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It is unclear whether children with HIV and severe acute malnutrition can be started on highly active antiretroviral therapy (HAART) safely while they are still malnourished and the manner in which this therapy should start. This study will examine the safety, efficacy, and metabolism of children started on HAART while still severely malnourished.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Kwashiorkor | HIV-positive children aged 6-59 months with kwashiorkor receiving nutritional rehabilitation and who are started on HAART. |
| |
| Marasmus | HIV-positive children aged 6-59 months with marasmus receiving nutritional rehabilitation and who are started on HAART. |
| |
| Control | HIV-positive children aged 6-59 months who are not severely malnourished and who are started on HAART for a non-nutritional reason. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| zidovudine, lamivudine, nevirapine | Drug |
|
| Measure | Description | Time Frame |
|---|---|---|
| Pharmacokinetics | PK of ART in malnourished children | 6 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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Children aged 6-59 months with HIV and kwashiorkor and marasmus who are not currently on HAART will be recruited from the Nutritional Rehabilitation Unit at Queen Elizabeth Central Hospital in Blantyre, Malawi. Controls will be recruited from the outpatient cotrimoxazole clinic who are about to start on HAART for a non-nutritional reason.
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| Name | Affiliation | Role |
|---|---|---|
| Mark J Manary, MD | Washington University School of Medicine | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Queen Elizabeth Central Hospital | Blantyre | Malawi |
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| ID | Term |
|---|---|
| D007732 | Kwashiorkor |
| D011502 | Protein-Energy Malnutrition |
| D000067011 | Severe Acute Malnutrition |
| ID | Term |
|---|---|
| D044342 | Malnutrition |
| D009748 | Nutrition Disorders |
| D009750 | Nutritional and Metabolic Diseases |
| D011488 | Protein Deficiency |
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| ID | Term |
|---|---|
| D015215 | Zidovudine |
| D019259 | Lamivudine |
| D019829 | Nevirapine |
| ID | Term |
|---|---|
| D013936 | Thymidine |
| D011741 | Pyrimidine Nucleosides |
| D011743 | Pyrimidines |
| D006573 | Heterocyclic Compounds, 1-Ring |
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| D003677 |
| Deficiency Diseases |
| D006571 |
| Heterocyclic Compounds |
| D015224 | Dideoxynucleosides |
| D003853 | Deoxyribonucleosides |
| D009705 | Nucleosides |
| D009706 | Nucleic Acids, Nucleotides, and Nucleosides |
| D016047 | Zalcitabine |
| D003841 | Deoxycytidine |
| D003562 | Cytidine |
| D011725 | Pyridines |