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A Phase III Study to Evaluate the Safety, Tolerance, and Efficacy of Early Treatment With Zidovudine (AZT) in Asymptomatic Infants With HIV Infection

Phase 3
Completed
Conditions
HIV Infections
Registration Number
NCT00000750
Lead Sponsor
National Institute of Allergy and Infectious Diseases (NIAID)
Brief Summary

Primary: To determine the efficacy of early treatment with zidovudine (AZT) in HIV-infected asymptomatic infants. To determine the safety and tolerance of AZT in this patient population.

Secondary: To compare the virologic and immunologic parameters between the treatment groups. To determine the efficacy of AZT as an early treatment to prevent development of CD4+ cell depletion in HIV-infected asymptomatic infants.

AZT is currently indicated for primary treatment in children with HIV-associated signs and symptoms and for those with significant immunodeficiency. This study will attempt to determine whether early treatment with AZT prevents the development of symptoms in HIV-infected infants who are asymptomatic.

Detailed Description

AZT is currently indicated for primary treatment in children with HIV-associated signs and symptoms and for those with significant immunodeficiency. This study will attempt to determine whether early treatment with AZT prevents the development of symptoms in HIV-infected infants who are asymptomatic.

Patients are randomized to receive oral AZT (at age-adjusted doses) or placebo. Patients are evaluated at weeks 2 and 4 and every 4 weeks thereafter; those who reach a study endpoint will have their treatment unblinded to allow the clinician to determine which treatment regimen the patient should then receive. Patients who meet the criteria for changes to open-label AZT will be given the appropriate age-adjusted dose without unblinding the original randomization assignment. Patients who complete or discontinue treatment are followed every 6 months for up to 2 years.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
400
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (42)

Univ of Alabama at Birmingham Schl of Med / Pediatrics

🇺🇸

Birmingham, Alabama, United States

Kaiser Permanente / UCLA Med Ctr

🇺🇸

Downey, California, United States

UCLA Med Ctr / Pediatric

🇺🇸

Los Angeles, California, United States

Harbor - UCLA Med Ctr / UCLA School of Medicine

🇺🇸

Los Angeles, California, United States

San Francisco Gen Hosp

🇺🇸

San Francisco, California, United States

UCSF / Moffitt Hosp - Pediatric

🇺🇸

San Francisco, California, United States

Children's Hosp of Denver

🇺🇸

Denver, Colorado, United States

Univ of Connecticut / Farmington

🇺🇸

Farmington, Connecticut, United States

Yale Univ Med School

🇺🇸

New Haven, Connecticut, United States

Georgetown Univ Med Ctr

🇺🇸

Washington, District of Columbia, United States

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Univ of Alabama at Birmingham Schl of Med / Pediatrics
🇺🇸Birmingham, Alabama, United States

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