A Phase II, Comparative Study of Seroconversion of Single-Dose and Two-Dose Measles Vaccination in HIV-Infected and HIV-Uninfected Children: A Multicenter Trial of the Pediatric AIDS Clinical Trials Group
Attenuvax
+ M-M-R-II
Blood-Borne Infections+18
+ Urogenital Diseases
+ Genital Diseases
Treatment Study
Summary
Recommendations for the age at vaccination should balance the need to minimize the risk of morbidity and mortality with the benefit of achieving the highest seroconversion rates. Immunizing a more intact immune system at an earlier stage of HIV infection may in turn achieve better and long-lasting measles protection. This study will help define a more effective measles vaccine regimen for children diagnosed with HIV infection and will provide greater insight into the functional status of the HIV-infected children's humoral immune system. Patients, HIV infected and uninfected, are randomized to one of two attenuated measles vaccine schedules: at 6 and 12 months of age, or at 12 months of age only. Attenuvax is administered as the month 6 vaccine and M-M-R II as the month 12 vaccine. Patients are followed for 24 months after the last vaccination.
Protocol
This section provides details of the study plan, including how the study is designed and what the study is measuring.270 patients to be enrolled
Total number of participants that the clinical trial aims to recruit.Treatment Study
Eligibility
Researchers look for people who fit a certain description, called eligibility criteria: person's general health condition or prior treatments.Any sex
Biological sex of participants that are eligible to enroll.From 6 to 7 Months
Range of ages for which participants are eligible to join.Healthy volunteers allowed
If individuals who are healthy and do not have the condition being studied can participate.Conditions
Pathology
Criteria
Inclusion Criteria Patients must have: * Willing to have and receive results of HIV test * Been born to mothers with HIV infection or history of AIDS-defining condition by CDC criteria. * No history of opportunistic infection. * No known exposure to measles within 14 days prior to study entry. * CD4+ lymphocyte count \>= 750 cells/mm3 or more than 15% at 6 months of age. * Parent or legal guardian available to give written informed consent and be willing to comply with all study requirements. * Childhood immunizations (other than measles) according to current recommendations of the Immunization Practice Advisory Committee and American Academy of Pediatrics. NOTE: * Coenrollment on other therapeutic protocols (except for ACTG 185) is permitted. NOTE: * Patients must be located in a geographical area where measles immunization at 12 months is standard of care. Recommended: * Childhood immunizations other than measles according to current guidelines. Exclusion Criteria Co-existing Condition: Patients with the following symptoms or conditions are excluded: * Intercurrent illness and/or fever for 7 days. * Known sensitivity or allergy to neomycin or eggs. Concurrent Medication: Excluded: * IVIG. * Uninterrupted or anticipated steroid therapy (\>= 2 mg/kg/day) for more than 2 weeks duration. Patients with the prior condition are excluded: * Platelet count \< 50,000/mm3 at any time prior to study entry. Prior Medication: Excluded: * Any IgG preparation within the past 6 months.
Study Plan
Find out more about all the medication administered in this study, their detailed description and what they involve.2 intervention groups are designated in this study
This study does not include a placebo group
Treatment Groups
Group I
ExperimentalGroup II
ExperimentalStudy Objectives
Primary Objectives
Secondary Objectives
Study Centers
These are the hospitals, clinics, or research facilities where the trial is being conducted. You can find the location closest to you and its status.This study has 46 locations
UAB, Dept. of Ped., Div. of Infectious Diseases
Birmingham, United StatesOpen UAB, Dept. of Ped., Div. of Infectious Diseases in Google MapsLong Beach Memorial Med. Ctr., Miller Children's Hosp.
Long Beach, United StatesUsc La Nichd Crs
Los Angeles, United StatesUCLA-Los Angeles/Brazil AIDS Consortium (LABAC) CRS
Los Angeles, United States