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HIV InfectionsPhase 3NCT00000869

A Study of Nevirapine for the Prevention of HIV Transmission From Mothers to Their Babies

A Phase 3 study testing Nevirapine in people with HIV Infections and Pregnancy, run by National Institute of Allergy and Infectious Diseases (NIAID) at 72 sites in 2 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

The purpose of this study is to see if giving the anti-HIV drug nevirapine (NVP) to HIV-positive pregnant women and their babies can help reduce the chance that a mother will give HIV to her baby during delivery. Read more about this study

Who is it for?
Ages 13 years and older
Conditions the study is for
HIV Infections, Pregnancy
What is being tested?
Nevirapine
How many people
2,009 participants
Where
72 sitesin 2 countries
Study dates
Start not givento May 2001
Phase
Phase 3
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 13 years and older
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Women may be eligible for this study if they:
  • Are HIV-positive.
  • Are at least 20 weeks pregnant. (This study has been changed. Women no longer have to be 28 weeks pregnant.)
  • Have consent from the child's father (if available).
  • Are at least 13 years old (consent of parent or guardian required if under 18).

Who cannot join

  • Women will not be eligible for this study if they:
  • Have ever taken NNRTIs (nonnucleoside reverse transcriptase inhibitors).
  • Are enrolled in another pregnancy treatment study.
  • Are allergic to benzodiazepines.
  • Have liver disease.
  • Plan to breast-feed.

Trial locations and contacts

72 sites in 2 countries.

72 sites in 2 countries

United States69 sites
  • Children's Hosp at Albany Med Ctr

    Albany, New York, 12208

  • Med College of Georgia

    Augusta, Georgia, 30912

  • Univ of Maryland at Baltimore / Univ Med Ctr

    Baltimore, Maryland, 21201

  • Johns Hopkins Hosp - Pediatric

    Baltimore, Maryland, 212874933

  • Univ of Alabama at Birmingham - Pediatric

    Birmingham, Alabama, 35233

  • Children's Hosp of Boston

    Boston, Massachusetts, 021155724

  • Brigham and Women's Hosp

    Boston, Massachusetts, 02115

  • Boston City Hosp / Pediatrics

    Boston, Massachusetts, 02118

  • Cooper Hosp - Univ Med Ctr / UMDNJ - New Jersey Med Schl

    Camden, New Jersey, 08103

  • Med Univ of South Carolina

    Charleston, South Carolina, 294253312

  • Cook County Hosp

    Chicago, Illinois, 60612

  • Univ of Illinois College of Medicine / Pediatrics

    Chicago, Illinois, 60612

  • Chicago Children's Memorial Hosp

    Chicago, Illinois, 606143394

  • Univ of Chicago Children's Hosp

    Chicago, Illinois, 606371470

  • The Med Ctr Inc

    Columbus, Georgia, 31901

  • Children's Med Ctr of Dallas

    Dallas, Texas, 75235

  • Children's Hosp of Denver

    Denver, Colorado, 802181088

  • Children's Hosp of Michigan

    Detroit, Michigan, 48201

  • Duke Univ Med Ctr

    Durham, North Carolina, 277103499

  • Univ of North Carolina at Chapel Hill / Duke Univ Med Ctr

    Durham, North Carolina, 27710

  • Connecticut Children's Med Ctr

    Farmington, Connecticut, 060303805

  • Univ of Connecticut / Farmington

    Farmington, Connecticut, 06032

  • North Broward Hosp District

    Fort Lauderdale, Florida, 33311

  • Univ of Florida Gainesville

    Gainesville, Florida, 32610

  • North Shore Univ Hosp

    Great Neck, New York, 11021

  • Texas Children's Hosp / Baylor Univ

    Houston, Texas, 77030

  • Univ of Mississippi Med Ctr

    Jackson, Mississippi, 39213

  • Univ of Florida Health Science Ctr / Pediatrics

    Jacksonville, Florida, 32209

  • UCSD Med Ctr / Pediatrics / Clinical Sciences

    La Jolla, California, 920930672

  • Long Beach Memorial (Pediatric)

    Long Beach, California, 90801

  • Los Angeles County - USC Med Ctr

    Los Angeles, California, 90033

  • UCLA Med Ctr / Pediatric

    Los Angeles, California, 900951752

  • Harbor - UCLA Med Ctr / UCLA School of Medicine

    Los Angeles, California, 905022004

  • Regional Med Ctr at Memphis

    Memphis, Tennessee, 38103

  • Methodist Hosp Central

    Memphis, Tennessee, 381052794

  • Saint Jude Children's Research Hosp of Memphis

    Memphis, Tennessee, 381052794

  • Univ of Miami / Jackson Memorial Hosp

    Miami, Florida, 33136

  • Univ of Miami (Pediatric)

    Miami, Florida, 33161

  • Univ of South Alabama

    Mobile, Alabama, 36604

  • Vanderbilt Univ Med Ctr

    Nashville, Tennessee, 372322581

  • UMDNJ - Robert Wood Johnson Med School / Pediatrics

    New Brunswick, New Jersey, 089030019

  • St Peter's Med Ctr

    New Brunswick, New Jersey, 08903

  • Tulane Univ / Charity Hosp of New Orleans

    New Orleans, Louisiana, 701122699

  • Tulane Univ Hosp of New Orleans

    New Orleans, Louisiana, 701122699

  • Univ Hosp

    New Orleans, Louisiana, 70112

  • Bellevue Hosp / New York Univ Med Ctr

    New York, New York, 10016

  • Metropolitan Hosp Ctr

    New York, New York, 10029

  • Columbia Presbyterian Med Ctr

    New York, New York, 10032

  • Univ of Medicine & Dentistry of New Jersey / Univ Hosp

    Newark, New Jersey, 071032714

  • Saint Joseph's Hosp and Med Ctr/UMDNJ - New Jersey Med Schl

    Newark, New Jersey, 07103

  • Children's Hosp of the King's Daughters

    Norfolk, Virginia, 23507

  • Senetara Norfolk Gen Hosp

    Norfolk, Virginia, 23507

  • Children's Hosp of Philadelphia

    Philadelphia, Pennsylvania, 191044318

  • Hosp of the Univ of Pennsylvania

    Philadelphia, Pennsylvania, 19104

  • Saint Christopher's Hosp for Children

    Philadelphia, Pennsylvania, 191341095

  • Temple Univ School of Medicine

    Philadelphia, Pennsylvania, 191341095

  • Med College of Virginia

    Richmond, Virginia, 23219

  • Univ of Rochester Med Ctr

    Rochester, New York, 146420001

  • San Francisco Gen Hosp

    San Francisco, California, 94110

  • UCSF / Moffitt Hosp - Pediatric

    San Francisco, California, 941430105

  • Children's Hospital & Medical Center / Seattle ACTU

    Seattle, Washington, 981050371

  • Baystate Med Ctr of Springfield

    Springfield, Massachusetts, 01199

  • SUNY Health Sciences Ctr at Syracuse / Pediatrics

    Syracuse, New York, 13210

  • Tacoma Gen Hosp

    Tacoma, Washington, 98405

  • Bronx Lebanon Hosp Ctr

    The Bronx, New York, 10457

  • Bronx Municipal Hosp Ctr/Jacobi Med Ctr

    The Bronx, New York, 10461

  • Washington Hosp Ctr

    Washington D.C., District of Columbia, 200102931

  • Howard Univ Hosp

    Washington D.C., District of Columbia, 20060

  • Univ of Massachusetts Med School

    Worcester, Massachusetts, 016550001

Other trials in United States

Puerto Rico3 sites
  • Ramon Ruiz Arnau Univ Hosp / Pediatrics

    Bayamón, 00956

  • Univ of Puerto Rico / Univ Children's Hosp AIDS

    San Juan, 009365067

  • San Juan City Hosp

    San Juan, 009367344

Other trials in Puerto Rico

About this study

Official title: A Phase III Randomized, Blinded Study of Nevirapine for the Prevention of Maternal-Fetal Transmission in Pregnant HIV-Infected Women

The purpose of this study is to see if giving the anti-HIV drug nevirapine (NVP) to HIV-positive pregnant women and their babies can help reduce the chance that a mother will give HIV to her baby during delivery. This study will also test the safety of the drug and see how well it is tolerated by the mother and her baby.

Previous studies suggest that NVP is a promising medication for blocking HIV transmission from HIV-positive mothers to their babies.

Read the detailed description

Nevirapine has several properties that make it an attractive candidate for antiretroviral therapy to interrupt HIV-1 transmission in the intrapartum and early postpartum period. The pharmacokinetic profile suggested that nevirapine would be rapidly absorbed and transferred to the infant in utero when given during labor and delivery. In addition, nevirapine has been shown to penetrate cell-free virions and inactivate virion-associated reverse transcriptase (RT) in situ. This property would be potentially useful in inactivating cell-free virions in the genital tract as well as in breast milk. These characteristics of nevirapine suggest that treatment of an HIV-infected pregnant woman in labor with an oral dose of nevirapine may provide a prophylactic level of nevirapine in the infant during the time of exposure to virus in the birth canal and/or maternal blood. In addition, nevirapine may inactivate the virion-associated RT present in cell-free virions in the genital tract or breast milk.

Women are randomized to receive either NVP or the corresponding placebo in active labor. Women are randomized at any time after their 32nd week gestation [AS PER AMENDMENT 1/13/98: 28th week gestation] [AS PER AMENDMENT 2/23/00: 20th week gestation]. The randomization is stratified using two factors: (1) use of [AS PER AMENDMENT 2/23/00: current or anticipated] antiretroviral therapy during the current pregnancy (no therapy at all; monotherapy for any duration; multi-agent therapy for any duration), and (2) CD4 cell count at the time of randomization (less than 200 cells; 200 - 399 cells; 400 cells or greater). Mothers are followed on study for 4 to 6 weeks postpartum. Mothers are also encouraged to follow the regimen of zidovudine (ZDV) outlined in the Office of Public Health and Science (PHS) treatment guidelines for both themselves and their infants. Infants are administered either NVP or placebo between 48 and 72 hours of life. The infant's study drug is the same as the mother's randomized treatment assignment. Infants are dosed with the study drug according to their randomization group regardless of whether the mother received the study drug. Infants are followed for 4 to 6 weeks, and are tested for HIV at 4 to 6 weeks, 3 months, and 6 months.

Being tested
Nevirapine
Keywords
Pregnancy Trimester, Third, Placebos, Pregnancy, Pregnancy Complications, Infectious, Administration, Oral, Nevirapine, Disease Transmission, Vertical, Reverse Transcriptase Inhibitors, Anti-HIV Agents
Medical subject headings
HIV Infections, Pregnancy Complications, Infectious

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • NevirapineDrug

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted31 Aug 2001 (estimated)
  2. Study completionMay 2001

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Masking
Double blind
Enrolment
2,009 participants
IDs, dates and publications
ClinicalTrials.gov ID
NCT00000869
Sponsor's protocol ID
ACTG 316
Other IDs
11290
Status last verified
Oct 2021
First submitted
2 Nov 1999
Last updated
28 Oct 2021
Results posted
No

Publications

  • Cunningham CK, Britto P, Gelber R, Dorenbaum A, Mofenson L, Culnane M, Sullivan JL. Genotypic resistance analysis in women participating in PACTG 316 with HIV-1 RNA >400 copies/ml. 8th Conf Retro and Opportun Infect. 2001 Feb 4-8 (abstract no 712)

  • Mirochnick M, Dorenbaum A, Cunningham-Schrader B, Cunningham C, Gelber R, Mofenson L, Sullivan J. Cord blood protease inhibitor (PI) concentrations in infants born to mothers receiving PIs. 8th Conf Retro and Opportun Infect. 2001 Feb 4-8 (abstract no 710)

  • Dorenbaum A. Report of results of PACTG 316: an international phase III trial of standard antiretroviral (ARV) prophylaxis plus nevirapine (NVP) for prevention of perinatal HIV transmission. 8th Conf Retro and Opportun Infect. 2001 Feb 4-8 (abstract no LB7)

  • Cunningham CK, Chaix ML, Rekacewicz C, Britto P, Rouzioux C, Gelber RD, Dorenbaum A, Delfraissy JF, Bazin B, Mofenson L, Sullivan JL. Development of resistance mutations in women receiving standard antiretroviral therapy who received intrapartum nevirapine to prevent perinatal human immunodeficiency virus type 1 transmission: a substudy of pediatric AIDS clinical trials group protocol 316. J Infect Dis. 2002 Jul 15;186(2):181-8. doi: 10.1086/341300. Epub 2002 Jun 26.

    PubMed 12134253
  • Mirochnick M, Dorenbaum A, Blanchard S, Cunningham CK, Gelber RD, Mofenson L, Culnane M, Sullivan JL. Predose infant nevirapine concentration with the two-dose intrapartum neonatal nevirapine regimen: association with timing of maternal intrapartum nevirapine dose. J Acquir Immune Defic Syndr. 2003 Jun 1;33(2):153-6. doi: 10.1097/00126334-200306010-00006.

    PubMed 12794547
  • Cunningham CK, Balasubramanian R, Delke I, Maupin R, Mofenson L, Dorenbaum A, Sullivan JL, Gonzalez-Garcia A, Thorpe E, Rathore M, Gelber RD. The impact of race/ethnicity on mother-to-child HIV transmission in the United States in Pediatric AIDS Clinical Trials Group Protocol 316. J Acquir Immune Defic Syndr. 2004 Jul 1;36(3):800-7. doi: 10.1097/00126334-200407010-00006.

    PubMed 15213563
  • Watts DH, Balasubramanian R, Maupin RT Jr, Delke I, Dorenbaum A, Fiore S, Newell ML, Delfraissy JF, Gelber RD, Mofenson LM, Culnane M, Cunningham CK; PACTG 316 Study Team. Maternal toxicity and pregnancy complications in human immunodeficiency virus-infected women receiving antiretroviral therapy: PACTG 316. Am J Obstet Gynecol. 2004 Feb;190(2):506-16. doi: 10.1016/j.ajog.2003.07.018.

    PubMed 14981398
  • Newell ML, Huang S, Fiore S, Thorne C, Mandelbrot L, Sullivan JL, Maupin R, Delke I, Watts DH, Gelber RD, Cunningham CK; PACTG 316 Study Team. Characteristics and management of HIV-1-infected pregnant women enrolled in a randomised trial: differences between Europe and the USA. BMC Infect Dis. 2007 Jun 20;7:60. doi: 10.1186/1471-2334-7-60.

    PubMed 17584491

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Nevirapine in people with HIV Infections and Pregnancy, run by National Institute of Allergy and Infectious Diseases (NIAID) at 72 sites in 2 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 28 Oct 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 72 sites in United States, Puerto Rico. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00000869, which also lists 8 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 28 Oct 2021.

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