To determine whether co-administration of sargramostim (granulocyte-macrophage colony-stimulating factor; GM-CSF) improves tolerance to ganciclovir in patients previously intolerant because of neutropenia defined as an absolute neutrophil count less than 500 cells/mm3. To assess if improved tolerance of ganciclovir is associated with a favorable outcome as defined by a delayed time to progression of retinitis; to confirm the safety and co-administration of ganciclovir and GM-CSF; to assess the changes in the expression of HIV p24 antigen in the serum and number of T4+ lymphocytes in the blood of patients receiving ganciclovir with or without GM-CSF.
Study Type
INTERVENTIONAL
Purpose
TREATMENT
USC School of Medicine / Norris Cancer Hosp
Los Angeles, California, United States
UCLA CARE Ctr
Los Angeles, California, United States
Children's Hosp of San Francisco
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San Francisco, California, United States
Pacific Presbyterian
San Francisco, California, United States
Gottlieb Med Group
Sherman Oaks, California, United States
AIDS Research Consortium of Atlanta
Atlanta, Georgia, United States
Rush Presbyterian - Saint Luke's Med Ctr / Rush Med Coll
Chicago, Illinois, United States
Cabrini Med Ctr
New York, New York, United States
Dr Douglas Dieterich
New York, New York, United States
Saint Luke's - Roosevelt Hosp Ctr
New York, New York, United States
...and 4 more locations