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CompletedNCT00000739Updated Nov 4, 2021

Comparison of Two Dosage Regimens of Oral Dapsone for Prophylaxis of Pneumocystis Carinii Pneumonia in Pediatric HIV Infection

A Phase 1 interventional study of Dapsone in Pneumonia, Pneumocystis Carinii and HIV Infections, sponsored by National Institute of Allergy and Infectious Diseases (NIAID). Completed at 46 sites in 2 countries. Open to participants aged 1 Month to 12 Years. Per ClinicalTrials.gov, last updated 2021-11-04.

Sponsored by National Institute of Allergy and Infectious Diseases (NIAID) · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
96
Ages
1 Month to 12 Years
Sex
All
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Study summary

Primary: To compare the toxicity of daily versus weekly dapsone in HIV-infected infants and children; to study the pharmacokinetics of orally administered dapsone in HIV-infected infants and children.

Secondary: To obtain information on the rate of Pneumocystis carinii pneumonia ( PCP ) breakthrough in children receiving two different dose regimens of dapsone.

Prophylaxis for Pneumocystis carinii pneumonia ( PCP ) is recommended for all HIV-infected children considered to be at high risk. Approximately 15 percent of children are intolerant to trimethoprim / sulfamethoxazole, the first choice drug for PCP prophylaxis. Since many children are also unable to take or tolerate aerosolized pentamidine, dapsone is a second choice for PCP prophylaxis. The most favorable dose regimen for dapsone has not been established.

Read the detailed description

Prophylaxis for Pneumocystis carinii pneumonia ( PCP ) is recommended for all HIV-infected children considered to be at high risk. Approximately 15 percent of children are intolerant to trimethoprim / sulfamethoxazole, the first choice drug for PCP prophylaxis. Since many children are also unable to take or tolerate aerosolized pentamidine, dapsone is a second choice for PCP prophylaxis. The most favorable dose regimen for dapsone has not been established.

Ninety-six HIV-infected infants and children who are intolerant to trimethoprim / sulfamethoxazole ( TMP / SMX ) are randomized to receive oral dapsone in a lower dose once daily or at a higher dose once weekly. Treatment continues until the last patient enrolled has received at least 3 months of therapy. Blood samples are drawn between weeks 4 and 8, at weeks 12 and 24, and every 3 months thereafter during dapsone administration.

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Conditions studied

  • Pneumonia, Pneumocystis Carinii
  • HIV Infections

Keywords

  • Pneumonia, Pneumocystis carinii
  • Dapsone
  • Acquired Immunodeficiency Syndrome
  • AIDS-Related Complex
  • Drug Administration Schedule
03

In context

Infections

6,687 studies on the registry are indexed under Infections; 807 are open to participants now.

This study's enrollment of 96 is below the median of 120 across 4,200 interventional studies indexed under Infections.

Browse 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
1 Month to 12 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

Concurrent Medication:

Allowed:

  • Rifampin and rifampin derivatives for up to 1 week during the study.
  • Rifabutin or other drugs that could alter dapsone metabolism (if prescribed by the child's primary care physician).

Patients must have:

  • Evidence of HIV infection.

PER AMENDMENT 11/16/95:

  • Children who require prophylaxis. (Was written - Risk of developing PCP.)
  • Known intolerance to TMP / SMX.
  • Consent of parent or guardian. Patients entering this study may be co-enrolled in other ACTG pediatric studies.

Exclusion criteria

Exclusion Criteria

Co-existing Condition:

Patients with the following symptoms and conditions are excluded:

  • Glucose-6-phosphate dehydrogenase deficiency.
  • Known allergy to dapsone.

Concurrent Medication:

Excluded:

  • Rifampin, rifampin derivatives, or oxidant drugs for more than 1 week.

Patients with the following prior conditions are excluded:

  • Serious or life-threatening reactions to TMP / SMX (e.g., anaphylaxis, Stevens-Johnson syndrome, hypotension) that would contraindicate therapy with sulfa drugs.

Prior Medication:

Excluded:

  • Prior dapsone.
  • Rifampin, rifampin derivatives, or oxidant drugs within 1 week prior to study entry.
  • TMP / SMX within 7 days prior to study entry (and toxicity must be clearly resolving).

Prior Treatment:

Excluded:

  • RBC transfusion within 4 weeks prior to study entry.
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Study design

Phase
Phase 1
Primary purpose
Treatment
Intervention model
Parallel assignment
Enrollment
96 participants

Interventions

  • DrugDapsone
06

Study locations

46 sites
  • Long Beach Memorial Med. Ctr., Miller Children's Hosp.
    Long Beach, California 90801, United States
  • Usc La Nichd Crs
    Los Angeles, California 90033, United States
  • UCLA-Los Angeles/Brazil AIDS Consortium (LABAC) CRS
    Los Angeles, California 90095, United States
  • Children's Hosp. & Research Ctr. Oakland, Ped. Clinical Research Ctr. & Research Lab.
    Oakland, California 94609, United States
  • UCSD Maternal, Child, and Adolescent HIV CRS
    San Diego, California 92093, United States
  • Harbor - UCLA Med. Ctr. - Dept. of Peds., Div. of Infectious Diseases
    Torrance, California 90502, United States
  • Univ. of Colorado Denver NICHD CRS
    Aurora, Colorado 80218, United States
  • Children's National Med. Ctr., ACTU
    Washington, District of Columbia 20010, United States
  • Howard Univ. Washington DC NICHD CRS
    Washington, District of Columbia 20060, United States
  • Univ. of Florida Jacksonville NICHD CRS
    Jacksonville, Florida 32209, United States
  • Univ. of Miami Ped. Perinatal HIV/AIDS CRS
    Miami, Florida 33161, United States
  • Emory Univ. School of Medicine, Dept. of Peds., Div. of Infectious Diseases
    Atlanta, Georgia 30306, United States
  • Cook County Hosp.
    Chicago, Illinois 60612, United States
  • Chicago Children's CRS
    Chicago, Illinois 60614, United States
  • Univ. of Chicago - Dept. of Peds., Div. of Infectious Disease
    Chicago, Illinois 60637, United States
  • Univ. of Illinois College of Medicine at Chicago, Dept. of Peds
    Chicago, Illinois, United States
  • Tulane/LSU Maternal/Child CRS
    New Orleans, Louisiana 70112, United States
  • HMS - Children's Hosp. Boston, Div. of Infectious Diseases
    Boston, Massachusetts 02115, United States
  • BMC, Div. of Ped Infectious Diseases
    Boston, Massachusetts 02118, United States
  • Baystate Health, Baystate Med. Ctr.
    Springfield, Massachusetts 01199, United States
  • WNE Maternal Pediatric Adolescent AIDS CRS
    Worcester, Massachusetts 01655, United States
  • Children's Hospital of Michigan NICHD CRS
    Detroit, Michigan 48201, United States
  • UMDNJ - Robert Wood Johnson
    New Brunswick, New Jersey 08903, United States
  • St. Joseph's Hosp. & Med. Ctr. of New Jersey
    Paterson, New Jersey 07103, United States
  • SUNY Downstate Med. Ctr., Children's Hosp. at Downstate NICHD CRS
    Brooklyn, New York 11203, United States
  • North Shore-Long Island Jewish Health System, Dept. of Peds.
    Great Neck, New York 11021, United States
  • Schneider Children's Hosp., Div. of Infectious Diseases
    New Hyde Park, New York 11040, United States
  • NYU Med. Ctr., Dept. of Medicine
    New York, New York 10016, United States
  • Columbia IMPAACT CRS
    New York, New York 10032, United States
  • Incarnation Children's Ctr.
    New York, New York 10032, United States
  • Harlem Hosp. Ctr. NY NICHD CRS
    New York, New York 10037, United States
  • Univ. of Rochester ACTG CRS
    Rochester, New York 14642, United States
  • Strong Memorial Hospital Rochester NY NICHD CRS
    Rochester, New York, United States
  • SUNY Stony Brook NICHD CRS
    Stony Brook, New York 11794, United States
  • SUNY Upstate Med. Univ., Dept. of Peds.
    Syracuse, New York 13210, United States
  • DUMC Ped. CRS
    Durham, North Carolina 27710, United States
  • Case CRS
    Cleveland, Ohio, United States
  • The Children's Hosp. of Philadelphia IMPAACT CRS
    Philadelphia, Pennsylvania 19104, United States
  • St. Christopher's Hosp. for Children
    Philadelphia, Pennsylvania 19134, United States
  • Med. Univ. of South Carolina, Div. of Ped. Infectious Diseases
    Charleston, South Carolina 2942, United States
  • St. Jude/UTHSC CRS
    Memphis, Tennessee 38105, United States
  • Childrens Hosp. of the Kings Daughters
    Norfolk, Virginia 23507, United States
  • UW School of Medicine - CHRMC
    Seattle, Washington 98105, United States
  • Univ. Hosp. Ramón Ruiz Arnau, Dept. of Peds
    Bayamon, Puerto Rico
  • San Juan City Hosp. PR NICHD CRS
    San Juan, 00936, Puerto Rico
  • Univ. of Puerto Rico Ped. HIV/AIDS Research Program CRS
    San Juan, Puerto Rico
07

References and documents

Publications

  • Mirochnick M, Cooper E, McIntosh K. Pharmacokinetics of daily and weekly dapsone in HIV-infected children. Conf Retroviruses Opportunistic Infect. 1996 Jan 28-Feb 1;3rd:159
  • Mirochnick M, Cooper E, Mcintosh K. Pharmacokinetics of daily and weekly dapsone in HIV-infected children. ACTG Protocol 179 Team. American Pediatric Association and Society for Pediatric Research annual meeting; 1996 May 6-10; Washington, D.C. Pediatr AIDS HIV Infect. 1996 Aug;7(4):280 (unnumbered abstract)
  • Perrier M, Schwarz T, Gonzalez O, Brounts S. Squamous cell carcinoma invading the right temporomandibular joint in a Belgian mare. Can Vet J. 2010 Aug;51(8):885-7. PubMed 21037891 ↗
  • McIntosh K, Cooper E, Xu J, Mirochnick M, Lindsey J, Jacobus D, Mofenson L, Yogev R, Spector SA, Sullivan JL, Sacks H, Kovacs A, Nachman S, Sleasman J, Bonagura V, McNamara J. Toxicity and efficacy of daily vs. weekly dapsone for prevention of Pneumocystis carinii pneumonia in children infected with human immunodeficiency virus. ACTG 179 Study Team. AIDS Clinical Trials Group. Pediatr Infect Dis J. 1999 May;18(5):432-9. doi: 10.1097/00006454-199905000-00007. PubMed 10353516 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 4, 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
NCT00000739
Lead sponsor
National Institute of Allergy and Infectious Diseases (NIAID)
Collaborators
Jacobus Pharmaceutical
Responsible party
Sponsor
First posted
Aug 31, 2001
Completion
Jun 1998
Last update
Nov 4, 2021

Study contacts

McIntosh K
study chair
Cooper E
study chair
View the source record on ClinicalTrials.gov ↗

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