ClinicalTrials.gg
CompletedNCT00099632Updated Nov 4, 2021Results posted

Comparison of Three Anti-HIV Regimens to Prevent Nevirapine Resistance in Women Who Take Nevirapine During Pregnancy

A Phase 2 interventional study of Emtricitabine/Tenofovir Disoproxil Fumarate and Lamivudine/Zidovudine in HIV Infections, sponsored by National Institute of Allergy and Infectious Diseases (NIAID). Completed at 8 sites in 6 countries. Open to female participants aged 13 Years and older. Per ClinicalTrials.gov, last updated 2021-11-04.

Sponsored by National Institute of Allergy and Infectious Diseases (NIAID) · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
484
Allocation
Randomized
Ages
13 Years and older
Sex
Female
01

Study summary

HIV infected pregnant women may take single-dose nevirapine (SD NVP) prior to giving birth to prevent mother-to-child transmission (MTCT) of HIV. However, SD NVP may cause NVP resistance in the mother, potentially ruling out some treatment options in the future. The purpose of this study is to determine which of three anti-HIV drug regimens most effectively reduces the development of maternal NVP resistance in HIV infected pregnant women. The effectiveness of short-term (7 day therapy) versus long-term (21-day therapy) regimens will also be compared.

The study hypotheses are: 1) intrapartum SD NVP with a 21-day course of antiretroviral therapy (ART) results in less frequent selection of NVP-resistant HIV-1 variants than intrapartum SD NVP with a 7-day course of ART, and 2) a 7- or 21-day course of lamivudine/zidovudine (3TC/ZDV), emtricitabine/tenofovir disoproxil fumarate (FTC/TDF), or lopinavir/ritonavir (LPV/r) following SD NVP will not select nucleoside reverse transcriptase inhibitor (NRTI)- or protease inhibitor (PI)- resistant HIV-1 variants.

Read the detailed description

A major disadvantage of giving SD NVP is the potential for maternal development of NVP resistance and additional resistance to other nonnucleoside reverse transcriptase inhibitors (NNRTI) in the mother; as a result, future treatment options may be limited for these HIV infected women. The purpose of the study is to determine which of three ART regimens most effectively deters the development of maternal NVP resistance in HIV infected pregnant women postpartum. This study also compared the effectiveness of short-term versus long-term ART in discouraging the development of maternal NVP resistance.

Some mothers in this study received ZDV monotherapy prior to SD NVP administration; initiation of ZDV monotherapy was at the discretion of the site investigator and was be provided by this study. Randomization was stratified by receipt of ZDV monotherapy during the pregnancy.

Prior to labor, mothers were randomly assigned to receive SD NVP at the onset of labor and one of three postpartum ART regimens: 3TC/ZDV, FTC/TDF, and LPV/r. In addition, participants were randomly assigned to receive 7 or 21 days of their assigned postpartum treatment.

Mothers were followed for 96 weeks following delivery; there were 11 study visits for mothers during the study. At the onset of labor, medical and medication history, a targeted physical exam, and an obstetrical exam occurred. Additional physical exams occurred on Day 1 and Weeks 1 and 3. Blood collection occurred at 8 study visits between Weeks 3 and 96. Infants were followed for up to 96 weeks after birth; there were 8 study visits for infants during the study. Infants who had ever been breastfed had study visits at Weeks 16, 24, 48, and 96, and at about 1 and 2 years of age. A physical exam, medication history, and blood collection occurred at each infant visit. Mothers and infants could be prescribed continuing ART, but such ART was be provided by this study.

02

Conditions studied

  • HIV Infections

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Keywords

  • Treatment Naive
03

In context

HIV Infections

4,734 studies on the registry are indexed under HIV Infections; 244 are open to participants now.

This study's enrollment of 484 is above the median of 80 across 3,489 interventional studies indexed under HIV Infections.

Browse HIV Infections studies →

Lead sponsor

National Institute of Allergy and Infectious Diseases (NIAID) is the lead sponsor of 2,446 studies on the registry; 179 are open to participants now.

Of its 405 completed or terminated interventional studies of FDA-regulated products, 302 (75%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
13 Years and older
Sexes eligible
Female
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • -1 infected
  • 250 cells/mm3 or greater within 30 days of study entry
  • The following laboratory values obtained within 30 days prior to study entry: absolute neutropil count >= 750/mm3; >= 8.0 g/dL; count >= 50,000/mm3; calculated (Cockcroft-Gault formula) > 60 mL/min; (SGOT) and ALT(SGPT) \< 5 x ; total \< 1.5 X ULN.
  • Pregnant with a viable fetus at 28 to 38 weeks gestation at study entry.
  • Willing to give birth to baby in a hospital or clinic
  • Written from parent or guardian, if applicable

Exclusion criteria

Exclusion Criteria for Mothers:

  • Any ART, including single-dose NVP, prior to study entry. Mothers who receive ZDV monotherapy prior to labor under the supervision of the site investigator are not excluded.
  • Known allergy or sensitivity to study drugs or their formulations
  • Current drug or alcohol abuse that may interfere with the study
  • Serious illness requiring systemic treatment or hospitalization. Participants who complete therapy or are clinically stable on therapy for at least 14 days prior to study entry are not excluded.
  • surface antigen positive within 180 days prior to study entry
  • Active tuberculosis infection requiring treatment
  • Prior enrollment in this study
  • Expect to use ART, except ZDV monotherapy, prior to onset of labor
  • Expect to use ART other than study medications from delivery to 9 weeks postpartum
Terms in these criteria, in plain language(10)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

CD4 count

The number of CD4 cells, a type of white blood cell, in a given amount of blood. It is used to follow how well the immune system is doing in HIV.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
484 participants (actual)

Study arms

  • Experimental
    7-day 3TC/ZDV

    SD NVP and 3TC/ZDV provided at onset of active labor, followed by 7 days of 3TC/ZDV.

    Drug: Lamivudine/Zidovudine · Drug: single dose Nevirapine

  • Experimental
    21-day 3TC/ZDV

    SD NVP and 3TC/ZDV provided at onset of active labor, followed by 21 days of 3TC/ZDV.

    Drug: Lamivudine/Zidovudine · Drug: single dose Nevirapine

  • Experimental
    7-day FTC/TDF

    SD NVP and FTC/TDF provided at onset of active labor, followed by 7 days of FTC/TDF.

    Drug: Emtricitabine/Tenofovir Disoproxil Fumarate · Drug: single dose Nevirapine

  • Experimental
    21-day FTC/TDF

    SD NVP and FTC/TDF provided at onset of active labor, followed by 21 days of FTC/TDF.

    Drug: Emtricitabine/Tenofovir Disoproxil Fumarate · Drug: single dose Nevirapine

  • Experimental
    7-day LPV/r

    SD NVP and LPV/r provided at onset of active labor, followed by 7 days of LPV/r.

    Drug: Lopinavir/Ritonavir · Drug: single dose Nevirapine

  • Experimental
    21-day LPV/r

    SD NVP and LPV/r provided at onset of active labor, followed by 7 days of LPV/r

    Drug: Lopinavir/Ritonavir · Drug: single dose Nevirapine

Interventions

  • DrugEmtricitabine/Tenofovir Disoproxil Fumarate

    200mg/300mg as one tablet taken orally once daily

    Also known as: FTC/TDF

  • DrugLamivudine/Zidovudine

    Drug pages: Lamivudine · Zidovudine

    150mg/300mg as one tablet taken orally twice daily

    Also known as: 3TC/ZDV

  • DrugLopinavir/Ritonavir

    133.3mg/33.3mg as three capsules taken orally twice daily

    Also known as: LPV/r

  • Drugsingle dose Nevirapine

    one 200 mg tablet taken orally

    Also known as: SD NVP

06

What researchers measure

Primary outcomes

  1. Number of Participants With New Circulating Nonnucleoside Reverse Transcriptase Inhibitor (NNRTI)-Resistant Variants as Detected by Standard Composite (Bulk) Genotyping

    For the 7-day treatment duration group, only the genotype results from weeks 3 and 7 contributed to the primary endpoint; For the 21-day treatment duration groups, only the genotype results from weeks 5 and 9 contributed to primary endpoint. 10 participants who did not have resistance samples available were excluded from the primary endpoint analysis.

    Time frame: 2 and 6 weeks after completion of treatment

Secondary outcomes

  1. Number of Participants With New Circulating NRTI-resistant Variants Detected by Standard Composite (Bulk) Genotyping.

    For the 7-day treatment duration group, only the genotype results from weeks 3 and 7 contributed; For the 21-day treatment duration groups, only the genotype results from weeks 5 and 9 contributed.

    Time frame: 2 and 6 weeks after completion of treatment

  2. Number of Participants With New PI-resistant Variants as Detected by Standard Composite (Bulk) Genotyping.

    For the 7-day treatment duration group, only the genotype results from weeks 3 and 7 contributed; For the 21-day treatment duration groups, only the genotype results from weeks 5 and 9 contributed.

    Time frame: 2 and 6 weeks after completion of treatment

  3. Severe (Grade 3) and Higher Adverse Events and Any Grade Adverse Event That Leads to a Treatment Change From First Day of Study Treatment to Week 12

    Grade 3 or higher signs and symptoms, laboratory abnormalities, events that are reported through the EAE system, and any grade event that leads to a treatment change from first day of study treatment to week 12. Grade 3 = Severe Grade 4 = Life threatening Grade 5 = Death

    Time frame: From first day of study treatment to week 12

  4. Number of Participants Who Discontinued Study Treatment Prematurely

    participants assigned to 7-day treatment arm and 21-day treatment arm were supposed to stay in study treatment for 7 days and 21 days respectively.

    Time frame: From first day of study treatment to last day of study treatment (up to 21 days)

07

Results

Posted Jan 19, 2012

Participant flow

Study participants were recruited at 8 sites: 2 from South Africa, 2 from India, and 1 each from Haiti, Uganda, Tanzania, and Malawi, between January 2007 to October 2009.

Participant flow — Overall Study
Milestone7-day Lamivudine/Zidovudine (3TC/ZDV)21-day Lamivudine/Zidovudine (3TC/ZDV)7-day Emtricitabine/Tenofovir Disoproxil Fumarate (FTC/TDF)21-day Emtricitabine/Tenofovir Disoproxil Fumarate (FTC/TDF)7-day Lopinavir/Ritonavir (LPV/r)21-day Lopinavir/Ritonavir (LPV/r)
Started736875677168
Completed726772667066
Not completed113112
Withdrew: Lost to follow-up103110
Withdrew: Withdrawal by subject010001
Withdrew: Protocol violation000001

Outcome measures

PrimaryNumber of Participants With New Circulating Nonnucleoside Reverse Transcriptase Inhibitor (NNRTI)-Resistant Variants as Detected by Standard Composite (Bulk) Genotyping

For the 7-day treatment duration group, only the genotype results from weeks 3 and 7 contributed to the primary endpoint; For the 21-day treatment duration groups, only the genotype results from weeks 5 and 9 contributed to primary endpoint. 10 participants who did not have resistance samples available were excluded from the primary endpoint analysis.

Time frame:
2 and 6 weeks after completion of treatment
Reported as:
Number · participants
Number of Participants With New Circulating Nonnucleoside Reverse Transcriptase Inhibitor (NNRTI)-Resistant Variants as Detected by Standard Composite (Bulk) Genotyping
participants7-day Lamivudine/Zidovudine (3TC/ZDV)21-day Lamivudine/Zidovudine (3TC/ZDV)7-day Emtricitabine/Tenofovir Disoproxil Fumarate (FTC/TDF)21-day Emtricitabine/Tenofovir Disoproxil Fumarate (FTC/TDF)7-day Lopinavir/Ritonavir (LPV/r)21-day Lopinavir/Ritonavir (LPV/r)
Number of Participants With New Circulating Nonnucleoside Reverse Transcriptase Inhibitor (NNRTI)-Resistant Variants as Detected by Standard Composite (Bulk) Genotyping100031
Statistical analysis
  • 7-day Lamivudine/Zidovudine (3TC/ZDV) vs 21-day Lamivudine/Zidovudine (3TC/ZDV) vs 7-day Emtricitabine/Tenofovir Disoproxil Fumarate (FTC/TDF) vs 21-day Emtricitabine/Tenofovir Disoproxil Fumarate (FTC/TDF) vs 7-day Lopinavir/Ritonavir (LPV/r) vs 21-day Lopinavir/Ritonavir (LPV/r) · Cochran-Mantel-Haenszel · p = 0.37Cochran-Mantel-Haenszel test stratified by ARV regimen and the actual receipt of antenatal ZDV
  • 7-day Lamivudine/Zidovudine (3TC/ZDV) vs 21-day Lamivudine/Zidovudine (3TC/ZDV) vs 7-day Emtricitabine/Tenofovir Disoproxil Fumarate (FTC/TDF) vs 21-day Emtricitabine/Tenofovir Disoproxil Fumarate (FTC/TDF) vs 7-day Lopinavir/Ritonavir (LPV/r) vs 21-day Lopinavir/Ritonavir (LPV/r) · Cochran-Mantel-Haenszel · p = 0.091Cochran-Mantel-Haenszel test stratified by treatment duration and the actual receipt of antenatal ZDV
SecondaryNumber of Participants With New Circulating NRTI-resistant Variants Detected by Standard Composite (Bulk) Genotyping.

For the 7-day treatment duration group, only the genotype results from weeks 3 and 7 contributed; For the 21-day treatment duration groups, only the genotype results from weeks 5 and 9 contributed.

Time frame:
2 and 6 weeks after completion of treatment
Reported as:
Number · participants
Number of Participants With New Circulating NRTI-resistant Variants Detected by Standard Composite (Bulk) Genotyping.
participants7-day Lamivudine/Zidovudine (3TC/ZDV)21-day Lamivudine/Zidovudine (3TC/ZDV)7-day Emtricitabine/Tenofovir Disoproxil Fumarate (FTC/TDF)21-day Emtricitabine/Tenofovir Disoproxil Fumarate (FTC/TDF)7-day Lopinavir/Ritonavir (LPV/r)21-day Lopinavir/Ritonavir (LPV/r)
Number of Participants With New Circulating NRTI-resistant Variants Detected by Standard Composite (Bulk) Genotyping.011110
SecondaryNumber of Participants With New PI-resistant Variants as Detected by Standard Composite (Bulk) Genotyping.

For the 7-day treatment duration group, only the genotype results from weeks 3 and 7 contributed; For the 21-day treatment duration groups, only the genotype results from weeks 5 and 9 contributed.

Time frame:
2 and 6 weeks after completion of treatment
Reported as:
Number · participants
Number of Participants With New PI-resistant Variants as Detected by Standard Composite (Bulk) Genotyping.
participants7-day Lamivudine/Zidovudine (3TC/ZDV)21-day Lamivudine/Zidovudine (3TC/ZDV)7-day Emtricitabine/Tenofovir Disoproxil Fumarate (FTC/TDF)21-day Emtricitabine/Tenofovir Disoproxil Fumarate (FTC/TDF)7-day Lopinavir/Ritonavir (LPV/r)21-day Lopinavir/Ritonavir (LPV/r)
Number of Participants With New PI-resistant Variants as Detected by Standard Composite (Bulk) Genotyping.000000
SecondarySevere (Grade 3) and Higher Adverse Events and Any Grade Adverse Event That Leads to a Treatment Change From First Day of Study Treatment to Week 12

Grade 3 or higher signs and symptoms, laboratory abnormalities, events that are reported through the EAE system, and any grade event that leads to a treatment change from first day of study treatment to week 12. Grade 3 = Severe Grade 4 = Life threatening Grade 5 = Death

Time frame:
From first day of study treatment to week 12
Reported as:
Number · participants
Severe (Grade 3) and Higher Adverse Events and Any Grade Adverse Event That Leads to a Treatment Change From First Day of Study Treatment to Week 12
participants7-day Lamivudine/Zidovudine (3TC/ZDV)21-day Lamivudine/Zidovudine (3TC/ZDV)7-day Emtricitabine/Tenofovir Disoproxil Fumarate (FTC/TDF)21-day Emtricitabine/Tenofovir Disoproxil Fumarate (FTC/TDF)7-day Lopinavir/Ritonavir (LPV/r)21-day Lopinavir/Ritonavir (LPV/r)
Severe (Grade 3) and Higher Adverse Events and Any Grade Adverse Event That Leads to a Treatment Change From First Day of Study Treatment to Week 12511022
SecondaryNumber of Participants Who Discontinued Study Treatment Prematurely

participants assigned to 7-day treatment arm and 21-day treatment arm were supposed to stay in study treatment for 7 days and 21 days respectively.

Time frame:
From first day of study treatment to last day of study treatment (up to 21 days)
Reported as:
Number · participants
Number of Participants Who Discontinued Study Treatment Prematurely
participants7-day Lamivudine/Zidovudine (3TC/ZDV)21-day Lamivudine/Zidovudine (3TC/ZDV)7-day Emtricitabine/Tenofovir Disoproxil Fumarate (FTC/TDF)21-day Emtricitabine/Tenofovir Disoproxil Fumarate (FTC/TDF)7-day Lopinavir/Ritonavir (LPV/r)21-day Lopinavir/Ritonavir (LPV/r)
Number of Participants Who Discontinued Study Treatment Prematurely020005

Adverse events

Collected over From first treatment date to 12 weeks of follow up.. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
7-day 3TC/ZDV—2/73 (2.7%)0/73 (0%)
21-day 3TC/ZDV—0/68 (0%)0/68 (0%)
7-day FTC/TDF—1/75 (1.3%)0/75 (0%)
21-day FTC/TDF—0/67 (0%)0/67 (0%)
7-day LPV/r—1/71 (1.4%)0/71 (0%)
21-day LPV/r—0/68 (0%)0/68 (0%)
Most frequent serious events
Most frequent serious events
Event7-day 3TC/ZDV21-day 3TC/ZDV7-day FTC/TDF21-day FTC/TDF7-day LPV/r21-day LPV/r
Intra-uterine deathPregnancy, puerperium and perinatal conditions0/730/681/750/671/710/68
AnaemiaBlood and lymphatic system disorders1/730/680/750/670/710/68
Uterine ruptureInjury, poisoning and procedural complications1/730/680/750/670/710/68
StillbirthPregnancy, puerperium and perinatal conditions1/730/680/750/670/710/68

Baseline characteristics

Age, Continuous
Age, Continuous(years)7-day Lamivudine/Zidovudine (3TC/ZDV)21-day Lamivudine/Zidovudine (3TC/ZDV)7-day Emtricitabine/Tenofovir Disoproxil Fumarate (FTC/TDF)21-day Emtricitabine/Tenofovir Disoproxil Fumarate (FTC/TDF)7-day Lopinavir/Ritonavir (LPV/r)21-day Lopinavir/Ritonavir (LPV/r)Total
Mean27 ± 627 ± 526 ± 526 ± 527 ± 626 ± 527 ± 5
Age, Customized
Age, Customized(participants)7-day Lamivudine/Zidovudine (3TC/ZDV)21-day Lamivudine/Zidovudine (3TC/ZDV)7-day Emtricitabine/Tenofovir Disoproxil Fumarate (FTC/TDF)21-day Emtricitabine/Tenofovir Disoproxil Fumarate (FTC/TDF)7-day Lopinavir/Ritonavir (LPV/r)21-day Lopinavir/Ritonavir (LPV/r)Total
Between 13 and 19 years21533317
Between 20 and 29 years494653464748289
Between 30 and 39 years202016181916109
>= 40 years2110217
Sex: Female, Male
Sex: Female, Male(Participants)7-day Lamivudine/Zidovudine (3TC/ZDV)21-day Lamivudine/Zidovudine (3TC/ZDV)7-day Emtricitabine/Tenofovir Disoproxil Fumarate (FTC/TDF)21-day Emtricitabine/Tenofovir Disoproxil Fumarate (FTC/TDF)7-day Lopinavir/Ritonavir (LPV/r)21-day Lopinavir/Ritonavir (LPV/r)Total
Female736875677168422
Male0000000
Region of Enrollment
Region of Enrollment(participants)7-day Lamivudine/Zidovudine (3TC/ZDV)21-day Lamivudine/Zidovudine (3TC/ZDV)7-day Emtricitabine/Tenofovir Disoproxil Fumarate (FTC/TDF)21-day Emtricitabine/Tenofovir Disoproxil Fumarate (FTC/TDF)7-day Lopinavir/Ritonavir (LPV/r)21-day Lopinavir/Ritonavir (LPV/r)Total
Haiti12111079958
Tanzania31332214
Uganda171618171716101
South Africa138109101060
Malawi13141412171585
India151820191616104
Gestational age at NVP dosing, Continuous
Gestational age at NVP dosing, Continuous(weeks)7-day Lamivudine/Zidovudine (3TC/ZDV)21-day Lamivudine/Zidovudine (3TC/ZDV)7-day Emtricitabine/Tenofovir Disoproxil Fumarate (FTC/TDF)21-day Emtricitabine/Tenofovir Disoproxil Fumarate (FTC/TDF)7-day Lopinavir/Ritonavir (LPV/r)21-day Lopinavir/Ritonavir (LPV/r)Total
Mean38 ± 239 ± 238 ± 238 ± 338 ± 238 ± 238 ± 2
Screening CD4 count Categorical
Screening CD4 count Categorical(participants)7-day Lamivudine/Zidovudine (3TC/ZDV)21-day Lamivudine/Zidovudine (3TC/ZDV)7-day Emtricitabine/Tenofovir Disoproxil Fumarate (FTC/TDF)21-day Emtricitabine/Tenofovir Disoproxil Fumarate (FTC/TDF)7-day Lopinavir/Ritonavir (LPV/r)21-day Lopinavir/Ritonavir (LPV/r)Total
250-349 cells/mm^315786201369
350-499 cells/mm^3242129292522150
>=500 cells/mm^3344038322633203
Screening CD4 count Continuous
Screening CD4 count Continuous(cells/mm^3)7-day Lamivudine/Zidovudine (3TC/ZDV)21-day Lamivudine/Zidovudine (3TC/ZDV)7-day Emtricitabine/Tenofovir Disoproxil Fumarate (FTC/TDF)21-day Emtricitabine/Tenofovir Disoproxil Fumarate (FTC/TDF)7-day Lopinavir/Ritonavir (LPV/r)21-day Lopinavir/Ritonavir (LPV/r)Total
Mean538 ± 244585 ± 215537 ± 186545 ± 191505 ± 205566 ± 249545 ± 216
Screening HIV-1 RNA Categorical
Screening HIV-1 RNA Categorical(participants)7-day Lamivudine/Zidovudine (3TC/ZDV)21-day Lamivudine/Zidovudine (3TC/ZDV)7-day Emtricitabine/Tenofovir Disoproxil Fumarate (FTC/TDF)21-day Emtricitabine/Tenofovir Disoproxil Fumarate (FTC/TDF)7-day Lopinavir/Ritonavir (LPV/r)21-day Lopinavir/Ritonavir (LPV/r)Total
<=400 copies/mL17131312121683
401-999 copies/mL1287116448
1000-9999 copies/mL172633252918148
10000-99999 copies/mL171718142026112
100000-749999 copies/mL83454428
>=750000 copies/mL1000001
Missing/Unknown1100002

2 further baseline measures are reported on the registry.

08

Study locations

8 sites
  • Les Centres GHESKIO Clinical Research Site (GHESKIO-INLR) CRS
    Port-au-Prince, 6110, Haiti
  • Byramjee Jeejeebhoy Government Medical College CRS
    Pune, Maharashtra 411001, India
  • Chennai Antiviral Research and Treatment (CART) CRS
    Chennai, Tamil Nadu 600113, India
  • Blantyre CRS
    Blantyre, Malawi
  • Wits Helen Joseph Hospital CRS (Wits HJH CRS)
    Johannesburg, Gauteng 2092, South Africa
  • Durban International CRS
    Westville, KwaZulu-Natal 3610, South Africa
  • Kilimanjaro Christian Medical CRS
    Moshi, Tanzania
  • Joint Clinical Research Center (JCRC)/Kampala CRS
    Kampala, Uganda
09

References and documents

Publications

  • 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 ↗
  • Eshleman SH, Jackson JB. Nevirapine resistance after single dose prophylaxis. AIDS Rev. 2002 Apr-Jun;4(2):59-63. PubMed 12152519 ↗
  • Jourdain G, Ngo-Giang-Huong N, Le Coeur S, Bowonwatanuwong C, Kantipong P, Leechanachai P, Ariyadej S, Leenasirimakul P, Hammer S, Lallemant M; Perinatal HIV Prevention Trial Group. Intrapartum exposure to nevirapine and subsequent maternal responses to nevirapine-based antiretroviral therapy. N Engl J Med. 2004 Jul 15;351(3):229-40. doi: 10.1056/NEJMoa041305. Epub 2004 Jul 9. PubMed 15247339 ↗
  • Lyons FE, Coughlan S, Byrne CM, Hopkins SM, Hall WW, Mulcahy FM. Emergence of antiretroviral resistance in HIV-positive women receiving combination antiretroviral therapy in pregnancy. AIDS. 2005 Jan 3;19(1):63-7. doi: 10.1097/00002030-200501030-00007. Erratum In: AIDS. 2007 Jul 31;21(12):1671. PubMed 15627034 ↗
  • Sullivan JL. Prevention of mother-to-child transmission of HIV--what next? J Acquir Immune Defic Syndr. 2003 Sep;34 Suppl 1:S67-72. doi: 10.1097/00126334-200309011-00010. PubMed 14562860 ↗
  • McMahon D, Noel F, Zheng L, Kabanda J, Halvas E, Taulo F, Kumarasamy N, Wallis C, Hughes M, Mellors J. Suppression of NVP Resistance with 7- vs 21-day ARV Regimens after Single-dose NVP: Results of A5207. Presented at 18th Conference on Retroviruses & Opportunistic Infections (CROI 11) on 03/01/2011 at Boston, MA
  • Hong F, Halvas E, Chan E, Zheng L, Hughes M, Hitti J, McMahon D, Mellors J. Suppression of Minor NVP-Resistant Variants With 7- vs. 21-Day Antiretroviral Regimens After Single Dose Nevirapine. Presented at 20th Anniversary of the International Workshop on HIV & Hepatitis Virus Drug Resistance and Curative Strategies on Jun 9, 2011, Los Cabos, Mexico
  • McMahon DK, Zheng L, Hitti J, Chan ES, Halvas EK, Hong F, Kabanda J, Taulo F, Kumarasamy N, Bonhomme J, Wallis CL, Klingman KL, Hughes MD, Mellors JW. Greater suppression of nevirapine resistance with 21- vs 7-day antiretroviral regimens after intrapartum single-dose nevirapine for prevention of mother-to-child transmission of HIV. Clin Infect Dis. 2013 Apr;56(7):1044-51. doi: 10.1093/cid/cis1219. Epub 2013 Jan 8. PubMed 23300238 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 4, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00099632
Responsible party
Sponsor
First posted
Dec 20, 2004
Start date
Mar 2006
Primary completion
Apr 2010
Completion
Nov 2011
Results posted
Jan 19, 2012
Last update
Nov 4, 2021

Study contacts

Jane Hitti, MD, MPH
study chair · Department of Obstetrics/Gynecology, Perinatal Medicine, University of Washington Medical Center
Deborah McMahon, MD
study chair · Division of Infectious Diseases, Department of Medicine, University of Pittsburgh

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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Studies of the drugs tested here: Lamivudine · Zidovudine

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