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NIAID's Review of HIVNET 012

On Friday March 22 the National Institutes for Allergies and Infectious Diseases (NIAID) released information regarding the clinical trial HIVNET 012. This trial, conducted in Uganda, demonstrated the safety and effectiveness of single-dose Nevirapine for the prevention of mother-to-child transmission of HIV. During a review of the study, NIAID found that some of the study's data collection did not conform to Food and Drug Administration reporting requirements.

The U.S. Agency for International Development (USAID) agrees with NIAID that this in no way negates the scientific findings of HIVNET 012. In this and other trials, Nevirapine has been shown to be safe and effective in preventing the transmission of HIV from mother to infant. This use of Nevirapine is also recommended by the U.S. Department of Health and Human Services, the World Health Organization, and UNICEF. Therefore, USAID reaffirms its support for the use of Nevirapine to prevent mother to child transmission of HIV. USAID is pleased that the manufacturer, Boehringer Ingelheim, will continue to donate Nevirapine for this purpose.

USAID provides direct support to 10 programs to prevent mother to child transmission of HIV in Kenya, Zambia, Rwanda, and Ukraine; and provides indirect support to other sites in Uganda and South Africa. Many of these sites use Nevirapine and will continue to do so.

Last year 800,000 infants were born with HIV infection, making this the second most common cause of all new HIV infections. The use of Nevirapine is a simple and effective method to prevent these infections has brought hope to millions of people around the world. USAID remains committed to providing access to this intervention in developing countries.

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