IMPAACT TRIALS

Completed Trials:

369

A phase I/II open label study of Nitazoxanide for the treatment of Cryptosporidium Parvum in HIV infected infants, children and adolescents.
Duration: January 2004 – June 2005

P1041

A randomized, double blind, placebo controlled trial to determine the efficacy of Isoniazid (INH) in preventing Tuberculosis disease and latent Tuberculosis infection among South African infants with perinatal exposure to HIV.
Duration: Feb 2004 – June 2008

P1043

Phase II randomized trial of the safety and efficacy of three neonatal regimes for prevention of intrapartum HIV-1 transmission.
Duration: 2007 – December 2010

ATN 024 I

A randomized, open-label trial of Three Hepatitis B vaccination schemas in HIV- Positive Youth for International Sites.
Duration: 2006 – 2007

P1031

The study evaluated the feasibility, rate of acceptance and acceptability of voluntary HIV counseling and rapid testing among pregnant woman with undocumented HIV serostatus who present for delivery and to compare intrapartum versus postpartum rapid testing with respect to these measures. Examined the rate of acceptance of an ability to administer antiretroviral prophylaxis prior to delivery to women who are identified as HIV seropositive through intrapartum rapid HIV testing and to their infants. Examined the rate of acceptance of and ability to administer antiretroviral prophylaxis to infants born to women who are identified as seropositive through postpartum rapid HIV testing.
Duration: October 2004 – September 2006

P1041 Substudy (DACS 646)

Predictors of TB disease in HIV exposed uninfected and HIV infected children within P1041. This sub analysis is looking at predictions of TB disease such as the impact of passive smoking in developing TB disease in children exposed and infected with HIV.
Duration: March 2009 – May 2010

Current Trials:

P1066

P1066 is a study looking at a new antiretroviral agent, Raltegravir which is an integrase inhibitor which works by blocking integrase, a protein that HIV needs to enter human cells and make more copies of itself.
The study will look at the correct dose to give to infants and children and will also look at the safety and efficacy of Raltegravir. Inclusion age criteria: 4 weeks to < 6 years
Duration: July 2010 – ongoing

P1070

P1070 is a study looking at using an antiretroviral called efavirenz in children less than 3 years of age. Efavirenz is a type of antiretroviral known as a non-nucleoside reverse transcription inhibitor (NNRTI). It is presently not registered for use in children < 3 years. This study will look at the correct dose needed in infants and children and will also look at the safety and efficacy of efavirenz.
It is also looking at giving efavirenz to children who need TB treatment in addition to ARVs. Inclusion age criteria: ≥ 3 months to ≤ 3 years.
Duration: 16 March 2010 - ongoing

P1073

P1073 is a study looking at a condition called Immune Reconstitution Inflammatory Syndrome (IRIS). IRIS can be seen shortly after starting ARVs and it happens when the immune system recovers too quickly resulting in inflammation. This inflammation can cause severe symptoms that could be mistaken for an HIV-associated illness. The IRIS study will specifically be looking at inflammation associated with prior or present undetected BCG and or TB disease. Inclusion criteria: Infants and children ≥ 4 weeks - ≤ 5 years who are about to initiate ARVs
Duration: 2 February 2010 - ongoing

P1060

This is a study comparing the response to 2 ARV regimes of HIV infected infants who have and have not previously received a single dose of Nevirapine for the prevention of mother – to – child – transmission.
Duration: November 2008 – ongoing

P1084

Maternal and Infant Monitoring for Evidence of Toxicity Related to Tenofovir Exposure: The Bone and Kidney Health Substudy of the IMPAACT 1077 PROMISE Protocol (Promoting Maternal and Infant Survival Everywhere)
Duration: May 2011 - ongoing

P1077 - Promise

The 1077 protocol is designed to address in the integrated and comprehensive fashion 4 critical questions currently facing HIV infected pregnant and postpartum women and their infants.
Duration: May 2011 – ongoing

P1083

A Phase II / III trial of Lopinavir / Ritonavir dose according to the WHO Pediatric Weight band dosing guidelines.
Duration: 2010 - ongoing


P1113 / Aeras C-015-404

Phase I/II, Safety and Immunogenicity STUDY of a Recombinant Protein Tuberculosis Vaccine (AERAS-404) in BCG-Primed Infants
Duration: 2013 - ongoing

Trials Coming Soon:

P1091

Administration of Polysaccharide or conjugated pneumococcal vaccines to HIV – Infected pregnant women: safety and magnitude, persistence, and transplacental transfer of vaccine – serotype pneumococcal anti – capsular antibodies.

P1078

A randomized double – blind placebo – controlled trial to evaluate the safety of immediate (antepartum – initiated) versus deferred (postpartum – initiated) isonaized preventive therapy among HIV – infected woman in high TB incidence settings.

P1104

Longitudinal Developmental and Neuropsychological Assessments of HIV-Infected participants of P1060 and HIV- Uninfected Controls.

P1106

Phamacokinetic characteristics of antiretrovirals, tuberculosis medicins and Trimethoprim – Sulfamethoxazole in low birth weight infants.