New drug cocktail aims to beat tough infection in HIV patients
NCT ID NCT07585461
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This trial tests whether adding a fluoroquinolone antibiotic to the standard three-drug treatment helps HIV patients with a serious bacterial infection called disseminated MAC. About 124 adults will be randomly assigned to get either the standard therapy or the four-drug combo for the first 8 weeks. The main goal is to see if more patients feel better by day 28, with fewer fevers and improved symptoms.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- fluoroquinolone (levofloxacin or moxifloxacin) added to standard triple therapy
- What this could lead to
- If it works, this could lead to a more effective treatment for HIV patients with severe MAC infections, improving early recovery and reducing bacterial load.
- What could go wrong
- This is an early-stage trial with only 124 participants, so results may not apply to everyone. Adding a fluoroquinolone also raises risks like heart rhythm problems and side effects.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 124 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Apr 2026
An estimate. Start dates often move.
- Expected to finish
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Dec 2028
An estimate. End dates often move.
- Lead sponsor
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A government agency
The lead sponsor is a government body.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Age ≥18 years * HIV infection confirmed * Disseminated Mycobacterium avium complex (MAC) infection confirmed by positive culture from a sterile site or positive molecular/sequencing-based detection from a sterile site specimen considered clinically significant * Systemic manifestations consistent with disseminated infection * Planned initiation of standard antimycobacterial therapy * Able and willing to provide written informed consent Exclusion Criteria: * Prior effective antimycobacterial treatment for \>14 days before enrollment * Known macrolide resistance, if susceptibility data are available * Hypersensitivity to macrolides, ethambutol, rifamycins, or fluoroquinolones * Baseline QTc \>500 ms or history of significant cardiac arrhythmia * Uncorrected hypokalemia or hypomagnesemia * History of severe adverse reaction to fluoroquinolones, such as tendon rupture or severe neuropathy * Severe hepatic impairment or severe renal dysfunction precluding study treatment * Concomitant medications that significantly prolong QT interval and cannot be safely discontinued * Pregnancy or breastfeeding * Coexisting infection requiring non-protocol antimycobacterial therapy, such as active tuberculosis * Any condition that, in the investigator's judgment, would interfere with study participation or interpretation of results
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
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