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RecruitingNCT07040319Updated Aug 14, 2026

Study of the Pharmacokinetics and Safety of Glecaprevir/Pibrentasvir Initiated in Pregnancy in Women With Hepatitis C With and Without HIV

A Phase 1/2 interventional study of Glecaprevir/pibrentasvir in Hepatitis C, sponsored by National Institute of Allergy and Infectious Diseases (NIAID). Recruiting at 10 sites in United States. Open to female participants aged 16 Years to 45 Years. Per ClinicalTrials.gov, last updated 2026-08-14.

Sponsored by National Institute of Allergy and Infectious Diseases (NIAID) · Phase 1/2, Interventional, and Treatment

From the registry’s dates

  • Started Jun 2026; still recruiting 4 months later.
Phase
Phase 1/2
Study type
Interventional
Enrollment
30
Allocation
Not applicable
Ages
16 Years to 45 Years
Sex
Female
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Study summary

This is a Phase I/II, multi-site, open-label, single arm study to describe the pharmacokinetics (PK) and safety of glecaprevir/pibrentasvir (GLE/PIB) initiated during pregnancy in women with hepatitis C virus (HCV) infection (acute or chronic) with or without HIV and to evaluate safety for their infants through 10 weeks postpartum.

02

Conditions studied

  • Hepatitis C

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Keywords

  • HIV
  • Hepatitis C
  • Pregnancy
  • Glecaprevir/Pibrentasvir
03

In context

Hepatitis C

1,743 studies on the registry are indexed under Hepatitis C; 97 are open to participants now.

This study's planned enrollment of 30 is below the median of 72 across 1,223 interventional studies indexed under Hepatitis C.

Browse Hepatitis C studies →

Lead sponsor

National Institute of Allergy and Infectious Diseases (NIAID) is the lead sponsor of 2,446 studies on the registry; 179 are open to participants now.

Of its 405 completed or terminated interventional studies of FDA-regulated products, 302 (75%) have results posted.

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

04

Who can participate

Ages eligible
16 Years to 45 Years
Sexes eligible
Female
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

  • Of legal age or circumstance to provide independent as determined by site standard operating procedures (SOPs) and consistent with institutional review board/ethics committee (IRB/EC) policies and procedures
  • Willing and able to provide written informed consent for their own and their infant's study participation
  • At entry, 16-45 years of age (inclusive)
  • At entry, gestational age of 14-32 weeks, defined as greater than 13 weeks plus six days and less than or equal to 32 completed weeks gestation, as determined by the site investigator based on best obstetric estimate
  • At screening and at study entry, no evidence of multiple gestation, fetal anomalies, or intrauterine fetal growth restriction, as determined by the site investigator based on ultrasound
  • At screening, detectable test result based on testing of a specimen collected within 30 days prior to entry
  • At screening, negative test results for surface antigen based on testing of a specimen collected within 30 days prior to entry
  • At screening (i.e., from specimens collected within 30 days prior to entry), has normal, grade 1, grade 2, or grade 3 results for the following

    • (AST) (\<10.0 x )
    • Alanine aminotransferase (ALT) (\<10.0 x ULN)
  • At screening (i.e., from specimens collected within 30 days prior to entry), has normal, grade 1, or grade 2 results for the following

    • (≥8.5 g/dL)
    • Creatinine (≤1.8 x ULN)
  • At screening (i.e., from specimens collected within 30 days prior to entry), has normal or grade 1 results for the following

    • (INR) (\<1.5 x ULN)
    • count (≥100,000 cells/mm3)
    • Total (\<1.6 x ULN)
  • status determined based on testing meeting the requirements specified in protocol
  • For pregnant participants living with HIV: has a suppressed HIV viral load (HIV-1 RNA below the limit of quantification of the assay) on an ARV regimen for at least 30 consecutive days prior to entry that does not include efavirenz, etravirine, cobicistat, or any protease inhibitor (e.g., atazanavir, darunavir, lopinavir, ritonavir), as determined by the site investigator based on available medical records
  • At entry, expects to remain in the geographic area of the study site during pregnancy and for 10 weeks postpartum (or for 20 weeks post-entry, depending on gestational age at entry), as determined by the site investigator based on pregnant participant report

Exclusion criteria

Exclusion Criteria:

  • Any previous treatment for , including HCV DAAs or interferon-based treatment
  • High risk of preterm delivery, defined as either of the following:

    • History of spontaneous preterm delivery at less than 34 weeks, as determined by the site investigator based on pregnant participant report and available medical records, or
    • Shortened cervix less than 20 mm if noted on ultrasound during the current pregnancy, as determined by the site investigator based on available medical records
  • Receipt of any prohibited medication, within 14 days prior to entry, as determined by the site investigator based on pregnant participant report and available medical records
  • Any of the following liver-related conditions:

    • Clinical diagnosis of acute hepatitis not otherwise attributable to hepatitis C with or ALT ≥2.5 x
    • Evidence of decompensated cirrhosis including history of or present variceal hemorrhage, ascites, spontaneous bacterial peritonitis, hepatic encephalopathy, hepatocellular carcinoma, hepatorenal syndrome, or hepatopulmonary syndrome
  • Has any other documented or suspected medical condition or any other condition that, in the opinion of the site investigator, would make participation in the study unsafe, complicate interpretation of study outcome data, or otherwise interfere with achieving study objectives
Terms in these criteria, in plain language(11)

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

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.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

INR, PT and aPTT (clotting tests)

Blood tests of how long blood takes to clot. The INR is the prothrombin time (PT) put on a common scale; about 1 is usual for someone not taking a blood thinner.

Criteria often make an exception for people on a blood thinner such as warfarin, whose INR is raised on purpose.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

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.

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.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
30 participants (estimated)

Study arms

  • Experimental
    GLE/PIB

    Pregnant participants will take three (3) GLE/PIB fixed-dose combination tablets orally once daily with food for eight weeks

    Drug: Glecaprevir/pibrentasvir

Interventions

  • DrugGlecaprevir/pibrentasvir

    Drug page: Glecaprevir and pibrentasvir

    100 mg glecaprevir and 40 mg pibrentasvir for a total daily dose of glecaprevir 300 mg/pibrentasvir 120 mg

    Also known as: GLE/PIB

06

What researchers measure

Primary outcomes

  1. Geometric mean AUC0-24h

    Area under the curve from start of dose to 24 hours post dose

    Time frame: At weeks 3 & 6

  2. Geometric mean Cmax

    Peak concentration from start of dose to 24 hours post dose

    Time frame: At weeks 3 & 6

  3. Geometric mean C24h

    Concentration at 24 hours post dose

    Time frame: At weeks 3 & 6

  4. Percentage of pregnant/ postpartum participants who experience a grade 3 or higher adverse event assessed as related to study drug

    Time frame: Initiation of treatment to a) completion of treatment and b) latter of 10 weeks post-partum or 20 weeks post treatment initiation

  5. Percentage of pregnant participants who experience a serious adverse event assessed as related to study drug

    Time frame: Initiation of treatment to a) completion of treatment and b) latter of 10 weeks post-partum or 20 weeks post treatment initiation

Secondary outcomes

  1. Percentage of pregnant/postpartum participants with sustained virologic response (SVR12)

    defined as unquantifiable hepatitis C RNA (less than the lower limit of quantification \[\<LLOQ\])

    Time frame: 12 weeks after planned treatment completion

  2. Percentage of pregnant participants with spontaneous abortions or miscarriage

    (\<20 weeks gestation)

    Time frame: At birth/delivery

  3. Percentage of pregnant participants with stillbirths

    (≥20 weeks gestation)

    Time frame: At birth/delivery

  4. Percentage of infants small for gestational age

    \<10th percentile

    Time frame: At birth/delivery

  5. Percentage of infants with low birth weight

    \<2500 g

    Time frame: At birth/delivery

  6. Percentage of pre-term births

    \<37 weeks gestation

    Time frame: At birth/delivery

  7. Percentage of pregnancies with occurrence of any of the following adverse pregnancy events

    spontaneous abortion or miscarriage, stillbirth, small gestational age, low birth weight, or preterm birth

    Time frame: At birth/delivery

  8. Percentage of infants with a congenital abnormality

    Time frame: At birth/delivery

  9. Percentage of infants with a grade 5 adverse event

    Time frame: From birth through 10 weeks of age

  10. Percentage of infants with Grade 3 or higher adverse event assessed as related to study drug

    Time frame: From birth through 10 weeks of age

  11. Percentage of infants with a serious adverse events assessed as related to study drug

    Time frame: From birth through 10 weeks of age

  12. Percentage of occurrence of any of the following in infants: grade 5 adverse event within 28 days of birth, grade 3 or higher adverse event assessed as related to study drug, or severe adverse event assessed as related to study drug

    Time frame: From birth through 10 weeks of age

  13. Median weight of infants

    Time frame: At birth and 10 weeks of age

  14. Median length of infants

    Time frame: At birth and 10 weeks of age

  15. Median head circumference of infants

    Time frame: At birth and 10 weeks of age

  16. Percentage of infants with quantifiable hepatitis C RNA

    Time frame: At 10 or more weeks of age

07

Study locations

8 of 10 sites recruiting
08

References and documents

Individual participant data

Plan to share: Yes

Supporting information: Study protocol, Statistical analysis plan

Time frame: Beginning 3 months following publication and available throughout period of funding of the International Maternal Pediatric Adolescent AIDS Clinical Trial (IMPAACT) Network by NIH.

Access criteria: Researchers who provide a methodologically sound proposal for use of the data that is approved by the IMPAACT Network. For what types of analyses? To achieve aims in the proposal approved by the IMPAACT Network. By what mechanism will data be made available? Researchers may submit a request for access to data using the IMPAACT "Data Request" form at: https:// www.impaactnetwork.org/ resources/study-proposals.htm. Researchers of approved proposals will need to sign an IMPAACT Data Use Agreement before receiving the data.

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Jun 2026 (actual). Primary completion is estimated for Mar 2028, 20 months after the start.

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

Registered
Jun 13, 2025
First posted
Jun 27, 2025
StartActual
Jun 25, 2026
Primary completionEst.
Mar 3, 2028
CompletionEst.
Mar 3, 2028
Last update
Aug 14, 2026
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 Aug 14, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07040319
Responsible party
Sponsor
First posted
Jun 27, 2025
Start date
Jun 25, 2026
Primary completion
Mar 3, 2028 (estimated)
Completion
Mar 3, 2028 (estimated)
Last update
Aug 14, 2026

Study contacts

IMPAACT ClinicalTrials.gov Coordinator
Contact
impaact.ctgov@fstrf.org
Katie McCarthy
Contact
kmccarthy@fhi360.org
919-321-3326

Oversight

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

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Discussion

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Studies of the drug tested here: Glecaprevir and pibrentasvir

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