NCT03294499

Brief Summary

The PACIFY Study is a questionnaire for antenatal(third trimester) and postnatal(three months post delivery) Human Immunodeficiency Virus (HIV) positive women attending clinics in London and Brighton. The current World Health Organisation guidance advises HIV positive women, who are adhering to antiretroviral therapy (ART), to exclusively breastfeed for the first 6 months of the infant's life and continue supplemental breastfeeding for up to 2 years. This is conflicts with the current British HIV Association guidelines which advise exclusive formula feeding. The reason for this difference is the relative safety of formula feeding in the United Kingdom(UK)against the low but persisting risk of HIV infection through breast-feeding. The aim of the PACIFY study is to explore attitudes towards breastfeeding amongst HIV positive women, who are either pregnant or post-partum. The study will also assess the understanding of current infant feeding guidance by these women and assess their current or recent infant feeding practice. It will also look at whether HIV positive mothers would be willing and able to comply with special monitoring and guidance whilst breastfeeding if the guidelines were to change. The study aims to analyse 100 questionnaires completed over a 3-6 month period.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
94

participants targeted

Target at P50-P75 for all trials

Timeline
Completed

Started May 2017

Shorter than P25 for all trials

Geographic Reach
1 country

10 active sites

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

May 31, 2017

Completed
2 months until next milestone

First Submitted

Initial submission to the registry

August 1, 2017

Completed
2 months until next milestone

First Posted

Study publicly available on registry

September 27, 2017

Completed
8 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 31, 2018

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

May 31, 2018

Completed
4.7 years until next milestone

Results Posted

Study results publicly available

February 2, 2023

Completed
Last Updated

February 2, 2023

Status Verified

May 1, 2022

Enrollment Period

1 year

First QC Date

August 1, 2017

Results QC Date

February 15, 2021

Last Update Submit

May 5, 2022

Conditions

Keywords

Human Immunodeficiency Virus

Outcome Measures

Primary Outcomes (2)

  • Knowledge and Experiences of Breastfeeding Among Women Living With HIV

    Participants were recruited by clinicians from 12 HIV clinics across England (South East, West Midlands and West Yorkshire) between June 2017 and June 2018. Participants were given the study patient information leaflet and consent form when they attended their regular pre- or postnatal outpatient appointment and, if they agreed to participate, they completed the anonymised questionnaire (Supplemental Appendix X) during the same visit. All the questionnaires were collated at Imperial College Healthcare NHS Trust. In the data table, breastfeeding has been abbreviated to BF.

    At their pre-or postnatal outpatient appointment, an average of one day

  • Views on Infant Feeding for Women Living With HIV

    The PACIFY study (Positive Attitudes Concerning Infant Feeding) sought to explore the views, concerns and issues surrounding breastfeeding in women living with HIV (WLHs). Questions within the questionnaire: 1. If you did not have HIV, would you breastfeed your child? 2. Living with HIV, would you like to breastfeed your child?

    At their pre-or postnatal outpatient appointment, an average of one day

Interventions

Patients will be asked to complete one off questionnaire.

Eligibility Criteria

Age18 Years - 60 Years
Sexfemale(Gender-based eligibility)
Gender Eligibility DetailsThis is a questionnaire for HIV positive women who are in their third trimester and three months post partum
Healthy VolunteersYes
Age GroupsAdult (18-64)
Sampling MethodNon-Probability Sample
Study Population

HIV positive women who are three months post partum and third trimester

You may qualify if:

  • Age \> 18 years
  • Able to give written informed consent
  • Post-natal and antenatal HIV positive women

You may not qualify if:

  • Age \<18 years
  • Patients who are unable to consent.
  • Women with HIV who have not been pregnant.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (10)

Brighton and Sussex NHS Trist

Brighton, United Kingdom

Location

Barts Health NHS Trust

London, United Kingdom

Location

CENTRAL AND NORTH WEST London NHS Trsut

London, United Kingdom

Location

Chelsea and Westminister NHS Trust

London, United Kingdom

Location

Guys and St Thomas NHS Trust

London, United Kingdom

Location

Homerton University Hospital Nhs Trust

London, United Kingdom

Location

Imperial College Healthcare NHS Trust

London, United Kingdom

Location

Kings College NHS Trust

London, United Kingdom

Location

Lewisham and Greenwich NHS Trust

London, United Kingdom

Location

London Northwest Healthcare NHS Trust

London, United Kingdom

Location

Related Publications (1)

  • Nyatsanza F, Gubbin J, Gubbin T, Seery P, Farrugia P, Croucher A, Gilleece Y, Rosenvinge M, Roedling S, Sarner L, Nayagam D, Stradling C, Namiba A, Fearnley N, Lyall H. Over a third of childbearing women with HIV would like to breastfeed: A UK survey of women living with HIV. Int J STD AIDS. 2021 Aug;32(9):856-860. doi: 10.1177/0956462421999951. Epub 2021 Feb 25.

MeSH Terms

Conditions

Acquired Immunodeficiency Syndrome

Interventions

Surveys and Questionnaires

Condition Hierarchy (Ancestors)

HIV InfectionsBlood-Borne InfectionsCommunicable DiseasesInfectionsSexually Transmitted Diseases, ViralSexually Transmitted DiseasesLentivirus InfectionsRetroviridae InfectionsRNA Virus InfectionsVirus DiseasesSlow Virus DiseasesGenital DiseasesUrogenital DiseasesImmunologic Deficiency SyndromesImmune System Diseases

Intervention Hierarchy (Ancestors)

Data CollectionEpidemiologic MethodsInvestigative TechniquesHealth Care Evaluation MechanismsQuality of Health CareHealth Care Quality, Access, and EvaluationPublic HealthEnvironment and Public Health

Limitations and Caveats

We sampled a small number of participants and we were unable to ascertain how many participants refused to respond to questionnaire

Results Point of Contact

Title
Dr Farai Nyatsanza
Organization
Imperial College Healthcare NHS Trust

Study Officials

  • Hermione Lyall, MBChB

    Imperial College Healthcare NHS Trust

    STUDY CHAIR

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
No

Study Design

Study Type
observational
Observational Model
OTHER
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

August 1, 2017

First Posted

September 27, 2017

Study Start

May 31, 2017

Primary Completion

May 31, 2018

Study Completion

May 31, 2018

Last Updated

February 2, 2023

Results First Posted

February 2, 2023

Record last verified: 2022-05

Data Sharing

IPD Sharing
Will not share

Results will be presented at a conference and published.

Locations