Safety and Metabolic Study of Highly Active Antiretroviral Therapy (HAART) in Malnourished Children With HIV (ARMAM)
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Purpose
It is unclear whether children with HIV and severe acute malnutrition can be started on highly active antiretroviral therapy (HAART) safely while they are still malnourished and the manner in which this therapy should start. This study will examine the safety, efficacy, and metabolism of children started on HAART while still severely malnourished.
| Condition | Intervention |
|---|---|
|
Kwashiorkor Marasmus Severe Acute Malnutrition HIV |
Drug: zidovudine, lamivudine, nevirapine |
| Study Type: | Observational |
| Study Design: | Observational Model: Case Control Time Perspective: Prospective |
| Official Title: | ART Pharmacokinetics, Mitochondrial Integrity, and Antioxidant Capacity in Severely Malnourished HIV-infected Malawian Children |
| Estimated Enrollment: | 114 |
| Study Start Date: | July 2011 |
| Groups/Cohorts | Assigned Interventions |
|---|---|
|
Kwashiorkor
HIV-positive children aged 6-59 months with kwashiorkor receiving nutritional rehabilitation and who are started on HAART.
|
Drug: zidovudine, lamivudine, nevirapine |
|
Marasmus
HIV-positive children aged 6-59 months with marasmus receiving nutritional rehabilitation and who are started on HAART.
|
Drug: zidovudine, lamivudine, nevirapine |
|
Control
HIV-positive children aged 6-59 months who are not severely malnourished and who are started on HAART for a non-nutritional reason.
|
Drug: zidovudine, lamivudine, nevirapine |
Eligibility| Ages Eligible for Study: | 6 Months to 59 Months |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Non-Probability Sample |
Children aged 6-59 months with HIV and kwashiorkor and marasmus who are not currently on HAART will be recruited from the Nutritional Rehabilitation Unit at Queen Elizabeth Central Hospital in Blantyre, Malawi. Controls will be recruited from the outpatient cotrimoxazole clinic who are about to start on HAART for a non-nutritional reason.
Inclusion Criteria:
- HIV-infected about to start on HAART for the first time
- 6-59 months old
Exclusion Criteria:
- also being treated for TB
- other chronic illness (e.g., congenital heart disease, cerebral palsy)
Contacts and Locations| Malawi | |
| Queen Elizabeth Central Hospital | Recruiting |
| Blantyre, Malawi | |
| Contact: Indi Trehan, MD MPH DTM&H indi@alum.berkeley.edu | |
| Principal Investigator: | Mark J Manary, MD | Washington University in St. Louis |
More Information
No publications provided
| Responsible Party: | Washington University School of Medicine |
| ClinicalTrials.gov Identifier: | NCT01529125 History of Changes |
| Other Study ID Numbers: | ARTMAM |
| Study First Received: | February 3, 2012 |
| Last Updated: | August 15, 2012 |
| Health Authority: | Malawi: College of Medicine Research and Ethics Committee United States: Institutional Review Board |
Additional relevant MeSH terms:
|
Kwashiorkor Protein-Energy Malnutrition Malnutrition Protein Deficiency Deficiency Diseases Nutrition Disorders Zidovudine Nevirapine Lamivudine Antimetabolites |
Molecular Mechanisms of Pharmacological Action Pharmacologic Actions Reverse Transcriptase Inhibitors Nucleic Acid Synthesis Inhibitors Enzyme Inhibitors Anti-Retroviral Agents Antiviral Agents Anti-Infective Agents Therapeutic Uses Anti-HIV Agents |
ClinicalTrials.gov processed this record on May 19, 2013