# E-DRUG: AZT trials in developing countries

**URL:** <https://talk.edrugplus.org/t/e-drug-azt-trials-in-developing-countries/1560>\
**Category:** e-drug\
**Created:** [October 20, 1997, 4:08pm UTC](https://talk.edrugplus.org/t/e-drug-azt-trials-in-developing-countries/1560 "1997-10-20T16:08:30Z")\
**Posts on this page:** 1\
**Page:** 1

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**Author:** ![Dr\_Elena\_Yu\_Ph.D\_MPH](https://avatars.discourse-cdn.com/v4/letter/d/c2a13f/32.png) [@Dr\_Elena\_Yu\_Ph.D\_MPH](https://talk.edrugplus.org/u/Dr_Elena_Yu_Ph.D_MPH)\
**Post date:** [October 20, 1997, 4:08pm UTC](https://talk.edrugplus.org/t/e-drug-azt-trials-in-developing-countries/1560/1 "1997-10-20T16:08:30Z")

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E-DRUG: AZT trials in developing countries (contd.)  
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I have two questions which I hope someone could help me:

(1) Aside from going on MEDLINE, can somone point me to some  
succinctly written documentation as to which of the 15-some AZT  
trials going on in Africa are in which phases? (Phase I, Phase II,  
Phase III, or Phase IV trials).

(2) If we rule out cost, is there any scientific reason why the  
"lose-dose" short treatment of AZT which David Ho spoke about in his  
Time Magazine opinion piece (Sept 29, 1997) cannot be compared to a  
"standard" (since 1994) AZT treatment? Experimentation with lowered  
dosages of drugs have occurred in the past. The oral contraceptives  
are an example. Assuming the cost is not an issue, is there any  
scientific reasons why a low-dose could not be compared to the "full  
treatment"? Would there be an ethical problem doing such a clinical  
trial (omitting the placebo group)?

Thank you.

Elena Yu, Ph.D., MPH  
Professor  
Division of Epidemiology and Biostatistics  
Graduate School of Public Health  
San Diego State University  
San Diego, CA 92182  
Phone: (619) 594-2711  
Fax: (619) 594-6112  
e-mail: eyu@mail.sdsu.edu

Note from the moderator:  
------------------------  
Dr. David Ho, an expert in AIDS/HIV was one of the two members of the  
editorial board of the New England Journal of Medicine who resigned  
last week because of disagreement with the editorial which  
accompanied the article by Drs. Peter Lurie and Sidney Wolfe referred  
to earlier in E-DRUG.

Syed Rizwanuddin Ahmad

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