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Vitamin A to Reduce HIV in Vaginal Secretions and Prevent Viral Transmission
This study has been completed.
First Received: February 3, 2003   Last Updated: September 17, 2007   History of Changes
Sponsored by: National Institute of Allergy and Infectious Diseases (NIAID)
Information provided by: National Institute of Allergy and Infectious Diseases (NIAID)
ClinicalTrials.gov Identifier: NCT00053612
  Purpose

HIV infected individuals with vitamin A deficiency may be more likely to transmit the virus to others than HIV infected individuals who have normal levels of vitamin A. The presence of HIV DNA in vaginal secretions may indicate a greater risk for transmission of HIV to others. The purpose of this study is to determine if taking vitamin A decreases the level of HIV DNA in vaginal secretions.


Condition Intervention Phase
HIV Infections
Vitamin A Deficiency
HIV Seronegativity
Drug: Vitamin A
Phase II

Study Type: Interventional
Study Design: Prevention, Randomized, Double-Blind, Placebo Control, Parallel Assignment, Efficacy Study
Official Title: Prevention of HIV Shedding in Women - Trial of Vitamin A

Resource links provided by NLM:


Further study details as provided by National Institute of Allergy and Infectious Diseases (NIAID):

Estimated Enrollment: 400
Detailed Description:

Vitamin A deficiency leads to pathological changes in mucosal epithelium, including the vagina, and is correlated with immune dysfunction in both HIV-1 infected and uninfected individuals. Recent studies of genital tract shedding of HIV-1 DNA in infected women have found that lower serum concentrations of vitamin A were strongly associated with detection of HIV-1 in vaginal secretions. In addition, maternal vitamin A deficiency has been associated with significantly increased risk of vertical HIV-1 transmission. This study will assess the effect of vitamin A supplementation on the prevalence and quantity of HIV-1 DNA and RNA in cervical and vaginal secretions.

Participants in this study will be HIV infected nonpregnant women in Mombasa, Kenya. Participants will be randomized to receive 6 weeks of daily dosage of either 10,000 IU vitamin A or placebo. Cervical and vaginal swabs will be obtained at enrollment and at Week 6 for detection and quantification of HIV-1 DNA and RNA. In addition, venous blood will be obtained at the two time points for quantification of plasma HIV-1 RNA, CD4 lymphocyte count, and serum vitamin A levels.

  Eligibility

Genders Eligible for Study:   Female
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • HIV infected

Exlusion Criteria:

  • Pregnant
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00053612

Sponsors and Collaborators
Investigators
Principal Investigator: Joan Kreiss, MD, MPH Universiy of Washington, Seattle, WA
  More Information

No publications provided

Study ID Numbers: R01AI343844, R01-AI343844
Study First Received: February 3, 2003
Last Updated: September 17, 2007
ClinicalTrials.gov Identifier: NCT00053612     History of Changes
Health Authority: United States: Federal Government

Keywords provided by National Institute of Allergy and Infectious Diseases (NIAID):
HIV-1
Women
Vitamin A
Shedding

Study placed in the following topic categories:
Anticarcinogenic Agents
Sexually Transmitted Diseases, Viral
Vision Disorders
Antioxidants
Keratomalacia
Avitaminosis
Malnutrition
Retinol palmitate
Vitamins
Nutrition Disorders
Micronutrients
Retroviridae Infections
Deficiency Diseases
Vitamin A Deficiency
Retinol
Night Blindness
Eye Diseases
Acquired Immunodeficiency Syndrome
Trace Elements
Blindness
Immunologic Deficiency Syndromes
Virus Diseases
HIV Infections
Vitamin A
Sexually Transmitted Diseases

Additional relevant MeSH terms:
Anticarcinogenic Agents
Sexually Transmitted Diseases, Viral
Antioxidants
Slow Virus Diseases
Vision Disorders
Molecular Mechanisms of Pharmacological Action
Antineoplastic Agents
Avitaminosis
Physiological Effects of Drugs
Infection
Malnutrition
Retinol palmitate
Therapeutic Uses
Vitamins
Nutrition Disorders
Micronutrients
Retroviridae Infections
Deficiency Diseases
Vitamin A Deficiency
Night Blindness
RNA Virus Infections
Immune System Diseases
Eye Diseases
Growth Substances
Acquired Immunodeficiency Syndrome
Protective Agents
Pharmacologic Actions
Immunologic Deficiency Syndromes
Virus Diseases
HIV Infections

ClinicalTrials.gov processed this record on September 11, 2009