Mycobacterium Avium Complex Lung Disease
Conditions
Keywords
MAC
Brief summary
To determine the safety and tolerance of clarithromycin given three times per week in combination with multiple drugs including rifabutin three times per week
Detailed description
Safety and tolerance of clarithromycin given 3 times weekly with multiple drugs including ethambutol and rifampin/rifabutin
Interventions
Clarithromycin three times per week (variable dosage) in combination with multiple drugs including rifabutin or rifampin three times per week (variable dosage). Dosage dependent on age, weight and other patient-specific health factors.
Sponsors
Study design
Eligibility
Inclusion criteria
* Meet American Thoracic Society criteria for nontuberculous mycobacterial lung disease: two or more AFB smear positive, culture positive sputums or bronchoscopic samples and/or two or more AFB smear negative respiratory samples with moderate to heavy growth (2+-4+); abnormal CXR consistent with M. avium lung disease; absence of other potential mycobacterial or fungal lung pathogens (except for the coexistence of M. abscessus). * Adults age 18 and older * Pretreatment isolate of M. avium complex available for MIC determination
Exclusion criteria
* History of allergy to study drugs * If a mensruating female, not pregnant and on adequate birth control. * Children less than 18 years of age * HIV + or at high risk for HIV infection.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Clinical and microbiological outcomes such as clinical symptoms and laboratory cultures | 6 months | sputum conversion culture neg x3 |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Clinical and microbiological outcomes | 1 yr | culture neg 1 yr on treatment |
Countries
United States