Status:

ACTIVE_NOT_RECRUITING

POC HIV Testing and Early DTG Use for Infants

Lead Sponsor:

Harvard School of Public Health (HSPH)

Collaborating Sponsors:

Botswana Harvard AIDS Institute Partnership

Ragon Institute of MGH, MIT and Harvard

Conditions:

HIV

Eligibility:

All Genders

Phase:

PHASE4

Brief Summary

This study is being conducted to explore the feasibility of implementing targeted birth HIV testing of high-risk neonates using facility-based point-of-care (POC) HIV diagnostics, and to improve the a...

Eligibility Criteria

Inclusion

  • Inclusion criteria for point-of-care infant HIV testing:
  • Mother 18 years of age or older
  • Mother willing and able to provide verbal consent for infant testing
  • Infant birth weight ≥1.5kg
  • Presence of any of the following risk factors:
  • \<12 weeks of ART prior to delivery (including no ART); Known HIV-1 viremia (above level of detection) for last test performed or at any time \>24 weeks gestation in pregnancy; CD4 cell count known to be \<350 cells/mm3 within the past year; Self-described poor adherence in pregnancy (1 or more complete days of missed ART)
  • Exclusion criteria for point-of-care infant HIV testing:
  • 1\) Medical condition making it unlikely that the infant will survive to 24 months
  • Inclusion criteria for infant longitudinal treatment cohort:
  • Mother 18 years of age or older
  • Mother willing and able to provide written informed consent for study participation for herself and her infant
  • Positive point-of-care HIV screening for infant (HIV DNA PCR pending or completed)
  • Infant eligible for ART treatment in accordance with the Botswana government program
  • Infant birth weight ≥1.5 kg
  • Exclusion criteria for infant longitudinal treatment cohort:
  • Medical condition making it unlikely that the infant will survive to 24 months
  • Infant unable to start treatment-dose ART \< 168 hours of age
  • Infant unable to attend follow-up visits at a BHP study clinic in Gaborone or Francistown

Exclusion

    Key Trial Info

    Start Date :

    July 4 2022

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ESTIMATED

    End Date :

    August 31 2026

    Estimated Enrollment :

    900 Patients enrolled

    Trial Details

    Trial ID

    NCT05393193

    Start Date

    July 4 2022

    End Date

    August 31 2026

    Last Update

    December 19 2024

    Active Locations (1)

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    Botswana Harvard HIV/AIDS Institute Partnership

    Gaborone, Botswana