Evidence map›Paper›PMID 39411892›Full record

ArticleAIDS (London, England)2025

Birth outcomes following bictegravir exposure during pregnancy.

Rosemary Olivero, Paige L Williams, George Sawyer, Lynn M Yee, Kunjal Patel, Sonia Hernandez-Diaz, Kathleen Powis, Mary Paul, Ellen G Chadwick, Pediatric HIV/AIDS Cohort Study and the HOPE study

2 registry-linked trialsAbstract read
In one paragraph

Article in AIDS (London, England), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01310023 completednot on this map

Surveillance Monitoring for ART Toxicities Study in HIV Uninfected Children Born to HIV Infected Women

TypeobservationalSponsorHarvard School of Public Health (HSPH)Ran2007 to 2025Enrolled5,169ConditionsAntiretroviral Toxicity
NCT03279185 completednot on this map

Adolescent Master Protocol for Participants 18 Years of Age or Older - Lite (AMP Up Lite)

TypeobservationalSponsorHarvard School of Public Health (HSPH)Ran2017 to 2025Enrolled334ConditionsHIV/AIDS
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Rosemary OliveroHelen DeVos Children's Hospital of Corewell Health, Michigan State University, Grand Rapids, MI.
Paige L WilliamsCenter for Biostatistics in AIDS Research, Harvard T. H. Chan School of Public Health, Boston, MA.
George SawyerCenter for Biostatistics in AIDS Research, Harvard T. H. Chan School of Public Health, Boston, MA.
Lynn M YeeDepartment of Obstetrics and Gynecology (Maternal Fetal Medicine), Northwestern University Feinberg School of Medicine, Chicago, IL.
Kunjal PatelCenter for Biostatistics in AIDS Research, Harvard T. H. Chan School of Public Health, Boston, MA.
Sonia Hernandez-DiazDepartment of Epidemiology, Harvard T. H. Chan School of Public Health, Boston, MA.
Kathleen PowisDivision of Internal Medicine and Pediatrics, Massachusetts General Hospital.
Mary PaulDepartment of Pediatrics (Immunology, Allergy and Retrovirology), Baylor College of Medicine. Houston, TX.
Ellen G ChadwickDepartment of Pediatrics (Infectious Disease), Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Pediatric HIV/AIDS Cohort Study and the HOPE study

Funding

PHACS - Data and Operations CenterU01HD052102 · NICHD · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI WILLIAMS, PAIGE L · 2005 to 2019
$242.7M
The Adolescent Master Protocol (AMP) Up Series ProjectP01HD103133 · NICHD · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI CHADWICK, ELLEN GOULD, HERNANDEZ-DIAZ, SONIA · 2020 to 2024
$88.3M
Pediatric HIV/AIDS Cohort Study (PHACS): Understanding Maternal HIV Disease through Pregnancy and the Postpartum Period and its Role in Child Health OutcomesU01HD052104 · NICHD · TULANE UNIVERSITY OF LOUISIANA · PI VAN DYKE, RUSSELL B. · 2005 to 2019
$15.7M
Health Outcomes around Pregnancy and Exposure to HIV/ARV (HOPE): Extending the Reach of PHACS to Examine Women's HealthR01HD101351 · NICHD · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI CHADWICK, ELLEN GOULD, KACANEK, DEBORAH · 2020 to 2025
$14.6M
NICHD NIH HHS P01 HD103133NICHD NIH HHS R01 HD101351NICHD NIH HHS U01 HD052102NICHD NIH HHS U01 HD052104
6 · The paper itself

Abstract

objectiveBictegravir is increasingly prescribed as a co-formulated tablet with tenofovir alafenamide and emtricitabine to pregnant persons with HIV (PWH) despite limited pregnancy and birth outcome data. We sought to provide birth outcome data following exposure to bictegravir during pregnancy.

designWe conducted a descriptive analysis of infants born to pregnant PWH 18-45 years of age enrolled in at least one Pediatric HIV/AIDS Cohort Study (PHACS)-affiliated study who received bictegravir for ≥7 days during pregnancy and completed follow-up through delivery.

methodsThe outcomes of interest were gestational age at birth, preterm birth (<37 weeks' gestation), gestational-age adjusted birth weight (BWZ) and length (BLZ) Z -scores, small for gestational age (SGA, birthweight <10th percentile), congenital anomalies, neonatal deaths in the first 28 days of life, and infant HIV status.

resultsA total of 177 infants born to 170 unique PWH were exposed to bictegravir for ≥7 days during gestation; 55% were exposed to bictegravir from the time of conception. Median gestational age at birth was 38.1 weeks. The prevalence of preterm birth was 15.8% and SGA was 9.3%. Mean BWZ and BLZ were -0.48 and 0.03. No neonatal deaths or perinatal HIV transmissions were reported. Among 126 infants exposed to first-trimester bictegravir, 7 (5.6%) had major congenital anomalies with no specific pattern suggestive of a syndrome.

conclusionsThese findings provide preliminary data without significant safety concerns for fetal bictegravir exposure in this United States cohort. Comparative data and continued surveillance of outcomes among infants exposed to bictegravir during gestation are warranted.

Indexed as

Anti-HIV AgentsHeterocyclic Compounds, 4 or More RingsHIV InfectionsPregnancy Complications, InfectiousPregnancy OutcomeAdolescentAdultAmidesCohort StudiesFemaleGestational AgeHeterocyclic Compounds, 3-RingHumansInfant, NewbornMaleMiddle AgedAmidesAnti-HIV AgentsbictegravirHeterocyclic Compounds, 3-RingHeterocyclic Compounds, 4 or More RingsPiperazinesPyridones

Identifiers

PMID39411892
PMCPMC11864899

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.