Pregnancy, Anti-integrase and Lymphocyte Repertoire of the Newborn

NCT ID: NCT04024150

Last Updated: 2025-09-12

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

29 participants

Study Classification

OBSERVATIONAL

Study Start Date

2019-12-04

Study Completion Date

2021-01-14

Brief Summary

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The objective of the study is to evaluate at birth, the diversity of the T repertoire of newborns exposed in utero to anti-integrases in comparison with a control group of children exposed to other antiretroviral drugs.

Detailed Description

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Antiretroviral treatment during pregnancy is remarkably effective in preventing the transmission of mother-to-child viruses. Molecules of the class of anti-integrases are still little used during pregnancy, but their prescription is increasing given their intrinsic effectiveness and their overall tolerance profile.

The integrase of HIV-1, responsible for the integration of viral DNA in cellular DNA, has a functional similarity with human RAG1 / 2 proteins, responsible for V (D) J recombination. RAG1 / 2 proteins alteration is associated in human clinic with immune disturbances of varied severity.

The objective of the study is to evaluate at birth, the diversity of the T repertoire of newborns exposed in utero to anti-integrases in comparison with a control group of children exposed to other antiretroviral drugs.

Conditions

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Anti-integrases

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

PROSPECTIVE

Study Groups

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Newborns exposed

Newborns exposed in-utero to raltegravir

Blood test

Intervention Type BIOLOGICAL

Single blood sample of 2 ml at birth on the occasion of blood sampling routine checkup

Newborns controls

Newborns exposed to antiretroviral therapy without anti-integrase

Blood test

Intervention Type BIOLOGICAL

Single blood sample of 2 ml at birth on the occasion of blood sampling routine checkup

Interventions

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Blood test

Single blood sample of 2 ml at birth on the occasion of blood sampling routine checkup

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

* No parental opposition after information. "Exposed" group :
* Newborn at term exposed to raltegravir (RTG) before 8 weeks of gestation and until the end of pregnancy. Children exposed to elvitegravir (ETG), dolutegravir (DTG) or bictegravir (BTG) may be included but will be analyzed separately.

"Control" group :

\- Term neonate exposed to antiretroviral therapy without anti-integrase.

Exclusion Criteria

* Prematurity less than 36 weeks of gestation.
* Organ dysfunction.
* Acute or chronic fetal distress, need for hospitalization in neonatology, malformation syndrome.
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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URC-CIC Paris Descartes Necker Cochin

OTHER

Sponsor Role collaborator

Assistance Publique - Hôpitaux de Paris

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Stéphane Blanche, MD-PhD

Role: PRINCIPAL_INVESTIGATOR

Assistance Publique - Hôpitaux de Paris

Jean-Pierre de Villartay

Role: STUDY_DIRECTOR

Institut National de la Santé Et de la Recherche Médicale, France

Locations

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AP-HP, Hôpital Louis Mourier

Colombes, , France

Site Status

AP-HP, Hôpital de la Pitié Salpêtrière

Paris, , France

Site Status

AP-HP, Hôpital Cochin

Paris, , France

Site Status

AP-HP, Hôpital Necker

Paris, , France

Site Status

AP-HP, Hôpital Bichat-Claude Bernard

Paris, , France

Site Status

Countries

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France

References

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de Villartay JP, Pannier E, Sibiude J, Frange P, Tubiana R, Blanche S. Brief Report: T-Cell Receptor alpha Repertoire Diversity at Birth After in utero Exposure to HIV Integrase Strand-Transfer Inhibitors. J Acquir Immune Defic Syndr. 2023 Mar 1;92(3):260-262. doi: 10.1097/QAI.0000000000003130.

Reference Type BACKGROUND
PMID: 36343360 (View on PubMed)

Other Identifiers

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2019-A00926-51

Identifier Type: OTHER

Identifier Source: secondary_id

APHP190394

Identifier Type: -

Identifier Source: org_study_id

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