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Effects of Maternal Anti-HIV Treatment on Infants Born to HIV-Infected Women

Completed
Conditions
HIV Infections
Registration Number
NCT00100867
Lead Sponsor
Advancing Clinical Therapeutics Globally for HIV/AIDS and Other Infections
Brief Summary

In clinical trials being conducted throughout the world, pregnant HIV-infected women are given anti-HIV drugs before, during, and after they give birth to prevent mother-to-child transmission of HIV. However, the effects of this anti-HIV treatment on infants is unknown. The purpose of this study is to determine the safety, toxicity, and potential side effects of maternal anti-HIV treatment on infants born to these HIV-infected women.

Study hypothesis: Specific combination antiretroviral regimens used in clinical trials in diverse areas of the world are safe and well tolerated during pregnancy and breastfeeding periods, and are not associated with adverse side effects to the fetus, neonate, and/or breastfeeding infant. These regimens are associated with reduction of mother-to-child HIV transmission.

Detailed Description

Many HIV-infected women outside the United States enroll in clinical trials that provide them antiretroviral therapy (ART) to prevent mother-to-child transmission of HIV. However, data are limited on the safety, toxicity, and adverse effects that maternal ART may have on infants born to HIV-infected women. This study will monitor the adverse effects and potential benefits of maternal ART on these infants.

No antiretrovirals will be given in this study. This study will last 18 months. Infants will be enrolled in the study within 48 hours of birth. There will be 6 study visits starting at study entry and every 6 weeks thereafter. Infants will undergo blood and urine collection, and medical history assessments will occur at every visit. Mothers will also be evaluated at these visits.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
236
Inclusion Criteria
  • Infant born to HIV-1 infected mother enrolled in NIH-sponsored, international antiretroviral treatment trial AND who has had either in utero or postpartum antiretroviral exposure
  • Parent or guardian willing to provide informed consent
Exclusion Criteria
  • Infant with no exposure to antiretrovirals OR who received only intrapartum antiretroviral exposure

Study & Design

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

Trial Locations

Locations (23)

Hospital dos Servidores do Estado

🇧🇷

Rio de Janeiro, Brazil

Univ. of Malawi, John Hopkins Project

🇲🇼

Blantyre, Malawi

Phayao Provincial Hospital, Phayao

🇹🇭

Tambol Mae Sai, Muang Phayao, Thailand

Chiang Mai University

🇹🇭

Chang Mai, Thailand

Prapokklao Hospital Chantaburi

🇹🇭

Muang Chantaburi, Thailand

The Gaborone BHP Study Clinic

🇧🇼

Gaborone, Botswana

Instituto de Pesquisa Clinica Evandro Chagas Fiocruz, Fundacao Oswaldo Cruz

🇧🇷

Rio de Janeiro,, Brazil

NARI-NIV Clinic

🇮🇳

Pune, India

Asociacion Civil IMPACTA Salud y Educacion,

🇵🇪

Miraflores, Lima, Peru

The Molepolole BHP Study Clinic

🇧🇼

Gaborone, Botswana

NARI AIDS Research Institute, Department of Clinical Science

🇮🇳

Pune, India

University of North Carolina Project (UNC Project)

🇲🇼

Lilongwe, Malawi

University of Zimbabwe

🇿🇼

Harare, Zimbabwe

Hospital Geral de Nova Iguacu

🇧🇷

Rio de Janeiro, Brazil

YRG Center for AIDS Research and Education

🇮🇳

Chennai, India

Asociacion Civil IMPACTA Salud y Educacion, Lince

🇵🇪

Lima, Peru

Siriraj Hospital

🇹🇭

Bangkok Noi, Bankok, Thailand

Bhumibol Adulyadej Hospital, Bangkok

🇹🇭

Bangkok, Thailand

NARI AIDS Research Institute, Dr. Kotnis Dispensary

🇮🇳

Pune, India

Chonburi Regional Hospital, Chonburi

🇹🇭

Muang, Chonburi, Thailand

Perinatal HIV Research Unit at Chris Baragwanath Hospital

🇿🇦

Johannesburg, South Africa

University of the Witwatersrand

🇿🇦

Johannesburg, South Africa

Institut de Recherche pour Developpement (IRD)

🇹🇭

Chiang Mai, Thailand

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