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21 March 2013 
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An open, randomised trial to compare desensitisation with rechallenge when restarting co-trimoxazole as prophylaxis against pneumocystis carinii pneumonia (PCP) in patients with Human Immunodeficiency Virus (HIV) infection and a history of mild to moderate cutaneous and/or febrile reactions to co-trimoxazole
ISRCTN ISRCTN74775699
DOI 10.1186/ISRCTN74775699
ClinicalTrials.gov identifier
EudraCT number
Public title An open, randomised trial to compare desensitisation with rechallenge when restarting co-trimoxazole as prophylaxis against pneumocystis carinii pneumonia (PCP) in patients with Human Immunodeficiency Virus (HIV) infection and a history of mild to moderate cutaneous and/or febrile reactions to co-trimoxazole
Scientific title
Acronym The COTOX trial
Serial number at source G9703068
Study hypothesis To determine the best strategy to enable patients with past or current reactions on co-trimoxazole to be able to continue taking co-trimoxazole. (Co-trimoxazole is significantly better than alternative drugs for PCP prophylaxis)
Lay summary Not provided at time of registration
Ethics approval Not provided at time of registration
Study design Randomised controlled trial
Countries of recruitment United Kingdom
Disease/condition/study domain HIV, Acquired Immunodeficiency Syndrome (AIDS)
Participants - inclusion criteria 1. Past or current severe reactions to co-trimoxazole
2. Other severe skin conditions
3. Creatinine above 250 micromoles/l, Alanine Aminotransferase (ALT)/Aspartate Aminotransferase (AST) above five times local limit
4. Haemoglobin below 10.5 g/dl, neutrophils below 0.75, platelets below 50
Participants - exclusion criteria Not provided at time of registration
Anticipated start date 01/04/1998
Anticipated end date 01/04/2001
Status of trial Completed
Patient information material
Target number of participants 388
Interventions Co-trimoxazole/desensitisation/direct rechallenge
Primary outcome measure(s) Proportion of patients still taking co-trimoxazole four and 24 weeks after trial entry
Secondary outcome measure(s) Not provided at time of registration
Sources of funding Medical Research Council (MRC) (UK)
Trial website
Publications
Contact name Dr  Sheena  McCormack
  Address MRC Clinical Trials Unit
222 Euston Road
  City/town London
  Zip/Postcode NW1 2DA
  Country United Kingdom
Sponsor Medical Research Council (MRC) (UK)
  Address 20 Park Crescent
  City/town London
  Zip/Postcode W1B 1AL
  Country United Kingdom
  Tel +44 (0)20 7636 5422
  Fax +44 (0)20 7436 6179
  Email clinical.trial@headoffice.mrc.ac.uk
  Sponsor website: http://www.mrc.ac.uk
Date applied 03/10/2000
Last edited 05/11/2012
Date ISRCTN assigned 03/10/2000
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