A Study to Evaluate the Safety and Tolerance of Stavudine (d4T) in Combination With Lamivudine (3TC) in HIV-Positive Pregnant Women and Their Infants

This study is ongoing, but not recruiting participants.

First Received: November 2, 1999 Last Updated: August 5, 2008 History of Changes

Sponsor:	National Institute of Allergy and Infectious Diseases (NIAID)
Collaborator:	Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
Information provided by:	National Institute of Allergy and Infectious Diseases (NIAID)
ClinicalTrials.gov Identifier:	NCT00000878

Purpose

The purpose of this study is to evaluate the safety and tolerance of 2 anti-HIV drugs, d4T and 3TC, given in combination to HIV-positive pregnant women and their infants.

Most HIV-positive pregnant women usually take the anti-HIV drug zidovudine (ZDV) to treat HIV and reduce the chances of giving HIV to their babies. It recently has been shown that a combination of drugs may be more effective than ZDV alone. This study tests the effectiveness of combinations of ZDV, d4T, and 3TC.

Condition	Intervention	Phase
HIV Infections Pregnancy	Drug: Lamivudine Drug: Stavudine Drug: Zidovudine	Phase I

Study Type:	Interventional
Study Design:	Endpoint Classification: Pharmacokinetics Study Primary Purpose: Treatment
Official Title:	A Phase I/II, Open-Label Study to Evaluate the Safety, Tolerance and Pharmacokinetics of Stavudine (d4T) in Combination With Lamivudine (3TC) in HIV-Infected Pregnant Women and Their Infants

Resource links provided by NLM:

MedlinePlus related topics: AIDS AIDS Medicines AIDS and Pregnancy

Drug Information available for: Zidovudine Lamivudine Stavudine

U.S. FDA Resources

Further study details as provided by National Institute of Allergy and Infectious Diseases (NIAID):

Estimated Enrollment:

Show Detailed Description

Eligibility

Ages Eligible for Study:	13 Years and older
Genders Eligible for Study:	Both
Accepts Healthy Volunteers:	No

Criteria

Inclusion Criteria

Women may be eligible for this study if they:

Are HIV-positive.
Are at least 13 years old (need consent of parent or guardian if under 18).
Are unable to or refuse to take ZDV or the woman's doctor says that she should take d4T.
Are 14 to 34 weeks pregnant.

Exclusion Criteria

Women will not be eligible for this study if they:

Have a history of peripheral neuropathy.
Have an active opportunistic infection and/or serious bacterial infection within 14 days of study entry.
Have severe diarrhea.
Are allergic to d4T or 3TC.
Use illicit drugs or abuse alcohol.
Are taking anti-HIV drugs other than study medications.
Are planning to breast-feed.
Are having a problem pregnancy (baby is not developing correctly or will not survive birth) or have had pregnancy complications in the past.
Babies will not be eligible for this study if they:
Are unable to take medications by mouth for more than 72 hours.
Have severe birth defects or other life-threatening conditions.
Are underweight (less than 2 kg).

Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00000878

Locations

United States, California
Harbor - UCLA Med Ctr / UCLA School of Medicine
Los Angeles, California, United States, 905022004
UCLA Med Ctr / Pediatric
Los Angeles, California, United States, 900951752
Los Angeles County - USC Med Ctr
Los Angeles, California, United States, 90033
United States, District of Columbia
Howard Univ Hosp
Washington, District of Columbia, United States, 20060
United States, Florida
Univ of Florida Health Science Ctr / Pediatrics
Jacksonville, Florida, United States, 32209
Univ of Miami / Jackson Memorial Hosp
Miami, Florida, United States, 33136
Univ of Miami (Pediatric)
Miami, Florida, United States, 33161
United States, Illinois
Univ of Chicago Children's Hosp
Chicago, Illinois, United States, 606371470
United States, Massachusetts
Brigham and Women's Hosp
Boston, Massachusetts, United States, 02115
Children's Hosp of Boston
Boston, Massachusetts, United States, 021155724
United States, New Jersey
Univ of Medicine & Dentistry of New Jersey / Univ Hosp
Newark, New Jersey, United States, 071032714
United States, New York
Children's Hosp at Albany Med Ctr
Albany, New York, United States, 12208
SUNY Health Sciences Ctr at Syracuse / Pediatrics
Syracuse, New York, United States, 13210
United States, North Carolina
Duke Univ Med Ctr
Durham, North Carolina, United States, 277103499
United States, Pennsylvania
Temple Univ School of Medicine
Philadelphia, Pennsylvania, United States, 191341095
United States, Tennessee
Saint Jude Children's Research Hosp of Memphis
Memphis, Tennessee, United States, 381052794
Regional Med Ctr at Memphis
Memphis, Tennessee, United States, 38103
United States, Washington
Children's Hospital & Medical Center / Seattle ACTU
Seattle, Washington, United States, 981050371
Puerto Rico
San Juan City Hosp
San Juan, Puerto Rico, 009367344
Univ of Puerto Rico / Univ Children's Hosp AIDS
San Juan, Puerto Rico, 009365067

Sponsors and Collaborators

National Institute of Allergy and Infectious Diseases (NIAID)

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

Investigators

Study Chair:	Nancy Wade
Study Chair:	Sandra Burchett
Study Chair:	Salih Yasin
Study Chair:	Jash Unadkat

More Information

Additional Information:

Click here for more information about Zidovudine This link exits the ClinicalTrials.gov site

Click here for more information about Stavudine This link exits the ClinicalTrials.gov site

Click here for more information about Lamivudine This link exits the ClinicalTrials.gov site

Haga clic aquí para ver información sobre este ensayo clínico en español. This link exits the ClinicalTrials.gov site

No publications provided

Study ID Numbers:	ACTG 332, PACTG 332
Study First Received:	November 2, 1999
Last Updated:	August 5, 2008
ClinicalTrials.gov Identifier:	NCT00000878 History of Changes
Health Authority:	United States: Federal Government

Keywords provided by National Institute of Allergy and Infectious Diseases (NIAID):

Pregnancy
Pregnancy Complications, Infectious
Drug Therapy, Combination
Stavudine
Lamivudine

Disease Transmission, Vertical
Reverse Transcriptase Inhibitors
Anti-HIV Agents
Viral Load

Additional relevant MeSH terms:

Antimetabolites
Anti-Infective Agents
Sexually Transmitted Diseases, Viral
Stavudine
Slow Virus Diseases
Molecular Mechanisms of Pharmacological Action
Zidovudine
Lamivudine
Reverse Transcriptase Inhibitors
Anti-Retroviral Agents
Therapeutic Uses
Retroviridae Infections
Nucleic Acid Synthesis Inhibitors

RNA Virus Infections
Anti-HIV Agents
Immune System Diseases
Acquired Immunodeficiency Syndrome
Enzyme Inhibitors
Antiviral Agents
Immunologic Deficiency Syndromes
Pharmacologic Actions
Virus Diseases
HIV Infections
Sexually Transmitted Diseases
Lentivirus Infections

ClinicalTrials.gov processed this record on March 18, 2010