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Phase 2 N=40 Randomized Treatment

Impact of Valganciclovir on Severe IRIS-Kaposi Sarcoma Mortality: an Open-label, Parallel, Randomized Controlled-trial.

Kaposi Sarcoma · Human Immunodeficiency Virus · Immune Reconstitution Syndrome

Enrolled (actual)
40
Serious AEs
0.0%
Results posted
Jan 2022
Primary outcome: Primary: Number of Participants Who Died of Immune Reconstitution Inflammatory Syndrome Associated to Kaposi Sarcoma (IRIS-KS) — 0; 3 Participants

Study Design & Population

Study type
Interventional
Phase
Phase 2
Interventions
Valganciclovir (Drug); Antiretroviral Combinations (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
National Institute of Cancerología
Primary completion
Aug 2019

Outcome Measures

OutcomeResultp-value
PRIMARY
Number of Participants Who Died of Immune Reconstitution Inflammatory Syndrome Associated to Kaposi Sarcoma (IRIS-KS)
0; 3

Summary

Kaposi sarcoma (KS) has an unpredictable course, patients with disseminated KS starting combined Antiretroviral Therapy can develop Immune Reconstitution Syndrome (IRIS), with a severe clinical presentation and high mortality (severe-IRIS-KS). The objective of this study is to evaluate the presence of Severe IRIS-KS and it´s attributable mortality in patients with AIDS and disseminated KS with the use of valganciclovir prior to the initiation of cART compared with the standard management of immediate cART initiation.

Eligibility Criteria

Inclusion Criteria

  • Patients will be included with AIDS naïve to antiretroviral therapy and severe KS, who accept to participate and who sign the letter of informed consent.
  • The following are the KS severity criteria: pulmonary compromise, and/or digestive tract compromise, and/or disseminated cutaneous, and/or lymphadenopathic compromise with generalized lymphedema.

Exclusion Criteria

  • Patients with another synchronic malignant neoplasm
  • Patients receiving corticosteroids
  • Patients with active hepatitis B and/or hepatitis C
  • Patients with KS limited to skin with less than 30 lesions.
  • Patients with APACHE II score ≥15 points.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT03296553). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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