a=1&b=AW970304'þ(AW)ÿConferenceÿCoverageÿ(Retrovirus):ÿHIVÿIgÿSafeÿInÿUgandanÿWomenÿandÿInfantsý/Aþ AIDSWEEKLYÿPlus,ÿMonday,ÿ10ÿMarchÿ1997ÿissue;ÿPublishedÿbyÿCharlesÿHenderson,ÿPublisher.ÿEditorialÿ&ÿPublishingÿOffice:ÿP.O.ÿBoxÿ5528,ÿAtlanta,ÿGAÿ30307-0528ÿ/ÿTelephone:ÿ(800)ÿ633-4931;ÿSubscriptionÿOffice:ÿP.O.ÿBoxÿ830409,ÿBirmingham,ÿALÿ35283-0409ÿ/ÿFAX:ÿ(205)ÿ995-1588 >
AIDSWEEKLY Plus, Monday, 10 March 1997
Daniel J. DeNoon, Senior Editor
Anti-HIV hyperimmune serum is safe and may be effective in preventing mother-to-child HIV transmission in Africa.
Preliminary results from a Phase I/II trial show that a Ugandan HIV immunoglobulin (Ig) product had no serious toxicity after a single infusion given to mothers at 37-38 weeks' gestation and to infants within their first 16 hours of life.
None of the first eight infants to reach six weeks of age has any sign of HIV infection as tested by polymerase chain reaction (PCR) assay and/or virus culture.
J.B. Jackson of Johns Hopkins University, Baltimore, Maryland, reported the findings at the Fourth Conference on Retroviruses and Opportunistic Infections, held January 22-26 in Washington, D.C.
"This HIVIG preparation appears to be safe and well tolerated at the 50 mg/kg IV dose with little change in maternal CD4 and RNA levels," wrote Jackson and colleagues in their presentation abstract. The collaborative study was undertaken by researchers from Johns Hopkins; Makerere University, Uganda; Nakasero Blood Bank, Uganda; and Karolinska University, Sweden.
Thirty HIV seropositive Ugandan women are enrolled in the study. The first ten participants received a 50 mg/kg infusion of the HIV hyperimmune serum, obtained from healthy HIV seropositive donors.
Two of the ten mothers had grade 1 or 2 blood-pressure changes and two of the ten infants had grade 2 fevers. All of these reactions resolved without incident.
Average baseline maternal CD4 counts (493 cells/(micro)L) and HIV viral load (34,186 RNA copies/mL) were not changed.
The study is continuing, with the next ten mother/child participants each receiving a 200 mg/kg infusions and final ten each scheduled to receive a 400 mg/kg infusion.
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