ClinicalTrials.gg
CompletedNCT00000945Updated Oct 29, 2021

A Study to Evaluate the Use of Cidofovir (an Experimental Drug) for the Treatment of Progressive Multifocal Leukoencephalopathy (PML) in AIDS Patients

An interventional study of Cidofovir and Probenecid in HIV Infections and Leukoencephalopathy, Progressive Multifocal, sponsored by National Institute of Allergy and Infectious Diseases (NIAID). Completed at 19 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2021-10-29.

Primary conditionAcquired Immunodeficiency SyndromeRegistry: HIV InfectionsReclassifiedWhy we changed it
Registry
HIV Infections — the first condition term the registry derived for this study.
ClinicalTrials.gg
Acquired Immunodeficiency Syndrome
Why
  1. The study's title name Acquired Immunodeficiency Syndrome, a narrower term within HIV Infections.
Confidence
High: the new condition is named in the study's own title. Of 46 hand-checked studies reclassified this way, 72% were exactly right and 89% in the right disease family; the registry's first term was right for 4% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by National Institute of Allergy and Infectious Diseases (NIAID) · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
24
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to evaluate the safety, tolerance, and overall effectiveness of cidovir to treat PML in AIDS patients.

PML is an opportunistic infection (HIV-associated, due to weak immune system) caused by a virus that attacks the brain. Cidovir has been used effectively to treat cytomegalovirus (CMV) of the eye. Cidovir could be an effective treatment for PML as well.

Read the detailed description

PML is a demyelinating disease of the brain's white matter, occurring when the JC virus infects the brain of patients infected with HIV-1. Cidofovir is known to be an effective treatment for cytomegalovirus of the eye and, in laboratory and animal testing, has also been shown to be effective against several other viruses. However, cidofovir is considered investigational as a treatment for PML.

In this multicenter, open-label study 24 patients receive cidofovir iv over 1 hr on days 0, 7, then every 2 wk for a total of 13 doses.

Oral probenecid is given 3h prior to and 2h and 8h following cidofovir administration. Nucleoside and non-nucleoside reverse transcriptors are withheld on days of probenecid administration. Protease inhibitors are continued during probenecid administration.

02

Conditions studied

  • HIV Infections
  • Leukoencephalopathy, Progressive Multifocal

Keywords

  • Leukoencephalopathy, Progressive Multifocal
  • Probenecid
  • HIV-1
  • Central Nervous System Diseases
  • Acquired Immunodeficiency Syndrome
  • DNA, Viral
  • cidofovir
  • Anti-HIV Agents
  • Neurologic Examination
  • Renal Agents
03

In context

Acquired Immunodeficiency Syndrome Reclassified

3,035 studies on the registry are indexed under Acquired Immunodeficiency Syndrome; 306 are open to participants now.

This study's enrollment of 24 is below the median of 96 across 2,251 interventional studies indexed under Acquired Immunodeficiency Syndrome.

Browse Acquired Immunodeficiency Syndrome studies →

Lead sponsor

National Institute of Allergy and Infectious Diseases (NIAID) is the lead sponsor of 2,446 studies on the registry; 179 are open to participants now.

Of its 405 completed or terminated interventional studies of FDA-regulated products, 302 (75%) have results posted.

Compared within Acquired Immunodeficiency Syndrome, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is HIV Infections. The counts are of registry records indexed under each term, refreshed daily. How we classify →

04

Who can participate

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

You may be eligible for this study if you:

  • Are -positive.
  • Have had symptoms of PML for no more than 90 days before study entry, or have had abnormal neurological exams related to PML.
  • Have negative tests for bacterial or fungal infections.
  • Agree to practice abstinence or use effective methods of during the study.
  • Are at least 18 years old.
  • Have a of at least 6 months.

Exclusion criteria

Exclusion Criteria

You will not be eligible for this study if you:

  • Have a history of uveitis.
  • Are allergic to sulfa drugs or probenecid.
  • Have had active opportunistic infections other than Kaposi's sarcoma within 30 days before study entry.
  • Have sickle cell anemia or trait.
  • Are pregnant or breast-feeding.
Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Enrollment
24 participants

Interventions

06

Study locations

19 sites
  • Univ of Alabama at Birmingham
    Birmingham, Alabama 35294, United States
  • San Francisco AIDS Clinic / San Francisco Gen Hosp
    San Francisco, California 941102859, United States
  • San Francisco Gen Hosp
    San Francisco, California 941102859, United States
  • Univ of Colorado Health Sciences Ctr
    Denver, Colorado 80262, United States
  • Howard Univ
    Washington, District of Columbia 20059, United States
  • Northwestern Univ Med School
    Chicago, Illinois 60611, United States
  • Cook County Hosp
    Chicago, Illinois 60612, United States
  • Rush Presbyterian - Saint Luke's Med Ctr
    Chicago, Illinois 60612, United States
  • Louis A Weiss Memorial Hosp
    Chicago, Illinois 60640, United States
  • Johns Hopkins Hosp
    Baltimore, Maryland 21287, United States
  • SUNY / Erie County Med Ctr at Buffalo
    Buffalo, New York 14215, United States
  • Beth Israel Med Ctr
    New York, New York 10003, United States
  • Bellevue Hosp / New York Univ Med Ctr
    New York, New York 10016, United States
  • Mount Sinai Med Ctr
    New York, New York 10029, United States
  • Univ of Rochester Medical Center
    Rochester, New York 14642, United States
  • Univ of North Carolina
    Chapel Hill, North Carolina 275997215, United States
  • Univ of Kentucky Lexington
    Cincinnati, Ohio 45267, United States
  • Julio Arroyo
    West Columbia, South Carolina 29169, United States
  • Univ of Washington
    Seattle, Washington 98104, United States
07

References and documents

Publications

  • Marra CM, Rajicic N, Barker DE, Cohen BA, Clifford D, Donovan Post MJ, Ruiz A, Bowen BC, Huang ML, Queen-Baker J, Andersen J, Kelly S, Shriver S; Adult AIDS Clinical Trials Group 363 Team. A pilot study of cidofovir for progressive multifocal leukoencephalopathy in AIDS. AIDS. 2002 Sep 6;16(13):1791-7. doi: 10.1097/00002030-200209060-00012. Erratum In: AIDS. 2003 Jan 24;17(2):281. PubMed 12218391 ↗
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 29, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT00000945
Responsible party
Sponsor
First posted
Aug 31, 2001
Completion
Mar 2001
Last update
Oct 29, 2021

Study contacts

Marra CM
study chair
Barker DE
study chair
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Oct 2021. You cannot join it, but the record below documents what was studied.

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