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COMPLETED
NCT05406583
PHASE1

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)

View on ClinicalTrials.gov

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

DRUG

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

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

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

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