Prospective Observational Cohort Study on Mother to Child Transmission HIV1/HIV2 and Prevention
EPF
ANRS CO1 EPF Prospective Observational Cohort Study on Mother-to-child Transmission HIV1 and/or HIV2 and Prevention
1 other identifier
observational
18,200
1 country
28
Brief Summary
The purpose of this study is to describe over time the rate of mother to child transmission of HIV and its prevention (PMTCT), to identify risk factors for transmission and to evaluate the safety of PMTCT strategies on outcome of pregnancy and in children not infected with HIV
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Jul 1997
Longer than P75 for all trials
28 active sites
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
July 1, 1997
CompletedFirst Submitted
Initial submission to the registry
September 29, 2016
CompletedFirst Posted
Study publicly available on registry
August 1, 2017
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 1, 2023
CompletedStudy Completion
Last participant's last visit for all outcomes
March 1, 2023
CompletedApril 13, 2021
April 1, 2021
25.7 years
September 29, 2016
April 12, 2021
Conditions
Keywords
Outcome Measures
Primary Outcomes (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
At birth, 1 month, 3 months, 6 months, 12 months and 18-24 months
Secondary Outcomes (5)
Immuno-virological response during pregnancy
At inclusion up to childbirth
Tolerance and toxicity of different kind of MTCT prophylaxis during pregnancy
At inclusion up to childbirth
Impact of different kind of MTCT prophylaxis on childbirth
At delivery
Impact of different kind of MTCT prophylaxis during pregnancy on uninfected children
At childbirth, 1 month, 3 months, 6 months, 12 months and 18-24 months
Risk of mother-to-child transmission of VHC, VHB and CMV co-infections
At birth, 6 months, 12 months and 18-24 months
Eligibility Criteria
Inclusion as soon as possible during pregnancy of HIV-women in the largest obstetrical sites (17 in Paris area and 8 elsewhere in mainland France)
You may qualify if:
- pregnant women \>= 18 years
- infected with HIV1 and/or HIV2
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (28)
Centre Hospitalier Victor Dupuy
Argenteuil, France
Hôpital Jean Verdier
Bondy, France
Hôpital Antoine Béclère
Clamart, France
Hôpital de Beaujon
Clichy, France
Hôpital Louis Mourrier
Colombes, France
Centre Hospitalier Sud-Francilien
Corbeil-Essonnes, France
Centre Hospitalier Intercommunal
Créteil, France
Hôpital Bicêtre
Le Kremlin-Bicêtre, France
CHR Jeanne de Flandres
Lille, France
Hôpital de La Croix Rousse
Lyon, France
Hôpital Edouard Herriot
Lyon, France
Hôpital Femme Mère Enfant
Lyon, France
Hôpital de la conception
Marseille, France
CHR Arnaud de Villeneuve
Montpellier, France
Centre Hospitalier Intercommunal
Montreuil, France
Hôtel Dieu
Nantes, France
CHU Hôpital de l'Archet II
Nice, France
Groupe Hospitalier Cochin Tarnier Port-Royal
Paris, France
Groupe Hospitalier Necker
Paris, France
Groupe Hospitalier Pitié Salpêtrière
Paris, France
Hôpital Bichat- Claude Bernard
Paris, France
Hôpital Lariboisière
Paris, France
Hôpital Robert Debré
Paris, France
Hôpital Tenon
Paris, France
Hôpital Trousseau
Paris, France
Centre Hospitalier Général- Hôpital Delafontaine
Saint-Denis, France
Hôpital Civil / Hôpital de Haute Pierre
Strasbourg, France
CHU Paule de Viguier
Toulouse, France
Related Publications (15)
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.
PMID: 26197844RESULTTaron-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.
PMID: 25053719RESULTSibiude 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.
PMID: 24781315RESULTBriand 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.
PMID: 23791563RESULTBriand 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.
PMID: 23728147RESULTRachas 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.
PMID: 23079802RESULTJasseron 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.
PMID: 22130651RESULTSimon 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.
PMID: 21730243RESULTSibiude 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.
PMID: 22460969RESULTTubiana 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.
PMID: 20070234RESULTBriand 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.
PMID: 19424054RESULTMandelbrot 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.
PMID: 18986640RESULTJasseron 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.
PMID: 18614874RESULTBenhammou 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.
PMID: 18832880RESULTWarszawski 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.
PMID: 18097232RESULT
Biospecimen
3 mL whole blood 3mL plasma
Study Officials
- PRINCIPAL INVESTIGATOR
Josiane Warszawski
CESP INSERM U1018
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER GOV
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
September 29, 2016
First Posted
August 1, 2017
Study Start
July 1, 1997
Primary Completion
March 1, 2023
Study Completion
March 1, 2023
Last Updated
April 13, 2021
Record last verified: 2021-04
Data Sharing
- IPD Sharing
- Will not share