Antiretroviral Regime for Viral Eradication in Newborns

NCT ID: NCT02712801

Last Updated: 2022-09-28

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

PHASE4

Total Enrollment

600 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-04-30

Study Completion Date

2021-12-31

Brief Summary

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This is a multi-center, randomized, controlled, open clinical trial. The trial will be carried out in five provinces in China. Pregnant women with HIV infection and at high risk of mother-to-child transmission of HIV will be identified. Their newborn babies who are at high risk HIV infection will be recruited and randomized into intervention and control groups. Children in intervention groups will receive ART and intensive HIV testing after birth. Children in control group will receive routine prevention of mother-to-child transmission services. All the included children will be followed up and their development and infection status will be recorded and compared.

Detailed Description

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Conditions

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HIV/AIDS and Infections

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Intervention group

Children will receive antiretroviral treatment (ART) until 6 weeks old after birth. For the first two weeks, Zidovudine (AZT), Lamivudine (3TC) and Nevirapine (NVP) will be used. When the child is 2 weeks old, the regimen will be adjusted and Nevirapine (NVP) will be replaced by Lopinavir/ritonavir (LPV/r). Early infant diagnosis and other relevant testing will be performed to monitor children's HIV infection status. If the child is not infected, ART will be stopped when he/she reaches 6 weeks old. Otherwise, the treatment will be continued.

Group Type EXPERIMENTAL

Zidovudine

Intervention Type DRUG

Dose will be adjusted according to the child's weight.

Nevirapine

Intervention Type DRUG

Dose will be adjusted according to the child's weight.

Lamivudine

Intervention Type DRUG

Dose will be adjusted according to the child's weight.

Lopinavir/ritonavir

Intervention Type DRUG

Dose will be adjusted according to the child's weight.

Control group

Children will receive routine prevention of mother-to-child transmission of HIV services. Nevirapine (NVP) or Zidovudine (AZT) will be administrated to them until 6 weeks old after birth. Early infant diagnosis services will be provided when the child is 6 weeks old and repeated when 3 months old. Children with HIV infection will be referred to receive routine HIV infection treatment.

Group Type ACTIVE_COMPARATOR

Zidovudine

Intervention Type DRUG

Dose will be adjusted according to the child's weight.

Nevirapine

Intervention Type DRUG

Dose will be adjusted according to the child's weight.

Interventions

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Zidovudine

Dose will be adjusted according to the child's weight.

Intervention Type DRUG

Nevirapine

Dose will be adjusted according to the child's weight.

Intervention Type DRUG

Lamivudine

Dose will be adjusted according to the child's weight.

Intervention Type DRUG

Lopinavir/ritonavir

Dose will be adjusted according to the child's weight.

Intervention Type DRUG

Other Intervention Names

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AZT NVP 3TC LPV/r

Eligibility Criteria

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Inclusion Criteria

* children whose mother with HIV infection
* children whose mother received antiretroviral drugs after 36 gestational weeks or received no drugs before delivery
* live birth

Exclusion Criteria

* birth weight is less than 2000g
* Apgar score is less than 3 at 1 minute after birth or less than 6 at 5 minute after birth .
Minimum Eligible Age

0 Days

Maximum Eligible Age

1 Day

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Center for AIDS/STD Control and Prevention, China CDC

OTHER_GOV

Sponsor Role collaborator

Maternal and Child Health Hospital of Yunan Province

UNKNOWN

Sponsor Role collaborator

Maternal and Child Health Hospital of Sichuan Province

UNKNOWN

Sponsor Role collaborator

Maternal and Child Health Hospital of Guangxi Province

UNKNOWN

Sponsor Role collaborator

Maternal and Child Health Hospital of Xinjiang Uygur Autonomous Region

UNKNOWN

Sponsor Role collaborator

Guangdong Provincial Maternal and Child Health Hospital

OTHER

Sponsor Role collaborator

National Center for Women and Children's Health, China CDC

OTHER_GOV

Sponsor Role lead

Responsible Party

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Xi JIN

Deputy Director

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Xi Jin, M.D.

Role: PRINCIPAL_INVESTIGATOR

National Center for Women and Children's Health, China CDC

Locations

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Maternal and Child Health Hospital of Guangdong Province

Guangzhou, Guangdong, China

Site Status

Maternal and Child Health Hospital of Guangxi Zhuang Autonomous Region

Nanning, Guangxi, China

Site Status

Maternal and Child Health Hospital of Sichuan Province

Chengdu, Sichuan, China

Site Status

Maternal and Child Health Hospital of Xinjiang Uygur Autonomous Region

Ürümqi, Xinjiang, China

Site Status

Maternal and Child Health Hospital of Yunan Province

Kunming, Yunnan, China

Site Status

Countries

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China

Other Identifiers

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2015ZX10001001

Identifier Type: -

Identifier Source: org_study_id

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