Diagnosis of HIV and Early Antiretroviral Therapy Initiation Among HIV-1 Infected Infants
NCT03133728 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 1682
Last updated 2026-03-04
Summary
The purpose of the study is to test the effect of the Alere™ q HIV-1/2 Detect (diagnostic assay) on uptake of HIV testing among HIV-exposed infants and young children, and health outcomes for HIV-infected infants and young children using a novel POC EID Community Model in Zambia. The study will also assess the feasibility of field implementation of this novel diagnostic tool and its acceptability among HIV-infected mothers and frontline health workers.
Conditions
- HIV Infections
- Hiv
Interventions
- DIAGNOSTIC_TEST
-
Alere Q Testing
Infants of intervention clinics will have heelprick-obtained blood tested by standard of care method (SOC) and Alere™ q HIV-1/2 Detect Test Point of Care testing onsite (i.e. community, household, or facility level). Point-of-care (POC) testing results will be available in 52 minutes. HIV-infected infants, based on the Alere Q test result, will start ART as soon as possible and start routine SOC visits at weeks 2, 4, 8, 12, 16, 20, 24, 36, and 48 post ART-initiation. Study data will be obtained on first 4 routine visits after ART initiation (3 months). Infants will return for results of DBS-based DNA PCR testing. Positive SOC infants remain on ART/study follow-up. Negative POC test/negative SOC infants will attend only routine care visits and continue on HIV prophylaxis per national guidelines. Discordant results require DNA PCR test, with positive results continuing ART, negative results being repeated for confirmation before discontinuation.
Sponsors & Collaborators
-
Centre for Infectious Disease Research in Zambia
collaborator OTHER -
Centers for Disease Control and Prevention
collaborator FED -
University of Alabama at Birmingham
lead OTHER
Principal Investigators
-
Albert Manasyan, MD · University of Alabama at Birmingham
Eligibility
- Min Age
- 1 Minute
- Max Age
- 17 Months
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2019-05-30
- Primary Completion
- 2020-09-29
- Completion
- 2020-09-29
Countries
- Zambia
Study Locations
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