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Mother to Child Transmission of HIVEPFNCT03306251

National Cohort of Children Born to HIV-positive Mothers

An observational study of Mother to Child Transmission of HIV, run by ANRS, Emerging Infectious Diseases at 52 sites in 4 countries.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

The purpose of this study is to provide a surveillance system to monitor changes in the rate of mother to child HIV transmission and preventive practices in France and especially to identify the occurrence of toxicity in children exposed perinatally to antiretroviral drugs. Read more about this study

Who is it for?
Ages 18 years and older, women only
Conditions the study is for
Mother to Child Transmission of HIV
How many people
5,200 participants
Where
52 sitesin 4 countries
Study dates
Jun 2005to Mar 2023
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Study population: Inclusion as soon as possible during pregnancy of HIV-women in obstetrical sites (15 sites in Paris area, 35 in mainland France and 4 in the DOM)

Who may be able to join

  • pregnant women >= 18 years
  • infected with HIV1 and/or HIV2

Who cannot join

  • guardianship or judicial or administrative detention

Trial locations and contacts

52 sites in 4 countries.

Josiane WARSZAWSKI contact

josiane.warszawski@inserm.fr

Maud BROSSARD contact

maud.brossard@inserm.fr

52 sites in 4 countries

France49 sites, 49 recruiting
  • CHU Hôpital Nord

    Amiens

    Jean-Luc SCHMIT

    Jean-Luc SCHMIT

    Recruiting
  • Centre Hospitalier Universitaire

    Angers

    Pascale FIALAIRE

    Pascale FIALAIRE

    Recruiting
  • Centre Hosipitalier

    Annecy

    Virginie Vitrat

    Virginie Vitrat

    Recruiting
  • Centre Hospitalier Robert Ballanger

    Aulnay

    Marie-Anne BOULDOUYRE

    Recruiting
  • Centre Hospitalier Général de Bastia

    Bastia

    Alice Moulin

    Alice Moulin

    Recruiting
  • Centre Hospitalier de la Côte Basque

    Bayonne

    Claudine CAYLA

    Claudine CAYLA

    Recruiting
  • CHRU Saint Jacques

    Besançon

    Catherine CHIROUZE

    Catherine CHIROUZE

    Recruiting
  • Centre hospitalier de Béziers

    Béziers

    Gilles PALENZUELA

    Gilles PALENZUELA

    Recruiting
  • Groupe Hospitalier Pellegrin

    Bordeaux

    Christophe Elleau

    Christophe Elleau

    Recruiting
  • Centre Hospitalier Régional Universitaire de Brest

    Brest

    Séverine ANSART

    Séverine ANSART

    Recruiting
  • CHRU Clemenceau

    Caen

    Jacques BROUARD

    Jacques BROUARD

    Recruiting
  • Centre Hospitalier William Morey

    Chalon-sur-Saône

    Sandrine Anne MARTHA

    Sandrine Anne MARTHA

    Recruiting
  • Centre Hospitalier Général

    Creil

    Bénédicte Carpentier

    Bénédicte Carpentier

    Recruiting
  • CHRU de Dijon

    Dijon

    Claire BRIANDET

    Claire BRIANDET

    Recruiting
  • Centre Hospitalier Général

    Évreux

    Johnson AMA

    Johnson AMA

    Recruiting
  • Centre Hospitalier Général

    Fontainebleau

    Corinne ROUTIER

    Corinne ROUTIER

    Recruiting
  • Centre Hospitalier Les Oudayries

    La Roche-sur-Yon

    Thomas GUIMARD

    Thomas GUIMARD

    Recruiting
  • Centre Hospitalier de Lagny

    Lagny-sur-Marne

    Armand CHALVON-DEMERSAY

    Armand CHALVON-DEMERSAY

    Recruiting
  • Hôpital André Mignot, Versailles

    Le Chesnay

    Véronique HENTGEN

    Véronique HENTGEN

    Recruiting
  • Centre Hospitalier Universitaire

    Limoges

    Claire GENET

    Claire GENET

    Recruiting
  • Centre Hospitalier Général

    Longjumeau

    Hervé SEAUME

    Hervé SEAUME

    Recruiting
  • Centre Hospitalier Bretagne Sud

    Lorient

    Mathilde Niault

    Mathilde Niault

    Recruiting
  • Centre Hospitalier François Quesnay

    Mantes-la-Jolie

    Ahmed JABBAR

    Ahmed JABBAR

    Recruiting
  • Centre Hospitalier de Meaux

    Maux

    Leila KARAOUI

    Leila KARAOUI

    Recruiting
  • Centre Hospitalier Marc Jacquet

    Melun

    Isolde PAULY-RAVELLY

    Recruiting
  • Centre Hospitalier Intercommunal

    Montfermeil

    Marion Dehlinger-Paul

    Marion Dehlinger-Paul

    Recruiting
  • CHU Nancy

    Nancy

    Claire HUBERT

    Claire HUBERT

    Recruiting
  • CHU Caremeau

    Nîmes

    Joëlle DENDALE-NGUYEN

    Joëlle DENDALE-NGUYEN

    Recruiting
  • Centre Hospitalier Régional

    Orléans

    Evelyne WERNER

    Evelyne WERNER

    Recruiting
  • Centre Hospitalier Général

    Orsay

    DE GENNES

    DE GENNES

    Recruiting
  • Bon secours-Saint Joseph

    Paris

    Marion Dehlinger-Paul

    Marion Dehlinger-Paul

    Recruiting
  • CHG Maréchal Joffre

    Perpignan

    Marie MEDUS

    Marie MEDUS

    Recruiting
  • Centre Hospitalier Intercommunal

    Poissy

    Sophie COUDERC

    Sophie COUDERC

    Recruiting
  • Centre Hospitalier René Dubos

    Pontoise

    Amine YANGUI

    Amine YANGUI

    Recruiting
  • Centre Hospitalier Léon Binet

    Provins

    Mohamed ABDELHADI

    Mohamed ABDELHADI

    Recruiting
  • Hôpital Laennec

    Quimper

    Pascal PERFEZOU

    Pascal PERFEZOU

    Recruiting
  • CHR American Memorial Hospital

    Reims

    Claire PLUCHART

    Claire PLUCHART

    Recruiting
  • CHU Pontchaillou

    Rennes

    Cedric ARVIEUX

    Cedric ARVIEUX

    Recruiting
  • Hôpital Charles Nicolle

    Rouen

    Didier PINQUIER

    Didier PINQUIER

    Recruiting
  • Centre Hopsitalier Yves Le Foll

    Saint-Brieuc

    Corinne DANIEL

    Corinne DANIEL

    Recruiting
  • Hôpital Bellevue

    Saint-Etienne

    Kareen BILLEMAZ

    Kareen BILLEMAZ

    Recruiting
  • Centre hospitalier

    Saint-Julien

    Emilie PIET

    Emilie PIET

    Recruiting
  • Hôpital de Saint-Martin

    Saint-Martin

    Cyril CLAVEL

    Cyril CLAVEL

    Recruiting
  • Centre Hospitalier de Saint Nazaire-Cité Sanitaire

    Saint-Nazaire

    Christophe Michaud

    Christophe Michaud

    Recruiting
  • Hôpital Font Pré

    Toulon

    Gilles HITTINGER

    Gilles HITTINGER

    Recruiting
  • CHRU de Tours

    Tours

    Louis BERNARD

    Louis BERNARD

    Recruiting
  • Centre Hospitalier Bretagne Atlantique

    Vannes

    Yves POINSIGNON

    Yves POINSIGNON

    Recruiting
  • Centre Hospitalier

    Vernon

    Mahfoud ROUHA

    Mahfoud ROUHA

    Recruiting
  • Centre Hospitalier Intercommunal

    Villeneuve-Saint-Georges

    Anne CHACE

    Anne CHACE

    Recruiting

Other trials in France

French Guiana1 site, 1 recruiting
  • CHG de Cayenne

    Cayenne

    Narcisse ELENGA

    Narcisse ELENGA

    Recruiting

Other trials in French Guiana

Guadeloupe1 site, 1 recruiting
  • CHU Pointe à Pitre, Les Abymes

    Pointe-à-Pitre

    Blandine MUANZA

    Blandine MUANZA

    Recruiting

Other trials in Guadeloupe

Martinique1 site, 1 recruiting
  • Hôpital Victor Fouche

    Fort-de-France

    Yves HATCHUEL

    Yves HATCHUEL

    Recruiting

Other trials in Martinique

About this study

Official title: ANRS CO11 : National Cohort of Children Born to HIV-positive Mothers

The purpose of this study is to provide a surveillance system to monitor changes in the rate of mother to child HIV transmission and preventive practices in France and especially to identify the occurrence of toxicity in children exposed perinatally to antiretroviral drugs.

Read the detailed description

The goal of the CO11 national cohort is to provide with CO1 a wider surveillance system to monitor changes in the rate of mother to child transmission and preventive practices in France and especially to identify the occurrence of toxicity in children exposed perinatally to antiretroviral drugs.

The CO11 EPF enrolle HIV infected women who delivery in maternity generally smaller than CO1 maternity (15 sites in Paris area, 35 in mainland France and 4 in the DOM).

Maternal clinical, biological and therapeutic data before and during pregnancy were collected at delivery, with simplified questionnaires.

The children are examined clinically and biologically at birth, 6, 12 and 24 months.

Keywords
HIV, Pregnancy, Prevention of mother-to-child transmission

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Efficacy of PMTCT strategies by measuring rate of mother to child transmission of HIV

    Number of infected children (HIV RNA >50c/mL or Positive serology) reported on the total number of children

    Measured: At birth up to 24 months

Secondary outcomes (4)
  1. Immuno-virological response during pregnancy

    HIV ARN <50c/mL, CD4 cells count>500 cells/mL

    Measured: At inclusion up to childbirth

  2. Tolerance and toxicity of different kind of MTCT prophylaxis during pregnancy

    incidence of pathologies during pregnancy

    Measured: At inclusion up to childbirth

  3. Impact of different kind of MTCT prophylaxis on childbirth

    Childbirth mode (Number of emergency Caesarean section, Number of planned caesarean section)

    Measured: At delivery

  4. Impact of different kind of MTCT prophylaxis during pregnancy on uninfected children

    Clinical abnormalities (occurrence of adverse events)

    Measured: At childbirth, 1 month, 3 months, 6 months, 12 months and 18-24 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted11 Oct 2017
  2. Study startJun 2005
  3. Primary completionMar 2023 (estimated)
  4. Study completionMar 2023 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
5,200 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03306251
Sponsor's protocol ID
ANRS-CO11-EPF
Acronym
EPF
Status last verified
Apr 2021
First submitted
20 Sep 2016
Last updated
30 Apr 2021
Results posted
No
Data monitoring committee
No

Publications

  • Mandelbrot L, Tubiana R, Le Chenadec J, Dollfus C, Faye A, Pannier E, Matheron S, Khuong MA, Garrait V, Reliquet V, Devidas A, Berrebi A, Allisy C, Elleau C, Arvieux C, Rouzioux C, Warszawski J, Blanche S; ANRS-EPF Study Group. No perinatal HIV-1 transmission from women with effective antiretroviral therapy starting before conception. Clin Infect Dis. 2015 Dec 1;61(11):1715-25. doi: 10.1093/cid/civ578. Epub 2015 Jul 21.

    PubMed 26197844
  • Taron-Brocard C, Le Chenadec J, Faye A, Dollfus C, Goetghebuer T, Gajdos V, Labaune JM, Perilhou A, Mandelbrot L, Blanche S, Warszawski J; France REcherche Nord&Sud Sida-HIV Hepatites - Enquete Perinatale Francaise - CO1/CO11 Study Group. Increased risk of serious bacterial infections due to maternal immunosuppression in HIV-exposed uninfected infants in a European country. Clin Infect Dis. 2014 Nov 1;59(9):1332-45. doi: 10.1093/cid/ciu586. Epub 2014 Jul 22.

    PubMed 25053719
  • Sibiude J, Mandelbrot L, Blanche S, Le Chenadec J, Boullag-Bonnet N, Faye A, Dollfus C, Tubiana R, Bonnet D, Lelong N, Khoshnood B, Warszawski J. Association between prenatal exposure to antiretroviral therapy and birth defects: an analysis of the French perinatal cohort study (ANRS CO1/CO11). PLoS Med. 2014 Apr 29;11(4):e1001635. doi: 10.1371/journal.pmed.1001635. eCollection 2014 Apr.

    PubMed 24781315
  • Briand N, Jasseron C, Sibiude J, Azria E, Pollet J, Hammou Y, Warszawski J, Mandelbrot L. Cesarean section for HIV-infected women in the combination antiretroviral therapies era, 2000-2010. Am J Obstet Gynecol. 2013 Oct;209(4):335.e1-335.e12. doi: 10.1016/j.ajog.2013.06.021. Epub 2013 Jun 18.

    PubMed 23791563
  • Briand N, Warszawski J, Mandelbrot L, Dollfus C, Pannier E, Cravello L, Nguyen R, Matheron I, Winer N, Tubiana R, Rouzioux C, Faye A, Blanche S; ANRS-EPF CO1-CO11 Study Group. Is intrapartum intravenous zidovudine for prevention of mother-to-child HIV-1 transmission still useful in the combination antiretroviral therapy era? Clin Infect Dis. 2013 Sep;57(6):903-14. doi: 10.1093/cid/cit374. Epub 2013 May 31.

    PubMed 23728147
  • Rachas A, Warszawski J, Le Chenadec J, Legeai C, Teglas JP, Goujard C, Rouzioux C, Mandelbrot L, Tubiana R, Meyer L. Does pregnancy affect the early response to cART? AIDS. 2013 Jan 28;27(3):357-67. doi: 10.1097/QAD.0b013e32835ac8bc.

    PubMed 23079802
  • Jasseron C, Mandelbrot L, Dollfus C, Trocme N, Tubiana R, Teglas JP, Faye A, Rouzioux C, Blanche S, Warszawski J. Non-disclosure of a pregnant woman's HIV status to her partner is associated with non-optimal prevention of mother-to-child transmission. AIDS Behav. 2013 Feb;17(2):488-97. doi: 10.1007/s10461-011-0084-y.

    PubMed 22130651
  • Simon A, Warszawski J, Kariyawasam D, Le Chenadec J, Benhammou V, Czernichow P, Foissac F, Laborde K, Treluyer JM, Firtion G, Layouni I, Munzer M, Bavoux F, Polak M, Blanche S; ANRS French Perinatal Cohort Study Group. Association of prenatal and postnatal exposure to lopinavir-ritonavir and adrenal dysfunction among uninfected infants of HIV-infected mothers. JAMA. 2011 Jul 6;306(1):70-8. doi: 10.1001/jama.2011.915.

    PubMed 21730243
  • Sibiude J, Warszawski J, Tubiana R, Dollfus C, Faye A, Rouzioux C, Teglas JP, Ekoukou D, Blanche S, Mandelbrot L. Premature delivery in HIV-infected women starting protease inhibitor therapy during pregnancy: role of the ritonavir boost? Clin Infect Dis. 2012 May;54(9):1348-60. doi: 10.1093/cid/cis198. Epub 2012 Mar 28.

    PubMed 22460969
  • Tubiana R, Le Chenadec J, Rouzioux C, Mandelbrot L, Hamrene K, Dollfus C, Faye A, Delaugerre C, Blanche S, Warszawski J. Factors associated with mother-to-child transmission of HIV-1 despite a maternal viral load <500 copies/ml at delivery: a case-control study nested in the French perinatal cohort (EPF-ANRS CO1). Clin Infect Dis. 2010 Feb 15;50(4):585-96. doi: 10.1086/650005.

    PubMed 20070234
  • Briand N, Mandelbrot L, Le Chenadec J, Tubiana R, Teglas JP, Faye A, Dollfus C, Rouzioux C, Blanche S, Warszawski J; ANRS French Perinatal Cohort. No relation between in-utero exposure to HAART and intrauterine growth retardation. AIDS. 2009 Jun 19;23(10):1235-43. doi: 10.1097/QAD.0b013e32832be0df.

    PubMed 19424054
  • Mandelbrot L, Jasseron C, Ekoukou D, Batallan A, Bongain A, Pannier E, Blanche S, Tubiana R, Rouzioux C, Warszawski J; ANRS French Perinatal Cohort (EPF). Amniocentesis and mother-to-child human immunodeficiency virus transmission in the Agence Nationale de Recherches sur le SIDA et les Hepatites Virales French Perinatal Cohort. Am J Obstet Gynecol. 2009 Feb;200(2):160.e1-9. doi: 10.1016/j.ajog.2008.08.049. Epub 2008 Nov 4.

    PubMed 18986640
  • Jasseron C, Mandelbrot L, Tubiana R, Teglas JP, Faye A, Dollfus C, Le Chenadec J, Rouzioux C, Blanche S, Warszawski J; ANRS French Perinatal Cohort. Prevention of mother-to-child HIV transmission: similar access for sub-Sahara African immigrants and for French women? AIDS. 2008 Jul 31;22(12):1503-11. doi: 10.1097/QAD.0b013e3283065b8c.

    PubMed 18614874
  • Benhammou V, Warszawski J, Bellec S, Doz F, Andre N, Lacour B, Levine M, Bavoux F, Tubiana R, Mandelbrot L, Clavel J, Blanche S; ANRS-Enquete Perinatale Francaise. Incidence of cancer in children perinatally exposed to nucleoside reverse transcriptase inhibitors. AIDS. 2008 Oct 18;22(16):2165-77. doi: 10.1097/QAD.0b013e328311d18b.

    PubMed 18832880
  • Warszawski J, Tubiana R, Le Chenadec J, Blanche S, Teglas JP, Dollfus C, Faye A, Burgard M, Rouzioux C, Mandelbrot L; ANRS French Perinatal Cohort. Mother-to-child HIV transmission despite antiretroviral therapy in the ANRS French Perinatal Cohort. AIDS. 2008 Jan 11;22(2):289-99. doi: 10.1097/QAD.0b013e3282f3d63c.

    PubMed 18097232

Questions about this trial

What is this clinical trial studying?

An observational study of Mother to Child Transmission of HIV, run by ANRS, Emerging Infectious Diseases at 52 sites in 4 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 2 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 30 Apr 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 52 sites in France, French Guiana, Guadeloupe, Martinique. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Josiane WARSZAWSKI (josiane.warszawski@inserm.fr), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Efficacy of PMTCT strategies by measuring rate of mother to child transmission of HIV (time frame: At birth up to 24 months). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03306251, which also lists 15 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 30 Apr 2021.

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