Long-Acting Injectable Cabotegravir and Rilpivirine in a Pregnant Woman Living With Human Immunodeficiency Virus

Author:

van der Wekken-Pas Lena1ORCID,Weiss Fabian2,Simon-Zuber Charlotte2,Sebisch Rena2,Wiese Carmen3,van Leeuwen Elisabeth4,Burger David1,Colbers Angela1

Affiliation:

1. Department of Pharmacy, Radboud University Medical Center, Radboud Institute for Medical Innovations (RIMI) , Nijmegen , The Netherlands

2. Department of Obstetrics and Gynecology, LMU University Hospital , Munich , Germany

3. Department of Internal Medicine, MVZ München am Goetheplatz , Munich , Germany

4. Department of Gynecology, Amsterdam University Medical Center , Amsterdam , The Netherlands

Abstract

Abstract This case report describes the effects of bimonthly long-acting injectable cabotegravir (CAB)/RPV before and throughout pregnancy. CAB concentrations were comparable to those in nonpregnant individuals; RPV concentrations were 70%–75% lower. No virologic failure or vertical transmission occurred. Despite placental transfer, no congenital malformations were noted. Bimonthly long-acting injectable CAB/RPV may not be suitable for pregnant women, and monitoring of exposed infants is warranted.

Publisher

Oxford University Press (OUP)

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