A Multicenter Study of Oral Versus Intravenous Hydration in AIDS Patients With CMV Retinitis Treated With Foscavir (Foscarnet Sodium)

Study Overview
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Brief Summary
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To assess the relative efficacy of oral versus intravenous hydration during foscarnet sodium (Foscavir) induction therapy, as determined by changes in creatinine clearance. To estimate the timing and volume of oral fluid hydration required to establish a diuresis before and during intravenous Foscavir therapy. To assess the general tolerance of two hydration regimens by the adverse event profile associated with each.

Detailed Description
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Patients are randomized to receive oral hydration versus intravenous hydration therapy during concomitant intermittent intravenous Foscavir therapy for treatment of cytomegalovirus (CMV) retinitis. Treatment continues during 2 or 3 weeks of induction Foscavir therapy.

Official Title
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A Multicenter Study of Oral Versus Intravenous Hydration in AIDS Patients With CMV Retinitis Treated With Foscavir (Foscarnet Sodium)

Conditions
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Cytomegalovirus Retinitis, HIV Infections

Intervention / Treatment
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* Drug: Foscarnet sodium


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria Patients must have: Documented HIV infection. Recent diagnosis of CMV retinitis, by ophthalmoscopic appearance, that requires induction therapy. No corneal, lens, or vitreous opacification that precludes examination of the fundi. No evidence of other end organ CMV infection. No evidence of tuberculous, diabetic, or hypertensive retinopathy. Exclusion Criteria Co-existing Condition: Patients with the following symptoms or conditions are excluded: Clinically significant cardiac, pulmonary, neurologic, gastrointestinal or renal impairment that would prevent adequate voluntary oral hydration (e.g., intubation, coma, status post-gastrectomy, colon resection, gastrointestinal tumors, malabsorption, chronic diarrhea) OR with which hydration would be hazardous (e.g., congestive heart failure). Known allergy to foscarnet or related compounds. Considered noncompliant or unreliable for study participation. Concurrent Medication: Excluded: Any investigational drug. Potentially nephrotoxic drugs (e.g., amphotericin B, aminoglycosides, cisplatin). Prior Medication: Excluded: Any investigational drug within 28 days prior to study entry. Potentially nephrotoxic drugs (e.g., amphotericin B, aminoglycosides, cisplatin) within 7 days prior to study entry.

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment


Arms and Interventions

| Intervention/Treatment |
| --- |
|Drug: Foscarnet sodium|nan|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Retinitis, Infusions, Intravenous, Foscarnet, Cytomegalovirus Infections, Administration, Oral, Acquired Immunodeficiency Syndrome, Fluid Therapy