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CompletedNCT00000736Updated Nov 3, 2021

Safety and Efficacy of Zidovudine for Asymptomatic HIV-Infected Individuals

A Phase 3 interventional study of Zidovudine in HIV Infections, sponsored by National Institute of Allergy and Infectious Diseases (NIAID). Completed at 43 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2021-11-03.

Sponsored by National Institute of Allergy and Infectious Diseases (NIAID) · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
3,200
Ages
18 Years and older
Sex
All
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Study summary

To determine if treatment with zidovudine (AZT) will delay or prevent the onset of AIDS or AIDS related complex (ARC) in individuals infected with HIV but who do not have symptoms of AIDS or ARC. Also, to compare the dose of AZT found to be useful in AIDS and severe ARC with a lower dose to see if side effects can be reduced.

Results from several studies show that a high percentage of people infected with HIV will eventually develop AIDS or ARC unless an effective treatment is found. Because AZT is known to prolong survival in patients with AIDS or severe ARC and has acceptable toxicity in advanced disease, it is reasonable to try it in less advanced cases.

Read the detailed description

Results from several studies show that a high percentage of people infected with HIV will eventually develop AIDS or ARC unless an effective treatment is found. Because AZT is known to prolong survival in patients with AIDS or severe ARC and has acceptable toxicity in advanced disease, it is reasonable to try it in less advanced cases.

Patients entered in the study are randomly assigned to one of two doses of AZT or to placebo (inactive medication). Patients take 3 capsules 5 times a day (every 4 hours from 8 am until 12 pm).

The capsules contain either AZT or placebo and are identical in appearance so that neither patient nor physician knows which treatment the patient is receiving. The higher dose corresponds to the dose found to be useful in patients with AIDS or severe ARC. Patients visit the clinic every 2 weeks for the first 16 weeks, then once a month after that for evaluation. Treatment will continue until the results from the study have been analyzed, which could be as long as 3 years. If side effects occur, the dose of study medication will be decreased or temporarily stopped. If the side effects are severe, then study medication will be stopped permanently.

AMENDED: Effective with Version 4 (900226), dosing for ALL patients on Phase 2 study drug, regardless of CD4+ substudy, will proceed as open-label AZT. Original treatment assignments employed in the > 500 cells/mm3 substudy during the period from August 16, 1989 through the release of this new version. Also, toxicity management and dose modification of AZT for patients receiving Phase 2 study drug have been changed.

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Conditions studied

  • HIV Infections

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Keywords

  • Acquired Immunodeficiency Syndrome
  • AIDS-Related Complex
  • Zidovudine
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In context

HIV Infections

4,258 studies on the registry are indexed under HIV Infections; 240 are open to participants now.

This study's enrollment of 3,200 is above the median of 83 across 3,251 interventional studies indexed under HIV Infections.

Browse HIV Infections studies →

Lead sponsor

National Institute of Allergy and Infectious Diseases (NIAID) is the lead sponsor of 2,401 studies on the registry; 179 are open to participants now.

Of its 396 completed or terminated interventional studies of FDA-regulated products, 294 (74%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

Patients must:

  • Be HIV seropositive and asymptomatic.
  • Have normal neurologic exam as defined by the Micro Neuro-AIDS assessment.

Concurrent Medication

  • Required: Prophylaxis for Pneumocystis carinii pneumonia (PCP). Aerosolized pentamidine is preferred but if not possible, Trimethoprim / sulfamethoxazole 1 DS tablet per day or Dapsone 50 - 100 mg per day is allowed.

Exclusion criteria

Exclusion Criteria

  • Active drug or alcohol abuse sufficient to prevent adequate compliance with study therapy in the investigator's opinion.

Co-existing Condition:

Patients with the following diseases or conditions are excluded:

  • Hemophilia.
  • Oral candida infection documented by morphology or by response to antifungal therapy within 2 years of study entry.
  • Oral hairy leukoplakia at any time prior to study entry.
  • Herpes zoster infection (including single dermatome infection) within 2 years of study entry.
  • Active diarrhea as defined by 3 or more liquid stools per day.
  • Temperature > 37.8 degrees C.
  • Grade 1 impairment on two or more items (mild AIDS dementia complex) in the ACTG Micro Neuro-AIDS Assessment.
  • Prior history of malignancy other than cutaneous basal cell carcinomas or cervical carcinoma in situ.

Patients with the following are excluded from entry:

  • AIDS or AIDS-related complex defining symptoms.
  • Significant, chronic underlying medical illnesses which would impair continuous participation in this 3-year clinical trial.
  • Hemophilia.

Prior Medication: Excluded:

  • Chemoprophylaxis for Pneumocystis carinii pneumonia (PCP).
  • Other experimental medications.
  • Excluded within 60 days of study entry:
  • Antiretroviral drugs or immunomodulators (biologic response modifiers).
  • Excluded within 120 days of study entry:
  • Systemic corticosteroids.

Prior Treatment: Excluded within 3 months of study entry:

  • Blood transfusion.
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Study design

Phase
Phase 3
Primary purpose
Treatment
Masking
Double
Enrollment
3,200 participants

Interventions

  • DrugZidovudine
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Study locations

43 sites
  • Los Angeles County - USC Med Ctr
    Los Angeles, California 90033, United States
  • UCLA CARE Ctr
    Los Angeles, California 90095, United States
  • Summitt Med Ctr / San Francisco Gen Hosp
    Oakland, California 94609, United States
  • Palo Alto Veterans Adm Med Ctr / Stanford Univ
    Palo Alto, California 94304, United States
  • Univ of California / San Diego Treatment Ctr
    San Diego, California 921036325, United States
  • San Francisco AIDS Clinic / San Francisco Gen Hosp
    San Francisco, California 941102859, United States
  • Stanford at Kaiser / Kaiser Permanente Med Ctr
    San Francisco, California 94115, United States
  • Children's Hosp of San Francisco
    San Francisco, California 94118, United States
  • San Francisco AIDS Clinic
    San Francisco, California 94143, United States
  • Stanford Univ School of Medicine
    Stanford, California 94305, United States
  • Harbor UCLA Med Ctr
    Torrance, California 90502, United States
  • George Washington Univ Med Ctr
    Washington, District of Columbia 20037, United States
  • Northwestern Univ Med School
    Chicago, Illinois 60611, United States
  • Rush Presbyterian - Saint Luke's Med Ctr
    Chicago, Illinois 60612, United States
  • Johns Hopkins Hosp
    Baltimore, Maryland 21287, United States
  • Harvard (Massachusetts Gen Hosp)
    Boston, Massachusetts 02114, United States
  • Beth Israel Deaconess - West Campus
    Boston, Massachusetts 02215, United States
  • Beth Israel Deaconess Med Ctr
    Boston, Massachusetts 02215, United States
  • Univ of Minnesota
    Minneapolis, Minnesota 55455, United States
  • St Louis Regional Hosp / St Louis Regional Med Ctr
    Saint Louis, Missouri 63112, United States
  • Bronx Municipal Hosp Ctr/Jacobi Med Ctr
    Bronx, New York 10461, United States
  • Jack Weiler Hosp / Bronx Municipal Hosp
    Bronx, New York 10465, United States
  • Montefiore Med Ctr / Bronx Municipal Hosp
    Bronx, New York 10467, United States
  • Bronx Veterans Administration / Mount Sinai Hosp
    Bronx, New York 10468, United States
  • SUNY / Erie County Med Ctr at Buffalo
    Buffalo, New York 14215, United States
  • City Hosp Ctr at Elmhurst / Mount Sinai Hosp
    Elmhurst, New York 11373, United States
  • Beth Israel Med Ctr / Peter Krueger Clinic
    New York, New York 10003, United States
  • Bellevue Hosp / New York Univ Med Ctr
    New York, New York 10016, United States
  • Cornell Univ Med Ctr
    New York, New York 10021, United States
  • Mem Sloan - Kettering Cancer Ctr
    New York, New York 10021, United States
  • Saint Luke's - Roosevelt Hosp Ctr
    New York, New York 10025, United States
  • Mount Sinai Med Ctr
    New York, New York 10029, United States
  • Univ of Rochester Medical Center
    Rochester, New York 14642, United States
  • SUNY - Stony Brook
    Stony Brook, New York 117948153, United States
  • SUNY / State Univ of New York
    Syracuse, New York 13210, United States
  • Duke Univ Med Ctr
    Durham, North Carolina 27710, United States
  • Holmes Hosp / Univ of Cincinnati Med Ctr
    Cincinnati, Ohio 452670405, United States
  • Univ Hosp of Cleveland / Case Western Reserve Univ
    Cleveland, Ohio 44106, United States
  • Columbus Children's Hosp
    Columbus, Ohio 432052696, United States
  • Ohio State Univ Hosp Clinic
    Columbus, Ohio 432101228, United States
  • Univ of Pittsburgh Med School
    Pittsburgh, Pennsylvania, United States
  • Julio Arroyo
    West Columbia, South Carolina 29169, United States
  • Univ of Washington
    Seattle, Washington 98105, United States
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References and documents

Publications

  • Volberding PA, Lagakos SW, Grimes JM, Stein DS, Balfour HH Jr, Reichman RC, Bartlett JA, Hirsch MS, Phair JP, Mitsuyasu RT, et al. The duration of zidovudine benefit in persons with asymptomatic HIV infection. Prolonged evaluation of protocol 019 of the AIDS Clinical Trials Group. JAMA. 1994 Aug 10;272(6):437-42. PubMed 7913730 ↗
  • Choi S, Lagakos SW, Schooley RT, Volberding PA. CD4+ lymphocytes are an incomplete surrogate marker for clinical progression in persons with asymptomatic HIV infection taking zidovudine. Ann Intern Med. 1993 May 1;118(9):674-80. doi: 10.7326/0003-4819-118-9-199305010-00003. PubMed 8096373 ↗
  • Volberding PA, Lagakos SW, Grimes JM, Stein DS, Rooney J, Meng TC, Fischl MA, Collier AC, Phair JP, Hirsch MS, et al. A comparison of immediate with deferred zidovudine therapy for asymptomatic HIV-infected adults with CD4 cell counts of 500 or more per cubic millimeter. AIDS Clinical Trials Group. N Engl J Med. 1995 Aug 17;333(7):401-7. doi: 10.1056/NEJM199508173330701. PubMed 7616988 ↗
  • Vella S, Giuliano M, Dally LG, Agresti MG, Tomino C, Floridia M, Chiesi A, Fragola V, Moroni M, Piazza M, et al. Long-term follow-up of zidovudine therapy in asymptomatic HIV infection: results of a multicenter cohort study. The Italian Zidovudine Evaluation Group. J Acquir Immune Defic Syndr (1988). 1994 Jan;7(1):31-8. PubMed 7903380 ↗
  • Volberding PA, Lagakos SW, Koch MA, Pettinelli C, Myers MW, Booth DK, Balfour HH Jr, Reichman RC, Bartlett JA, Hirsch MS, et al. Zidovudine in asymptomatic human immunodeficiency virus infection. A controlled trial in persons with fewer than 500 CD4-positive cells per cubic millimeter. The AIDS Clinical Trials Group of the National Institute of Allergy and Infectious Diseases. N Engl J Med. 1990 Apr 5;322(14):941-9. doi: 10.1056/NEJM199004053221401. PubMed 1969115 ↗
  • Volberding P. The value of the CD4+ count of 500 cells/microliters. Drugs. 1995;49 Suppl 1:4-8; discussion 38-40. doi: 10.2165/00003495-199500491-00004. PubMed 7614901 ↗
  • Lenderking WR, Gelber RD, Cotton DJ, Cole BF, Goldhirsch A, Volberding PA, Testa MA. Evaluation of the quality of life associated with zidovudine treatment in asymptomatic human immunodeficiency virus infection. The AIDS Clinical Trials Group. N Engl J Med. 1994 Mar 17;330(11):738-43. doi: 10.1056/NEJM199403173301102. PubMed 7906386 ↗
  • Wu AW, Rubin HR, Mathews WC, Ware JE Jr, Brysk LT, Hardy WD, Bozzette SA, Spector SA, Richman DD. A health status questionnaire using 30 items from the Medical Outcomes Study. Preliminary validation in persons with early HIV infection. Med Care. 1991 Aug;29(8):786-98. doi: 10.1097/00005650-199108000-00011. PubMed 1875745 ↗
  • Jacobson MA, Gundacker H, Hughes M, Fischl M, Volberding P. Zidovudine side effects as reported by black, Hispanic, and white/non-Hispanic patients with early HIV disease: combined analysis of two multicenter placebo-controlled trials. J Acquir Immune Defic Syndr Hum Retrovirol. 1996 Jan 1;11(1):45-52. doi: 10.1097/00042560-199601010-00006. PubMed 8528732 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 3, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00000736
Lead sponsor
National Institute of Allergy and Infectious Diseases (NIAID)
Responsible party
Sponsor
First posted
Aug 31, 2001
Completion
Feb 1995
Last update
Nov 3, 2021

Study contacts

Volberding P
study chair
View the source record on ClinicalTrials.gov ↗

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