This is a phase-III, randomized, double-blind study of the effect of nevirapine (a non-nuceloside benzodiazepine that directly inhibits reverse transcriptase activity and acts on cell-free virions) versus placebo on maternal-fetal transmission of HIV. Nevirapine or placebo will be administered to pregnant HIV-1-infected women during labor, and to their neonates between 48 and 72 hours of age. The primary endpoint is the incidence of HIV-1 transmission from mother to infant. The study will include careful toxicity monitoring through clinical evaluations and laboratory monitoring. Mothers will be encouraged to take zidovudine. Infants will receive a single 2-mg/kg oral dose of nevirapine (or the corresponding placebo) administered between 48 and 72 hours of life. The infantUs study drug will be the same as the motherUs randomized treatment assignment.
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