HIV Infections Clinical Trial
Official title:
Pediatric Late Outcomes Protocol
As new drugs and vaccines are developed to prevent HIV disease progression and prolong survival of HIV infected patients, the short-term safety and effectiveness of these treatments are evaluated in research studies. However, the long-term effects, whether they are benefits or side effects, need to be studied as well. These long-term effects may have a greater impact on infants and children who are still growing and developing. The purpose of this study is to follow HIV-exposed and HIV infected infants, children, and adolescents who are seen at Pediatric AIDS Clinical Trials Group (PACTG) study sites. These patients will be observed for long-term benefits or any late harmful effects of medications or vaccines.
The potential long-term benefits, toxicities, and other adverse outcomes of new anti-HIV
therapies cannot be assessed within the time frame of most clinical trials. There is a need
to better assess both positive and negative late outcomes and late treatment effects in
growing children. This prospective, longitudinal study will evaluate the effects and their
impact on children.
Children in this study will include patients who are HIV infected, were exposed to HIV or
anti-HIV drugs prior to or at the time of their birth, or children of patients followed at
Pediatric AIDS Clinical Trial Group (PACTG) sites. Children will have a study visit every 3
months through the first year of life. After age 1, children who are HIV infected will
continue to have study visits every 3 months, while children who are HIV uninfected will
have study visits once a year. Study assessments will include complete physical exam,
medical history, Tanner staging, neurologic exam, growth and quality of life assessments,
and laboratory tests such as hematology, chemistries, and urinalysis. Not all assessments
will be performed at each study visit. Patients will be followed until age 24.
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