Trial of Vitamins in HIV Progression and Transmission

NCT ID: NCT00197743

Last Updated: 2010-11-11

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

Clinical Phase

PHASE3

Total Enrollment

1085 participants

Study Classification

INTERVENTIONAL

Study Start Date

1995-04-30

Study Completion Date

2003-08-31

Brief Summary

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This study tested the hypothesis that multivitamin supplementation given to HIV+ pregnant women in Tanzania would slow disease progression and enhance their overall health.

Detailed Description

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In this study, we sought to examine whether the administration of multivitamins excluding vitamin A, multivitamins including vitamin A, or vitamin A alone would reduce the risk of perinatal transmission of HIV and slow the rate of disease progression in a group of pregnant HIV infected women. We also examined the efficacy of the supplements on pregnancy outcomes, and risks of maternal and child morbidity and wasting.

Conditions

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HIV Infections Disease Transmission, Vertical

Keywords

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HIV Multivitamins Pregnancy outcomes Tanzania Women

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Vitamin A

Vitamin A + Beta Carotene

Group Type ACTIVE_COMPARATOR

Vitamin A + Beta Carotene

Intervention Type DIETARY_SUPPLEMENT

one daily oral dose of 30 mg beta-carotene + 5000 IU preformed vitamin A

Multivitamins

Vitamins B, C, and E

Group Type ACTIVE_COMPARATOR

Multivitamins

Intervention Type DIETARY_SUPPLEMENT

one daily oral dose of 20 mg thiamine (vitamin B-1), 20 mg riboflavin (vitamin B-2), 25 mg vitamin B-6, 100 mg niacin, 50 ug cobalamin (vitamin B-12), 500 mg vitamin C, 30 mg vitamin E, and 0.8 mg folic acid

Vitamin A + Multivitamins

Vitamin A + Beta Carotene, Vitamins B, C, and E

Group Type ACTIVE_COMPARATOR

Vitamin A + Beta Carotene

Intervention Type DIETARY_SUPPLEMENT

one daily oral dose of 30 mg beta-carotene + 5000 IU preformed vitamin A

Multivitamins

Intervention Type DIETARY_SUPPLEMENT

one daily oral dose of 20 mg thiamine (vitamin B-1), 20 mg riboflavin (vitamin B-2), 25 mg vitamin B-6, 100 mg niacin, 50 ug cobalamin (vitamin B-12), 500 mg vitamin C, 30 mg vitamin E, and 0.8 mg folic acid

Placebo

Placebo

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type OTHER

Placebo pill

Interventions

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Vitamin A + Beta Carotene

one daily oral dose of 30 mg beta-carotene + 5000 IU preformed vitamin A

Intervention Type DIETARY_SUPPLEMENT

Multivitamins

one daily oral dose of 20 mg thiamine (vitamin B-1), 20 mg riboflavin (vitamin B-2), 25 mg vitamin B-6, 100 mg niacin, 50 ug cobalamin (vitamin B-12), 500 mg vitamin C, 30 mg vitamin E, and 0.8 mg folic acid

Intervention Type DIETARY_SUPPLEMENT

Placebo

Placebo pill

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* HIV-infected women presenting to antenatal care between 12 and 27 weeks of gestation:

Exclusion Criteria

\-
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Muhimbili University of Health and Allied Sciences

OTHER

Sponsor Role collaborator

Harvard School of Public Health (HSPH)

OTHER

Sponsor Role lead

Responsible Party

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Harvard School of Public Health

Principal Investigators

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Wafaie W Fawzi, MD,DrPh

Role: PRINCIPAL_INVESTIGATOR

Harvard School of Public Health (HSPH)

Locations

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Harvard School of Public Health

Boston, Massachusetts, United States

Site Status

Countries

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United States

References

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Fawzi WW, Msamanga GI, Spiegelman D, Wei R, Kapiga S, Villamor E, Mwakagile D, Mugusi F, Hertzmark E, Essex M, Hunter DJ. A randomized trial of multivitamin supplements and HIV disease progression and mortality. N Engl J Med. 2004 Jul 1;351(1):23-32. doi: 10.1056/NEJMoa040541.

Reference Type RESULT
PMID: 15229304 (View on PubMed)

Fawzi WW, Msamanga GI, Hunter D, Renjifo B, Antelman G, Bang H, Manji K, Kapiga S, Mwakagile D, Essex M, Spiegelman D. Randomized trial of vitamin supplements in relation to transmission of HIV-1 through breastfeeding and early child mortality. AIDS. 2002 Sep 27;16(14):1935-44. doi: 10.1097/00002030-200209270-00011.

Reference Type RESULT
PMID: 12351954 (View on PubMed)

Fawzi WW, Msamanga G, Hunter D, Urassa E, Renjifo B, Mwakagile D, Hertzmark E, Coley J, Garland M, Kapiga S, Antelman G, Essex M, Spiegelman D. Randomized trial of vitamin supplements in relation to vertical transmission of HIV-1 in Tanzania. J Acquir Immune Defic Syndr. 2000 Mar 1;23(3):246-54. doi: 10.1097/00126334-200003010-00006.

Reference Type RESULT
PMID: 10839660 (View on PubMed)

Fawzi WW, Msamanga GI, Spiegelman D, Urassa EJ, McGrath N, Mwakagile D, Antelman G, Mbise R, Herrera G, Kapiga S, Willett W, Hunter DJ. Randomised trial of effects of vitamin supplements on pregnancy outcomes and T cell counts in HIV-1-infected women in Tanzania. Lancet. 1998 May 16;351(9114):1477-82. doi: 10.1016/s0140-6736(98)04197-x.

Reference Type RESULT
PMID: 9605804 (View on PubMed)

Khavari N, Jiang H, Manji K, Msamanga G, Spiegelman D, Fawzi W, Duggan C. Maternal multivitamin supplementation reduces the risk of diarrhoea among HIV-exposed children through age 5 years. Int Health. 2014 Dec;6(4):298-305. doi: 10.1093/inthealth/ihu061. Epub 2014 Aug 30.

Reference Type DERIVED
PMID: 25173342 (View on PubMed)

Natchu UC, Liu E, Duggan C, Msamanga G, Peterson K, Aboud S, Spiegelman D, Fawzi WW. Exclusive breastfeeding reduces risk of mortality in infants up to 6 mo of age born to HIV-positive Tanzanian women. Am J Clin Nutr. 2012 Nov;96(5):1071-8. doi: 10.3945/ajcn.111.024356. Epub 2012 Oct 10.

Reference Type DERIVED
PMID: 23053555 (View on PubMed)

Other Identifiers

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HD32257

Identifier Type: -

Identifier Source: org_study_id