Washington People
Garrett A. Duncan, Ph.D,
"a terrific asset as a teacher and colleague"

Record

       Search

View past issues
Washington University in St. Louis

Sept. 6, 2002 Vol. 27, No. 2
Front Page
Medical news
Calendar
Notables
Campus Watch
Washington People
Sports
Record Staff
Employment
Picturing
Our Past



More Stories
Work, Families and Public Policy series scheduled to begin Sept. 9

Faculty and graduate students from this and other St. Louis-area universities with an interest in topics relating to labor, households, health care, law and social welfare are invited to take part in a series of Monday brown-bag luncheon seminars to be held biweekly through December. Full story

More Stories 


To current issue



New unit offers new hope

Kids with HIV have local access to clinical trials

By Darrell E. Ward

A new Pediatric AIDS Clinical Trials Unit (PACTU) in the School of Medicine provides local access to clinical trials for children and teens with HIV infection.

Previously, children in the region who were infected with HIV, the virus that causes AIDS, had to travel to the National Institutes of Health in Washington, D.C., to participate in clinical trials for the disease.

Gregory A. Storch, M.D.
File Photo
Gregory A. Storch, M.D., says he's thrilled that local children now will have access to drug trials and therapies. Here he examines a 6-year-old patient with HIV infection.
"We have always had a complete clinical program to treat children with HIV infection," said Gregory A. Storch, M.D., professor of pediatrics, of medicine and of molecular microbiology and director of the PACTU. "The University has operated one of the most successful adult AIDS clinical trials units in the nation for many years. Now we also can offer a full range of HIV-related clinical trials to pediatric patients."

Clinical trials offered by the unit focus on testing new drugs and drug combinations to fight the virus. Some studies track the course of the disease in children taking medication and test the effectiveness of drugs and therapeutic vaccines in boosting the body's response to HIV.

The unit, which opened last May, also will participate in studies investigating ways to further reduce transmission of HIV from infected pregnant women to their babies.

The medical school's pediatric infectious diseases program follows about 50 patients under age 21 who are infected with HIV, most of whom are older children or teenagers, said Kathleen A. McGann, M.D., associate professor of pediatrics and co-director for the PACTU.

"It is rare today to have an infant or baby as a new patient," McGann said. "It used to be that 25 percent to 30 percent of infants born to mothers with HIV infection acquired the virus. Now, it's 5 percent or less."

This dramatic drop is due to the tremendous success of drug treatments that prevent transmission of HIV from mother to infant. For many people, the introduction of combination drug therapy in 1996 has changed HIV infection from a terminal illness to a chronic one.

"Medications available today prolong life and improve the quality of life for many patients," McGann said. "Instead of slowly wasting away as they once did, the majority of children with HIV infection can go to school and participate in normal activities."

But children infected with HIV still face an uncertain future.

"The biggest challenge now is that children may develop viruses that are resistant to the medications," McGann said. "Our hope is that new drugs will be developed in time to help them."

And as those drugs are developed, they will be tested through clinical trials. Trials also are needed to identify drugs and drug combinations that have fewer side effects and are less complicated. Some drug regimens today require that children take up to 20 pills a day.

"We want to be optimistic, but no one knows how long these treatments will remain effective or what their long-term effects and complications will be," Storch said. "Unfortunately, we still have a long way to go in the fight against HIV disease."


Current Issue  |  News & Information  |  WUSTL Home

Front Page | More Stories | Medical News | Calendar | Notables | Campus Watch
Washington People | Sports | Record Staff | Employment | WU Magazine | Outlook Magazine

The Record is the University's weekly newspaper for faculty, staff and students.

Questions or comments? Contact the Record at record_editor@aismail.wustl.edu or (314) 935-6603
Technical problems with this Web site? Please contact record_bugs@aismail.wustl.edu
Copyright ©2002 Washington University in St. Louis.  All Rights Reserved.