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Taking people in NigeriaPhase 1

Tests how dolutegravir and weekly TB preventive drugs work together in children with HIV

Studies how the body handles dolutegravir with weekly rifapentine and isoniazid in children with HIV.

Plain-language title generated from the registry record
Registry title: Dolutegravir Pharmacokinetics During Weekly Rifapentine/Isoniazid for TB Prevention

Key facts

Where
Ibadan, NigeriaSee the site
Phase
Phase 1

Where in Nigeria

  • University College HospitalIbadan, NigeriaTaking people

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Trial details

Who runs it
Brigham and Women's Hospital
Trial code
NCT06281834
Record updated
30 July 2026
Original description
Tuberculosis (TB) is the leading cause of death among children living with HIV, yet insufficient data are available on the pharmacokinetics of newer TB prevention strategies in children. Short-course TB prevention/latent TB infection (LTBI) treatment regimens increase completion rates but have not been adequately studied among children living with HIV. Our prospective, open-label PK study will examine and extend use of weekly rifapentine and isoniazid (3HP) among children receiving dolutegravir. This will address gaps in knowledge by examining two-way PK of short-course LTBI treatment in a vulnerable pediatric population.Read full original descriptionShow less

Dolutegravir Pharmacokinetics During Weekly Rifapentine/Isoniazid for TB Prevention

Tuberculosis (TB) is the leading cause of death among children living with HIV, yet insufficient data are available on the pharmacokinetics of newer TB prevention strategies in children. Short-course TB prevention/latent TB infection (LTBI) treatment regimens increase completion rates but have not been adequately studied among children living with HIV. Our prospective, open-label PK study will examine and extend use of weekly rifapentine and isoniazid (3HP) among children receiving dolutegravir. This will address gaps in knowledge by examining two-way PK of short-course LTBI treatment in a vulnerable pediatric population.

Inclusion: (1) ART-naïve or ART-experienced HIV-infected children 4 weeks to <12 years of age; (2) no evidence of active TB based on an appropriate clinical evaluation; (3) negative TB diagnostic test if performed (other than tuberculin skin testing); (4) weight of at least 4 kilograms; and; (5) consent of the parent or legal guardian and assent of the child (if ≥7 years of age).

Exclusion: (3) receipt of a medication that has drug-drug interactions with DTG or RPT; (2) presenting with acute respiratory distress or decompensation, or any clinical syndrome which could suggest undiagnosed TB or other opportunistic infection; or; (1) Baseline labs with evidence of ≥grade 3 abnormalities: alanine aminotransferase (ALT), total bilirubin, absolute neutrophil count (ANC), platelets, creatinine.

ClinicalTrials.gov NCT06281834