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NCT03386578CompletedPhase 2

Evaluating the Pharmacokinetics, Feasibility, Acceptability, and Safety of Oral Pre-Exposure Prophylaxis for HIV Prevention During Pregnancy and Postpartum

Pharmacokinetics, Feasibility, Acceptability, and Safety of Oral Pre-Exposure Prophylaxis for Primary HIV Prevention During Pregnancy and Postpartum in Adolescents and Young Women and Their Infants

Source: ClinicalTrials.gov · Last updated 19 Feb 2025

Brief summary (registry, in English)

The purpose of this study was to evaluate the pharmacokinetics, feasibility, acceptability, and safety of a fixed-dose combination of emtricitabine and tenofovir disoproxil fumarate (FTC/TDF) as oral daily pre-exposure prophylaxis (PrEP) to prevent HIV during pregnancy and postpartum in adolescents and young women and their infants.

Status (registry)
Completed
Phase (registry)
Phase 2
Study type
Interventional
Enrollment
780 (actual)
First submitted
18 Dec 2017
Start date
3 Jul 2018
Primary completion date
25 Oct 2023
Lead sponsor
National Institute of Allergy and Infectious Diseases (NIAID)
Diseases
HIV
NCT number
NCT03386578

What you commit to

  • Study type: Interventional · Phase 2
  • Participants enrolled: 780
  • From 3 Jul 2018 to the primary completion date, 25 Oct 2023
  • 7 sites in 4 countries
  • Visits and tests: ask the trial team, the registry does not list them

Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.

Who cannot take part

Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.

Prior treatment

  • Current use of prohibited medications listed in the protocol
  • Concurrent participation in any biomedical HIV prevention or investigational drug in an HIV vaccine or microbicide study
  • Currently taking a PrEP regimen from non-study sources
  • Within 14 days prior to study entry, negative HIV RNA test.

Other illness

  • Any current significant uncontrolled, active or chronic disease process.
  • History of any of the following:
    • Sickle cell anemia, chronic bleeding, blood transfusion within the past 120 days or other blood dyscrasias
    • Bone fracture not explained by trauma
    • Allergy/sensitivity to FTC/TDF or its components
  • Mother has confirmed renal insufficiency, a history of renal parenchymal disease or single kidney
  • Past participation in an HIV vaccine study
  • Any other condition or adverse social situation
  • HIV and Hepatitis B negative.

Lab values

  • At screening:
    • Grade 1 or normal ALT, HB, ANC and normal CrCl.
    • Negative or trace proteinuria (less than Grade 1).
    • Normal dipstick urine for glucose (less than Grade 1).

Age

  • At screening, evidence of a viable singleton pregnancy with gestational age of 32 weeks or less.

Other

  • Fetus has a known or suspected major congenital anomaly
  • Past participation in IMPAACT 2009
    • PrEP Comparison Component (Cohorts 1 and 2) Inclusion Criteria:
  • Intention to stay within the study site's catchment area through 26 weeks postpartum
  • A cellular phone that is able to receive SMS messages, and for Cohort 1 only, is also able to send SMS messages.
  • Cohort 1 only: Willingness to take PrEP from pregnancy up to 26 weeks postpartum
  • Cohort 2 only: Unwillingness to take PrEP from pregnancy up to 26 weeks postpartum
  • Mother weighs greater than 35 kg
  • Mother is literate in one or more of the study languages

Criteria the registry did not label

  • PK Component (Groups 1 and 2) Inclusion Criteria:
  • At study entry, pregnant or recently delivered, in one of the following two enrollment windows:
    • Group 1: Gestational age of 14 to 24 weeks.
    • Group 2: 6 to 12 weeks postpartum.
  • Willing to initiate daily PrEP for 12 weeks under directly observed therapy.
  • HIV and Hepatitis B negative.
  • At screening:
    • Grade 1 or normal alanine transaminase (ALT), hemoglobin (HB), absolute neutrophil count (ANC) and normal creatinine clearance (CrCl).
    • Negative or trace proteinuria (less than Grade 1).
    • Normal dipstick urine for glucose (less than Grade 1).
    • Mother weighs greater than 35 kg.
  • Intention to stay within the study site's catchment area for at least 12 weeks (or through delivery).

Age in the registry: 16 years to 24 years · Sex: Female · Accepts healthy volunteers

Full criteria on ClinicalTrials.gov

Sites (7)

Sites in registry order. Pick your city on the disease page to sort them by distance.

SiteCityCountrySite status
Blantyre CRS
Coordinator of this site? Confirm its status
BlantyreMalawiUnknown status
MU-JHU Care Limited CRS
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KampalaUgandaUnknown status
Baylor-Uganda CRS
Coordinator of this site? Confirm its status
KampalaUgandaUnknown status
Wits RHI Shandukani Research Centre CRS
Coordinator of this site? Confirm its status
JohannesburgSouth AfricaUnknown status
Seke North CRS
Coordinator of this site? Confirm its status
ChitungwizaZimbabweUnknown status
Harare Family Care CRS
Coordinator of this site? Confirm its status
HarareZimbabweUnknown status
St Mary's CRS
Coordinator of this site? Confirm its status
Saint Mary'sZimbabweUnknown status

This page is information, not medical advice. Discuss any trial with your doctor.