Dolutegravir/Lamivudine in Treatment-Naïve Pregnant Women
Summary
Protocol Number: FH-94 Study Objetives: Primary: * To evaluate the virological response to Dolutegravir/Lamivudine in naive pregnant women with HIV who are starting antiretroviral therapy and vertical transmission in exposed neonates. Secondary: * To evaluate the incidence of maternal adverse events. * To evaluate perinatal outcomes at delivery. * To evaluate maximum virological suppression at delivery. * To evaluate the incidence of changes in body weight exceeding what is expected for gestation. * To evaluate the immune response based on changes in CD4, CD8, and CD4/CD8 ratio values during pregnancy. * Assess baseline resistance and the development of resistance to virological failure to integrase inhibitors and INTRs during treatment with DTG+3TC or DTG+TDF/XTC or DTG+TAF/FTC. * To evaluate the incidence of HIV infection in children that breastfeed. * To evaluate safety outcomes and virological response of DTG+3TC compared to DTG+TDF/XTC or DTG+TAF/FTC. Exploratory: * To explore the non-inferiority of DTG+3TC therapy compared to DTG+TDF/XTC or DTG+TAF/FTC treatment. * To evaluate the frequency of antiretroviral therapy withdrawal or modification before delivery.
Timeline
- Start
- 2026-06-15
- Primary completion
- 2028-07-15
- Completion
- 2028-09-15
Drugs
| Evaluation | Drug | Modality | Dose | Route |
|---|---|---|---|---|
| Subject | Dolutegravir/Lamivudine | Unknown | 50 mg | Oral |
| Subject | Dolutegravir/Lamivudine | Unknown | 300 mg | Oral |
| Comparator | TAF/FTC | Unknown | 25 mg | — |
| Comparator | TAF/FTC | Unknown | 200 mg | — |
| Comparator | TDF/3TC | Unknown | 300 mg | — |
| Comparator | TDF/FTC | Unknown | 200 mg | — |
| Comparator | TDF/FTC | Unknown | 300 mg | — |
| Comparator | Dolutegravir | Other / unclassified | 50 mg | — |