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Phase II Randomized
Study of Physiologic Testosterone Replacement in Premenopausal, HIV-Positive
Women (continued)
* Protocol Outline: Patients
are randomized to one of three arms:
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Arm I: Patients receive two
placebo transdermal patches applied twice a week (every 3-4 days).
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Arm II: Patients receive
one testosterone transdermal patch and one placebo transdermal patch applied
twice a week (every 3-4 days).
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Arm III: Patients receive
two testosterone transdermal patches applied twice a week (every 3-4 days).
Patients receive 12 weeks
of treatment in the absence of adverse reaction or health deterioration.
Patients are followed on day 1, every two weeks during treatment, and at
the end of the recovery period. Quality of life is assessed before treatment
begins and at weeks 6 and 12.
* Eligibility Criteria-
HIV-positive female (age 18-50)
* Inclusion Criteria-
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Disease Characteristics:
Histologically confirmed premenopausal HIV-positive women who have experienced
5-15% weight loss
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Prior/Concurrent Therapy:
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Endocrine therapy: At least
three months since megestrol, anabolic or androgenic steroids, oral contraceptives,
Depo-Provera; no concurrent hormone replacement therapy
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Other: Concurrent retroviral
or protease inhibitors allowed, dosage must be stable. At least three months
since ketoconazole; At least six weeks since the initiation of protease
inhibitors
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Patient Characteristics
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Hepatic: No significant liver
disease SGOT/SGPT, no greater than three times upper limit of normal (ULN);
Alkaline phosphatase no greater than three times ULN, Bilirubin no greater
than 2 mg/dL
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No medical complications
due to alcohol abuse
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No significant cardiovascular
disease or uncontrolled hypertension
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Other: Testosterone level
(early morning) less than 30 ng/dL
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Normal gastrointestinal function
(as indicated by- absence of diarrhea, normal D-xylose absorption test)
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No- acute opportunistic infections
or infectious illness; malignant disease; history of breast cancer, endometrial
cancer, or history of hyperandrogenic disorders such as: Hirsutism Polycystic
ovary disease; fever; significant respiratory disease; or diabetes
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No illicit drugs within the
past 6 months
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Not pregnant or lactating
Location and Contact
Information:
* Charles R. Drew University
of Medicine and Science, LA, CA, U.S. Recruiting- Shalender Bhasin,
Study Chair, 213/563-9353
*LA County Harbor-UCLA
Medical Center, Torrance, CA, U.S. Recruiting- G. Beall, 310/222-2444
* Washington University
School of Medicine, Saint Louis, MO, U.S. Recruiting- K. Yarashaski,
314/362-9700
Record first received:
October 18, 1999
ClinicalTrials.gov
Identifier: NCT00004400
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