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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)

UCLA Med Ctr / Pediatric

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Los Angeles, California, United States

Harbor - UCLA Med Ctr / UCLA School of Medicine

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Los Angeles, California, United States

Univ of Illinois College of Medicine / Pediatrics

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Chicago, Illinois, United States

Columbus Children's Hosp

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Columbus, Ohio, United States

Children's Med Ctr of Dallas

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Dallas, Texas, United States

San Francisco Gen Hosp

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San Francisco, California, United States

UCSF / Moffitt Hosp - Pediatric

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San Francisco, California, United States

Univ of Miami (Pediatric)

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Miami, Florida, United States

Duke Univ Med Ctr

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Durham, North Carolina, United States

Univ of Connecticut / Farmington

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Farmington, Connecticut, United States

Cook County Hosp

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Chicago, Illinois, United States

Georgetown Univ Med Ctr

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Washington, District of Columbia, United States

Howard Univ Hosp

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Washington, District of Columbia, United States

Chicago Children's Memorial Hosp

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Chicago, Illinois, United States

Univ of Maryland at Baltimore / Univ Med Ctr

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Baltimore, Maryland, United States

Univ of Massachusetts Med School

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Worcester, Massachusetts, United States

Children's Hosp of Boston

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Boston, Massachusetts, United States

Children's Hosp of New Jersey / UMDNJ - New Jersey Med Schl

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Newark, New Jersey, United States

Univ of Medicine & Dentistry of New Jersey / Univ Hosp

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Newark, New Jersey, United States

Children's Hosp at Albany Med Ctr

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Albany, New York, United States

Lincoln Hosp Ctr

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Bronx, New York, United States

King's County Hosp Ctr / Pediatrics

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Brooklyn, New York, United States

Bronx Lebanon Hosp Ctr

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Bronx, New York, United States

Albert Einstein College of Medicine

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Bronx, New York, United States

Children's Hosp Pact Prog / Children's Hosp of Buffalo

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Buffalo, New York, United States

Mount Sinai Med Ctr / Pediatrics

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New York, New York, United States

Metropolitan Hosp Ctr

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New York, New York, United States

Harlem Hosp Ctr

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New York, New York, United States

Westchester Hosp

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Valhalla, New York, United States

Saint Jude Children's Research Hosp of Memphis

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Memphis, Tennessee, United States

San Juan City Hosp

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San Juan, Puerto Rico

Baystate Med Ctr of Springfield

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Springfield, Massachusetts, United States

Kaiser Permanente / UCLA Med Ctr

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Downey, California, United States

Children's Hosp of Washington DC

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Washington, District of Columbia, United States

Univ of Chicago Children's Hosp

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Chicago, Illinois, United States

North Shore Univ Hosp

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Great Neck, New York, United States

Univ of Rochester Medical Center

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Rochester, New York, United States

Children's Hosp of Denver

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Denver, Colorado, United States

Univ of Alabama at Birmingham Schl of Med / Pediatrics

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Birmingham, Alabama, United States

Yale Univ Med School

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New Haven, Connecticut, United States

Med Univ of South Carolina

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Charleston, South Carolina, United States

Tulane Univ / Charity Hosp of New Orleans

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New Orleans, Louisiana, United States

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