TABLE 4.
Clinical trials to reduce perinatal transmission
| Trial | Drug | Treatment
|
Efficacy (%) | Estimated cost (US$) | ||
|---|---|---|---|---|---|---|
| Antepartum | Intrapartum | Postpartum (to infant) | ||||
| No breast-feeding | ||||||
| PACTG 076 | 3-part ZDV | 100 mg 5 times/day starting at 14 to 34 wk | Intravenous, 2 mg/kg loading, then 1 mg/kg per h | 2 mg/kg every 6 h for 6 wk | 68 | 800 |
| Thailand, short-course ZDV | ZDV | 300 mg twice a day starting at 36 wk | 300 mg every 3 h | None | 51 | 80–100 |
| Breast-feeding | ||||||
| Abidjan, Ivory Coast, short-course ZDV | ZDV | 300 mg twice a day starting at 36 wk | 300 mg every 3 h | None | 44 (at 1 mo), 37 (at 6 mo) | 80–100 |
| PETRAa A | ZDV-3TC | Twice a day starting at 36 wk | ZDV every 3 h, 3TCb every 12 h | Every 12 h for 1 wk | 52 (at 8 wk) | 100 |
| PETRA B | ZDV-3TC | None | ZDV every 3 h, 3TC every 12 h | Every 12 h for 1 wk | 38 (at 6 wk) | 50 |
| PETRA C | ZDV-3TC | None | ZDV every 3 h, 3TC every 12 h | None | 5 (at 6 wk) | |
| HIVNET 012 (Uganda) | NVP | None | Single dose (200 mg) of NVPc at onset of labor | None | 47 (at 4 mo) | 4 |
PETRA, perinatal transmission.
3TC, lamivudine.
NVP, nevirapine.