Clinical Outcomes of People Who Acquired HIV in Early Life
NCT ID: NCT01656564
Last Updated: 2023-03-09
Study Results
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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COMPLETED
177 participants
OBSERVATIONAL
2012-08-27
2023-03-08
Brief Summary
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\- Long-term survival with the human immunodeficiency virus (HIV) is not well understood. Adults who were infected with HIV as children have lived with the virus for many years. However, the effect of HIV on this group of people has not been studied in depth. Researchers are interested in studying how HIV infection and the medicines used to treat it affect people who were infected early in life. They want to find out if there are any problems with how HIV-infected children grow and develop as adults, especially if they have developed heart problems. As part of this study, people with HIV will be compared with healthy volunteers.
Objectives:
\- To study the effect of HIV infection and treatment on people who acquired HIV infection in early life.
Eligibility:
* Individuals at least 18 years of age who acquired HIV infection in early life.
* Healthy volunteers at least 18 years of age without HIV will serve as controls
Design:
* Participants will be screened with a physical exam and medical history. They will have regular study visits about once a year for up to 10 years to collect health information.
* Blood and urine samples will be collected to look at kidney and liver function.
* X-ray scans will be used to look at bone density and the amount of fat and muscle in the body.
* Treatment will not be provided as part of this study.
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Detailed Description
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* Antiretroviral therapy (ART) has altered the natural history of HIV disease in children.
* Long-term survivors of pediatric HIV infection offer a tremendous opportunity to understand the effects of HIV and ART health outcomes.
* A thorough understanding of the impact of HIV and ART on these long-term processes is extremely relevant as ART programs for HIV-infected children expand globally.
Objective:
\- To explore the clinical outcomes and the impact of HIV infection and ART on a cohort with HIV infection acquired in early life
Eligibility:
* Individuals at least 18 years of age who acquired HIV infection in early life
* Healthy volunteers without HIV (greater than or equal to 18 years of age) will serve as controls
Design:
\- Annual evaluations of health status, immune function and other health parameters related to HIV infection will be conducted.
Conditions
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Study Design
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COHORT
PROSPECTIVE
Study Groups
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Healthy Controls
Individuals with no known history of HIV
No interventions assigned to this group
Healthy Controls - Questionnaire Group
Individuals with no known history of HIV
No interventions assigned to this group
HIV
Individuals who acquired HIV in early life
No interventions assigned to this group
Eligibility Criteria
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Inclusion Criteria
* Known HIV infection, confirmed by laboratory testing and documented or believed to have been acquired during the first decade of life
* Age greater than or equal to 18 years
* HIV negative controls
* HIV negative, documented by a negative ELISA
* Age greater than or equal to 18 years
* Free of any major underlying medical disorder
* Not currently pregnant
For Reproductive Health Sub-Study:
* HIV positive participants
* Known HIV infection, confirmed by laboratory testing and documented or believed to have been acquired during the first decade of life
* Age greater than or equal to 18 years
* Capable of providing independent informed consent
* HIV negative controls
* HIV negative, verified by a negative ELISA
* Age greater than or equal to 18 years
For Healthy Volunteer, Questionnaire Group only
* Age \>=18 years
* No known history of HIV
Exclusion Criteria
18 Years
ALL
No
Sponsors
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National Institute of Allergy and Infectious Diseases (NIAID)
NIH
Responsible Party
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Principal Investigators
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Colleen M Hadigan, M.D.
Role: PRINCIPAL_INVESTIGATOR
National Institute of Allergy and Infectious Diseases (NIAID)
Locations
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National Institutes of Health Clinical Center
Bethesda, Maryland, United States
Countries
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References
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Aepfelbacher JA, Chaudhury CS, Mee T, Purdy JB, Hawkins K, Curl KA, Dee N, Hadigan C. Reproductive and sexual health knowledge, experiences, and milestones in young adults with life-long HIV. AIDS Care. 2020 Mar;32(3):354-361. doi: 10.1080/09540121.2019.1679711. Epub 2019 Oct 22.
Abd-Elmoniem KZ, Ishaq H, Purdy J, Matta J, Hamimi A, Hannoush H, Hadigan C, Gharib AM. Association of Coronary Wall Thickening and Diminished Diastolic Function in Asymptomatic, Low Cardiovascular Disease-Risk Persons Living with HIV. Radiol Cardiothorac Imaging. 2024 Apr;6(2):e230102. doi: 10.1148/ryct.230102.
Sahagun SJ, Yeramosu T, Purdy JB, Reynolds JC, Hadigan CM. Associations Between Central Obesity and Lifelong Antiviral Therapy in Adults Living With HIV Acquired From Early Childhood. J Acquir Immune Defic Syndr. 2022 Feb 1;89(2):208-214. doi: 10.1097/QAI.0000000000002841.
Aepfelbacher JA, Balmaceda J, Purdy J, Mattingly A, Zambell K, Hawkins K, Chairez C, Curl KA, Dee N, Hadigan C. Increased Prevalence of Hepatic Steatosis in Young Adults With Lifelong HIV. J Infect Dis. 2019 Jun 19;220(2):266-269. doi: 10.1093/infdis/jiz096.
Unsal AB, Mattingly AS, Jones SE, Purdy JB, Reynolds JC, Kopp JB, Hazra R, Hadigan CM. Effect of Antiretroviral Therapy on Bone and Renal Health in Young Adults Infected With HIV in Early Life. J Clin Endocrinol Metab. 2017 Aug 1;102(8):2896-2904. doi: 10.1210/jc.2017-00197.
Mattingly AS, Unsal AB, Purdy JB, Gharib AM, Rupert A, Kovacs JA, McAreavey D, Hazra R, Abd-Elmoniem KZ, Hadigan C. T-cell Activation and E-selectin Are Associated With Coronary Plaque in HIV-infected Young Adults. Pediatr Infect Dis J. 2017 Jan;36(1):63-65. doi: 10.1097/INF.0000000000001354.
Related Links
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NIH Clinical Center Detailed Web Page
Other Identifiers
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12-I-0157
Identifier Type: -
Identifier Source: secondary_id
120157
Identifier Type: -
Identifier Source: org_study_id
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