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Trial · NCT00099359

Trial of Three Neonatal Antiretroviral Regimens for Prevention of Intrapartum HIV Transmission

NCT00099359, Phase 3, Completed, Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD); results first posted 2012-12-04

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Trial of Three Neonatal Antiretroviral Regimens for Prevention of Intrapartum HIV Transmission. Trials, record NCT00099359. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT00099359

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Trial of Three Neonatal Antiretroviral Regimens for Prevention of Intrapartum HIV Transmission
NCT number
NCT00099359
Status
Completed
Phases
Phase 3
Enrollment
1,735 participants, actual
Lead sponsor
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
Conditions
Disease Transmission, Vertical, Vertical Human Immunodeficiency Virus Transmission, HIV Infections
Interventions
Zidovudine, Nevirapine (NVP), Epivir (3TC), Nelfinavir (NFV)
First posted
2004-12-13
Last updated
2012-12-04
Results first posted
2012-12-04

Source ClinicalTrials.gov

Registered outcomes8

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryInfant HIV Infection Status3 monthsIntrapartum HIV infection at 3 Months
PrimaryParticipants With Serious Adverse Eventsthrough age 6 months.Serious Adverse Events by System Organ Class=Blood and lymphatic system disorders
SecondaryInfant HIV-1 Infection StatusbirthIn utero HIV-1 infection rate
SecondaryParticipant Deathsthrough age 6 months
SecondaryClinical Covariates of HIV-1 Infectionthrough age 3 monthsCompare HIV-1 RNA levels; CD4+ lymphocyte counts; and rates of genotypic and phenotypic resistance among the three treatment regimens.
Secondary3TC and NFV Pharmacokineticsthrough age 14 daysDescriptive study of 3TC and NFV pharmacokinetics during first two weeks of life using weight band dosing regimen in a subset of enrolled infants.
SecondaryRisk Factors for Perinatal HIV-1 Transmissionthrough age 3 months
Risk factors to be assessed include maternal HIV-1 RNA levels at delivery, maternal syphilis and other infections, obstetrical factors such as duration of membrane rupture, and adherence to neonatal medication.
SecondaryNVP Pharmacokinetics14 daysDescriptive study of NVP pharmacokinetics during first two weeks of life using weight band dosing in a subset of enrolled infants.

Outcomes8

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYInfant HIV Infection Status3 monthsAll infants with HIV-1 test results except infants infected at birth (i.e. in utero infections) were included in these analysis.participantsNUMBER
PRIMARYParticipants With Serious Adverse Eventsthrough age 6 months.participantsNUMBER
SECONDARYInfant HIV-1 Infection StatusbirthparticipantsNUMBER
SECONDARYParticipant Deathsthrough age 6 monthsparticipantsNUMBER
SECONDARYClinical Covariates of HIV-1 Infectionthrough age 3 months
SECONDARY3TC and NFV Pharmacokineticsthrough age 14 daysThis was a descriptive study. A total of 26 infants were analyzed with 14 at age 4-7 days and 12 at 10-14 days.Plasma samples were collected prior to first AM dose and then at 1,2,4,8 and 12 hours.ug*h/mLMEDIAN
SECONDARYRisk Factors for Perinatal HIV-1 Transmissionthrough age 3 months
All available demographic and clinical variables were tested for association with transmission rate. All variables that were significant at p ≤ 0.20 were included in the multivariable regression model. Variables that were not significant were then removed from the model. The backward elimination method was used to select the final model.
participantsNUMBER
SECONDARYNVP Pharmacokinetics14 daysng/mLMEDIAN

Results by group28

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Infant HIV Infection StatusARM A (ZDV - Standard of Care)24participants
Infant HIV Infection StatusARM B (ZDV + NVP)11participants
Infant HIV Infection StatusARM C (ZDV +3TC+NFV)12participants
Participants With Serious Adverse EventsARM A (ZDV Only)86participants
Participants With Serious Adverse EventsARM B (ZDV + NVP)59participants
Participants With Serious Adverse EventsARM C (ZDV + 3TC/NFV)110participants
Infant HIV-1 Infection StatusArm A (ZDV Only)37participants
Infant HIV-1 Infection StatusARM B (ZDV + NVP)28participants
Infant HIV-1 Infection StatusARM C (ZDV + 3TC + NFV)28participants
Participant DeathsArm A (ZDV Only)11participants

Participant flow9

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDArm A (ZDV Only)581
Overall StudySTARTEDARM B (ZDV + NVP)580
Overall StudySTARTEDARM C (ZDV + 3TC + NFV)574
Overall StudyCOMPLETEDArm A (ZDV Only)527
Overall StudyCOMPLETEDARM B (ZDV + NVP)515
Overall StudyCOMPLETEDARM C (ZDV + 3TC + NFV)506
Overall StudyNOT COMPLETEDArm A (ZDV Only)54
Overall StudyNOT COMPLETEDARM B (ZDV + NVP)65
Overall StudyNOT COMPLETEDARM C (ZDV + 3TC + NFV)68

Adverse events486

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAnaemia NOSBlood and lymphatic system disordersARM A (ZDV Alone)286581451
otherAnaemia NOSBlood and lymphatic system disordersARM B (ZDV + NVP)270580402
otherAnaemia NOSBlood and lymphatic system disordersARM C (ZDV + 3TC/NFV)287574456
otherneutropeniaBlood and lymphatic system disordersARM A (ZDV Alone)225581294
otherneutropeniaBlood and lymphatic system disordersARM B (ZDV + NVP)119580261
otherneutropeniaBlood and lymphatic system disordersARM C (ZDV + 3TC/NFV)244574334
otheroral candidiasisInfections and infestationsARM A (ZDV Alone)162581188
otheroral candidiasisInfections and infestationsARM B (ZDV + NVP)170580194
otheroral candidiasisInfections and infestationsARM C (ZDV + 3TC/NFV)156574177
otherAspartate Aminotransferase IncreasedInvestigationsARM A (ZDV Alone)335581439

Adverse event totals9

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityARM A (ZDV Alone)
Total, all-cause mortalityARM B (ZDV + NVP)
Total, all-cause mortalityARM C (ZDV + 3TC/NFV)
Total, other adverse eventsARM A (ZDV Alone)492581
Total, other adverse eventsARM B (ZDV + NVP)482580
Total, other adverse eventsARM C (ZDV + 3TC/NFV)480574
Total, serious adverse eventsARM A (ZDV Alone)219581
Total, serious adverse eventsARM B (ZDV + NVP)211580
Total, serious adverse eventsARM C (ZDV + 3TC/NFV)252574

Papers9

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
18398973RESULTPubMed
21666540RESULTPubMed
22716975RESULTPubMed
25742089DERIVEDPubMed
26372927DERIVEDPubMed
28369278DERIVEDPubMed
29304083DERIVEDPubMed
29750766DERIVEDPubMed
30216294DERIVEDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

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