Clinically Significant Lower Elvitegravir Exposure During the Third Trimester of Pregnant Patients Living With Human Immunodeficiency Virus: Data From the Pharmacokinetics of ANtiretroviral agents in HIV-infected pregNAnt women (PANNA) Network.

Bukkems, Vera; Necsoi, Coca; Tenorio, Carmen Hidalgo; Garcia, Coral; Rockstroh, Jürgen; Schwarze-Zander, Caroline; Lambert, John S; Burger, David et al. · Clin Infect Dis · 2020

prospective_cohort · Level II

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Abstract

This phase 4 study investigated the influence of pregnancy on the pharmacokinetics of elvitegravir/cobicistat in 14 women with human immunodeficiency virus type 1. The results support the recommendation against elvitegravir/cobicistat use during pregnancy, as the elvitegravir concentration at the end of the dosing interval (Ctrough) was reduced by 77%, with 85% of pregnant women having a Ctrough below the effective concentration (EC90). Clinical Trials Registration. NCT00825929.

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