Ignite Creation Date:
2024-05-05 @ 11:21 AM
Last Modification Date:
2024-10-26 @ 9:04 AM
Study NCT ID:
NCT00004735
Status:
COMPLETED
Last Update Posted:
2013-10-07
First Post:
2000-02-25
Brief Title:
The Effects of Anti-HIV Therapy on the Immune Systems of Children and Young Adults Infected With HIV
Sponsor:
National Institute of Allergy and Infectious Diseases NIAID
Organization:
National Institute of Allergy and Infectious Diseases NIAID
Study Overview
Official Title:
The Effects of Highly Active Antiretroviral Therapy HAART on the Recovery of Immune Function in HIV-Infected Children and Young Adults
Status:
COMPLETED
Status Verified Date:
2013-10
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
The purpose of this study is to determine the number of newly formed CD4 cells in children who have taken anti-HIV drugs The study will also evaluate the effectiveness of the new CD4 cells in producing an immune response to hepatitis A and tetanus toxoid vaccination
Study hypothesis 1 Immunologic reconstitution of individuals who have less than 15 CD4 cells may or may not be associated with functional activity 2 The functional immunologic responses to recall and newly experienced antigens may be different 3 The functional responses to antigens delivered in vaccine format may be a function of CD4 level viral load or both
Study hypothesis 1 Immunologic reconstitution of individuals who have less than 15 CD4 cells may or may not be associated with functional activity 2 The functional immunologic responses to recall and newly experienced antigens may be different 3 The functional responses to antigens delivered in vaccine format may be a function of CD4 level viral load or both
Detailed Description:
HIV damages the immune system by infecting CD4 cells white blood cells that help fight infections and protect the body from disease As CD4 cells die the immune system becomes weak Taking anti-HIV drugs slows the ability of the virus to multiply and kill CD4 cells HIV infected children taking anti-HIV drugs have significant inhibition of HIV growth and significant increases in CD4 cell counts It is not known to what extent CD4 count increases in HIV infected children translate to functional immune recovery HIV infected children have typically demonstrated poor serological responses to routine childhood immunizations
Participants will either begin HAART or make a change to their current HAART regimens at study entry or within 2 weeks prior to study entry All participants will have viral load testing when they begin or change their HAART regimens Participants will then have a second viral load test after 4 weeks Only participants with an acceptable decrease in viral load will continue in the study
Participants will be randomly assigned to one of two groups Participants in Group 1 will receive tetanus toxoid immunizations known as DTaP DT-pediatric or Td at Weeks 8 16 and 24 and hepatitis A vaccinations at Weeks 32 40 and 48 Participants in Group 2 will receive hepatitis A vaccinations at Weeks 8 16 and 24 and tetanus toxoid immunizations at Weeks 32 40 and 48 Participants will have a physical exam and blood tests at study entry and at Weeks 4 8 12 16 24 28 32 36 40 48 52 76 and 100
As of May 2005 participants will have the option to receive an additional hepatitis A vaccination booster Those who consent and have not reached Week 100 of the study will receive a booster vaccination at Week 100 with a final follow-up visit occuring at Week 104 Those participants who do not consent will not receive the hepatitis A vaccination booster and will have their last follow-up visit at Week 100
Participants will either begin HAART or make a change to their current HAART regimens at study entry or within 2 weeks prior to study entry All participants will have viral load testing when they begin or change their HAART regimens Participants will then have a second viral load test after 4 weeks Only participants with an acceptable decrease in viral load will continue in the study
Participants will be randomly assigned to one of two groups Participants in Group 1 will receive tetanus toxoid immunizations known as DTaP DT-pediatric or Td at Weeks 8 16 and 24 and hepatitis A vaccinations at Weeks 32 40 and 48 Participants in Group 2 will receive hepatitis A vaccinations at Weeks 8 16 and 24 and tetanus toxoid immunizations at Weeks 32 40 and 48 Participants will have a physical exam and blood tests at study entry and at Weeks 4 8 12 16 24 28 32 36 40 48 52 76 and 100
As of May 2005 participants will have the option to receive an additional hepatitis A vaccination booster Those who consent and have not reached Week 100 of the study will receive a booster vaccination at Week 100 with a final follow-up visit occuring at Week 104 Those participants who do not consent will not receive the hepatitis A vaccination booster and will have their last follow-up visit at Week 100
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None
Secondary IDs
| Secondary ID | Type | Domain | Link |
|---|---|---|---|
| 10036 | REGISTRY | DAIDS ES Registry Number | None |