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Document 0583
DOCN M9610583
TI Inter-Company Collaboration Combination Trials. Clinical Trial
Subcommittee of the Inter-Company Collaboration for AIDS Drug
Development.
DT 9601
AU Soo W; Nauss-Karol C; Elkins M; Rooney J; Barry DW; Hoffmann-La Roche
Inc., Nutley, NJ 07110-1199, USA.
SO J Acquir Immune Defic Syndr Hum Retrovirol. 1995;10 Suppl 2:S92-6.
Unique Identifier : AIDSLINE MED/96033818
AB The Inter-Company Collaboration for AIDS Drug Development (ICC)
represents a collaborative effort among member companies to facilitate
the conduct of clinical trials on AIDS drugs. One of the goals of the
ICC is to expedite the development of combination antiretroviral therapy
through data and compound sharing. Recently, the ICC formed a consensus
master protocol to evaluate rapidly the safety and efficacy of
triple-drug combinations of antiretroviral therapy for treatment of
HIV-infected patients. This concept builds upon historical work with
combination chemotherapy that resulted in treatments to successfully
control chronic immunosuppressive, infectious or malignant diseases,
such as tuberculosis, leprosy, childhood acute lymphoblastic leukemia,
and Hodgkin's lymphoma. Because of limitations on potency and the
continuing emergence of drug resistance seen with use of currently
available antiretroviral agents in monotherapy and two-drug combination
regimens, triple-combination regimens should represent a more promising
approach to maximize antiviral activity, maintain long-term efficacy,
and reduce the incidence of drug resistance. The ICC master protocol is
a randomized, controlled, double-blind study with a treatment duration
of 52 weeks. Patients eligible to enroll in this study must have
documented HIV infection, with CD4 counts between 200 and 500 cells/mm3,
and no history of antiretroviral therapy. The first four triple-drug
combinations will be evaluated in two trials. These regimens have been
selected based on encouraging data from laboratory and clinical studies.
Each ICC trial will consist of three arms, with 75 patients per arm.
Protocol ICC 001 will include AZT + zalcitabine (ddC) + saquinavir, AZT
+ ddC + nevirapine, and AZT + ddC as the control arm.(ABSTRACT TRUNCATED
AT 250 WORDS)
DE Antiviral Agents/*THERAPEUTIC USE *Clinical Protocols Cohort Studies
Double-Blind Method Drug Therapy, Combination Human HIV
Infections/*DRUG THERAPY *Randomized Controlled Trials JOURNAL ARTICLE
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).