ClinicalTrials.gg
RecruitingNCT04746547ORCHIDUpdated Feb 1, 2024

Pharmacokinetics of Twice or Once Daily DTG (50mg) in Children With HIV and TB

A Phase 4 interventional study of Dolutegravir 50 MG and Dolutegravir 10 MG in Tuberculosis and Hiv, sponsored by University of KwaZulu. Recruiting at 1 site in South Africa. Open to participants aged 23 Months to 18 Years. Per ClinicalTrials.gov, last updated 2024-02-01.

Sponsored by University of KwaZulu · Phase 4, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Jul 2025, 1 year 3 months ago, but the record still lists the study as recruiting.
  • Started Aug 2021; still recruiting 5 years 2 months later.
Phase
Phase 4
Study type
Interventional
Enrollment
20
Allocation
Not applicable
Ages
23 Months to 18 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 210 studies in Tuberculosis with a site in South Africa — 21 open to participants now, 35 under way, 8 of them phase 3. Tuberculosis · South Africa.

Planned enrollment
170th of 176
20 · median 214
Started
2021
with 18 others
Phase 4
9 of 210
1 open now
Primary completion
2025-07
later than 4 of 34 live
Registered
158th of 210
by date

Among the 210 studies in Tuberculosis with a site in South Africa, this one is the 170th largest by planned enrollment of the 176 interventional ones, is one of 19 that started in 2021, is one of 9 in phase 4, reaches primary completion later than 4 of the 34 other live ones, and was the 158th registered.

By phase

210 studies; the count open now beside each. This study's row is marked.

Phase 267 · 6 open
No phase41 · 7 open
Observational34 · 3 open
Phase 323 · 3 open
Phase 117 · 0 open
Phase 1/212 · 0 open
Phase 4this study9 · 1 open
Phase 2/37 · 1 open

By the year they started

First in 2000; this study’s year is marked. 19 started in 2021.

Size and results

Median enrollment 214 across the 176 interventional studies, 770 across the 34 observational. Of the 161 that completed or were terminated, 64 (40%) have results posted.

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02

Study summary

Stage 1 proposed study will provide evidence to support the use of twice-daily dose 50mg DTG in children (20-35kgs) co-treated with RIF.

Note: An amendment has been added to include children from 3kgs and a dose of 10mg dispersible DTG

Read the detailed description

This is a single centre, open-label, non-randomised, prospective study evaluating the steady-state pharmacokinetics of twice-daily dose DTG administered during concurrent RIF treatment and assessing safety and tolerance in HIV-TB co-infected children weighing 20 to 35 kg.

DTG will be administered as a twice-daily dose 50mg tablet formulation both before starting and after completion of the standard six-month RIF-based anti-TB treatment. The NRTI background and anti-TB drugs will be prescribed following the national weight band dosing guidelines.

Those initially diagnosed with TB are likely to be sicker, and the recommendation is to start anti-TB treatment first and follow with ART two weeks later.

03

Conditions studied

  • Tuberculosis
  • Hiv

Keywords

  • Dolutegravir (DTG)
  • Paediatrics
  • HIV/TB co-infection
04

Who can participate

Ages eligible
23 Months to 18 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Children \<18 years with confirmed -1 infection weighing 20-35kg ART-naive or experienced, with plans to use DTG for HIV treatment
  • Diagnosis of TB disease with clinician initiating rifampicin-containing therapy
  • Parents/legal guardians/caregivers and children give informed written consent (or assent, where applicable) to be in the study
  • Girls who have reached menses must have a negative pregnancy test at screening and be willing to adhere to two effective methods of (barrier and a non-barrier form of contraception during the study, starting at least 14 days prior to enrolment) if sexually active. The parents/caregivers will be counselled together with the child if the child tests positive in order to reduce any social harm which may arise.

Exclusion criteria

Exclusion Criteria:

  • History or presence of known allergy or to DTG
  • (ALT) ≥5 times the (ULN), OR ALT ≥3xULN and ≥2xULN
  • Severe hepatic impairment or unstable liver disease (as defined by the presence of ascites, encephalopathy, coagulopathy, hypoalbuminaemia, oesophageal or gastric varices, or persistent jaundice), known biliary abnormalities (except for Gilbert's syndrome or asymptomatic gallstones)
  • Pregnancy or breastfeeding
  • A concurrent illness that could influence drug PK, i.e. severe diarrhoea, vomiting, renal or liver disease
  • Treatment with concomitant medications known to have interactions with DTG
  • Participants that are eligible for the study but refuse to give consent and/or assent
Terms in these criteria, in plain language(7)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Line of therapy

A line of therapy is one course of treatment, which may combine several drugs. First-line is the first course given; second-line follows when that stops working or is not tolerated.

“Two prior lines” means two courses that count separately under the study’s rules — not simply two drugs. Ask the study team if you are unsure how yours are counted.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
20 participants (estimated)

Study arms

  • Other
    Twice Daily DTG

    Twice daily Dolutegravir (50mg) with Rifampicin containing TB treatment / Twice daily Dolutegravir (10mg) dispersible

    Drug: Dolutegravir 50 MG · Drug: Dolutegravir 10 MG

Interventions

06

What researchers measure

Primary outcomes

  1. Pharmacokinetics (Ctrough) of DTG 50mg twice daily

    Description of the pharmacokinetics (Ctrough, Cmax and AUC0-24h) of DTG 50mg twice daily in children (20-35kg) who are taking rifampicin-based regimen for the treatment of tuberculosis.

    Time frame: 48 weeks

  2. Pharmacokinetics (Cmax) of DTG 50mg twice daily

    Description of the pharmacokinetics (Cmax) of DTG 50mg twice daily in children (20-35kg) who are taking rifampicin-based regimen for the treatment of tuberculosis.

    Time frame: 48 weeks

  3. Pharmacokinetics (AUC0-24h) of DTG 50mg twice daily

    Description of the pharmacokinetics (AUC0-24h) of DTG 50mg twice daily in children (20-35kg) who are taking rifampicin-based regimen for the treatment of tuberculosis.

    Time frame: 48 weeks

Secondary outcomes

  1. To develop an integrated model which will be used to estimate the primary PK parameters of DTG

    Nonlinear mixed-effects models (NLMEM) will be used to describe the PK of DTG in an integrated model which will be used to estimate the primary PK parameters of DTG. The effect of concomitant TB treatment, as well as other covariates on these parameters, will be evaluated in the model.

    Time frame: 48 weeks

  2. Adverse events

    Subjects will be monitored clinically and biologically for safety. Biological monitoring will focus on liver function. Adverse Events and Serious Adverse Events will be graded following DAIDS grading tables

    Time frame: 48 weeks

  3. Virological suppression

    Antiretroviral efficacy is based on HIV viral suppression. The cut-off value related to virological failure is defined as a viral load superior to 400 copies per mL, confirmed within a month. Viral load will be assessed as per the SOE

    Time frame: 48 weeks

  4. Enzyme polymorphisms

    Enzyme polymorphism analysis will be conducted at a later stage from stored samples to determine the importance of polymorphisms in genes regulating anti-TB drug and antiretroviral concentrations and effects in the study population.

    Time frame: 48 weeks

07

Study locations

1 of 1 sites recruiting
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Aug 2021 (actual). Primary completion is estimated for Jul 2025, 47 months after the start.

Of 22 phase 4 interventional studies under Tuberculosis, half reached primary completion within 36 months of starting (the median), counting those still running; a quarter within 26 and three quarters within 47. This study's planned 47 months is above that.

How these figures are worked out, and which studies are left out of them.

Registered
Feb 1, 2021
First posted
Feb 9, 2021
StartActual
Aug 19, 2021
Primary completionEst.
Jul 31, 2025
CompletionEst.
Jul 31, 2025
Last update
Feb 1, 2024
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Feb 1, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT04746547
Lead sponsor
University of KwaZulu
Collaborators
Centre for the AIDS Programme of Research in South Africa
Responsible party
Dr Moherndran Archary (Dr Moherndran Archary, University of KwaZulu) — Principal investigator
First posted
Feb 9, 2021
Start date
Aug 19, 2021
Primary completion
Jul 31, 2025 (estimated)
Completion
Jul 31, 2025 (estimated)
Last update
Feb 1, 2024

Study contacts

Moherndran Archary, MBChB, PhD
Contact
archary@ukzn.ac.za
+27312604318
Moherndran Archary, MBChB, PhD
principal investigator · University of KwaZulu

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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Studies of the drug tested here: Dolutegravir

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