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Enrolling by Invitation

NCT Number: NCT07666386

Safety and Efficacy of B/F/TAF in Pregnancy

This is a prospective, multicenter, observational study designed to evaluate the effectiveness and safety of Bictegravir/Emtricitabine/Tenofovir Alafenamide (B/F/TAF) in pregnant women living with HIV. Given the limited prospective data on B/F/TAF use during early pregnancy, this study aims to address the evidence gap by observing women who are on B/F/TAF for at least six months with sustained viral suppression (HIV RNA <50 copies/mL) and are within the first trimester. Participants will continue B/F/TAF throughout pregnancy and up to 12 weeks postpartum per routine clinical practice. No experimental intervention will be assigned. The primary objective is to assess the proportion of participants achieving HIV RNA <50 copies/mL at 12 12 weeks of pregnancy. Secondary objectives include maternal viral suppression at 28 weeks, delivery, and postpartum; safety and tolerability; maternal and neonatal outcomes including congenital anomalies, APGAR scores, infant HIV status, and growth parameters. The study will enroll at least 50 participants across five clinical centers in China. Findings will provide real-world evidence on the use of B/F/TAF as an alternative integrase inhibitor-based regimen for pregnant women with HIV.

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Key information

Conditions

HIV

Age range

18 year and older

Sex eligibility

Female

Study type

Observational

Primary location

Zhongnan Hospital of Wuhan University

Wuhan, Hubei, 430071, China

About this study

Statistical Methods Descriptive statistics will be used to summarize the data. Continuous variables will be presented as means with standard deviations and medians with interquartile ranges, depending on the distribution of the data. Categorical variables will be described by their frequency distribution and ranges (Two-sided 95% confidence).

Efficacy:

The proportion of participants with plasma HIV RNA <50 copies/mL at the time of delivery will be summarized using the missing = excluded approach for imputing missing HIV RNA values.

Safety:

The adverse events (AE) data will be listed by subject. Treatment-emergent AEs, Grade 1-4 AEs will be summarized by system organ class, and preferred term using the current version of the Medical Dictionary for Regulatory Activities (MedDRA), and graded according to the DIADS Table for Grading the Severity of Adult and Pediatric Adverse Events .

Listings of individual subject vital signs, 12-lead ECG parameters, and laboratory results will be provided. Laboratory abnormalities will be graded for severity using the DAIDS Table for Grading the Severity of Adult and Pediatric Adverse Events. Laboratory results and changes from baseline for vital signs and selected lab tests will be summarized at scheduled visits. The incidence and grade of treatment-emergent laboratory abnormalities will be summarized accordingly.

Maternal/neonatal outcomes analysis Proportion of infants with confirmed negative or positive HIV RNA testing will be summarized using the missing = excluded approach for imputing missing HIV RNA values.

Proportion of live births, stillbirths, and pregnancy loss will be summarized. APGAR scores will be summarized. Adverse events and toxicity management

Definitions of Adverse Events, Adverse Reactions, and Serious Adverse Events:

Adverse Events An AE is any untoward medical occurrence in a clinical study subject administered a pharmaceutical product, which does not necessarily have a causal relationship with the treatment. An AE can therefore be any unfavorable and/or unintended sign, symptom, or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. AEs may also include lack of efficacy, overdose, drug abuse/misuse reports, or occupational exposure.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Women with aged 18 years or older and confirmed HIV infection.
  • Currently on B/F/TAF for 6 months preceding the screening visit.
  • Documented plasma HIV RNA<50 copies/mL for 6 months preceding the screening visit and have HIV RNA<50 copies/mL at the screening visit.
  • Women within 12 weeks of pregnancy at the time of screening.
  • The ability to understand and sign a written informed consent form, which must be obtained prior to initiation of study procedures.

Exclusion criteria

  • Have active hepatitis C virus (HCV) infection.
  • An opportunistic illness indicative of stage 3 HIV diagnosed within the 30 days prior to screening.
  • Other clinical scenarios that are no longer suitable for B/F/TAF therapy (Such as electrocardiogram, liver and kidney dysfunction, opportunistic infection and so on).

Treatment and study plan

BIC+FTC+TAF

Drug

Participants who are on B/F/TAF for at least 6 months, virus suppressed (VS) for more than 6 months and who are in first trimester

Primary outcomes

  1. Proportion of Participants with HIV RNA <50 Copies/mL at 12 Weeks of Pregnancy

    Time frame: 12 weeks of pregnancy.

    The proportion is calculated using the Missing=Excluded approach (participants with missing HIV RNA values at the 12-week time point are excluded from both numerator and denominator).

Secondary outcomes

  1. Maternal Plasma HIV RNA Level

    Time frame: 28 weeks of pregnancy, at delivery, and 2-12 weeks postpartum

    HIV RNA levels are measured in copies/mL. Descriptive statistics (geometric mean, median, and interquartile range) will be reported at each specified time point.

  2. Number of Participants with Treatment-Emergent Grade 3 or 4 Adverse Events

    Time frame: From enrollment through 12 weeks postpartum

    Adverse events are graded according to the DAIDS Table for Grading the Severity of Adult and Pediatric Adverse Events. Only events that are treatment-emergent (occurring or worsening after study drug initiation) and of Grade 3 or 4 severity are reported.

  3. Occurrence of Congenital Anomalies

    Time frame: From birth through 12 weeks postpartum

    Congenital anomalies are identified through prenatal ultrasound examinations, prenatal diagnostics (e.g., amniocentesis with genetic/epigenetic testing), and postnatal physical examination. Each anomaly is reported as a separate event.

  4. Pregnancy Outcome: Live Birth vs. Fetal Loss/Stillbirth

    Time frame: At delivery

    Pregnancy outcomes are categorized as live birth, fetal loss (spontaneous abortion <20 weeks), or stillbirth (fetal death ≥20 weeks). The proportion of each category will be reported.

  5. Infant APGAR Score

    Time frame: At 1 minute and 5 minutes after delivery

    APGAR score is assessed at 1 and 5 minutes post-delivery. Scores range from 0 to 10, with higher scores indicating better condition. If asphyxia is present, an additional assessment is performed at 10 minutes. Descriptive statistics (mean, standard deviation, median, range) will be reported for each time point.

  6. Number of Infants with Confirmed Positive HIV RNA Test Result

    Time frame: From birth through 12 weeks of age

    HIV RNA testing is performed at birth, 6 weeks of age, and 12 weeks of age. A confirmed positive result requires two consecutive positive tests. Infants with negative or indeterminate results at all time points are considered uninfected.

  7. Infant Weight

    Time frame: At delivery

    Infant weight is measured in grams at the time of delivery. Descriptive statistics (mean, standard deviation, median, range) will be reported.

  8. Infant Length

    Time frame: At delivery

    Infant length is measured in centimeters at the time of delivery. Descriptive statistics (mean, standard deviation, median, range) will be reported.

  9. Results of Neonatal Cardiac Ultrasound

    Time frame: At delivery

    Cardiac ultrasound is performed on the neonate at delivery. Findings are categorized as normal, abnormal-minor finding not requiring intervention, or abnormal-major finding requiring further evaluation or intervention. The number and proportion of infants in each category will be reported.

Sponsors and collaborators

Lead sponsor

Shi Zou

Other

Registry information

Official study title

Effectiveness and Safety of Bictegravir/Emtricitabine/Tenofovir Alafenamide in Pregnant Women With HIV Infection(BIP STUDY).

Important dates

Study start
2026
Primary completion
2026
Study completion
2027
First posted
Jun 24, 2026
Registry last updated
Jun 24, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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