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trimetrexate and AIDS-Related Opportunistic Infections

trimetrexate has been researched along with AIDS-Related Opportunistic Infections in 18 studies

Trimetrexate: A nonclassical folic acid inhibitor through its inhibition of the enzyme dihydrofolate reductase. It is being tested for efficacy as an antineoplastic agent and as an antiparasitic agent against PNEUMOCYSTIS PNEUMONIA in AIDS patients. Myelosuppression is its dose-limiting toxic effect.

AIDS-Related Opportunistic Infections: Opportunistic infections found in patients who test positive for human immunodeficiency virus (HIV). The most common include PNEUMOCYSTIS PNEUMONIA, Kaposi's sarcoma, cryptosporidiosis, herpes simplex, toxoplasmosis, cryptococcosis, and infections with Mycobacterium avium complex, Microsporidium, and Cytomegalovirus.

Research Excerpts

ExcerptRelevanceReference
"The combination of clindamycin plus primaquine appears to be the most effective alternative treatment for patients with P carinii pneumonia who are unresponsive to conventional antipneumocystis agents."4.81A meta-analysis of salvage therapy for Pneumocystis carinii pneumonia. ( Maloba, B; Nagar, S; Popara, M; Smego, RA, 2001)
" Serial blood samples were obtained over 24 hours after dosing and analyzed for trimetrexate, dapsone, and monoacetyldapsone, and pharmacokinetic parameters were determined."2.69Pharmacokinetics of trimetrexate and dapsone in AIDS patients with Pneumocystis carinii pneumonia. ( Chatterjee, DJ; Dubé, MP; Koda, RT; Li, WY; Sattler, FR; Stansell, JD, 1999)
"Trimetrexate is a powerful inhibitor of the dihydrofolate reductase of Pneumocystis carinii."2.67Trimetrexate with leucovorin versus trimethoprim-sulfamethoxazole for moderate to severe episodes of Pneumocystis carinii pneumonia in patients with AIDS: a prospective, controlled multicenter investigation of the AIDS Clinical Trials Group Protocol 029/0 ( Akil, B; Baughman, R; Boylen, CT; Davis, R; Frame, P; Hughlett, C; Nichols, L; Sattler, FR; Shelton, B; Weiss, W, 1994)
"Trimetrexate is a folinic acid analogue structurally related to methotrexate, whose primary mechanism of action is believed to be inhibition of dihydrofolate reductase."2.39Trimetrexate. A review of its pharmacodynamic and pharmacokinetic properties and therapeutic potential in the treatment of Pneumocystis carinii pneumonia. ( Fulton, B; McTavish, D; Wagstaff, AJ, 1995)
"Trimetrexate was tolerated in 100% of cases with no treatment termination secondary to adverse drug reactions."1.35Trimetrexate and folinic acid: a valuable salvage option for Pneumocystis jirovecii pneumonia. ( Churchill, DR; Fisher, MJ; Gilleece, YC; Short, CE, 2009)
"The P & T Committee at Trinity Lutheran Hospital, a 320-bed, community/teaching hospital in Kansas City, MO, has developed dosing and monitoring guidelines for foscarnet sodium (Foscavir) and trimetrexate glucuronate (Neutrexin)--two drugs used to treat patients with opportunistic infections associated with the human immunodeficiency virus (HIV)."1.29Dosing guidelines for foscarnet and trimetrexate. ( Chase, K; Henry, RB; O'Connor, MC; Wooten, JM, 1995)

Research

Studies (18)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's15 (83.33)18.2507
2000's2 (11.11)29.6817
2010's1 (5.56)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Gangjee, A3
Devraj, R1
Queener, SF3
Vasudevan, A2
Short, CE1
Gilleece, YC1
Fisher, MJ1
Churchill, DR1
Borde, JP1
Offensperger, WB1
de With, K1
Fulton, B1
Wagstaff, AJ1
McTavish, D1
Pastor, C1
Lumbreras, C1
Lizasoain, M1
Sattler, FR2
Frame, P1
Davis, R1
Nichols, L1
Shelton, B1
Akil, B1
Baughman, R1
Hughlett, C1
Weiss, W1
Boylen, CT1
Freij, BJ1
Wientzen, RL1
Hayek, G1
Whitfield, LR1
Voelker, R1
Korraa, H1
Saadeh, C1
Deresinski, SC1
Koda, RT1
Dubé, MP1
Li, WY1
Chatterjee, DJ1
Stansell, JD1
Wooten, JM1
Chase, K1
O'Connor, MC1
Henry, RB1
Harris, PJ1
Blanchet, KD1
Smego, RA1
Nagar, S1
Maloba, B1
Popara, M1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Randomized, Comparative, Double-Blind Trial of Trimetrexate (CI-898) With Leucovorin Calcium Rescue Versus Trimethoprim / Sulfamethoxazole for Moderately Severe Pneumocystis Carinii Pneumonia in Patients With AIDS[NCT00001014]Phase 3302 participants InterventionalCompleted
A Randomized, Comparative, Double-Blind Trial of Trimetrexate (CI-898) With Leucovorin Calcium Rescue Versus Trimethoprim / Sulfamethoxazole for Moderately Severe Pneumocystis Carinii Pneumonia in Patients With AIDS[NCT00001013]Phase 3364 participants InterventionalCompleted
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Reviews

6 reviews available for trimetrexate and AIDS-Related Opportunistic Infections

ArticleYear
[Diagnosis and treatment of pneumocystis jirovecii pneumonia].
    Deutsche medizinische Wochenschrift (1946), 2011, Volume: 136, Issue:27

    Topics: AIDS-Related Opportunistic Infections; Anti-Infective Agents; Antifungal Agents; Atovaquone; Broncho

2011
Trimetrexate. A review of its pharmacodynamic and pharmacokinetic properties and therapeutic potential in the treatment of Pneumocystis carinii pneumonia.
    Drugs, 1995, Volume: 49, Issue:4

    Topics: AIDS-Related Opportunistic Infections; Animals; Clinical Trials as Topic; Humans; Pneumonia, Pneumoc

1995
[Current alternatives in the treatment of Pneumocystis carinii pneumonia in patients with AIDS].
    Medicina clinica, 1994, Oct-15, Volume: 103, Issue:12

    Topics: AIDS-Related Opportunistic Infections; Antifungal Agents; Atovaquone; Clindamycin; Dapsone; Eflornit

1994
Options in the management of pneumonia caused by Pneumocystis carinii in patients with acquired immune deficiency syndrome and intolerance to trimethoprim/sulfamethoxazole.
    Southern medical journal, 1996, Volume: 89, Issue:3

    Topics: Adrenal Cortex Hormones; AIDS-Related Opportunistic Infections; Anti-Infective Agents; Antifungal Ag

1996
Treatment of Pneumocystis carinii pneumonia in adults with AIDS.
    Seminars in respiratory infections, 1997, Volume: 12, Issue:2

    Topics: Administration, Oral; Adult; AIDS-Related Opportunistic Infections; Anti-Infective Agents; Antifunga

1997
A meta-analysis of salvage therapy for Pneumocystis carinii pneumonia.
    Archives of internal medicine, 2001, Jun-25, Volume: 161, Issue:12

    Topics: Adolescent; Adult; Aged; AIDS-Related Opportunistic Infections; Child; Child, Preschool; Clindamycin

2001

Trials

2 trials available for trimetrexate and AIDS-Related Opportunistic Infections

ArticleYear
Trimetrexate with leucovorin versus trimethoprim-sulfamethoxazole for moderate to severe episodes of Pneumocystis carinii pneumonia in patients with AIDS: a prospective, controlled multicenter investigation of the AIDS Clinical Trials Group Protocol 029/0
    The Journal of infectious diseases, 1994, Volume: 170, Issue:1

    Topics: Adolescent; Adult; AIDS-Related Opportunistic Infections; Child; Clinical Protocols; Double-Blind Me

1994
Trimetrexate with leucovorin versus trimethoprim-sulfamethoxazole for moderate to severe episodes of Pneumocystis carinii pneumonia in patients with AIDS: a prospective, controlled multicenter investigation of the AIDS Clinical Trials Group Protocol 029/0
    The Journal of infectious diseases, 1994, Volume: 170, Issue:1

    Topics: Adolescent; Adult; AIDS-Related Opportunistic Infections; Child; Clinical Protocols; Double-Blind Me

1994
Trimetrexate with leucovorin versus trimethoprim-sulfamethoxazole for moderate to severe episodes of Pneumocystis carinii pneumonia in patients with AIDS: a prospective, controlled multicenter investigation of the AIDS Clinical Trials Group Protocol 029/0
    The Journal of infectious diseases, 1994, Volume: 170, Issue:1

    Topics: Adolescent; Adult; AIDS-Related Opportunistic Infections; Child; Clinical Protocols; Double-Blind Me

1994
Trimetrexate with leucovorin versus trimethoprim-sulfamethoxazole for moderate to severe episodes of Pneumocystis carinii pneumonia in patients with AIDS: a prospective, controlled multicenter investigation of the AIDS Clinical Trials Group Protocol 029/0
    The Journal of infectious diseases, 1994, Volume: 170, Issue:1

    Topics: Adolescent; Adult; AIDS-Related Opportunistic Infections; Child; Clinical Protocols; Double-Blind Me

1994
Pharmacokinetics of trimetrexate and dapsone in AIDS patients with Pneumocystis carinii pneumonia.
    Journal of clinical pharmacology, 1999, Volume: 39, Issue:3

    Topics: Adult; AIDS-Related Opportunistic Infections; Analysis of Variance; Anti-Infective Agents; Area Unde

1999

Other Studies

10 other studies available for trimetrexate and AIDS-Related Opportunistic Infections

ArticleYear
Synthesis and dihydrofolate reductase inhibitory activities of 2,4-diamino-5-deaza and 2,4-diamino-5,10-dideaza lipophilic antifolates.
    Journal of medicinal chemistry, 1997, Feb-14, Volume: 40, Issue:4

    Topics: AIDS-Related Opportunistic Infections; Animals; Folic Acid Antagonists; Liver; Pyrimidines; Rats; Te

1997
Conformationally restricted analogues of trimethoprim: 2,6-diamino-8-substituted purines as potential dihydrofolate reductase inhibitors from Pneumocystis carinii and Toxoplasma gondii.
    Journal of medicinal chemistry, 1997, Sep-12, Volume: 40, Issue:19

    Topics: AIDS-Related Opportunistic Infections; Animals; Binding Sites; Folic Acid Antagonists; Humans; Indic

1997
Trimetrexate and folinic acid: a valuable salvage option for Pneumocystis jirovecii pneumonia.
    AIDS (London, England), 2009, Jun-19, Volume: 23, Issue:10

    Topics: Adult; AIDS-Related Opportunistic Infections; Antifungal Agents; Drug Evaluation; Drug Therapy, Comb

2009
Drugs for AIDS and associated infections.
    The Medical letter on drugs and therapeutics, 1995, Oct-13, Volume: 37, Issue:959

    Topics: Acquired Immunodeficiency Syndrome; AIDS-Related Opportunistic Infections; Amphotericin B; Antifunga

1995
Pharmacokinetics of trimetrexate glucuronate in infants with AIDS and Pneumocystis carinii pneumonia.
    Annals of the New York Academy of Sciences, 1993, Oct-29, Volume: 693

    Topics: AIDS-Related Opportunistic Infections; Drug Combinations; Female; Glucuronates; Humans; Infant; Male

1993
More choices in treating AIDS-related pneumonia.
    JAMA, 1994, Jan-19, Volume: 271, Issue:3

    Topics: AIDS-Related Opportunistic Infections; Antifungal Agents; Drug Approval; Drug Combinations; Glucuron

1994
Synthesis and biological evaluation of nonclassical 2,4-diamino-5-methylpyrido[2,3-d]pyrimidines with novel side chain substituents as potential inhibitors of dihydrofolate reductases.
    Journal of medicinal chemistry, 1997, Feb-14, Volume: 40, Issue:4

    Topics: AIDS-Related Opportunistic Infections; Animals; Folic Acid Antagonists; Humans; Liver; Mice; Pneumoc

1997
Dosing guidelines for foscarnet and trimetrexate.
    Formulary (Cleveland, Ohio), 1995, Volume: 30, Issue:6

    Topics: AIDS-Related Opportunistic Infections; Clinical Protocols; Dose-Response Relationship, Drug; Foscarn

1995
Trimetrexate glucuronate associated with anti-Kaposi sarcoma effect.
    AIDS patient care and STDs, 1996, Volume: 10, Issue:5

    Topics: Adult; AIDS-Related Opportunistic Infections; Antineoplastic Agents; Drug Combinations; Glucuronates

1996
Current management practices in the treatment of Pneumocystis carinii pneumonia (PCP).
    AIDS patient care and STDs, 1996, Volume: 10, Issue:2

    Topics: AIDS-Related Opportunistic Infections; Algorithms; Anti-Infective Agents; Antifungal Agents; Dapsone

1996