Psychiatric Problems in Children and Adolescents Infected With HIV at Birth

NCT ID: NCT00100542

Last Updated: 2011-01-21

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

800 participants

Study Classification

OBSERVATIONAL

Study Start Date

2005-04-30

Study Completion Date

2006-09-30

Brief Summary

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The purpose of this study is to determine whether HIV and anti-HIV drugs cause mental health problems or make mental health problems worse in children and adolescents who were infected with HIV at birth.

Detailed Description

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Research has shown that HIV is able to penetrate the blood-brain barrier and may significantly affect the central nervous system (CNS). Although the effects of HIV on the CNS are not fully understood, there is growing evidence that the effects are psychosocial in nature; HIV infected children experience higher rates of psychiatric symptoms and hospitalizations than their uninfected counterparts. Confounding the HIV CNS relationship is evidence suggesting that the CNS effects of HIV may also be related to antiretroviral treatment. This study will examine the rates and severity of psychiatric symptoms in both HIV infected and uninfected children and adolescents. In addition, this study will determine the relationship between duration of antiretroviral treatment and psychiatric symptoms.

No treatment will be given as part of this study. The study will last for 96 weeks and be divided into two parts. In Part 1, HIV infected and uninfected participants and their caregivers will complete a series of measures and questionnaires regarding mental health, pain, and adherence to treatment. In Part 2, all participants and their caregivers will complete a subset of the original measures at Weeks 48 and 96. This follow-up part of the study will assess any long-term changes in psychiatric symptoms. In addition, a subset of HIV infected and uninfected participants and their caregivers will take part in psychiatric interviews at specified study sites. A portion of these interviews will be audio-taped.

Conditions

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HIV Infections Mental Disorders

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

PROSPECTIVE

Study Groups

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1

All HIV infected and uninfected participants and their caregivers.

Psychiatric interviews

Intervention Type BEHAVIORAL

Measures and questionnaires regarding mental health, pain, and adherence to treatment. No actual treatment or intervention is given as part of this study.

Interventions

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Psychiatric interviews

Measures and questionnaires regarding mental health, pain, and adherence to treatment. No actual treatment or intervention is given as part of this study.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Acquired HIV through mother-to-child transmission


* HIV uninfected


* Living with same parent or primary caregiver for at least 12 months prior to study screening
* Willing and able to provide consent or assent

Exclusion Criteria

* Acquired HIV through adult high-risk behavior, blood transfusion, or abuse


* IQ of 69 or lower, for participants whose primary language is English. More information on this criterion can be found in the protocol.
Minimum Eligible Age

6 Years

Maximum Eligible Age

17 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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National Institute of Allergy and Infectious Diseases (NIAID)

NIH

Sponsor Role collaborator

National Institute of Mental Health (NIMH)

NIH

Sponsor Role collaborator

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

NIH

Sponsor Role collaborator

International Maternal Pediatric Adolescent AIDS Clinical Trials Group

NETWORK

Sponsor Role lead

Responsible Party

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IMPAACT

Principal Investigators

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Sharon Nachman, MD

Role: STUDY_CHAIR

Department of Pediatrics, Stony Brook University

Locations

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Long Beach Memorial (Pediatric)

Long Beach, California, United States

Site Status

Los Angeles County Medical Center/USC

Los Angeles, California, United States

Site Status

UCLA Medical Center (Pediatric)

Los Angeles, California, United States

Site Status

4601 UCSD Mother, Child & Adolescent HIV Program

San Diego, California, United States

Site Status

UCSF, Moffitt Hospital (Pediatric)

San Francisco, California, United States

Site Status

Harbor-UCLA Medical Center

Torrance, California, United States

Site Status

Childrens Hospital (U. Colorado, Denver)

Denver, Colorado, United States

Site Status

Yale University School of Medicine

New Haven, Connecticut, United States

Site Status

Howard University Hospital

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

Site Status

North Broward Hospital District

Fort Lauderdale, Florida, United States

Site Status

University of Florida - Health Science Center

Jacksonville, Florida, United States

Site Status

University of Miami (Pediatric)

Miami, Florida, United States

Site Status

University of South Florida

St. Petersburg, Florida, United States

Site Status

Chicago Childrens Memorial Hospital (Pediatric)

Chicago, Illinois, United States

Site Status

University of Maryland (Pediatric)

Baltimore, Maryland, United States

Site Status

Childrens Hospital of Boston

Boston, Massachusetts, United States

Site Status

University of Massachusetts Medical School

Worcester, Massachusetts, United States

Site Status

New York University School of Medicine

New York, New York, United States

Site Status

Metropolitan Hospital Center

New York, New York, United States

Site Status

Mt. Sinai Medical Center

New York, New York, United States

Site Status

State University of New York at Stony Brook

Stony Brook, New York, United States

Site Status

SUNY Upstate Medical University

Syracuse, New York, United States

Site Status

Bronx Lebanon Hospital Center

The Bronx, New York, United States

Site Status

Jacobi Medical Center

The Bronx, New York, United States

Site Status

Duke University (Pediatric)

Durham, North Carolina, United States

Site Status

Childrens Hospital of Philadelphia

Philadelphia, Pennsylvania, United States

Site Status

St. Christophers Hosp. for Children, Philadelphia

Philadelphia, Pennsylvania, United States

Site Status

St. Jude Childrens Research Hospital, Memphis

Memphis, Tennessee, United States

Site Status

Children's Hospital and Regional Medical Center/Seattle

Seattle, Washington, United States

Site Status

Northwest Family Ctr./Harborview Medical Center

Seattle, Washington, United States

Site Status

University of Washington Medical Ctr.

Seattle, Washington, United States

Site Status

San Juan City Hospital

San Juan, , Puerto Rico

Site Status

Countries

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United States Puerto Rico

References

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Bachanas PJ, Kullgren KA, Schwartz KS, Lanier B, McDaniel JS, Smith J, Nesheim S. Predictors of psychological adjustment in school-age children infected with HIV. J Pediatr Psychol. 2001 Sep;26(6):343-52. doi: 10.1093/jpepsy/26.6.343.

Reference Type BACKGROUND
PMID: 11490035 (View on PubMed)

De Luca A, Ciancio BC, Larussa D, Murri R, Cingolani A, Rizzo MG, Giancola ML, Ammassari A, Ortona L. Correlates of independent HIV-1 replication in the CNS and of its control by antiretrovirals. Neurology. 2002 Aug 13;59(3):342-7. doi: 10.1212/wnl.59.3.342.

Reference Type BACKGROUND
PMID: 12177366 (View on PubMed)

Gaughan DM, Hughes MD, Oleske JM, Malee K, Gore CA, Nachman S; Pediatric AIDS Clinical Trials Group 219C Team. Psychiatric hospitalizations among children and youths with human immunodeficiency virus infection. Pediatrics. 2004 Jun;113(6):e544-51. doi: 10.1542/peds.113.6.e544.

Reference Type BACKGROUND
PMID: 15173535 (View on PubMed)

Lwin R, Melvin D. Paediatric HIV infection. J Child Psychol Psychiatry. 2001 May;42(4):427-38.

Reference Type BACKGROUND
PMID: 11383959 (View on PubMed)

Mellins CA, Smith R, O'Driscoll P, Magder LS, Brouwers P, Chase C, Blasini I, Hittleman J, Llorente A, Matzen E; NIH NIAID/NICHD/NIDA-Sponsored Women and Infant Transmission Study Group. High rates of behavioral problems in perinatally HIV-infected children are not linked to HIV disease. Pediatrics. 2003 Feb;111(2):384-93. doi: 10.1542/peds.111.2.384.

Reference Type BACKGROUND
PMID: 12563068 (View on PubMed)

Chernoff M, Nachman S, Williams P, Brouwers P, Heston J, Hodge J, Di Poalo V, Deygoo NS, Gadow KD; IMPAACT P1055 Study Team. Mental health treatment patterns in perinatally HIV-infected youth and controls. Pediatrics. 2009 Aug;124(2):627-36. doi: 10.1542/peds.2008-2441. Epub 2009 Jul 13.

Reference Type RESULT
PMID: 19596734 (View on PubMed)

Nachman S, Chernoff M, Williams P, Hodge J, Heston J, Gadow KD. Human immunodeficiency virus disease severity, psychiatric symptoms, and functional outcomes in perinatally infected youth. Arch Pediatr Adolesc Med. 2012 Jun 1;166(6):528-35. doi: 10.1001/archpediatrics.2011.1785.

Reference Type DERIVED
PMID: 22312169 (View on PubMed)

Other Identifiers

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U01AI068632

Identifier Type: NIH

Identifier Source: secondary_id

View Link

PACTG P1055

Identifier Type: -

Identifier Source: org_study_id

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