- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT00000828
Study of Perinatal Transmission of Zidovudine-Resistant HIV Among Pregnant Women Treated With Zidovudine
To identify patterns of zidovudine ( AZT ) susceptibility among mother/infant pairs with perinatal HIV transmission.
Most HIV-infected infants acquire their disease via perinatal transmission. Since transmission of HIV-resistant strains to infants could alter the course of disease and response to currently recommended treatment, a study to assess the patterns of AZT susceptibility among mother/infant pairs with perinatal transmission is essential to delineate future therapeutic strategies.
Studieoversigt
Status
Betingelser
Detaljeret beskrivelse
Most HIV-infected infants acquire their disease via perinatal transmission. Since transmission of HIV-resistant strains to infants could alter the course of disease and response to currently recommended treatment, a study to assess the patterns of AZT susceptibility among mother/infant pairs with perinatal transmission is essential to delineate future therapeutic strategies.
HIV-infected pregnant women are enrolled at 20-36 weeks gestation. Patients have blood drawn for HIV culture at study entry and at delivery. Infants have blood drawn for HIV culture at delivery and at 1, 3, 6, and 18 months of age.
Undersøgelsestype
Tilmelding
Kontakter og lokationer
Studiesteder
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Alabama
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Birmingham, Alabama, Forenede Stater, 35294
- Univ of Alabama at Birmingham Schl of Med / Pediatrics
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California
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La Jolla, California, Forenede Stater, 920930672
- UCSD Med Ctr / Pediatrics / Clinical Sciences
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Long Beach, California, Forenede Stater, 90801
- Long Beach Memorial (Pediatric)
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Los Angeles, California, Forenede Stater, 90033
- Los Angeles County - USC Med Ctr
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Los Angeles, California, Forenede Stater, 905022004
- Harbor - UCLA Med Ctr / UCLA School of Medicine
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Los Angeles, California, Forenede Stater, 900951752
- UCLA Med Ctr / Pediatric
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Connecticut
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Farmington, Connecticut, Forenede Stater, 06032
- Univ of Connecticut / Farmington
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Hartford, Connecticut, Forenede Stater, 06106
- Connecticut Children's Med Ctr - Pediatric
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District of Columbia
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Washington, District of Columbia, Forenede Stater, 200102916
- Children's Hosp of Washington DC
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Washington, District of Columbia, Forenede Stater, 20060
- Howard Univ Hosp
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Florida
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Miami, Florida, Forenede Stater, 33161
- Univ of Miami (Pediatric)
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Illinois
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Chicago, Illinois, Forenede Stater, 606371470
- Univ of Chicago Children's Hosp
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Louisiana
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New Orleans, Louisiana, Forenede Stater, 701122699
- Tulane Univ / Charity Hosp of New Orleans
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New Orleans, Louisiana, Forenede Stater, 70112
- Univ Hosp
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Maryland
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Baltimore, Maryland, Forenede Stater, 212874933
- Johns Hopkins Hosp - Pediatric
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Massachusetts
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Boston, Massachusetts, Forenede Stater, 02115
- Brigham and Women's Hosp
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Boston, Massachusetts, Forenede Stater, 021155724
- Children's Hosp of Boston
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Springfield, Massachusetts, Forenede Stater, 01199
- Baystate Med Ctr of Springfield
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New Jersey
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Newark, New Jersey, Forenede Stater, 071032714
- Univ of Medicine & Dentistry of New Jersey / Univ Hosp
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New York
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Bronx, New York, Forenede Stater, 10457
- Bronx Lebanon Hosp Ctr
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New York, New York, Forenede Stater, 10016
- Bellevue Hosp / New York Univ Med Ctr
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New York, New York, Forenede Stater, 10032
- Columbia Presbyterian Med Ctr
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New York, New York, Forenede Stater, 10032
- Incarnation Children's Ctr / Columbia Presbyterian Med Ctr
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New York, New York, Forenede Stater, 10029
- Mount Sinai Med Ctr / Pediatrics
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Rochester, New York, Forenede Stater, 14642
- Univ of Rochester Medical Center
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Syracuse, New York, Forenede Stater, 13210
- SUNY Health Sciences Ctr at Syracuse / Pediatrics
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North Carolina
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Durham, North Carolina, Forenede Stater, 277103499
- Duke Univ Med Ctr
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Ohio
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Columbus, Ohio, Forenede Stater, 432052696
- Columbus Children's Hosp
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San Juan, Puerto Rico, 009367344
- San Juan City Hosp
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Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inclusion Criteria
Prior Medication: Required:
- At least 6 months of prior AZT, including continuously during the current pregnancy.
Patients must have:
- HIV seropositivity.
- CD4 count <= 300 cells/mm3.
- Gestational age of 20-36 weeks, with intention to carry pregnancy to term.
- At least 6 months of prior AZT therapy, including continuous AZT therapy during the current pregnancy.
Exclusion Criteria
Co-existing Condition:
Patients with the following symptoms or conditions are excluded:
- Evidence of pre-existing fetal anomalies that would preclude survival to the end of the study, such as anencephaly, renal agenesis, or Potter's syndrome.
Concurrent Medication:
Excluded:
- Antiretrovirals other than AZT.
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Samarbejdspartnere og efterforskere
Efterforskere
- Studiestol: Bardeguez AD
- Studiestol: Pitt J
Publikationer og nyttige links
Generelle publikationer
- Garcia PM, Kalish LA, Pitt J, Minkoff H, Quinn TC, Burchett SK, Kornegay J, Jackson B, Moye J, Hanson C, Zorrilla C, Lew JF. Maternal levels of plasma human immunodeficiency virus type 1 RNA and the risk of perinatal transmission. Women and Infants Transmission Study Group. N Engl J Med. 1999 Aug 5;341(6):394-402. doi: 10.1056/NEJM199908053410602.
- Bardeguez AD. Management of HIV infection for the childbearing age woman. Clin Obstet Gynecol. 1996 Jun;39(2):344-60. doi: 10.1097/00003081-199606000-00009. No abstract available.
- Bardeguez AD, Taylor U, Appuzio J, Leus C, Lister M, Denny T, Palumbo P, Connor E. Characteristics of pregnant women infected with human immunodeficiency virus 1: Newark perinatal transmission study. Int Conf AIDS. 1991 Jun 16-21;7(2):193 (abstract no WB2044)
- Welles SL, Pitt J, Colgrove R, McIntosh K, Chung PH, Colson A, Lockman S, Fowler MG, Hanson C, Landesman S, Moye J, Rich KC, Zorrilla C, Japour AJ. HIV-1 genotypic zidovudine drug resistance and the risk of maternal--infant transmission in the women and infants transmission study. The Women and Infants Transmission Study Group. AIDS. 2000 Feb 18;14(3):263-71. doi: 10.1097/00002030-200002180-00008.
Datoer for undersøgelser
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Skøn)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Skøn)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
- ACTG 255
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