HIV Infections Clinical Trial
Official title:
Nevirapine (NVP) Use to Prevent Maternal-Infant HIV Transmission: A Randomized Clinical Trial of Two Doses of NVP Compared to Six Weeks of NVP for the Prevention of Maternal-Infant HIV Transmission in the Breastfeeding Infant
HIV can be transmitted from an HIV infected mother to her infant through her breast milk.
The purpose of this study is to determine whether giving infants of HIV infected mothers the
anti-HIV drug nevirapine (NVP) for six weeks will reduce the risk of HIV transmission.
Study hypothesis: Six weeks of nevirapine prophylaxis provided to the infant will decrease
HIV transmission through breastfeeding.
The use of antiretroviral therapy during late pregnancy, intrapartum, and immediately
postpartum prevents a high proportion of vertical transmission. Potential means of
decreasing HIV transmission through breastfeeding, along with the risks and benefits of
early weaning, need to be further evaluated. The potential impact of early weaning
interventions on the breastfeeding habits of the HIV uninfected population needs to be
considered as well. This study seeks to identify a way to make breastfeeding safe for HIV
infected women who choose to breastfeed.
A single dose of NVP given to infants of HIV infected mothers appears to provide some
protection against vertical transmission. NVP's long half-life allows simple dosing, making
it more feasible and affordable to implement in a developing country. This study will
determine whether extending the NVP dosing to six weeks will significantly decrease
transmission during the first several months of breastfeeding.
;
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Factorial Assignment, Masking: Double Blind (Subject, Caregiver), Primary Purpose: Prevention
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