Status:

COMPLETED

DTG Plus 3TC for Prophylaxis of Mother-to-child Transmission of HIV Infection in Pregnant Women

Lead Sponsor:

Fundação Bahiana de Infectologia

Collaborating Sponsors:

GlaxoSmithKline

Conditions:

HIV Infections

Pregnancy Related

Eligibility:

FEMALE

15+ years

Phase:

PHASE3

Brief Summary

The study aims to evaluate the safety and efficacy of a 2 drugs ART regimen (lamivudine plus dolutegravir) for prevention of mother to child transmission in pregnant women with HIV. 20 pregnant women ...

Detailed Description

Main endpoints: Primary: -Proportion of women with undetectable HIV-1 plasma viral load at delivery Secondary: * Proportion of women switching therapy up to delivery * Frequency of adverse events,...

Eligibility Criteria

Inclusion

  • Confirmed HIV infection
  • No previous exposure to ARV drugs
  • Plasma viral load ≥1,000 copies/ml
  • Gestational age ≥ 14 and ≤ 28 weeks (checked by ultrasound)
  • Age ≥ 15 years

Exclusion

  • Presence of genotypic resistance mutations for 3TC or DTG
  • Presence of active Hepatitis C
  • Hepatitis B infection (a positive test for HBcore or HBsurface antibodies)
  • Anemia (haemoglobin less than 8 g/dL);
  • Need to use concomitant drugs with potentially relevant DDI, which require DTG dose adjustment (e.g., rifampin, carbamazepine, phenobarbital,phenytoin)
  • Elevations in serum levels of alanine aminotransferase (ALT) greater than 5 times the upper limit of normal (ULN) or ALT \>3xULN and bilirubin \>1.5ULN (with \>35% direct bilirubin);
  • A history or clinical suspicion of unstable liver disease (as defined by the presence of ascites, encephalopathy, coagulopathy, hyperbilirubinaemia, oesophageal or gastric varices or persistent jaundice);
  • Subjects with severe hepatic impairment (Class C) as determined by Child-Pugh classification
  • Presence of severe pre-eclampsia, or other pregnancy related events such as renal or liver abnormalities (grade 2 or above proteinuria, elevation in serum creatinine CrCl\<50 ml/min), total bilirubin, ALT or AST)

Key Trial Info

Start Date :

July 1 2021

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

September 10 2023

Estimated Enrollment :

20 Patients enrolled

Trial Details

Trial ID

NCT04808973

Start Date

July 1 2021

End Date

September 10 2023

Last Update

October 4 2023

Active Locations (1)

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Fundação Bahiana de Infectologia

Salvador, Estado de Bahia, Brazil, 40110160