A Phase I Study of Safety and Pharmacokinetics of Nevirapine in HIV-1 Infected Pregnant Women and Neonates Born to HIV-1 Infected Mothers
Nevirapine
Infections transmises par le sang+17
+ Maladies génito-urinaires
+ Maladies Génitales
Étude thérapeutique
Résumé
Treatment of HIV-1 infected pregnant women during active labor may result in therapeutic levels of nevirapine in the neonate at the time of exposure to HIV-1 during parturition, decreasing the neonate's risk of infection. Pregnant women in active labor receive single doses of oral nevirapine. The neonates of the first 4-6 (PER AMENDMENT 8/27/96, was 4) mothers receive no drug, while the neonates of the second 4-6 (PER AMENDMENT 8/27/96, was 4) patient cohort receive a single dose of nevirapine. If neonatal antiviral levels of nevirapine are not sustained for 7 days after the single dose, a third cohort of 4-6 (PER AMENDMENT 8/27/96, was 4) pregnant women will receive a single dose of nevirapine and their neonates will receive multiple doses of nevirapine to maintain an antiviral effect for 7 days.
Protocole
Cette section fournit des détails sur le plan de l'étude, y compris la manière dont l'étude est conçue et ce qu'elle évalue.49 participants à inclure
Nombre total de participants que l'essai clinique vise à recruter.Traitement
Éligibilité
Les chercheurs recherchent des patients correspondant à une certaine description appelée critères d'éligibilité : état de santé général ou traitements antérieurs du patient.Femme
Le sexe biologique des participants éligibles à s'inscrire.De 13 à 60 ans
Tranche d'âge des participants éligibles à participer.Volontaires sains non autorisés
Indique si les individus en bonne santé et ne présentant pas la condition étudiée peuvent participer.Conditions
Pathologie
Critères
Inclusion Criteria Concurrent Medication: Allowed: AZT (mothers and neonates). Oral asthma inhalers (mothers). Concurrent Treatment: Allowed: Phototherapy (neonates). MOTHERS must have: HIV infection. Estimated gestational age >= 34 weeks. No active opportunistic infection at study entry. PER AMENDMENT 8/27/96: A pre-enrollment plasma HIV-1 RNA level greater than 10,000 copies/ml. Exclusion Criteria Co-existing Condition: MOTHERS with the following symptoms or conditions are excluded: Intrauterine growth retardation. Fetal anomaly incompatible with life as determined by pre-entry ultrasound. Participation during current pregnancy in any other therapeutic or vaccine perinatal trial. Known hypersensitivity to any benzodiazepine. Serious bacterial infection. Concurrent Medication: Excluded: Any antiretroviral other than AZT. Corticosteroids (other than oral asthma inhalers). Anticoagulants. Any clavulanic acid-containing formulation (e.g., Augmentin, Timentin). Benzodiazepines other than study drug. Phenobarbital. Barbiturates. Antacids. Magnesium sulfate. Prior Medication: Excluded: Prior nevirapine. Current use of illicit substances and/or active chronic alcohol use.
Centres d'étude
Ce sont les hôpitaux, cliniques ou centres de recherche où l'essai est conduit. Vous pouvez trouver le site le plus proche de vous ainsi que son statut.Cette étude comporte 16 sites
UCSD Med Ctr / Pediatrics / Clinical Sciences
La Jolla, United StatesOuvrir UCSD Med Ctr / Pediatrics / Clinical Sciences dans Google MapsLos Angeles County - USC Med Ctr
Los Angeles, United StatesUCLA Med Ctr / Pediatric
Los Angeles, United StatesHarbor - UCLA Med Ctr / UCLA School of Medicine
Los Angeles, United States