#FLUCONAZOLE SWISH AND SWALLOW TRIAL#

Relapse occurred in 16 responders (70%).Īmphotericin B oral suspension is well tolerated but has limited efficacy for the treatment of fluconazole refractory oral candidiasis. Five subjects (9%) stopped treatment due to toxicity. Atrophic or hyperplastic plaques Sets found in the same folder. Recently, a new drug called Diflucan (fluconazole) has been approved by the FDA and found effective against oral thrush. pseudomembranous (white) and/or atrophic (red) patches. Of the remaining 54 subjects, 23 (42.6% 95% lower confidence interval, 31.1%) were classified as responders after 28 days. Treat with oral nystatin or fluconazole Swish and swallow. Four subjects were excluded from the analysis because of inadequate follow-up after randomization (n = 3) or the presence of active esophageal disease (n = 1). Clinical response was defined as the absence of mouth pain and the presence of less than five oral plaques, the largest being < 3 cm largest dimension.įifty-eight subjects with a median age of 39 years and a median CD4 count of 10 x 10(6) cells/l were enrolled. To demonstrate an ABOS clinical response rate > 33% and a treatment-limiting toxicity rate < 50%. Relapses during maintenance ABOS were treated by increasing the dose to four times daily. Thereafter incomplete or non-responders received an additional 14 days of therapy and responders received maintenance ABOS twice daily for up to 6 months. Individuals with diffuse oral candidiasis after 14 days of treatment with 200 mg of fluconazole daily (more than five plaques or a single plaque > 3 cm largest length) were treated with ABOS, 100 mg/ml, 5 ml swish and swallow, four times daily for 14 days.

#FLUCONAZOLE SWISH AND SWALLOW TRIAL#

To determine the efficacy and safety of amphotericin B oral suspension (ABOS) for the treatment of fluconazole refractory oral candidiasis in persons with HIV infection.Ī prospective, multicenter, open label trial at 25 study centers within the AIDS Clinical Trials Group.

Fluconazole swish and swallow