Effects of Maternal Anti-HIV Treatment on Infants Born to HIV-Infected Women

NCT ID: NCT00100867

Last Updated: 2016-04-01

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

236 participants

Study Classification

OBSERVATIONAL

Study Start Date

2006-06-30

Study Completion Date

2010-05-31

Brief Summary

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In clinical trials being conducted throughout the world, pregnant HIV-infected women are given anti-HIV drugs before, during, and after they give birth to prevent mother-to-child transmission of HIV. However, the effects of this anti-HIV treatment on infants is unknown. The purpose of this study is to determine the safety, toxicity, and potential side effects of maternal anti-HIV treatment on infants born to these HIV-infected women.

Study hypothesis: Specific combination antiretroviral regimens used in clinical trials in diverse areas of the world are safe and well tolerated during pregnancy and breastfeeding periods, and are not associated with adverse side effects to the fetus, neonate, and/or breastfeeding infant. These regimens are associated with reduction of mother-to-child HIV transmission.

Detailed Description

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Many HIV-infected women outside the United States enroll in clinical trials that provide them antiretroviral therapy (ART) to prevent mother-to-child transmission of HIV. However, data are limited on the safety, toxicity, and adverse effects that maternal ART may have on infants born to HIV-infected women. This study will monitor the adverse effects and potential benefits of maternal ART on these infants.

No antiretrovirals will be given in this study. This study will last 18 months. Infants will be enrolled in the study within 48 hours of birth. There will be 6 study visits starting at study entry and every 6 weeks thereafter. Infants will undergo blood and urine collection, and medical history assessments will occur at every visit. Mothers will also be evaluated at these visits.

Conditions

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HIV Infections

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Eligibility Criteria

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Inclusion Criteria

* Infant born to HIV-1 infected mother enrolled in NIH-sponsored, international antiretroviral treatment trial AND who has had either in utero or postpartum antiretroviral exposure
* Parent or guardian willing to provide informed consent

Exclusion Criteria

* Infant with no exposure to antiretrovirals OR who received only intrapartum antiretroviral exposure
Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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National Institute of Allergy and Infectious Diseases (NIAID)

NIH

Sponsor Role collaborator

Advancing Clinical Therapeutics Globally for HIV/AIDS and Other Infections

NETWORK

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Karin Nielsen, MD, MPH

Role: STUDY_CHAIR

University of California, Los Angeles

Judith S. Currier, MD, MSc

Role: STUDY_CHAIR

Center for AIDS Research and Education, University of California, Los Angeles

Locations

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The Gaborone BHP Study Clinic

Gaborone, , Botswana

Site Status

The Molepolole BHP Study Clinic

Gaborone, , Botswana

Site Status

Instituto de Pesquisa Clinica Evandro Chagas Fiocruz, Fundacao Oswaldo Cruz

Rio de Janeiro, , Brazil

Site Status

Hospital dos Servidores do Estado

Rio de Janeiro, , Brazil

Site Status

Hospital Geral de Nova Iguacu

Rio de Janeiro, , Brazil

Site Status

YRG Center for AIDS Research and Education

Chennai, , India

Site Status

NARI AIDS Research Institute, Department of Clinical Science

Pune, , India

Site Status

NARI AIDS Research Institute, Dr. Kotnis Dispensary

Pune, , India

Site Status

NARI-NIV Clinic

Pune, , India

Site Status

Univ. of Malawi, John Hopkins Project

Blantyre, , Malawi

Site Status

University of North Carolina Project (UNC Project)

Lilongwe, , Malawi

Site Status

Asociacion Civil IMPACTA Salud y Educacion,

Miraflores, Lima region, Peru

Site Status

Asociacion Civil IMPACTA Salud y Educacion, Lince

Lima, , Peru

Site Status

Perinatal HIV Research Unit at Chris Baragwanath Hospital

Johannesburg, , South Africa

Site Status

University of the Witwatersrand

Johannesburg, , South Africa

Site Status

Siriraj Hospital

Bangkok Noi, Bankok, Thailand

Site Status

Chonburi Regional Hospital, Chonburi

Muang, Changwat Chon Buri, Thailand

Site Status

Phayao Provincial Hospital, Phayao

Tambol Mae Sai, Muang Phayao, Thailand

Site Status

Bhumibol Adulyadej Hospital, Bangkok

Bangkok, , Thailand

Site Status

Chiang Mai University

Chang Mai, , Thailand

Site Status

Institut de Recherche pour Developpement (IRD)

Chiang Mai, , Thailand

Site Status

Prapokklao Hospital Chantaburi

Muang Chantaburi, , Thailand

Site Status

University of Zimbabwe

Harare, , Zimbabwe

Site Status

Countries

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Botswana Brazil India Malawi Peru South Africa Thailand Zimbabwe

References

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Abrams EJ. Prevention of mother-to-child transmission of HIV--successes, controversies and critical questions. AIDS Rev. 2004 Jul-Sep;6(3):131-43.

Reference Type BACKGROUND
PMID: 15595430 (View on PubMed)

Scarlatti G. Mother-to-child transmission of HIV-1: advances and controversies of the twentieth centuries. AIDS Rev. 2004 Apr-Jun;6(2):67-78.

Reference Type BACKGROUND
PMID: 15332429 (View on PubMed)

Semprini AE, Fiore S. HIV and pregnancy: is the outlook for mother and baby transformed? Curr Opin Obstet Gynecol. 2004 Dec;16(6):471-5. doi: 10.1097/00001703-200412000-00006.

Reference Type BACKGROUND
PMID: 15534442 (View on PubMed)

Sullivan JL. Prevention of mother-to-child transmission of HIV--what next? J Acquir Immune Defic Syndr. 2003 Sep;34 Suppl 1:S67-72. doi: 10.1097/00126334-200309011-00010.

Reference Type BACKGROUND
PMID: 14562860 (View on PubMed)

Other Identifiers

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1U01AI068636

Identifier Type: NIH

Identifier Source: secondary_id

View Link

ACTG A5190-P1054

Identifier Type: -

Identifier Source: org_study_id

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