Study to Evaluate the Pharmacokinetics (PK), Safety, and Efficacy of B/F/TAF in Human Immunodeficiency Virus (HIV)-1 Infected, Virologically Suppressed, Pregnant Women in Their Second and Third Trimesters

NCT ID: NCT03960645

Last Updated: 2024-06-14

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1

Total Enrollment

62 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-06-28

Study Completion Date

2022-08-18

Brief Summary

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The primary objective of this study is to evaluate the steady state PK of bictegravir (BIC) and confirm the dose of BIC/emtricitabine/tenofovir alafenamide (B/F/TAF) 50/200/25 mg fixed dose combination (FDC) in HIV-1 infected, virologically suppressed pregnant women in their second and third trimesters.

Detailed Description

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Conditions

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HIV-1-infection

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Study model 'single group' is selected as the Neonates group was only followed up but not treated.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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B/F/TAF

Pregnant women participants will receive fixed dose combination (FDC) tablet of bictegravir/emtricitabine/tenofovir alafenamide (B/F/TAF) 50/200/25 mg for up to 38 weeks (from the second or third trimesters of pregnancy, depending on enrollment, through 12 weeks post-partum).

Group Type EXPERIMENTAL

B/F/TAF

Intervention Type DRUG

50/200/25 mg FDC tablet administered orally once daily without regard to food.

Neonates

Neonates who will be born to women participants in the study will be followed from birth up to 8 weeks of age after obtaining consent from the parent or legal guardian. None of the neonates that participate in the study will be treated with the study drug.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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B/F/TAF

50/200/25 mg FDC tablet administered orally once daily without regard to food.

Intervention Type DRUG

Other Intervention Names

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GS-9883/F/TAF, Biktarvy®, BVY

Eligibility Criteria

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Inclusion Criteria

* The ability to understand and sign a written informed consent form, which must be obtained prior to initiation of study procedures
* With singleton pregnancy, at least 12 weeks but not more than 31 weeks pregnant at the time of screening
* Agree not to breastfeed for the duration of the study
* Currently on a stable antiretroviral regimen for ≥ 6 months preceding the screening visit
* Documented plasma HIV-1 ribonucleic acid (RNA) levels of \< 50 copies/mL for ≥ 6 months preceding the screening visit and have HIV-1 RNA \< 50 copies/mL at the screening visit
* Have no documented or suspected resistance to FTC, Tenofovir (TFV), or integrase strand-transfer inhibitors (INSTIs) including, but not limited to, the reverse transcriptase resistance mutations K65R or M184V/I
* Have a normal ultrasound, completed locally prior to the Day 1 visit, with no evidence of any fetal malformation or structural abnormality affecting either fetus or placenta
* Normal maternal alfa-fetoprotein level at the screening visit

Exclusion Criteria

* Have chronic hepatitis B virus (HBV)
* Have active hepatitis C virus (HCV) infection
* An opportunistic illness indicative of stage 3 HIV diagnosed within the 30 days prior to screening
Minimum Eligible Age

18 Years

Maximum Eligible Age

39 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Gilead Sciences

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Gilead Study Director

Role: STUDY_DIRECTOR

Gilead Sciences

Locations

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Midway Immunology and Research Center

Ft. Pierce, Florida, United States

Site Status

Triple O Research Institute, P.A.

West Palm Beach, Florida, United States

Site Status

Instituto Dominicano de Estudios Virologics (IDEV)

Santo Domingo, , Dominican Republic

Site Status

Faculty of Medicine Siriraj Hospital

Bangkok Noi, , Thailand

Site Status

Faculty of Medicine-Khon Kaen University

Khon Kaen, , Thailand

Site Status

Bamrasnaradura Infectious Diseases Institute

Nonthaburi, , Thailand

Site Status

Research Institute for Health Sciences, Chiang Mai University

Nonthaburi, , Thailand

Site Status

Thai Red Cross AIDS Research Centre

Pathumwan, , Thailand

Site Status

Countries

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United States Dominican Republic Thailand

References

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Zhang H, Hindman JT, Lin L, Davis M, Shang J, Xiao D, Avihingsanon A, Arora P, Palaparthy R, Girish S, Marathe DD. A study of the pharmacokinetics, safety, and efficacy of bictegravir/emtricitabine/tenofovir alafenamide in virologically suppressed pregnant women with HIV. AIDS. 2024 Jan 1;38(1):F1-F9. doi: 10.1097/QAD.0000000000003783. Epub 2023 Nov 22.

Reference Type DERIVED
PMID: 37939141 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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2021-001073-23

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

GS-US-380-5310

Identifier Type: -

Identifier Source: org_study_id

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