CClinicalTrials.gg
CompletedNCT00001027Updated Nov 1, 2021

A Study of Pentamidine in the Prevention of Pneumocystis Carinii Pneumonia (PCP) in HIV-Infected Children Who Cannot Take Trimethoprim-Sulfamethoxazole

A Phase 1 interventional study of Pentamidine isethionate in Pneumonia, Pneumocystis Carinii and HIV Infections, sponsored by National Institute of Allergy and Infectious Diseases (NIAID). Completed at 13 sites in 2 countries. Open to participants aged 1 Month to 6 Years. Per ClinicalTrials.gov, last updated 2021-11-01.

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

Phase
Phase 1
Study type
Interventional
Enrollment
32
Ages
1 Month to 6 Years
Sex
All
01

Study summary

Primary: To compare the pharmacokinetics of biweekly and monthly dose regimens of intravenous pentamidine in HIV-infected infants and children who require PCP prophylaxis and who are intolerant to oral trimethoprim - sulfamethoxazole. To determine the safety and tolerance of these regimens in this patient population.

Secondary: To obtain information on the rate of PCP breakthrough in infants and children receiving parenteral pentamidine prophylaxis.

Prophylaxis against Pneumocystis carinii pneumonia is recommended for all HIV-infected children considered to be at high risk. In children younger than 5 years of age with intolerance to trimethoprim - sulfamethoxazole, parenteral pentamidine may be a successful alternative.

Read the detailed description

Prophylaxis against Pneumocystis carinii pneumonia is recommended for all HIV-infected children considered to be at high risk. In children younger than 5 years of age with intolerance to trimethoprim - sulfamethoxazole, parenteral pentamidine may be a successful alternative.

Thirty-two children are randomized to one of two treatment arms. Patients receive pentamidine on either a biweekly or a monthly treatment schedule. Treatment continues until the last child enrolled has received at least 6 months of pentamidine. Patients are stratified according to age \< 24 months or age >= 24 months. Steady-state pharmacokinetics will be examined in a subsample of 20 patients.

02

Conditions studied

  • Pneumonia, Pneumocystis Carinii
  • HIV Infections

Keywords

  • Pneumonia, Pneumocystis carinii
  • Pentamidine
  • Acquired Immunodeficiency Syndrome
  • AIDS-Related Complex
03

In context

Pneumonia

2,044 studies on the registry are indexed under Pneumonia; 283 are open to participants now.

This study's enrollment of 32 is below the median of 106 across 1,247 interventional studies indexed under Pneumonia.

Browse Pneumonia 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.

04

Who can participate

Ages eligible
1 Month to 6 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

Concurrent Medication:

Allowed:

  • Steroids and intravenous immune globulin (IVIG).

Patients must have:

  • Documented HIV infection.
  • Need for PCP prophylaxis.
  • Known intolerance to trimethoprim - sulfamethoxazole (TMP-SMX).

One of the following required conditions:

  • Known intolerance or allergy to dapsone; G6PD deficiency; history of serious or life-threatening reaction to TMP-SMX; exclusion from protocol ACTG 179; election by parent not to enroll child on ACTG 179; or receiving medical care at sites not participating in ACTG 179.

NOTE:

  • Co-enrollment in other ACTG pediatric studies is permitted.

Consent of parent or guardian is required.

Prior Medication:

Allowed:

  • Prior pentamidine.

Exclusion criteria

Exclusion Criteria

Co-existing Condition:

Patients with the following symptoms and conditions are excluded:

  • Active PCP.
  • Pancreatitis defined as amylase elevation associated with an elevated lipase that is > 2 x upper limit of normal.

Prior Medication:

Excluded:

  • TMP-SMX or dapsone within 7 days prior to study entry (toxicities to TMP-SMX or dapsone must be clearly resolving).
05

Study design

Phase
Phase 1
Primary purpose
Treatment
Enrollment
32 participants

Interventions

  • DrugPentamidine isethionate
06

Study locations

13 sites
  • 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, 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
  • Chicago Children's CRS
    Chicago, Illinois 60614, United States
  • Univ. of Chicago - Dept. of Peds., Div. of Infectious Disease
    Chicago, Illinois 60637, United States
  • Tulane/LSU Maternal/Child CRS
    New Orleans, Louisiana 70112, United States
  • NYU Med. Ctr., Dept. of Medicine
    New York, New York 10016, United States
  • Harlem Hosp. Ctr. NY NICHD CRS
    New York, New York 10037, United States
  • SUNY Upstate Med. Univ., Dept. of Peds
    Syracuse, New York, United States
  • 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

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 1, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
08

Registry details

Key details

Study ID
NCT00001027
Lead sponsor
National Institute of Allergy and Infectious Diseases (NIAID)
Collaborators
Fujisawa Pharmaceutical Co
Responsible party
Sponsor
First posted
Aug 31, 2001
Completion
Sep 1996
Last update
Nov 1, 2021

Study contacts

Van Dyke R
study chair
Pramberg J
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.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion