Status:

UNKNOWN

Three Induction Treatments on Cryptococcal Meningitis

Lead Sponsor:

First Affiliated Hospital of Zhejiang University

Collaborating Sponsors:

Wenzhou Central Hospital

Conditions:

Cryptococcal Meningitis

HIV/AIDS

Eligibility:

All Genders

18-65 years

Phase:

EARLY_PHASE1

Brief Summary

Three induction treatment strategies \[ voriconazole +5FC vs. amphotericin deoxycholate (0.4-0.5 mg/kg/d)+5FC vs. amphotericin deoxycholate (0.7-1.0 mg/kg/d)+5FC \] for HIV-infected patients with cryp...

Detailed Description

HIV-associated cryptococcal meningitis were randomly allocated into three induction treatment as follow: 1) 14 days of voriconazole 200mg bid +5FC, 2) 28 days of amphotericin deoxycholate (0.4-0.5 mg/...

Eligibility Criteria

Inclusion

  • Clinical diagnosis of HIV infection;
  • newly diagnosed Cryptococcal Meningitis by positive India ink staining or culture result, or both in cerebrospinal fluid (CSF);
  • Anti-viral treatment naïve patients
  • anti-fungal treatment naïve patients

Exclusion

  • hepatitis virus co-infection;
  • liver cirrhosis;
  • congestive heart failure;
  • chronic renal disorders;
  • chronic obstructive pulmonary disease (COPD);
  • Tuberculosis co-infection;
  • malignances
  • severe mental and neurological diseases
  • Women during pregnancy and lactation
  • intraveneous drug user (IDU)
  • patients with follow abnormal test results:hemoglobin \< 6 g/dl, white blood cell count \< 2000 / μl, neutrophil count \< 1000 / μl, platelet count \< 75000 / μl, blood amylase \> 3 times normal level Upper limit, serum creatinine \> 1.5 times normal upper limit, aspartate aminotransferase / alanine aminotransferase / alkaline phosphatase \> 3 times normal upper limit, total bilirubin \> 2 times normal upper limit
  • patients who are unwilling to anticipate.

Key Trial Info

Start Date :

January 25 2021

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

December 1 2022

Estimated Enrollment :

120 Patients enrolled

Trial Details

Trial ID

NCT04072640

Start Date

January 25 2021

End Date

December 1 2022

Last Update

February 2 2021

Active Locations (1)

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1

Lijun Xu

Zhenjiang, Hangzhou, China, 310020