At a glance
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A Phase I Study of the Safety, Tolerability, and Pharmacokinetics of Dolutegravir in Neonates Exposed to HIV-1
In Brief
A Phase 1 clinical trial evaluating Dolutegravir 0.5 mg/kg liquid suspension (starts at 0-5 days of life), Dolutegravir 5 mg Dispersible Tablets (single doses), and 2 other interventions for HIV. Completed, enrolled 96 participants across 15 sites in 3 countries.
Detailed 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.
Study Details
Timeline
Interventions
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
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
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
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).