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CompletedNCT02383849Updated Aug 6, 2021

IMPAACT P1106: Pharmacokinetic Characteristics of Antiretrovirals and Tuberculosis Medicines in Low Birth Weight Infants

An observational study in Low-Birth-Weight Infant, Tuberculosis and HIV, sponsored by International Maternal Pediatric Adolescent AIDS Clinical Trials Group. Completed at 2 sites in South Africa. Open to participants aged 7 Days to 84 Days. Per ClinicalTrials.gov, last updated 2021-08-06.

Sponsored by International Maternal Pediatric Adolescent AIDS Clinical Trials Group · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
124
Ages
7 Days to 84 Days
Sex
All
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Study summary

P1106 is Phase IV prospective pharmacokinetic (PK) study of low birth weight infants who are receiving or will be receiving as part of clinical care nevirapine (NVP) prophylaxis, tuberculosis (TB) prophylaxis or treatment and/or combination antiretroviral (ARV) treatment containing lopinavir/ritonavir (LPV/r). The study is designed to describe the pharmacokinetics and safety of NVP, INH, RIF, and LPV/r in these infants receiving the drug(s) as part of clinical care.

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Conditions studied

  • Low-Birth-Weight Infant
  • Tuberculosis
  • HIV
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In context

Tuberculosis

1,417 studies on the registry are indexed under Tuberculosis; 208 are open to participants now.

This study's enrollment of 124 is below the median of 250 across 421 observational studies indexed under Tuberculosis.

Browse Tuberculosis studies →

Lead sponsor

International Maternal Pediatric Adolescent AIDS Clinical Trials Group is the lead sponsor of 26 studies on the registry; 3 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
7 Days to 84 Days
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Low birth weight (LBW) infants less than or equal to 2500 grams at birth who are receiving or will be receiving as part of clinical care nevirapine (NVP) prophylaxis, tuberculosis (TB) prophylaxis or treatment and/or combination antiretroviral (ARV) treatment containing lopinavir/ritonavir (LPV/r)

Inclusion criteria

Inclusion Criteria for Arms 1 and 3 (HIV-exposed infants):

  • Breastfeeding infants born to HIV-infected mothers who are receiving either no ARV therapy or ARV therapy that does not include NVP
  • Age 7 to 14 days
  • Birth weight less than 2500 grams
  • Receiving or will be receiving prophylaxis as prescribed by clinical care provider as follows: NVP (Arm 1), NVP plus INH (Arm 2), NVP plus INH plus RIF (Arm 3)
  • Parent or legal guardian able and willing to provide written informed consent. [Note to sites: modify per locally relevant language].

Inclusion Criteria for Arm 2 (HIV-exposed infants):

  • Breastfeeding infants born to HIV-infected mothers who are receiving either no ARV therapy or ARV therapy that does not include NVP
  • Age 7 to 84 days
  • Birth weight less than or equal to 4000 grams
  • Receiving or will be receiving prophylaxis as prescribed by clinical care provider as follows: NVP (Arm 1), NVP plus INH (Arm 2), NVP plus INH plus RIF (Arm 3)
  • Parent or legal guardian able and willing to provide written informed consent. [Note to sites: modify per locally relevant language].

Inclusion Criteria for Arm 4 (HIV-unexposed but TB exposed infants):

  • Age 7 to 84 days
  • Birth weight less than or equal to 4000 grams
  • Receiving prophylaxis with INH alone or INH plus RIF as prescribed by clinical care provider
  • Not receiving any therapy for HIV prophylaxis or treatment
  • Parent or legal guardian able and willing to provide written informed consent. [Note to sites: modify per locally relevant language].

Inclusion Criteria for Arms 5 and 6 (HIV-infected infants):

  • Documentation of HIV-1 infection defined as positive HIV DNA PCR done as part of clinical care. An HIV RNA confirmatory test must be done at study entry but results may be pending at time of enrollment.
  • Birth weight less than or equal to 4000 grams
  • Age less than or equal to 12 weeks (defined as 84 days)
  • Intention by clinical care provider to prescribe LPV/r plus 2 NRTIs and no RIF (Arm 5) or LPV/r plus 2 NRTIs plus RIF (Arm 6)
  • Parent or legally acceptable representative able and willing to provide written informed consent. [Note to sites: modify per locally relevant language].

Exclusion criteria

Exclusion Criteria:

Any severe congenital malformation or other medical condition incompatible with life or that would interfere with study participation or interpretation, as judged by the examining clinician.

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Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
124 participants (actual)
Patient registry
No
Biospecimen retention
Samples with dna

Groups and cohorts

  • Arm 1

    Breastfeeding infants 7 to 14 days of age with birth weight less than 2500 grams born to HIV-infected mothers not receiving maintenance ARV therapy including NVP; Mother HIV-infected and TB negative; infant receiving NVP prophylaxis but not TB prophylaxis or treatment

  • Arm 2

    Breastfeeding infants 7 to 84 days of age with birth weight less than or equal to 4000 grams born to HIV-infected mothers not receiving maintenance ARV therapy including NVP; Mother HIV-infected with active TB disease; infant receiving NVP prophylaxis plus isoniazid (INH) but not rifampicin (RIF) for TB prophylaxis

  • Arm 3

    Breastfeeding infants 7 to 14 days of age with birth weight less than 2500 grams born to HIV-infected mothers not receiving maintenance ARV therapy including NVP; Mother HIV-infected with active TB disease; infant receiving NVP prophylaxis plus INH plus RIF for TB prophylaxis or treatment

  • Arm 4

    Breast or formula feeding infants 7 to 84 days of age with birth weight less than or equal to 4000 grams born to HIV-uninfected mothers with active TB disease; infant receiving INH alone or INH plus RIF for TB prophylaxis

  • Arm 5

    Breast or formula feeding infants newly diagnosed with HIV infection weighing less than or equal to 4000 grams at birth and are less than or equal to 12 weeks of age. Infants who were enrolled in Arms 1, 2 or 3 and later determined to be HIV infected are then are eligible to enroll in Arm 5 if started on an LPV/r regimen. Infants initiating treatment with LPV/r plus 2 NRTIs, and not receiving RIF (but may be receiving INH)

  • Arm 6

    Breast or formula feeding infants newly diagnosed with HIV infection weighing less than 2500 grams at birth and are less than or equal to 12 weeks of age. Infants who were enrolled in Arms 1, 2 or 3 and later determined to be HIV infected are then are eligible to enroll in Arm 6 if started on an LPV/r regimen. Infants initiating treatment with LPV/r plus 2 NRTIs, and receiving RIF (and may be receiving INH)

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What researchers measure

Primary outcomes

  1. Clearance of NVP, INH, RIF, and LPV/r after oral dose

    Apparent clearance (CL/F) of NVP, INH, RIF, and LPV/r

    Time frame: Week 24 of life

Secondary outcomes

  1. Primary safety endpoints

    Number of participants with adverse events of grade 3 or 4 severity, death, or serious adverse clinical events

    Time frame: Study duration

07

Study locations

2 sites
  • Soweto IMPAACT CRS (8052)
    Johannesburg, Gauteng 1862, South Africa
  • Family Clinical Research Unit (FAM-CRU) CRS (8950)
    Cape Town, Western Cape Province 7505, South Africa
08

References and documents

Individual participant data

Plan to share: Yes — Individual participant data that underlie results in the publication, after deidentification.

Supporting information: Study protocol, Sap

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 6, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02383849
Lead sponsor
International Maternal Pediatric Adolescent AIDS Clinical Trials Group
Collaborators
National Institute of Allergy and Infectious Diseases (NIAID), Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
Responsible party
Sponsor
First posted
Mar 9, 2015
Start date
Aug 4, 2015
Primary completion
Feb 14, 2020
Completion
Feb 14, 2020
Last update
Aug 6, 2021

Study contacts

Mark Cotton, MD, MBChB, FCPaed, MMED
study chair · University of Stellenbosch
Mark H Mirochnick, MD
study chair · Boston Medical Center

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Mar 2020. You cannot join it, but the record below documents what was studied.

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