Clinical trial Recruiting at 16 sites Observational Ages 18 and up Women only

Understanding how HIV medications work in pregnant women

Official title: Study on Pharmacokinetics of Newly Developed ANtiretroviral Agents in HIV-infected pregNAnt Women (PANNA)

Run by Radboud University Medical Center · NCT00825929 · Data updated 2026-11-12

This study is testing how HIV medications work in pregnant women during the third trimester to see if we can improve their treatment.

More HIV Infections trials

Quick facts

Study typeObservational
Ages18 Years and up
SexWomen only
Enrollment176 (estimated)
SponsorRadboud University Medical Center
Academic / other
Drugs / interventionscART
Locations21 sites (Brussels and 20 other locations)
StatusRecruiting
StartedFebruary 2009
Main results expectedDecember 2026
Study endsDecember 2026
Registry record updatedJanuary 13, 2025
Trial IDNCT00825929 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates for this study are HIV-infected pregnant women who are at least 18 years old and have been on a cART regimen containing specific antiretroviral agents for at least two weeks.

Probably not a fit

Patients who are not pregnant or those with conditions that interfere with drug metabolism may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This observational study aims to investigate the pharmacokinetics of various antiretroviral agents in HIV-infected pregnant women, particularly focusing on changes that occur during the third trimester. The study will measure how these medications are absorbed, distributed, metabolized, and excreted in this unique population, as existing data on their pharmacokinetics during pregnancy is limited. Participants will be required to be on a combination antiretroviral therapy (cART) regimen for at least two weeks prior to the pharmacokinetic evaluations. The findings could help optimize dosing for pregnant women living with HIV to ensure effective treatment.

Why it matters

Potential benefit: If successful, this study could lead to improved dosing guidelines for antiretroviral medications in pregnant women, enhancing treatment efficacy and safety for both mothers and their infants.

How similar studies have gone: While pharmacokinetic studies in general have been conducted, this specific focus on pregnant women and the range of antiretroviral agents is relatively novel and underexplored.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. HIV-infected as documented by positive HIV antibody test and confirmed by an antigen test.
2. Subject is at least 18 years of age at screening.
3. Subject is able and willing to sign the Informed Consent Form prior to screening evaluations.
4. Treated with a cART regimen containing at least one agent which is mentioned in Appendix 1; this agent has been taken for at least 2 weeks before the day of first PK curve evaluation.
5. Subject is pregnant
6. Subject is able to adhere to food intake recommendations, if applicable.

Exclusion Criteria:

1. Relevant history or current condition that might interfere with drug absorption, distribution, metabolism or excretion.
2. Inability to understand the nature and extent of the study and the procedures required.
3. Presence of grade III/IV anemia (i.e. Hb \<4.6 mmol/L or \<7.4 g/dL).
4. Using oral cabotegravir/rilpivirine.

Where it's running

  • Saint-Pierre University Hospital; Department of Infectious Diseases
    Brussels, Belgium
    Recruiting
  • CHARITÉ Berlin
    Berlin, Germany
    Recruiting
  • University of Bonn
    Bonn, Germany
    Recruiting
  • University of Cologne
    Cologne, Germany
    Recruiting
  • Johann Wolfgang Goethe-Universität
    Frankfurt am Main, Germany
    Recruiting
  • University München
    München, Germany
    Recruiting
Show 15 more locations
  • Mater Hospital and UCD
    Dublin, Ireland
    Recruiting
  • St James's Hospital Dublin
    Dublin, Ireland
    Recruiting
  • Radboud University Nijmegen Medical Centre
    Nijmegen, Netherlands
    Recruiting
  • Erasmus Medical Center Rotterdam
    Rotterdam, Netherlands
    Recruiting
  • St Elisabeth hospital
    Tilburg, Netherlands
    Recruiting
  • Hospital Universitari Germans Trias i Pujol, Badalona
    Badalona, Spain
    Recruiting
  • Hospital Universitario Virgen de las Nieves Granada; Médico Adjunto del Servicio de Medicina Interna
    Granada, Spain
    Recruiting
  • Brighton and Sussex University Hospitals NHS Trust
    Brighton, United Kingdom
    Recruiting
  • C&W Hospital, London
    London, United Kingdom
    Recruiting
  • St Mary's Hospital, London
    London, United Kingdom
    Recruiting
  • Ircss
    Rome, Italy
    Completed
  • Amc
    Amsterdam, Netherlands
    Completed
  • North Middlesex Hospital
    London, United Kingdom
    Completed
  • St Thomas Hospital
    London, United Kingdom
    Withdrawn
  • St. George's Hospital, London
    London, United Kingdom
    Completed

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.