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Primary prevention of invasive cryptococcal disease using fluconazole prophylaxis in Human Immunodeficiency Virus (HIV) infected Ugandans
ISRCTN ISRCTN76481529
ClinicalTrials.gov identifier
Public title Primary prevention of invasive cryptococcal disease using fluconazole prophylaxis in Human Immunodeficiency Virus (HIV) infected Ugandans
Scientific title
Acronym CRYPTOPRO-UGANDA
Serial number at source G0100035
Study hypothesis Designed to determine whether routine use of fluconazole primary prophylaxis in HIV-infected African patients with relatively advanced HIV disease reduces the incidence of and mortality from invasive cryptococcal disease.
Lay summary Not provided at time of registration
Ethics approval Not provided at time of registration
Study design Randomised controlled trial
Countries of recruitment Uganda
Disease/condition/study domain HIV, Acquired Immunodeficiency Syndrome (AIDS)
Participants - inclusion criteria 1. Inclusion: adults (age >15)
2. CD4 count below 200 cells
3. Giving informed consent to the study
Participants - exclusion criteria 1. Pregnancy
2. Previous cryptococcal disease
3. Symptoms/signs suggestive of cryptococcal disease or a positive serum cryptococcal antigen test
4. Moribund or bedbound patients who are terminally ill
5. Current antiretroviral therapy
Anticipated start date 01/10/2003
Anticipated end date 31/03/2007
Status of trial Completed
Patient information material Not available in web format, please use the contact details below to request a patient information sheet
Target number of participants 590
Interventions The trial will take place in TASO Masaka in collaboration with the MRC Programme on AIDS in Uganda and will last for 3.5 years in total. A cohort of 590 non-pregnant adults will be randomised 1:1 to placebo or fluconazole over 18 months. Fluconazole 200 mg three times a week will be compared to placebo.
Primary outcome measure(s) The primary endpoints of the trial will be invasive cryptococcal disease and mortality attributable to cryptococcal disease.
Secondary outcome measure(s) Not provided at time of registration
Sources of funding Medical Research Council (MRC) (UK)
Trial website
Publications 2011 results in http://www.ncbi.nlm.nih.gov/pubmed/21982529
Contact name Prof  David  Lalloo
  Address Liverpool School of Tropical Medicine
Pembroke Place
  City/town Liverpool
  Zip/Postcode L3 5QA
  Country United Kingdom
  Tel +44 (0)151 708 9393
  Fax +44 (0)151 708 8733
  Email dlalloo@liverpool.ac.uk
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 18/05/2001
Last edited 12/10/2011
Date ISRCTN assigned 18/05/2001
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