NCT00197561

Brief Summary

The purpose of this study is to determine whether the oral administration of daily selenium supplements to HIV-1 positive pregnant women: enhances immune status and reduces the HIV-1 viral load at six months postpartum, reduces the risk of lower genital shedding of HIV-1 infected cells at 36 weeks of gestation, and reduces the risk of mastitis at six weeks postpartum, compared to placebo.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
915

participants targeted

Target at P75+ for phase_3 hiv-infections

Timeline
Completed

Started Sep 2003

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

September 1, 2003

Completed
2 years until next milestone

First Submitted

Initial submission to the registry

September 12, 2005

Completed
8 days until next milestone

First Posted

Study publicly available on registry

September 20, 2005

Completed
11 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 1, 2006

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

August 1, 2006

Completed
Last Updated

November 11, 2010

Status Verified

November 1, 2010

Enrollment Period

2.9 years

First QC Date

September 12, 2005

Last Update Submit

November 9, 2010

Conditions

Keywords

HIVSeleniumNutritionWomenPregnancyTanzaniaMaternal and child health outcomesHIV/AIDSPregnancy Outcome

Outcome Measures

Primary Outcomes (2)

  • Change in CD4 cell counts and viral load from baseline to six weeks and six months postpartum in HIV-1 positive women

    Enrollment (12-27 wks gestation) to 6 months postpartum

  • Risk of lower genital shedding of HIV-1 infected cells at 36 wks gestation

    At 36 wks gestation

Secondary Outcomes (2)

  • Risk of subclinical mastitis as defined by elevated sodium concentrations in breastmilk at 6 weeks postpartum

    6 weeks postpartum

  • Fetal death, premature delivery, and low birth weight

    Delivery

Study Arms (2)

Selenium

ACTIVE COMPARATOR

Selenium (200 ug as selenomethionine)

Dietary Supplement: Selenium

Placebo

PLACEBO COMPARATOR

Placebo

Dietary Supplement: Placebo

Interventions

PlaceboDIETARY_SUPPLEMENT

Taken orally once per day from randomization through delivery and through the first 6 months after delivery.

Placebo
SeleniumDIETARY_SUPPLEMENT

200 ug of selenomethionine taken orally once per day from randomization through delivery and for the first 6 months after delivery

Selenium

Eligibility Criteria

Age18 Years+
Sexfemale
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • HIV-1 Infected women between 12 and 27 weeks of gestation

You may not qualify if:

  • Women with clinical AIDS defined according to WHO Criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Muhimibili University College of Health Scienes

Upanga, Dar Es Salaaam, Tanzania

Location

Related Publications (2)

  • Kupka R, Mugusi F, Aboud S, Hertzmark E, Spiegelman D, Fawzi WW. Effect of selenium supplements on hemoglobin concentration and morbidity among HIV-1-infected Tanzanian women. Clin Infect Dis. 2009 May 15;48(10):1475-8. doi: 10.1086/598334.

  • Kupka R, Mugusi F, Aboud S, Msamanga GI, Finkelstein JL, Spiegelman D, Fawzi WW. Randomized, double-blind, placebo-controlled trial of selenium supplements among HIV-infected pregnant women in Tanzania: effects on maternal and child outcomes. Am J Clin Nutr. 2008 Jun;87(6):1802-8. doi: 10.1093/ajcn/87.6.1802.

MeSH Terms

Conditions

HIV InfectionsPregnancy ComplicationsAcquired Immunodeficiency Syndrome

Interventions

Selenium

Condition Hierarchy (Ancestors)

Blood-Borne InfectionsCommunicable DiseasesInfectionsSexually Transmitted Diseases, ViralSexually Transmitted DiseasesLentivirus InfectionsRetroviridae InfectionsRNA Virus InfectionsVirus DiseasesGenital DiseasesUrogenital DiseasesImmunologic Deficiency SyndromesImmune System DiseasesFemale Urogenital Diseases and Pregnancy ComplicationsSlow Virus Diseases

Intervention Hierarchy (Ancestors)

ChalcogensElementsInorganic ChemicalsMinerals

Study Officials

  • Wafaie W. Fawzi, MD, DrPH

    Harvard School of Public Health (HSPH)

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
OTHER

Study Record Dates

First Submitted

September 12, 2005

First Posted

September 20, 2005

Study Start

September 1, 2003

Primary Completion

August 1, 2006

Study Completion

August 1, 2006

Last Updated

November 11, 2010

Record last verified: 2010-11

Locations