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A Study of the Safety, Tolerability, and Pharmacokinetics of Dolutegravir in Neonates Exposed to HIV-1
Sponsor: National Institute of Allergy and Infectious Diseases (NIAID)
Summary
The purpose of this study was to evaluate the safety, tolerability, and pharmacokinetics (PK) of dolutegravir (DTG) in infants born to mothers living with HIV-1. The primary goal of the study was to propose a dose of DTG that is safe and meets PK targets when administered to infants through the first four weeks of life in addition to the infant's standard HIV-1 ARV prophylaxis. The study was expected to enroll a minimum of 36 and up to 108 mother-infant (M-I) pairs from Brazil, South Africa, Thailand, and the United States. Infants were followed through 16 weeks of life. Mothers did not receive study drug and were off study after completion of the Entry visit. A total of 48 M-I pairs were enrolled in the study.
Official title: A Phase I Study of the Safety, Tolerability, and Pharmacokinetics of Dolutegravir in Neonates Exposed to HIV-1
Key Details
Gender
All
Age Range
Any - Any
Study Type
INTERVENTIONAL
Enrollment
96
Start Date
2022-10-05
Completion Date
2025-05-22
Last Updated
2026-05-22
Healthy Volunteers
No
Conditions
Interventions
Dolutegravir 0.5 mg/kg liquid suspension (starts at 0-5 days of life)
DTG 0.5 mg/kg liquid suspension administered orally once at Entry visit (0-5 days of life) and again at 7 Days Post Initial Dose visit (+3 days). Mothers do not receive any drug
Dolutegravir 5 mg Dispersible Tablets (single doses)
DTG 5 mg dispersible tablets administered orally once at Entry visit (0-5 days of life) and again at 7 Days Post Initial Dose visit (+3 days) Mothers do not receive any drug
Dolutegravir 5 mg Dispersible Tablets (chronic dose)
DTG 5 mg dispersible tablets administered orally every 48 hours from the Entry visit (0-5 days of life) through Day 13 (week 2) of life; then every 24 hours from Day 14 of life through the Week 4 or Week 6 visit based on the duration of local standard ARV prophylaxis at each site Mothers do not receive any drug
Dolutegravir 0.5 mg/kg liquid suspension (starts at 2-5 days of life)
DTG 0.5 mg/kg liquid suspension administered orally once at Entry visit (2-5 days of life) and again at 7 Days Post Initial Dose visit (+3 days).
Locations (15)
USC - Maternal Child Adolescent/Adult Center
Los Angeles, California, United States
David Geffen School of Medicine at UCLA NICHD CRS
Los Angeles, California, United States
University of Colorado Denver NICHD CRS
Aurora, Colorado, United States
Emory University School of Medicine NICHD CRS
Atlanta, Georgia, United States
Rush University, Cook County Hospital Chicago NICHD CRS
Chicago, Illinois, United States
Bronx-Lebanon Hospital Center NICHD CRS
The Bronx, New York, United States
St. Jude Children's Research Hospital
Memphis, Tennessee, United States
Baylor College of Medicine/ Texas Children's Hospital NICHD CRS
Houston, Texas, United States
Soweto
Johannesburg, Gauteng, South Africa
Wits RHI Shandukani Research Centre CRS
Johannesburg, Gauteng, South Africa
Umlazi
Durban, KwaZulu-Natal, South Africa
FAMCRU
Cape Town, South Africa
Siriraj Hospital, Mahidol University NICHD CRS
Bangkok, Thailand
Chiang Mai University HIV Treatment
Chiang Mai, Thailand
Chiangrai Prachanukroh Hospital NICHD CRS
Chiang Rai, Thailand