HIV Infections, Pneumonia, Pneumocystis Carinii
Conditions
Keywords
AIDS-Related Opportunistic Infections, Pneumonia, Pneumocystis carinii, Pentamidine, Dose-Response Relationship, Drug, Aerosols, Acquired Immunodeficiency Syndrome
Brief summary
To evaluate and compare the safety, tolerability, and efficacy of biweekly administration of 1 of 3 doses of aerosol pentamidine when used as a prophylactic agent in patients who have recovered from their first episode of AIDS-associated Pneumocystis carinii pneumonia (PCP).
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
Concurrent Medication: Allowed: * Zidovudine (AZT).
Exclusion criteria
Co-existing Condition: Patients with the following are excluded: * Requiring ongoing active therapy for an opportunistic infection (O.I.) at time of entry or those with either of the following AIDS-defining O.I.'s prior to entry: * Toxoplasmosis. * Cryptococcosis. * Transfusion dependent (requiring blood transfusion more than once per month). The last transfusion cannot have been given within 7 days of study entry. * Pulmonary Kaposi's sarcoma (KS). * Asthma requiring medication. * Active therapy for tuberculosis. Concurrent Medication: Excluded: * Active therapy for tuberculosis. Patients with the following are excluded: * Requiring ongoing active therapy for an opportunistic infection (O.I.) at time of entry or those with either of the following AIDS-defining O.I.'s prior to entry: * Toxoplasmosis. * Cryptococcosis. * Transfusion dependent (requiring blood transfusion more than once per month). The last transfusion cannot have been given within 7 days of study entry. * Pulmonary Kaposi's sarcoma (KS). * Unwilling to sign informed consent. * Cannot cooperate with study procedures. * Asthma requiring medication. Prior Medication: Excluded within 30 days of study entry: * Antiretrovirals other than zidovudine (AZT). * Immunomodulating agents. * Corticosteroids. Patients must: * Have AIDS and recovered from their first episode of cytologically or histologically proven Pneumocystis carinii pneumonia (PCP). * Be at least 2 weeks and no more than 24 weeks status post therapy for acute PCP. * Have positive antibody to HIV by any federally licensed ELISA test kit, or confirmed Western blot test. * Have adequate pulmonary function (vital capacity = or \> 80 percent of predicted; forced expiratory volume (FEV), 1 s = or \> 65 percent of total FEV; and corrected pulmonary diffusion capacity \> 60 percent of predicted). * Free of acute medical problems. Active substance abuse.
Countries
United States