ING200336, Pharmacokinetic and Safety Study in Pregnant Women With Human Immuno Virus Infection

Last updated: September 9, 2022
Sponsor: ViiV Healthcare
Overall Status: Completed

Phase

3

Condition

Muscle Pain

Hiv/aids

Hiv Infections

Treatment

N/A

Clinical Study ID

NCT02075593
200336
  • Ages > 18
  • Female

Study Summary

In this study, the dolutegravir/abacavir/lamivudine (DTG/ABC/3TC) fixed dose combination (FDC) tablet is being made available to women who become pregnant while participating in study ING117172. Continuation of antiretroviral therapy (ART) is key to both mother and the unborn fetus in order to maintain virologic suppression in the mother (thereby decreasing the risk for maternal disease progression), but also to reduce the risk of maternal-fetal transmission of human immunodeficiency virus type 1 (HIV-1) to her unborn child. This study also offers the first opportunity to investigate the impact of pregnancy on DTG pharmacokinetics (PK). This is an open-label, single arm interventional study. The number of women that will be enrolled into this study cannot be established a priori, as unintended pregnancies cannot be determined in advance. The maximum number of women would include all of those women randomized to DTG/ABC/3TC FDC (approximately 237), though unintended pregnancies in all of these women would not be anticipated.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • HIV infected females participating in ING117172 on the DTG/ABC/3TC treatment arm whobecame pregnant with a singleton and have not met any safety or confirmed virologicwithdrawal criteria.
  • Signed and dated written informed consent is obtained from the subject or thesubject's legal representative prior to screening.
  • Willingness and intent to continue pregnancy
  • Willingness to continue to receive DTG/ABC/3TC FDC.
  • Willingness to enter the Antiretroviral Pregnancy Registry.
  • Willingness to share medical information about herself and her infant for collectionof delivery and infant outcomes as it relates to this study.
  • Subjects enrolled in France: a subject will be eligible for inclusion in this studyonly if either affiliated to or a beneficiary of a social security category.

Exclusion

Exclusion Criteria:

  • History of allergy/sensitivity to DTG, ABC and/or 3TC.
  • History of severe pre-clampsia, eclampsia, or hemolysis, elevated liver enzymes andlow platelet count (HELLP)
  • Any evidence of an active Center for Disease Control and Prevention (CDC) Category Cdisease, except cutaneous Kaposi's sarcoma not requiring systemic therapy or historicor current CD4+ cell levels <200 cells/millimeter^3.
  • Subjects with any degree of hepatic impairment.
  • Ongoing malignancy other than cutaneous Kaposi's sarcoma, basal cell carcinoma, orresected, non-invasive cutaneous squamous cell carcinoma, or cervical intraepithelialneoplasia; other localized malignancies require agreement between the investigator andthe Study medical monitor for inclusion of the subject.
  • Subjects who in the investigator's judgment, poses a significant suicidality risk.Recent history of suicidal behavior and/or suicidal ideation may be considered asevidence of serious suicide risk.
  • Subjects with evidence of ongoing hepatitis B infection at screening, or anticipatedneed for Hepatitis C Virus therapy during the study.
  • Treatment with any of the following agents within 28 days of Baseline: radiationtherapy; cytotoxic chemotherapeutic agents; any immunomodulators that alter immuneresponses.
  • Subjects enrolled in France: the subject has participated in any study using aninvestigational drug during the previous 60 days or 5 half-lives, or twice theduration of the biological effect of the experimental drug or vaccine, whichever islonger, prior to screening for the study or the subject will participatesimultaneously in another clinical study.
  • Any verified Grade 4 laboratory abnormality with the exception of Grade 4 lipidabnormalities (total cholesterol, triglycerides, high density lipoprotein [HDL]cholesterol, low density lipoprotein [LDL] cholesterol). A single repeat test isallowed during the Screening period to verify a result.
  • Any acute laboratory abnormality observed in ING117172 or in any Screening laboratoryassessments for ING200336, which, in the opinion of the Investigator, would precludethe subject's participation in the study.
  • Hyperbilirubinemia of unknown etiology.
  • Confirmed (with no more than 1 repeat evaluation) Grade >= 2 urine protein (dipstick),serum creatinine, total bilirubin, alanine aminotransferase or aspartateaminotransferase at the time of the screening lab.
  • Subject has Creatinine Clearance of <50 mL/minute via Cockroft-Gault method at thetime of the screening visit

Study Design

Total Participants: 4
Study Start date:
December 17, 2014
Estimated Completion Date:
September 15, 2021

Connect with a study center

  • GSK Investigational Site

    Orel, 302040
    Russian Federation

    Site Not Available

  • GSK Investigational Site

    St. Petersburg, 196645
    Russian Federation

    Site Not Available

  • GSK Investigational Site

    Madrid, 28046
    Spain

    Site Not Available

  • GSK Investigational Site

    Sheffield, S10 2JF
    United Kingdom

    Site Not Available

  • GSK Investigational Site

    Tooting, London, SW17 0QT
    United Kingdom

    Site Not Available

  • GSK Investigational Site

    Newark, New Jersey 07103
    United States

    Site Not Available

  • GSK Investigational Site

    Bellaire, Texas 77401
    United States

    Site Not Available

  • GSK Investigational Site

    Dallas, Texas 75246
    United States

    Site Not Available

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