The purpose of this study is to see if it is safe to give tucaresol to HIV-infected patients
who are taking combination anti-HIV therapy (HAART). This study also examines the effect
tucaresol has on viral load (level of HIV in the body) when tucaresol is used with HAART.
Patients are enrolled sequentially into the next available dosage cohort. Each cohort
receives a single dose of tucaresol, is observed for 2 weeks, and then receives 3
alternate-day doses of drug and careful safety monitoring, including 4 weeks follow-up after
the final dose. Dose cohorts receive drug sequentially, the lowest-dose cohort receiving the
drug first. Dose escalation may not proceed to the next higher-dose cohort until all
patients from the prior lower-dose cohort have completed the 4-week follow-up after the
multiple dosing, adverse events are within the described bounds, and the FDA has reviewed
the safety information from the treated cohort and approved the dose escalation. The drug is
administered 4 times within the 8 weeks of the study period. Weekly visits are required.
Patients receive financial compensation.
Patients may be eligible for this study if they:
- Are at least 18 years old.
- Are HIV-positive.
- Have more than 300 CD4 T cells/microL at screening.
- Are taking certain anti-HIV drugs.
- Have been taking these anti-HIV drugs successfully for at least 6 months.
- Do not expect to change their anti-HIV therapy while they are in the study.
- Have had plasma viral load less than 50 copies/ml while on their anti-HIV therapy.
- Have viral load that cannot be detected at screening and baseline tests.
- Are able to complete weekly visits.
Patients will not be eligible for this study if they:
- Cannot give informed consent.
- Have abnormal laboratory test results at baseline.
- Are pregnant or breast-feeding.
- Have had certain short-term or long-term illnesses (such as heart disease, sickle
cell disease, anemia, or lung problems).
- Have received a vaccination within the 30 days prior to enrollment.
- Have received any other experimental drug within 60 days of enrollment.
- Are taking abacavir (Ziagen, GW1592) or drugs that affect the immune system, such as
IL-2, GM-CSF, corticosteroids, or cyclosporine.
- Have a history of tumors.
- Are actively using illegal drugs (methadone is allowed).
- Have hepatitis B or hepatitis C.