Document Detail


AIDS Clinical Trials Group: phase I/II study of combination 2',3'-dideoxycytidine and zidovudine in patients with acquired immunodeficiency syndrome (AIDS) and advanced AIDS-related complex.
MedLine Citation:
PMID:  2159707     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The dideoxynucleosides 3'-azido-3'-deoxythymidine (zidovudine, AZT) and 2',3'-dideoxycytidine (ddC) are potent inhibitors of human immunodeficiency virus (HIV) in vitro and improve surrogate measures of HIV infection in vivo. Long-term administration of AZT has been associated with significant hematologic toxicity and has resulted in virus with reduced in vitro susceptibility. Although ddC does not have significant hematologic toxicity and has not shown cross-resistance with AZT in vitro, ddC has been associated with a severe dose-related peripheral neuropathy. Given the independent activity of each agent, their non-overlapping toxicity profiles, and the absence of cross-resistance, it was hypothesized that concurrent administration of AZT and ddC in low doses might be at least as active as either drug given individually at higher doses in the treatment of HIV infection. It was further hypothesized that combined low doses of both drugs would reduce the incidence of serious side effects and the development of resistance. A phase I/II dose-finding trial of six different regimens of combination AZT and ddC in persons with acquired immunodeficiency syndrome (AIDS) or advanced AIDS-related complex was initiated to test these hypotheses.
Authors:
T C Meng; M A Fischl; D D Richman
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  The American journal of medicine     Volume:  88     ISSN:  0002-9343     ISO Abbreviation:  Am. J. Med.     Publication Date:  1990 May 
Date Detail:
Created Date:  1990-06-14     Completed Date:  1990-06-14     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  0267200     Medline TA:  Am J Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  27S-30S     Citation Subset:  AIM; IM; X    
Affiliation:
University of California San Diego Treatment Center 92103.
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MeSH Terms
Descriptor/Qualifier:
AIDS-Related Complex / drug therapy*
Acquired Immunodeficiency Syndrome / drug therapy*
Clinical Protocols
Drug Evaluation
Drug Therapy, Combination
Humans
Zalcitabine / administration & dosage,  pharmacokinetics,  therapeutic use*
Zidovudine / administration & dosage,  pharmacokinetics,  therapeutic use*
Chemical
Reg. No./Substance:
30516-87-1/Zidovudine; 7481-89-2/Zalcitabine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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