Cryptosporidiosis, HIV Infections
Conditions
Keywords
Antidiarrheals, Cryptosporidiosis, Diarrhea, Acquired Immunodeficiency Syndrome, Cryptosporidium, Immunization, Passive
Brief summary
PRIMARY: To assess the effect of bovine anti-Cryptosporidium immunoglobulin (BACI) on the volume of diarrhea due to Cryptosporidium parvum in AIDS patients who have protracted Cryptosporidium enteritis. SECONDARY: To assess changes in stool consistency and frequency, body weight, and safety in this patient population.
Detailed description
Forty patients are randomized to receive either BACI or placebo (bovine colostrum from non-immunized cattle) for 1 week. The double-blind portion of the study will be followed by an open-label phase in which all 40 patients receive BACI for 1 week.
Interventions
Sponsors
Univax Biologics Inc
Study design
Primary purpose
TREATMENT
Masking
DOUBLE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Concurrent Medication: Allowed: * Antidiarrheal compounds (if dose remains stable). * Zidovudine (AZT), dideoxyinosine (ddI), dideoxycytidine (ddC), or alternative HIV therapy (provided dose was stable for at least 4 weeks prior to study entry). Patients must have: * AIDS. * Cryptosporidium parvum enteritis. * Chronic diarrhea. * Life expectancy of at least 4 weeks. * Ability to tolerate food by mouth. * Ability to take the histamine H2-receptor antagonist famotidine (Pepcid). Prior Medication: Allowed: * Antidiarrheal compounds (provided dose has remained stable in the 7 days prior to study entry). * Zidovudine (AZT), dideoxyinosine (ddI), dideoxycytidine (ddC), or alternative HIV therapy (provided dose has remained stable for at least 4 weeks prior to study entry).
Exclusion criteria
Co-existing Condition: Patients with the following symptoms or conditions are excluded: * Concurrent unresolved clinical infections with enteric pathogens other than C. parvum (e.g., rotavirus, Salmonella, Shigella, Campylobacter, Giardia, C. difficile toxin, Yersinia, amebiasis, MAI, CMV, Microsporida) as determined by history or routine microbiology screening. * Other acute infections or concurrent immediately life-threatening medical crisis other than cryptosporidiosis. * Grossly bloody diarrhea. * Known allergy to milk or milk products (other than lactose intolerance). Prior Medication: Excluded: * Other experimental therapy (e.g., macrolide antibiotics, paromomycin) within 30 days prior to study entry.
Countries
United States
Outcome results
None listed