Nevirapine (NVP) Use to Prevent Maternal-Infant HIV Transmission: A Randomized Clinical Trial of Two Doses of NVP Compared to Six Weeks of NVP for the Prevention of Maternal-Infant HIV Transmission in the Breastfeeding Infant
试验速览
- 阶段
- 3 期
- 状态
- 已完成
- 入组人数
- 775
- 试验地点
- 1
- 主要终点
- Infant HIV infection status
研究概览
简要总结
HIV can be transmitted from an HIV infected mother to her infant through her breast milk. The purpose of this study is to determine whether giving infants of HIV infected mothers the anti-HIV drug nevirapine (NVP) for six weeks will reduce the risk of HIV transmission.
Study hypothesis: Six weeks of nevirapine prophylaxis provided to the infant will decrease HIV transmission through breastfeeding.
详细描述
The use of antiretroviral therapy during late pregnancy, intrapartum, and immediately postpartum prevents a high proportion of vertical transmission. Potential means of decreasing HIV transmission through breastfeeding, along with the risks and benefits of early weaning, need to be further evaluated. The potential impact of early weaning interventions on the breastfeeding habits of the HIV uninfected population needs to be considered as well. This study seeks to identify a way to make breastfeeding safe for HIV infected women who choose to breastfeed.
A single dose of NVP given to infants of HIV infected mothers appears to provide some protection against vertical transmission. NVP's long half-life allows simple dosing, making it more feasible and affordable to implement in a developing country. This study will determine whether extending the NVP dosing to six weeks will significantly decrease transmission during the first several months of breastfeeding.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Factorial
- 主要目的
- Prevention
- 盲法
- Double (Participant, Care Provider)
入排标准
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •HIV infection, documented on two separate specimens
- •Estimated gestational age at enrollment of 32 weeks or more as indicated by last menstrual cycle and fundal height
- •Permanent residency in Addis Ababa
- •Plan to deliver at a hospital affliated with the study (Tikur Anbessa Hospital, Gandhi hospital, or St. Paul's Hospital)
- •Hemoglobin >= 7.5 gm/dl within 4 weeks prior to study entry
- •Serum glutamic pyruvic transaminase (SGPT) < 5 times upper limit of normal within 4 weeks prior to study entry
- •Serum creatinine < 1.5 mg/dl within 4 weeks prior to study entry
- •Consent form signed by the mother and, when possible, by the father, prior to the onset of labor
排除标准
- 未提供
研究组 & 干预措施
1
Participants will receive nevirapine for 6 weeks
干预措施: Nevirapine (Drug)
2
Participants will receive nevirapine placebo for 6 weeks
干预措施: Nevirapine placebo (Drug)
结局指标
主要结局
Infant HIV infection status
时间窗: At Months 6 and 12
次要结局
- Infant mortality rate(Throughout study)
- Infant morbidity rate(Throughout study)