Use of long-acting injectable cabotegravir in pregnant and lactating people

In 2022, the World Health Organization (WHO) recommended long-acting injectable cabotegravir (CAB) for use as pre-exposure prophylaxis (PrEP). This was supported by data from two large randomized controlled trials. CAB is one of the first in a pipeline of long-acting or extended delivery (LAED) agents that could have a significant impact on high HIV incidence rates globally. However, as countries plan for CAB introduction, data on the safety and pharmacology of CAB in pregnant and lactating people are limited, presenting a challenge for programmes. Historically, pregnant and lactating people have been excluded from trials of novel antiretrovirals. More recently, there has been a growing recognition of the need to include pregnant and lactating people in research with adequate protection and monitoring. This is to ensure that data on safety, efficacy and pharmacology of new antiretrovirals in pregnancy is available and that access to these medications is not delayed for pregnant and lactating people.
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25 July 2024
Chairs

Elaine Abrams

Columbia University

Nelly Mugo

University of Washington

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Speakers

Elaine Abrams

Columbia University

Nelly Mugo

University of Washington

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Meg Doherty

Meg Doherty

World Health Organaization

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Sinead Delany-Moretlwe

Wits RHI

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Mark Marzinke

Johns Hopkins University

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Imelda Mahaka

Pangaea Zimbabwe AIDS Trust

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Elaine Abrams

Columbia University

Nelly Mugo

University of Washington

Meg Doherty

Meg Doherty

World Health Organaization

Sinead Delany-Moretlwe

Wits RHI

Mark Marzinke

Johns Hopkins University

Imelda Mahaka

Pangaea Zimbabwe AIDS Trust

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