Pediatric HIV/AIDS Cohort Study (PHACS) 2020

儿科艾滋病毒/艾滋病队列研究 (PHACS) 2020

• 批准号: 10264949
• 负责人: Ellen Gould Chadwick
• 金额: $ 1745.79万
• 依托单位: HARVARD SCHOOL OF PUBLIC HEALTH
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-09-18 至 2025-07-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10264949
• 关键词: 13 year old; Address; Adolescent; Adolescent and Young Adult; Adult; Age; Aging; Anti-Retroviral Agents; Brain; Brain region; Caring; Centers for Disease Control and Prevention (U.S.); Cervical Intraepithelial Neoplasia; Child; Child Health; Cognitive; Cohort Studies; Communities; Data Analyses; Development; Disease; Disease remission; Effectiveness; Epidemiologic Methods; Epidemiology; Exposure to; Grant; Growth; Guidelines; HIV; HIV Infections; HPV-High Risk; Health; Health behavior; Health education; Human Papillomavirus; Human papilloma virus infection; Individual; Infant; Infant Health; Infection; Infrastructure; Life Cycle Stages; Long-Term Effects; Monitor; Natural History; Neurologic; Oral health; Outcome; Pediatric HIV/AIDS Cohort Study; Perinatal; Persons; Pharmaceutical Preparations; Population; Pregnant Women; Prevalence; Prevention; Program Research Project Grants; Prospective cohort study; Protocols documentation; Research Project Grants; Risk; Risk Factors; Safety; Series; Site; Statistical Methods; Testing; Toxic effect; Vaccinated; Youth; adverse birth outcomes; behavioral outcome; cardiometabolism; clinical research site; cohort; data management; data resource; design; emotion regulation; emotional behavior; experience; in utero; multidisciplinary; neurodevelopment; oral HPV; perinatal HIV; postnatal; programs; reproductive; social structure; success; surveillance study; transmission process; treatment response; young adult; young man; young woman

Project Summary/Abstract Each year, there are more than 1 million pregnant women living with HIV (PWLHIV) who receive antiretroviral medications (ARVs) for treatment and perinatal and postnatal HIV transmission prevention, with new ARVs introduced at a rapid pace. Although maternal use of ARVs has successfully reduced perinatal HIV transmission, there remains a clear need to monitor the safety of in utero ARV for infant and child health. Currently, 1.7 million children under the age of 15 are living with HIV globally – the vast majority with perinatally acquired HIV infection (PHIV) - who are aging into young adulthood. In the US, the Centers for Disease Control and Prevention (CDC) estimates that in 2016, there were 11,915 persons with PHIV in the U.S, including 1,814 children younger than 13 years of age and 10,101 adolescents and young adults. The lifelong impact of HIV and ARVs on their overall health is unknown as they transition into adulthood and adult HIV care. The Pediatric HIV/AIDS Cohort Study (PHACS) is a network, initiated in 2007, currently consisting of two prospective cohort studies: The Surveillance Monitoring for ART Toxicities Study (SMARTT), with over 4,000 infants, children and youth with perinatal HIV exposure but who are uninfected (PHEU), and the series of Adolescent Master Protocols (AMP, AMP Up and AMP Up Lite) studies following 1,000 young adults with perinatal HIV, and a comparison cohort of young adults with PHEU. These studies are designed to answer questions regarding the short and long term outcomes of HIV infection and ARV exposure or treatment. PHACS 2020 is designed as a Program Project P01 grant, consisting of the following four support Cores: Scientific Administrative Core (SAC), Data Resources Core (DRC), Health Education and Community Core (HECC), and the Epidemiological and Statistical Methods Core (ESC) to provide scientific, site and cohort infrastructure, data management and analysis, health education and community input, as well as epidemiological and statistical support to four Research Projects: 1) SMARTT; 2) The Adolescent Master Protocol (AMP) Up Series (the AMP Up Series); 3) Natural History of Cervical Intraepithelial Neoplasia (CIN) and Human Papillomavirus (HPV) in HPV Vaccinated Youth with PHIV (HPV); and the TERBO BRAIN Study: Trajectories of Emotional Regulation and Behavior Outcomes and related Brain Regions And Intrinsic Networks (TERBO BRAIN). This multidisciplinary, interdisciplinary, transdisciplinary and synergistic P01 will address the most critical scientific questions for children, youth and young adults exposed to or living with HIV.

项目摘要/摘要 每年，有超过100万孕妇患艾滋病毒（PWLHIV），他们接受抗逆转录病毒 用于治疗，围产期和产后HIV传播的药物（ARV），新ARV 以快速的速度引入。尽管母体对ARV的使用已成功减少了围产期HIV 传播，仍然需要监测子宫内的婴儿和儿童健康的安全性。 目前，全球170万儿童15岁以下的艾滋病毒生活 - 绝大多数围产期 获得的艾滋病毒感染（PHIV） - 成年后衰老。在美国，疾病控制中心 预防（CDC）估计，2016年，美国有11,915人，包括1,814人 13岁以下的儿童和10,101名青少年和年轻人。艾滋病毒的终生影响 当他们过渡到成年和成人艾滋病毒护理时，ARV对他们的整体健康状况尚不清楚。 小儿艾滋病毒/艾滋病队列研究（PHACS）是一个网络，始于2007年，目前由两个 前瞻性队列研究：ART毒性研究（SMARTT）的监视监测， 4,000名婴儿，儿童和青少年围产期HIV暴露但未感染的儿童（PHEU）和一系列 青少年主协议（AMP，AMP UP和AMP UP LITE）研究1,000名年轻人 围产期艾滋病毒和年轻人与pheu的比较队列。这些研究旨在回答 有关HIV感染以及ARV暴露或治疗的短期和长期结局的问题。 PHACS 2020被设计为计划项目P01赠款，由以下四个支持核心组成： 科学行政核心（SAC），数据资源核心（DRC），健康教育和社区核心 （HECC）以及流行病学和统计方法核心（ESC）提供科学，现场和队列 基础设施，数据管理和分析，健康教育和社区意见以及 四个研究项目的流行病学和统计支持：1）Smartt； 2）青少年大师 协议（AMP）UP系列（AMP UP系列）； 3）宫颈上皮内肿瘤的自然史 （CIN）和人乳头瘤病毒（HPV）在HPV接种pHIV的青年（HPV）中；和Terbo 大脑研究：情绪调节和行为结果和相关大脑区域的轨迹 和内在网络（Terbo Brain）。这个多学科，跨学科，跨学科和 协同P01将解决儿童，青年和年轻人暴露的最关键的科学问题 到或与艾滋病毒一起生活。