Prendergast 2008 (a).
Methods | Pilot randomised controlled trial | |
Participants | Age: 63 HIV infected infants from birth Inclusion criteria: born in one of the study hospitals and had confirmed intrauterine/intrapartum HIV infection and caregivers gave consent for enrolment. Exclusion criteria: gestational age less than 37 weeks, birth weight less than 2 kg, evidence of other congenital infections or severe abnormalities. |
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Interventions | Arm A: deferred ART, according to WHO 2003 guidelines Arm B: immediate ART given for 1 year, then stopped Arm C: immediate ART given with up to three structured treatment interruptions to 18 months of age, then stopped. |
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Outcomes | Mortality; morbidity; virological suppression; change in CD4% | |
Notes | Data regarding stopping or interrupting strategy not reported | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Computer generated sequence by trial statistician |
Allocation concealment (selection bias) | Low risk | Quote from correspondence: " Opaque envelope at study sites were used for concealment allocation" |
Blinding of participants and personnel (performance bias) All outcomes | Low risk | None, but outcomes are unlikely to be biased by unmasking |
Blinding of outcome assessment (detection bias) All outcomes | Low risk | None, but outcome measurements are unlikely to be biased by unmasking |
Incomplete outcome data (attrition bias) All outcomes | Unclear risk | No loss to follow up was reported. |
Selective reporting (reporting bias) | Low risk | Major outcomes to address efficacy and safety of antiretroviral therapy were all reported, therefore risk of bias is unlikely. |
Other bias | High risk | The trial was a feasibility study and was not designed or powered to assess difference in mortality between the two arms. |