A Study of Doxorubicin in the Treatment of AIDS-Related Kaposi's Sarcoma
Study Details
Study Description
Brief Summary
To study the natural course of AIDS related Kaposi's sarcoma and to determine the usefulness and safety of weekly administration of small doses of doxorubicin.
Doxorubicin is one of the most active of all antitumor agents but at currently used doses toxicity is common. When small doses are administered on a weekly schedule, the toxicity of the drug appears to be reduced.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 2 |
Detailed Description
Doxorubicin is one of the most active of all antitumor agents but at currently used doses toxicity is common. When small doses are administered on a weekly schedule, the toxicity of the drug appears to be reduced.
Patients are stratified for non-therapy purposes into 2 groups; doxorubicin is given intravenously (IV) every week on an outpatient basis. Patients are monitored carefully, and weekly blood samples are taken to determine the effectiveness and safety of treatment. Patients are evaluated for toxicity after one dose of the drug and weekly thereafter. Patients are evaluated for response to the drug after 4 weeks and monthly thereafter.
Study Design
Outcome Measures
Primary Outcome Measures
Eligibility Criteria
Criteria
Inclusion Criteria
Concurrent Medication:
Allowed:
-
Ongoing and/or maintenance therapy for opportunistic infection.
-
Medications for nausea, vomiting, and diarrhea resulting from drug.
Patients must have AIDS related Kaposi's sarcoma.
- Patients may demonstrate positive blood cultures for Mycobacterium avium-complex or cytomegalovirus.
Exclusion Criteria
Co-existing Condition:
Patients with the following conditions will be excluded:
-
Patients with active opportunistic infection.
-
Patients with concurrent neoplasm other than squamous cell carcinoma of the skin or in situ carcinoma of the cervix.
-
Patients with significant neurologic, cardiac, or liver disease.
Concurrent Medication:
Excluded:
-
Antiretroviral agents.
-
Immunomodulators.
-
Corticosteroids.
-
Experimental drugs.
The following patients will be excluded from the study:
- Patients with lymphadenopathy alone and/or visceral disease alone secondary to Kaposi's sarcoma.
Prior Medication:
Excluded:
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Cytotoxic chemotherapy.
-
Excluded within 30 days of study entry:
-
Antiretroviral agents.
-
Biologic modifiers.
-
Corticosteroids.
Prior Treatment:
Excluded:
-
Total body electron beam therapy.
-
Excluded within 30 days of study entry:
-
Radiation therapy.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | UCLA CARE Ctr | Los Angeles | California | United States | 90095 |
2 | San Francisco AIDS Clinic / San Francisco Gen Hosp | San Francisco | California | United States | 941102859 |
3 | George Washington Univ Med Ctr | Washington | District of Columbia | United States | 20037 |
4 | Univ of Miami School of Medicine | Miami | Florida | United States | 331361013 |
5 | Charity Hosp / Tulane Univ Med School | New Orleans | Louisiana | United States | 70112 |
6 | Tulane Univ School of Medicine | New Orleans | Louisiana | United States | 70112 |
7 | Beth Israel Deaconess - West Campus | Boston | Massachusetts | United States | 02215 |
8 | SUNY / Erie County Med Ctr at Buffalo | Buffalo | New York | United States | 14215 |
9 | Bellevue Hosp / New York Univ Med Ctr | New York | New York | United States | 10016 |
10 | Mem Sloan - Kettering Cancer Ctr | New York | New York | United States | 10021 |
11 | Univ of Rochester Medical Center | Rochester | New York | United States | 14642 |
12 | Ohio State Univ Hosp Clinic | Columbus | Ohio | United States | 432101228 |
Sponsors and Collaborators
- National Institute of Allergy and Infectious Diseases (NIAID)
Investigators
- Study Chair: MA Fischl,
Study Documents (Full-Text)
None provided.More Information
Publications
- Fischl MA, Krown SE, O'Boyle KP, Mitsuyasu R, Miles S, Wernz JC, Volberding PA, Kahn J, Groopman JE, Feinberg J, et al. Weekly doxorubicin in the treatment of patients with AIDS-related Kaposi's sarcoma. AIDS Clinical Trials Group. J Acquir Immune Defic Syndr (1988). 1993 Mar;6(3):259-64.
- Walker RE, et al. The safety, pharmacokinetics, and antiviral activity of N-acetylcysteine in HIV-infected individuals. Int Conf AIDS. 1992 Jul 19-24;8(1):Mo8 (abstract no MoB 0022)
- ACTG 006
- 10982