Efficacy and Safety of High-dose Liposomal Amphotericin B for Disseminated Histoplasmosis in AIDS

Trial statusRecruiting
Trial phasePhase 3
Trial typeInterventional
Biological sexAll
Age18+
SponsorFederal University of Health Science of Porto Alegre

About this trial

Phase III trial evaluating the safety and efficacy of a single high dose (10 mg/kg) of liposomal amphotericin B for disseminated histoplasmosis in AIDS patients, in comparison to standard therapy (3 mg/kg of liposomal amphotericin B for two weeks) (INDUCTION trial).

Eligibility criteria

Qualifiers

Adult patients admitted to the centers that will be part of the study

Infected by the HIV, regardless of the use of antiretroviral therapy

Patients diagnosed with disseminated histoplasmosis, confirmed by classical mycological methods (microscopy, culture or histopathology) or urinary Histoplasma antigen detection

Patients with central nervous system (CNS) infection may be included if they have an alternative diagnosis suggestive of another CNS infection

Disqualifiers

Refusal to participate in the trial

Previous diagnosis of histoplasmosis

Pregnant or lactating women

Patients with renal failure at any given time (serum creatinine > 2x or upper limit of normality (KDIGO, 2012)

Trial design

Treatments tested in this trial

  • Single high dose of liposomal amphotericin B
  • L-AmB standard dose

Treatment groups

279 Participants
are divided into 2 treatment groups

Sponsors and collaborators

Federal University of Health Science of Porto Alegre

Lead sponsor

Gilead Sciences

Collaborator

Financiadora de Estudos e Projetos

Collaborator

Sociedade Gaucha de Infectologia

Collaborator

Immuno-mycologics, Inc. (IMMY)

Collaborator