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Multi-Sponsor Registry to Detect Any Major Teratogenic Effect Involving Any of the Registry Drugs When Administered to Pregnant Women. (APR)
This study is currently recruiting participants.
Verified by Kendle International, May 2008
Sponsors and Collaborators: Kendle International
Abbott
Aurobindo
Barr Laboratories
Boehringer Ingelheim Pharmaceuticals
Bristol-Myers Squibb
Cipla
Gilead Sciences
GlaxoSmithKline
Hoffmann-La Roche
Merck
Mylan Laboratories
Novartis
Pfizer
Ranbaxy Inc.
Tibotec Pharmaceutical Limited
Information provided by: Kendle International
ClinicalTrials.gov Identifier: NCT00404989
  Purpose

The purpose of the Antiretroviral Pregnancy Registry (Registry) is to detect any major teratogenic effect involving any of the Registry drugs when administered to pregnant women. Registration is voluntary and confidential with information obtained from the health care provider. A Registry-assigned identifier allows for follow-up capability. Information on subjects is provided to the Registry prospectively (prior to the outcome of pregnancy being known) through their health care provider, with follow-up obtained from the health care provider after the outcome is determined. Providers are strongly urged to enroll their patients as early in pregnancy as possible to maximize the validity of the data. In addition, the Registry is very interested in assembling a group of providers who are willing to make a commitment to report all of their site's antiretroviral pregnancy exposures to the Registry, thereby assuring all cases can be considered prospective. Providers are encouraged to contact the Registry for more information about this group. The Registry is informed in its analysis by other data, for example, retrospective reports and clinical studies.

Given the increasing number of medications and more aggressive approach to therapy, more HIV-infected women may be treated during pregnancy or become pregnant while under treatment. The paucity of data on use and infant outcomes of antiretroviral therapies during pregnancy makes this Registry an essential component of the ongoing program of epidemiologic studies of the safety of these therapies.

Each year the Registry enrolls approximately 1000 pregnant women exposed to antiretroviral drugs. This number represents approximately 15% of the 6000-7000 HIV positive women who give birth to live infants annually in the US.


Condition Phase
HIV Infections
Hepatitis B Virus
Phase IV

MedlinePlus related topics: AIDS AIDS and Pregnancy Hepatitis Hepatitis B
U.S. FDA Resources
Study Type: Observational
Study Design: Cohort, Prospective
Official Title: Antiretroviral Pregnancy Registry

Further study details as provided by Kendle International:

Biospecimen Retention:   None Retained

Biospecimen Description:

Study Start Date: January 1989
Estimated Study Completion Date: June 2010
Detailed Description:

The following antiretroviral drugs are followed by the Antiretroviral Pregnancy Registry (Registry) to detect any major teratogenic effect when administered to pregnant women: abacavir (ZIAGEN®, ABC), abacavir/lamivudine (EPZICOM®), abacavir/lamivudine/zidovudine combination (TRIZIVIR®, TZV), adefovir dipivoxil (HEPSERA®, ADV)*, amprenavir (AGENERASE®, APV), atazanavir sulfate (REYATAZ®, ATV), darunavir (PREZISTA™, DRV), delavirdine mesylate (RESCRIPTOR®, DLV), didanosine (VIDEX®, VIDEX® EC, ddI), efavirenz (SUSTIVA®, STOCRIN®, EFV), efavirenz/ emtricitabine/tenofovir disoproxil fumarate combination (ATRIPLA, ATR™), emtricitabine (EMTRIVA®, FTC), enfuvirtide (FUZEON®, T-20), entecavir (BARACLUDE®, ETV)*, etravirine (INTELENCE™, ETR), fosamprenavir calcium (LEXIVA®, FOS), indinavir (CRIXIVAN®, IDV), lamivudine (EPIVIR®, 3TC), lamivudine/zidovudine combination (COMBIVIR®, ZDV+3TC), lopinavir/ritonavir combination (KALETRA®, ALUVIA®, LPV/r), maraviroc (SELZENTRY™, CENSENTRI™, MVC), nelfinavir (VIRACEPT®, NFV), nevirapine (VIRAMUNE®, NVP), raltegravir (ISENTRESS™, RAL), ritonavir (NORVIR®, RTV), saquinavir (FORTOVASE®, SQV-SGC), saquinavir mesylate (INVIRASE®, SQV-HGC), stavudine (ZERIT®, d4T), telbivudine (SEBIVO®, TYZEKA®, LdT), tenofovir disoproxil fumarate (VIREAD®, TDF), tenofovir disoproxil fumarate/ emtricitabine combination (TRUVADA®, TVD), tipranavir, (APTIVUS®, TPV), zalcitabine (HIVID®, ddC), and zidovudine (RETROVIR®, ZDV). Zidovudine is indicated for use in the second and third trimesters of pregnancy to reduce the risk of maternal-fetal HIV transmission. There are also several other completed and ongoing studies in maternal-fetal transmission with other therapies. However, the safety of prenatal zidovudine or any other antiretroviral therapy exposure to the fetus has not been established.

  Eligibility

Ages Eligible for Study:   12 Years to 60 Years
Genders Eligible for Study:   Female
Accepts Healthy Volunteers:   Yes
Sampling Method:   Probability Sample
Study Population

Pregnant women exposed to antiviral medications during pregnancy.

Criteria

Eligibility Ages Eligible for Study: Women of childbearing age

Inclusion Criteria:

  • Country of origin of report
  • Documentation that the registry drug was taken during pregnancy
  • Sufficient information to determine if the pregnancy is being prospectively or retrospectively registered
  • Date the pregnancy was registered
  • Source of report (patient or health care provider)
  • Whether the pregnancy outcome is already known or delivery is still pending
  • Timing of the prenatal exposure to the registry medication (no broader than which trimester)
  • Sufficient patient identifier relevant to reporter to allow for follow-up
  • Was patient involved in a study at the time of prenatal exposure
  • Full reporter contact information (name, address, etc.)

Exclusion Criteria:

  • Females who were not exposed to registry medications during pregnancy
  • Male patients
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00404989

Contacts
Contact: Kim T Freeman, BA 800-258-4263 apr@kendle.com
Contact: Kathryn A Page 800-258-4263 apr@kendle.com

Locations
United States, North Carolina
Registry Coordinating Center Recruiting
Wilmington, North Carolina, United States, 28405
Sponsors and Collaborators
Kendle International
Abbott
Aurobindo
Barr Laboratories
Boehringer Ingelheim Pharmaceuticals
Bristol-Myers Squibb
Cipla
Gilead Sciences
GlaxoSmithKline
Hoffmann-La Roche
Merck
Mylan Laboratories
Novartis
Pfizer
Ranbaxy Inc.
Tibotec Pharmaceutical Limited
Investigators
Principal Investigator: Deborah L Covington, DrPH Kendle International Inc.
  More Information

Download forms, package inserts, enroll patients, links, guidelines, etc.  This link exits the ClinicalTrials.gov site

Responsible Party: Kendle ( Kim Freeman )
Study ID Numbers: APR
Study First Received: November 27, 2006
Last Updated: May 20, 2008
ClinicalTrials.gov Identifier: NCT00404989  
Health Authority: United States: Institutional Review Board

Keywords provided by Kendle International:
HIV
HBV
Hepatitis
Pregnancy
Registry

Study placed in the following topic categories:
Sexually Transmitted Diseases, Viral
Liver Diseases
Acquired Immunodeficiency Syndrome
Hepatitis, Viral, Human
Immunologic Deficiency Syndromes
Hepatitis
Virus Diseases
Digestive System Diseases
HIV Infections
Sexually Transmitted Diseases
Hepatitis B
DNA Virus Infections
Retroviridae Infections

Additional relevant MeSH terms:
RNA Virus Infections
Slow Virus Diseases
Immune System Diseases
Lentivirus Infections
Infection
Hepadnaviridae Infections

ClinicalTrials.gov processed this record on January 14, 2009