Prevalence of Hepatitis C Virus Infection in HIV-Infected Children

NCT ID: NCT00037076

Last Updated: 2012-10-31

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

600 participants

Study Classification

OBSERVATIONAL

Study Completion Date

2003-07-31

Brief Summary

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The purpose of this study is to find out how many children who are infected with HIV are also infected with hepatitis C virus (HCV).

HCV infection is a major health concern. HIV-infected adults who are co-infected with HCV appear to have more rapid HIV disease progression. There is little data on how widespread HCV is among children who are HIV-infected. Information from this study will help determine the need for future HCV studies. This study also will obtain blood samples for future testing for other hepatitis viruses such as hepatitis G virus (HGV or GB virus C).

Detailed Description

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HCV infection is a major public health concern with worldwide seroprevalence estimated at 1 percent. HIV-infected adults co-infected with HCV appear to have accelerated HIV disease progression. There is little data on HCV prevalence in the pediatric HIV-infected population. This substudy will provide estimates of HCV prevalence among HIV-infected children and determine the need for future HCV natural history and treatment protocols. In addition, this substudy will archive samples from patients for future testing for other hepatitis viruses such as hepatitis G virus (HGV or GB virus C).

Patients participating in PACTG 219C are selected randomly to enroll into PACTG P1028S. Patients who agree to participate have a single blood draw for HCV antibody (Enzyme Immunoassay-EIA) testing and HCV RNA (Polymerase Chain Reaction-PCR) testing. An additional blood draw is necessary in the case of discordant results between the HCV EIA and HCV PCR. HCV-negative patients have 1 study visit. Patients with positive HCV test results have 2 visits. Patients with discordant HCV test results have 2 or 3 visits.

Conditions

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HIV Infections Hepatitis C

Keywords

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HIV Seropositivity Hepatitis C Polymerase Chain Reaction RNA, Viral Prevalence Disease Transmission, Vertical Hepacivirus Enzyme Immunoassay GB virus C

Eligibility Criteria

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Inclusion Criteria

Patients may be eligible for this substudy if they:

* Are between 1 year and 20 years of age.
* Were infected with HIV from the mother at or around the time of birth.
* Are enrolled in PACTG 219C.
* Children known to be HCV-infected will be permitted to enter the substudy.

Exclusion Criteria

Patients may not be eligible for this substudy if they:

* Have hemophilia.
* Contracted HIV through a route other than from the mother around the time of birth.
Minimum Eligible Age

1 Year

Maximum Eligible Age

20 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)

NIH

Sponsor Role collaborator

National Institute of Allergy and Infectious Diseases (NIAID)

NIH

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Susan Schuval

Role: STUDY_CHAIR

Locations

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Univ of Alabama at Birmingham - Pediatric

Birmingham, Alabama, United States

Site Status

Phoenix Childrens Hosp

Phoenix, Arizona, United States

Site Status

Los Angeles County - USC Med Ctr

Los Angeles, California, United States

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Children's Hosp of Oakland

Oakland, California, United States

Site Status

Univ of California, San Diego

San Diego, California, United States

Site Status

UCSF, Moffitt Hospital (Pediatric)

San Francisco, California, United States

Site Status

Children's Hosp of Denver

Denver, Colorado, United States

Site Status

Connecticut Childrens Med Ctr (Pediatric)

Farmington, Connecticut, United States

Site Status

Yale Univ Med School

New Haven, Connecticut, United States

Site Status

Howard Univ Hosp

Washington D.C., District of Columbia, United States

Site Status

Univ of Miami (Pediatric)

Miami, Florida, United States

Site Status

Med College of Georgia

Augusta, Georgia, United States

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The Med Ctr Inc

Columbus, Georgia, United States

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Mt Sinai Hosp Med Ctr / Dept of Pediatrics

Chicago, Illinois, United States

Site Status

The Univ of Chicago Children's Hosp

Chicago, Illinois, United States

Site Status

University of Illinois

Chicago, Illinois, United States

Site Status

Tulane Univ / Charity Hosp of New Orleans

New Orleans, Louisiana, United States

Site Status

Univ of Maryland at Baltimore / Univ Med Ctr

Baltimore, Maryland, United States

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Johns Hopkins Hosp - Pediatric

Baltimore, Maryland, United States

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Baystate Med Ctr of Springfield

Springfield, Massachusetts, United States

Site Status

Univ of Massachusetts Med School

Worcester, Massachusetts, United States

Site Status

Children's Hosp of Michigan

Detroit, Michigan, United States

Site Status

Univ of Medicine & Dentistry of New Jersey / Univ Hosp

Newark, New Jersey, United States

Site Status

Children's Hospital at SUNY Downstate

Brooklyn, New York, United States

Site Status

Mount Sinai Med Ctr

New York, New York, United States

Site Status

Columbia Presbyterian Med Ctr

New York, New York, United States

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Univ of Rochester Med Ctr

Rochester, New York, United States

Site Status

State Univ of New York at Stony Brook

Stony Brook, New York, United States

Site Status

SUNY Health Sciences Ctr at Syracuse / Pediatrics

Syracuse, New York, United States

Site Status

Univ of North Carolina at Chapel Hill

Chapel Hill, North Carolina, United States

Site Status

Duke University (Pediatric)

Durham, North Carolina, United States

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Childrens Hosp of Philadelphia

Philadelphia, Pennsylvania, United States

Site Status

St. Christopher's Hosp for Children, Philadelphia

Philadelphia, Pennsylvania, United States

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Saint Jude Children's Research Hosp of Memphis

Memphis, Tennessee, United States

Site Status

Vanderbilt Univ Med Ctr

Nashville, Tennessee, United States

Site Status

Children's Med Ctr of Dallas

Dallas, Texas, United States

Site Status

Texas Children's Hosp / Baylor Univ

Houston, Texas, United States

Site Status

Univ. of Puerto Rico, U. Children's Hospital AIDS

San Juan, , Puerto Rico

Site Status

San Juan City Hosp

San Juan, , Puerto Rico

Site Status

Countries

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United States Puerto Rico

References

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Tajiri H, Miyoshi Y, Funada S, Etani Y, Abe J, Onodera T, Goto M, Funato M, Ida S, Noda C, Nakayama M, Okada S. Prospective study of mother-to-infant transmission of hepatitis C virus. Pediatr Infect Dis J. 2001 Jan;20(1):10-4. doi: 10.1097/00006454-200101000-00003.

Reference Type BACKGROUND
PMID: 11176560 (View on PubMed)

Tillmann HL, Heiken H, Knapik-Botor A, Heringlake S, Ockenga J, Wilber JC, Goergen B, Detmer J, McMorrow M, Stoll M, Schmidt RE, Manns MP. Infection with GB virus C and reduced mortality among HIV-infected patients. N Engl J Med. 2001 Sep 6;345(10):715-24. doi: 10.1056/NEJMoa010398.

Reference Type BACKGROUND
PMID: 11547740 (View on PubMed)

Xiang J, Wunschmann S, Diekema DJ, Klinzman D, Patrick KD, George SL, Stapleton JT. Effect of coinfection with GB virus C on survival among patients with HIV infection. N Engl J Med. 2001 Sep 6;345(10):707-14. doi: 10.1056/NEJMoa003364.

Reference Type BACKGROUND
PMID: 11547739 (View on PubMed)

Thomas SL, Newell ML, Peckham CS, Ades AE, Hall AJ. A review of hepatitis C virus (HCV) vertical transmission: risks of transmission to infants born to mothers with and without HCV viraemia or human immunodeficiency virus infection. Int J Epidemiol. 1998 Feb;27(1):108-17. doi: 10.1093/ije/27.1.108.

Reference Type BACKGROUND
PMID: 9563703 (View on PubMed)

Papaevangelou V, Pollack H, Rochford G, Kokka R, Hou Z, Chernoff D, Hanna B, Krasinski K, Borkowsky W. Increased transmission of vertical hepatitis C virus (HCV) infection to human immunodeficiency virus (HIV)-infected infants of HIV- and HCV-coinfected women. J Infect Dis. 1998 Oct;178(4):1047-52. doi: 10.1086/515668.

Reference Type BACKGROUND
PMID: 9806033 (View on PubMed)

Other Identifiers

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11657

Identifier Type: REGISTRY

Identifier Source: secondary_id

PACTG P1028S

Identifier Type: -

Identifier Source: org_study_id