Safety Data Timelines for Pregnant Individuals With HIV on Antiretroviral Therapy

Clin Infect Dis. 2024 Dec 17;79(6):1472-1474. doi: 10.1093/cid/ciae249.

Abstract

Antiretrovirals are often approved by the Food and Drug Administration without sufficient safety data regarding their use in pregnancy. To quantify this delay, we calculated the interval from the approval date to their inclusion in the Antiretroviral Pregnancy Registry prospective analysis (≥200 first-trimester exposures); the median delay was 6 years.

Keywords: HIV; antiretrovirals; birth defects; pregnancy; safety.

MeSH terms

  • Adult
  • Anti-HIV Agents* / adverse effects
  • Anti-HIV Agents* / therapeutic use
  • Anti-Retroviral Agents / adverse effects
  • Anti-Retroviral Agents / therapeutic use
  • Female
  • HIV Infections* / drug therapy
  • Humans
  • Pregnancy
  • Pregnancy Complications, Infectious* / drug therapy
  • Pregnancy Complications, Infectious* / virology
  • Prospective Studies
  • Registries
  • Time Factors
  • United States

Substances

  • Anti-HIV Agents
  • Anti-Retroviral Agents