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CompletedNCT00342082Updated Jul 2, 2017

Effects of Anti-HIV Therapy on Red Blood Cells of HIV-infected Mothers and Their Infants

An observational study in Cord Blood, sponsored by National Institute of Environmental Health Sciences (NIEHS). Completed at 3 sites in United States. Per ClinicalTrials.gov, last updated 2017-07-02.

Sponsored by National Institute of Environmental Health Sciences (NIEHS) · Observational

Study type
Observational
Enrollment
0
Sex
All
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Study summary

This collaborative investigation between NIEHS, Duke University, and the University of North Carolina (UNC) will study red blood cells of babies born to HIV-infected women receiving anti-retroviral treatment. Studies have shown that newborn mice whose mothers were given anti-HIV medications during pregnancy had abnormal red blood cells circulating in their blood stream, indicating genetic damage to the cells caused by the anti-HIV medications. It is not known if similar red blood cell abnormalities develop in human infants whose mothers received anti-HIV medication during their pregnancy. This study will examine red blood cells from infants exposed to anti-HIV medications and from non-exposed infants to look for differences between them involving this specific genetic damage.

Healthy pregnant women and HIV-infected pregnant women who received antiretroviral treatment during their last trimester of pregnancy and during labor may be eligible for this study. Babies of HIV-infected women are also included in the study. Candidates will be recruited from medical centers at Duke University and the UNC. HIV-infected mothers must plan to have their baby followed by either the UNC or the Duke Pediatric Infectious Disease clinic.

All women in the study will have 1 milliliter (less than 1/2 teaspoon) of blood collected for this study during delivery at the same time that other blood samples are obtained for their medical care. In addition, 5 ml (1 teaspoon) of umbilical cord blood will also be collected for this study at the time of delivery after the cord is no longer attached to the baby. This concludes participation of non-HIV infected women.

Babies born to HIV-infected mothers will have 1 ml of blood drawn between 0 to 3 days of life, between 4 to 6 weeks of life, and between 4 to 6 months of life. These bloodsamples will be collected at the same time as other routine scheduled blood draws.

Read the detailed description

This is an observational study of pregnant women and their newborns. The population will include 10 HIV infected women on any antiretroviral regimen and their newborn infants and 10 healthy women on no antiretroviral regimen and their newborn infants.

Primary Objective: To determine if micronucleated erythrocytes can be detected more frequently in cord blood of infants exposed to zidovudine in utero and intrapartum compared to cord blood from infants not exposed.

Secondary Objectives:

  • To determine if micronucleated erythrocytes can be detected in pregnant women on any antiretrovial agents.
  • To determine if micronucleated erythrocytes change in frequency in infants exposed to antiretrovial agents over the first 6 weeks of life, during the time the infant is exposed to Zidovudine.
  • To determine the change in micronucleated erythrocytes in the infants after cessation or Zidovudine (6 months).
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Conditions studied

  • Cord Blood

Keywords

  • Zidovudine
  • HIV
  • Cord Blood
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In context

Lead sponsor

National Institute of Environmental Health Sciences (NIEHS) is the lead sponsor of 175 studies on the registry; 18 are open to participants now.

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

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Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

  • INCLUSION CRITERIA: (Treated Group)
  • HIV-infected
  • Pregnant
  • Treatment with antiretroviral regimen

INCLUSION CRITERIA: (Control Group)

-Healthy Pregnant Female

EXCLUSION CRITERIA: (Treated Group)

-None

EXCLUSION CRITERIA: (Control Group)

-Delivery less than 32 weeks gestation

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Study design

Enrollment
0 participants
06

Study locations

3 sites
  • University of North Carolina Hospitals
    Chapel Hill, North Carolina 27599-7030, United States
  • Duke University Medical Center
    Durham, North Carolina 27710, United States
  • NIEHS, Research Triangle Park
    Research Triangle Park, North Carolina 27709, United States
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References and documents

Publications

  • Connor EM, Sperling RS, Gelber R, Kiselev P, Scott G, O'Sullivan MJ, VanDyke R, Bey M, Shearer W, Jacobson RL, et al. Reduction of maternal-infant transmission of human immunodeficiency virus type 1 with zidovudine treatment. Pediatric AIDS Clinical Trials Group Protocol 076 Study Group. N Engl J Med. 1994 Nov 3;331(18):1173-80. doi: 10.1056/NEJM199411033311801. PubMed 7935654 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 2, 2017, 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
NCT00342082
Lead sponsor
National Institute of Environmental Health Sciences (NIEHS)
First posted
Jun 21, 2006
Start date
Jun 25, 2004
Completion
Dec 28, 2007
Last update
Jul 2, 2017
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Dec 2007. You cannot join it, but the record below documents what was studied.

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