A Trial of Shortened Zidovudine Regimens to Prevent Mother-To-Child
Transmission of Human Immunodeficiency Virus Type 1 [Lallemant
M, et al. NEJM 2000;343:982]: This is a study conducted by
the Perinatal HIV Prevention Trial (Thailand) Investigators who
examined four AZT regimens with variations on the duration of treatment
in the mother and variations in duration of treatment in the infant.
One group received therapy beginning at 28 weeks gestation with
treatment to the infant for six weeks (long-long), a second received
treatment at 35 weeks gestation and the newborn was treated for
three days (short-short), the third group was short-long, and the
fourth was long-short. There were 1,437 women enrolled, but the
study was stopped when the perinatal transmission rate in the group
that received long-long therapy was significantly better than the
transmission rate in the short-short group with rates of 4.1% and
10.5%, respectively (p = 0.004). The other two regimens did not
differ statistically, but longer treatment in the mother was advocated
to reduce in utero transmission. posted 10/11/2000