical or systemic anti-fungals,
or mouthwashes), or concurrent thalidomide therapy; receving chemotherapy or radiation
therapy for neoplasms; using concurrent acute therapy for opportunistic infections;
concurrent use of sedatives (such as CNS depressants or alcohol use); history of allergy to
thalidomide; pre-existing peripheral neuropathy of grade II or higher; pregnant or lactating
females or those not practicing contraception according to FDA guidelines for thalidomide.
Phase:
Phase 2
Details
Lead Sponsor:
National Institute of Dental and Craniofacial Research (NIDCR)