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CompletedNCT00197756Updated Aug 21, 2009

Vitamins, Breastmilk HIV Shedding, and Child Health

An observational study in Maternal and Child Health Outcomes, sponsored by Harvard School of Public Health (HSPH). Completed at 1 site in United States. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2009-08-21.

Sponsored by Harvard School of Public Health (HSPH) · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
771
Ages
18 Years and older
Sex
Female
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Study summary

The purpose of this study is to analyze stored samples and data collected during the conduct of the study "A Trial of Vitamins in HIV Progression and Transmission" (HD32257). The aims are to examine the effect of vitamin supplementation on HIV infected women during pregnancy on a number of parameters in breastmilk.

Read the detailed description

The purpose of this study is to analyze stored samples and data collected during the conduct of the study "A Trial of Vitamins in HIV Progression and Transmission" (HD32257). The aims are to examine the effect of vitamin supplementation on HIV infected women during pregnancy

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Conditions studied

  • Maternal and Child Health Outcomes

Keywords

  • HIV
  • Breastfeeding
  • Vitamins
  • Tanzania
  • Children
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In context

Lead sponsor

Harvard School of Public Health (HSPH) is the lead sponsor of 150 studies on the registry; 9 are open to participants now.

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

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
Female
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

The data and samples used in this study are from HIV-infected pregnant women who participated in the "Trial of Vitamins in HIV Transmission and Progression". Between 1995 and 1997, 1,078 African, HIV positive women who were between gestatopm weeks 12 and 27 were recruited. They were followed until August 2003. This study was conducte among 771 of these women, for whom breast milk samples were available at delivery. There were no differences in baseline characteristics between this subset and the originally randomized group of 1,069.

Eligibility criteria

This study is analyzing samples previously collected from the study "A Trial of Vitamins in HIV Progression and Transmission" (HD32257).

The inclusion criteria in this study was:

  • HIV infected women presenting to antenatal care between 12 and 27 weeks of gestation
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Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
771 participants (actual)
Biospecimen retention
Samples without dna

Groups and cohorts

  • Vitamin A

    Participants in the in the parent study who had been randomized to receive either Vitamin A alone or multivitamins including vitamin A.

    Dietary Supplement: Vitamin A alone

  • No Vitamin A

    Participants in the parent study who were randomized to receive either multivitamins excluding vitamin A, or placebo.

    Dietary Supplement: Multivitamins excluding vitamin A · Dietary Supplement: multivitamins including vitamin A · Other: Placebo

  • Multivitamins

    Participants in the parent study who were randomized to receive multivitamins including vitamin A or multivitamins excluding vitamin A

    Dietary Supplement: Vitamin A alone · Dietary Supplement: Multivitamins excluding vitamin A · Dietary Supplement: multivitamins including vitamin A

  • No Multivitamins

    Participants from the parent study who had been randomized to vitamin A alone or placebo

    Dietary Supplement: Vitamin A alone · Other: Placebo

Interventions

  • Dietary supplementVitamin A alone

    30 mg beta-carotene plus 5000 IU preformed vitamin A) taken orally once per during pregnancy and lactation

  • Dietary supplementMultivitamins excluding vitamin A

    30 mg thiamine, 20 mg riboflavin, 20 mg B-6, 100 mg niacin, 50 ug vitamin B-12, 500 mg vitamin C, 30 mg vitamin E, 0.8 mg folic acid taken orally once per day during pregnancy and lactation

  • Dietary supplementmultivitamins including vitamin A

    20 mg thiamine, 20 mg riboflavin, 25 mg vitamin B6, 100 mg niacin, 50 ug vitamin B12, 500 mg vitamin C, 30 mg vitamin E, and 0.8 mg folic acid taken once per day orally during pregnancy and lactation

  • OtherPlacebo

    Placebo pill taken orally once per day during pregnancy and lactation

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What researchers measure

Primary outcomes

  1. cell-free viral load and/or cell-associated proviral load in breast milk

    Time frame: Delivery, 3 months, and 6 months after delivery

  2. concentration of vitamins A, B12, and E in breast milk

    Time frame: Delivery, 3 months, and 6 months post-delivery

  3. subclinical mastitis

    Time frame: Delivery, 3 months, and 6 months after delivery

Secondary outcomes

  1. post-natal mother-to-child transmission of HIV

    Time frame: Delivery, 3 months, and 6 months post-delivery

  2. infant mortality and morbidity from diarrhea

    Time frame: Delivery, 3 months and 6 months after delivery

  3. a.) CCR5 expression in differentiating monocytes and differentiated monocyte-derived macrophages

    Time frame: N/A (in vitro experiment)

  4. HIV-1 replication in differentiating monocytes acutely infected with a subtype C HIV-1 clone, differentiated non-dividing MDMs acutely infected with the HIV-1 MJ4 clone, and differentiated non-dividing MDMs chronically infected with the HIV-1 MJ4 clone.

    Time frame: N/A (in vitro experiment)

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Study locations

1 site
  • Harvard School of Public Health
    Boston, Massachusetts 02115, United States
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References and documents

Publications

  • Villamor E, Koulinska IN, Aboud S, Murrin C, Bosch RJ, Manji KP, Fawzi WW. Effect of vitamin supplements on HIV shedding in breast milk. Am J Clin Nutr. 2010 Oct;92(4):881-6. doi: 10.3945/ajcn.2010.29339. Epub 2010 Aug 25. PubMed 20739426 ↗
  • Webb AL, Aboud S, Furtado J, Murrin C, Campos H, Fawzi WW, Villamor E. Effect of vitamin supplementation on breast milk concentrations of retinol, carotenoids and tocopherols in HIV-infected Tanzanian women. Eur J Clin Nutr. 2009 Mar;63(3):332-9. doi: 10.1038/sj.ejcn.1602929. Epub 2007 Oct 17. PubMed 17940544 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 21, 2009, 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
NCT00197756
Lead sponsor
Harvard School of Public Health (HSPH)
Collaborators
Muhimbili University of Health and Allied Sciences
First posted
Sep 20, 2005
Start date
Sep 2004
Primary completion
Aug 2007
Completion
Aug 2007
Last update
Aug 21, 2009

Study contacts

Eduardo Villamor, MD,DrPH
principal investigator · Harvard School of Public Health (HSPH)

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Aug 2009. You cannot join it, but the record below documents what was studied.

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