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.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | Women only |
| Enrollment | 176 (estimated) |
| Sponsor | Radboud University Medical Center Academic / other |
| Drugs / interventions | cART |
| Locations | 21 sites (Brussels and 20 other locations) |
| Status | Recruiting |
| Started | February 2009 |
| Main results expected | December 2026 |
| Study ends | December 2026 |
| Registry record updated | January 13, 2025 |
| Trial ID | NCT00825929 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
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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
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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
- Principal investigator: David M Burger, PharmD PhD — Radboud University Medical Centre Nijmegen
- Study coordinator: David M Burger, PharmD PhD
- Email: david.burger@radboudumc.nl
- Phone: ++31 24 3616405
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.