Pregnancy drug study aims to Fine-Tune HIV and TB treatment
NCT ID NCT00042289
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looked at how HIV and tuberculosis (TB) medications are processed in the bodies of pregnant women and their newborns. Researchers measured drug levels in blood and vaginal fluids to see if dosing needs to change during pregnancy and after birth. Over 1,500 women took part, helping doctors understand how to keep both mother and baby safe while treating these infections.
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Study facts
What this study's own registry entry says, in plain language.
- Participants
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1,578 people
The number who actually took part.
- Started
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Jun 2003
- Finished
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Sep 2020
- Lead sponsor
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A government research agency
The lead sponsor is the US National Institutes of Health.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Pregnant and postpartum women from IMPAACT US and non-US sites receiving the medicines specified in the protocol as part of clinical care and infants born to those women enrolled during pregnancy.
- Ages
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Children (under 18), adults (18 to 64) and older adults (65 and over)
- Sex
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Anyone
- Healthy volunteers
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Accepted
You do not need to have the condition being studied to take part.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Maternal Inclusion Criteria: * Participant must belong to one of the following 5 groups: 1. HIV-infected pregnant women greater than or equal to 20 weeks gestation NOT on TB treatment receiving one or more of the ARV drugs/drug combinations specified in the protocol 2. HIV-infected pregnant women greater than or equal to 20 weeks gestation receiving one of the ARV drugs/drug combinations specified in the protocol and TB treatment with at least one of the TB drugs, specified in the protocol, at study entry 3. HIV-uninfected pregnant women greater than or equal to 20 weeks gestation receiving at least two of the first-line TB drugs, specified in the protocol, at study entry 4. HIV-infected and HIV-uninfected pregnant women greater than or equal to 20 weeks gestation receiving at least two of the second-line TB drugs, specified in the protocol, at study entry 5. HIV-infected women 2 to 12 weeks (14 to 84 days) post-delivery receiving one of the ARV drug combinations listed in the protocol AND starting postpartum contraceptives as listed in the protocol * The woman must be stable on the ARV drug/drug combination and/or TB drug combination for at least 2 weeks prior to PK sampling * If a woman is receiving a specific generic ARV formulation, the protocol team has approved this formulation * HIV-infected pregnant women must be planning to continue on current ARV regimen until postpartum PK sampling is completed. HIV-infected postpartum women on hormonal contraceptives must be planning to continue on ARV and contraceptive regimens until final PK sampling is completed * For HIV-infected women: confirmed HIV infection, documented by positive results from two samples collected at different time points prior to study entry. More information on this criterion can be found in the protocol. * HIV-uninfected pregnant women must have documented negative HIV antibody test during current pregnancy. Note: adequate source documentation, including the date of specimen collection, date of testing, test performed, and test result, must be available. * Participants enrolling in the 3rd trimester must enroll by 37 6/7 weeks gestation * Participant can provide legal informed consent per local regulations * If a woman has completed this study and becomes pregnant again, she may re-enroll in the study only if she is enrolled in a different arm than that studied during her initial enrollment Maternal Exclusion Criteria: * Women on medicines known to interfere with absorption, metabolism, or clearance of the drug being evaluated (see protocol for more information). Rifampicin is permitted for women being evaluated for TB and ARV drug interactions * If pregnant, carrying multiple fetuses * Clinical or laboratory toxicity that, in the opinion of the site investigator, would be likely to require a change in the medicine regimen during the period of study Infant Enrollment Criteria: \- All infants of mothers enrolled during pregnancy (meeting criteria specified above) are enrolled, in utero, immediately after maternal enrollment. Infant Requirements for Washout Pharmacokinetic Sampling: * Born to HIV-infected mother enrolled during pregnancy in an ARV arm (does not include infants born to HIV-uninfected mothers receiving TB drugs) * Birth weight greater than 1000 grams * Is NOT receiving disallowed medications described in Section 7 of the protocol * Does not have any severe congenital malformation or other medical condition not compatible with life or that would interfere with study participation or interpretation, as judged by the site investigator * Born after singleton delivery (not after multiple birth)
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Baystate Health, Baystate Med. Ctr.
Springfield, Massachusetts, 01199, United States
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Bhumibol Adulyadej Hosp. CRS
Sai Mai, Bangkok, 10220, Thailand
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Boston Medical Center Ped. HIV Program NICHD CRS
Boston, Massachusetts, 02118, United States
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Bronx-Lebanon Hospital Center NICHD CRS
The Bronx, New York, 10457, United States
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Chiang Mai University HIV Treatment (CMU HIV Treatment) CRS
Chiang Mai, 50200, Thailand
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Chiangrai Prachanukroh Hospital NICHD CRS
Chiang Mai, 50100, Thailand
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Children's Hosp. of Boston NICHD CRS
Boston, Massachusetts, 02115, United States
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Children's Hospital of Michigan NICHD CRS
Detroit, Michigan, 48201, United States
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Chonburi Hosp. CRS
Chon Buri, 20000, Thailand
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Columbia IMPAACT CRS
New York, New York, 10032, United States
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DUMC Ped. CRS
Durham, North Carolina, 27710, United States
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David Geffen School of Medicine at UCLA NICHD CRS
Los Angeles, California, 90095-1752, United States
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Desmond Tutu TB Centre - Stellenbosch University (DTTC-SU) CRS
Cape Town, Western Cape, 7505, South Africa
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Emory University School of Medicine NICHD CRS
Atlanta, Georgia, 30322, United States
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Famcru Crs
Tygerberg, Western Cape, 7505, South Africa
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Gaborone CRS
Gaborone, South-East District, Botswana
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Harbor UCLA Medical Ctr. NICHD CRS
Torrance, California, 90502, United States
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Hosp. General de Agudos Buenos Aires Argentina NICHD CRS
Ciudad de Buenos Aires, Buenos Aires, C1221ADC, Argentina
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Hosp. Geral De Nova Igaucu Brazil NICHD CRS
Rio de Janeiro, 26030, Brazil
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Hosp. Santa Casa Porto Alegre Brazil NICHD CRS
Porto Alegre, Rio Grande do Sul, 90020-090, Brazil
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Hosp. dos Servidores Rio de Janeiro NICHD CRS
Rio de Janeiro, 20221-903, Brazil
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Hospital Federal dos Servidores do Estado NICHD CRS
Rio de Janeiro, 20221-903, Brazil
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IMPAACT/ Gamma Project/ UPR Pediatric HIV/AIDS Research CRS
San Juan, 00935, Puerto Rico
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Instituto de Puericultura e Pediatria Martagao Gesteira - UFRJ NICHD CRS
Rio de Janeiro, 21941-612, Brazil
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Jacobi Med. Ctr. Bronx NICHD CRS
The Bronx, New York, 10461, United States
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Johns Hopkins Univ. Baltimore NICHD CRS
Baltimore, Maryland, 21287, United States
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Kilimanjaro Christian Medical Centre (KCMC)
Moshi, Tanzania
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Lurie Children's Hospital of Chicago (LCH) CRS
Chicago, Illinois, 60614-3393, United States
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Med. College of Georgia School of Medicine, Dept. of Peds., Div. of Infectious Diseases
Augusta, Georgia, 30912, United States
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Metropolitan Hosp. NICHD CRS
New York, New York, 10029, United States
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Miller Children's Hosp. Long Beach CA NICHD CRS
Long Beach, California, 90806, United States
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Molepolole CRS
Gaborone, Botswana
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Mt. Sinai Hosp. Med. Ctr. - Chicago, Womens & Childrens HIV Program
Chicago, Illinois, 60608, United States
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Nyu Ny Nichd Crs
New York, New York, 10016, United States
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Pediatric Perinatal HIV Clinical Trials Unit CRS
Miami, Florida, 33136, United States
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Phayao Provincial Hosp. CRS
T.Tom, Muang, Changwat Phayao, 56000, Thailand
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Philadelphia IMPAACT Unit CRS
Philadelphia, Pennsylvania, 19104, United States
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Prapokklao Hosp. CRS
Chanthaburi, 22000, Thailand
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Regional Med. Ctr. at Memphis
Memphis, Tennessee, 38103, United States
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Rush Univ. Cook County Hosp. Chicago NICHD CRS
Chicago, Illinois, 60612, United States
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Rutgers - New Jersey Medical School CRS
Newark, New Jersey, 07103, United States
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SOM Federal University Minas Gerais Brazil NICHD CRS
Belo Horizonte, Minas Gerais, 30.130-100, Brazil
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SUNY Stony Brook NICHD CRS
Stony Brook, New York, 11794, United States
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San Juan City Hosp. PR NICHD CRS
San Juan, 00936, Puerto Rico
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Seattle Children's Research Institute CRS
Seattle, Washington, 98101, United States
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Siriraj Hospital ,Mahidol University NICHD CRS
Bangkok, Bangkoknoi, 10700, Thailand
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St. Jude Children's Research Hospital CRS
Memphis, Tennessee, 38105-3678, United States
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Tulane Univ. New Orleans NICHD CRS
New Orleans, Louisiana, 70112, United States
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UAB Pediatric Infectious Diseases CRS
Birmingham, Alabama, 35233, United States
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USF - Tampa NICHD CRS
Tampa, Florida, 33606, United States
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Univ. of California San Francisco NICHD CRS
San Francisco, California, 94143, United States
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Univ. of Colorado Denver NICHD CRS
Aurora, Colorado, 80045, United States
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Univ. of Florida Jacksonville NICHD CRS
Jacksonville, Florida, 32209, United States
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Univ. of Illinois College of Medicine at Chicago, Dept. of Peds.
Chicago, Illinois, 60612, United States
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Univ. of Maryland Baltimore NICHD CRS
Baltimore, Maryland, 21201, United States
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Univ. of Sao Paulo Brazil NICHD CRS
São Paulo, 14049-900, Brazil
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University of California, UC San Diego CRS- Mother-Child-Adolescent HIV Program
La Jolla, California, 92093-0672, United States
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Usc La Nichd Crs
Los Angeles, California, 90089, United States
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WNE Maternal Pediatric Adolescent AIDS CRS
Worcester, Massachusetts, 01605, United States
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Washington Hosp. Ctr. NICHD CRS
Washington D.C., District of Columbia, 20010, United States
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Wits RHI Shandukani Research Centre CRS
Johannesburg, Gauteng, 2001, South Africa
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Yale Univ. School of Medicine - Dept. of Peds., Div. of Infectious Disease
New Haven, Connecticut, 06510, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a Three-Session couples program cut drug use and HIV risk?
- Decades of HIV data could reveal which treatments last
- Can testing together again keep male couples HIV-Free?
- Can a rapid HIV test get people treated sooner?
- Can Same-Day HIV prevention reach people before infection takes hold?
- Can a Once-Daily HIV pill with food match Twice-Daily dosing during TB treatment?