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ANTIMICROBIAL RESEARCH

MARK A. JACOBSON, M.D., Associate Professor of Medicine

The major focus of Dr. Jacobson's research currently involves Phase 1, 2 and 3 studies of antimicrobial therapy and prophylaxis for HIV-associated opportunistic infections. Studies of antiviral regimens for AIDS-associated cytomegalovirus disease, antimycobacterial and immunomodulator regimens for treatment for AIDS-associated disseminated M. avium complex infection, and immunomodulator regimens for treatment of HIV disease are in progress.

Recently completed studies included combined foscarnet and ganciclovir therapy for cytomegalovirus retinitis, valacyclovir for prophylaxis of cytomegalovirus retinitis, combination antimycobacterial regimens for disseminated M. avium complex (MAC) infection, and pyrimethamine versus clindamycin prophylaxis for toxoplasmic encephalitis. Ongoing studies include recombinant human interleukin-12 (rhIL-12) for HIV disease, rhIL-12 for disseminated MAC infection, and oral ganciclovir for cytomegalovirus gastrointestinal disease.

SELECTED PUBLICATIONS:

  1. Jacobson MA, Spritzler J, Landay A, Chan E, Katzenstein D, Schock B, Fox L, Roe JD, Kundu S, Pollard R. A Phase I, placebo-controlled trial of multi-dose recombinant human interleukin-12 in patients with HIV infection. AIDS, 16:1147-1154, 2002.
  2. Feinberg JE, Hurwitz S, Cooper D, Sattler FR, MacGregor RR, Powderly W, Holland GN, Griffiths PD, Pollard RD, Youle M, Gill MJ, Holland FJ, Power ME, Owens S, Coakley D, Fry J, Jacobson MA for the ACTG 204/GlaxoWellcome 123-014 International CMV Prophylaxis Study Group. A randomized, double-blind trial of valaciclovir prophylaxis for cytomegalovirus disease in patients with advanced human immunodeficiency virus infection. J Infect Dis, 177:48-56, 1998.
  3. Aberg JA, Yajko DM, Jacobson MA. Eradication of disseminated Mycobacterium avium complex in four patients after twelve months anti-mycobacterial therapy and response to highly active antiretroviral therapy. J Infect Dis, 178:1446-9, 1998.

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