Status:

COMPLETED

Nevirapine Plus Zidovudine to Prevent Perinatal HIV in Thailand

Lead Sponsor:

Institut de Recherche pour le Developpement

Collaborating Sponsors:

Harvard School of Public Health (HSPH)

Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)

Conditions:

HIV Infections

Pregnancy

Eligibility:

FEMALE

Phase:

PHASE3

Brief Summary

The purpose of this study was to assess the efficacy of a single dose of the drug nevirapine (NVP) given to pregnant women at onset of labor and to their infant 48-72 hours after birth in addition to ...

Detailed Description

Multicenter, randomized, three arms, double-blind, controlled study. Study population was HIV-infected pregnant women who were on ZDV prophylaxis for more than two weeks and gave informed consent. If ...

Eligibility Criteria

Inclusion

  • Pre-Entry Criteria
  • Women were eligible for the study if they:
  • have evidence of HIV infection (documented by two HIV antibody tests on two different dates);
  • were to be provided ZDV Prophylaxis (starting at 28 weeks or as soon as possible thereafter);
  • intended to carry the pregnancy to term;
  • intended to deliver at and bring their infant to a study site for at least 12 months after delivery; and
  • could provide informed consent.
  • Inclusion criteria
  • Women are eligible for the study if they:
  • met all pre-entry criteria;
  • agreed not to breastfeed;
  • consented to participate and to be followed for the duration of the study;
  • presented the following laboratory values within 14 days prior to randomization:
  • hemoglobin \> 8.0 mg/dl
  • absolute neutrophil count \> 1000 cells/mm3
  • platelets \> 100,000 cells/mm3
  • serum creatinine \< 1.5 mg/dl (women with a serum creatinine \> 1.5 mg/dl must have a measured eight-hour urine creatinine clearance \> 70 ml/min)
  • SGPT less than 10 times the upper limit of normal NOTE: Women with a Grade 2 or Grade 3 SGPT value (between 2.6 and 10 times the upper limit of normal) were allowed on study; they were monitored monthly until delivery. If at any point their SGPT value rose to a Grade 4 (more than 10 times the upper limit of normal), they should not be dosed with the Study Drug.
  • Exclusion Criteria:
  • evidence of pre-existing fetal anomalies incompatible with life;
  • known hypersensitivity to any benzodiazepine or to NVP;
  • receipt of antiretroviral agent other than ZDV;
  • receipt of non-allowed concomitant treatment;
  • uncontrolled hypertension;
  • concurrent participation in another clinical trial;
  • women with a CD4 count \<200/µL or history of oral candidiasis if they were not receiving PCP prophylaxis.

Exclusion

    Key Trial Info

    Start Date :

    January 1 2001

    Trial Type :

    INTERVENTIONAL

    End Date :

    June 1 2004

    Estimated Enrollment :

    1792 Patients enrolled

    Trial Details

    Trial ID

    NCT00398684

    Start Date

    January 1 2001

    End Date

    June 1 2004

    Last Update

    May 7 2008

    Active Locations (1)

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    Phpt - Ird 174

    Chiang Mai, Chiang Mai, Thailand, 50200