HIV Infections
Conditions
Keywords
Didanosine, Drug Therapy, Combination, Acquired Immunodeficiency Syndrome, AIDS-Related Complex, Lentinan
Brief summary
To determine the tolerance and side effects of a combination of lentinan and didanosine (ddI) compared with ddI alone. To determine whether the combination of lentinan and ddI produces a significant immunorestorative effect within the study observation period (6-12 months) as measured by an increase in one or more of the following: neutrophil count and activity, T-cell subsets, and a decrease in p24 antigen.
Detailed description
Patients are randomized to receive either lentinan (40 patients) or placebo (10 patients) in combination with ddI for at least 26 weeks; those tolerating their dose may be offered continuation of therapy for an additional 26 weeks.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
Patients must have: * HIV seropositivity. * Absolute CD4 count of 200 - 500 cells/mm3. * No active opportunistic infection or Kaposi's sarcoma. Prior Medication: Allowed: * Prior ddI for no longer than 3 months.
Exclusion criteria
Co-existing Condition: Patients with the following symptoms or conditions are excluded: * Lymphoid malignancy. * Pancreatitis. * Peripheral neuropathy. * Critical illness. Concurrent Medication: Excluded: * Antiretroviral agents other than ddI. * Steroids. * Cytotoxic agents. * Immunosuppressive agents. * Immunomodulators. * 1-Thyroxine. Concurrent Treatment: Excluded: * Radiotherapy. Prior Medication: Excluded within 1 month prior to study entry: * Antiretroviral agents other than ddI (patients may have received prior ddI for no longer than 3 months total). * Steroids. * Cytotoxic agents. * Immunosuppressive agents. * Immunomodulators. Prior Treatment: Excluded: * Radiotherapy within 1 month prior to study entry. Active drug abuse.
Countries
United States