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IMPAACT 2044

Phase IV Study of the Pharmacokinetics and Safety of Ceftriaxone and Benzathine Penicillin G During Pregnancy

Study Status

In Development

DAIDS Number

39132

IND Number

TBD

Clinical Trials Link

TBD

Summary

IMPAACT 2044 is a Phase IV, multi-site, open-label, non-randomized, opportunistic study to characterize the pharmacokinetics (PK) and safety of ceftriaxone and benzathine penicillin G, conducted among approximately 60 pregnant people, as well as infants of pregnant people with syphilis. Pregnant participants receiving ceftriaxone or benzathine penicillin G per clinical care (i.e., outside of the study) will be enrolled at study sites located in the United States. The study includes three arms:

  • Arm 1A: Intravenous (IV) ceftriaxone
  • Arm 1B: Intramuscular (IM) ceftriaxone
  • Arm 2: IM benzathine penicillin G

Pregnant participants will remain on study until delivery or other pregnancy outcome, up to approximately 36 weeks total. Infant participants will remain on study for up to 30 days post-birth to describe the frequency of congenital syphilis.

Site selection was completed in January 2025. IMPAACT sites located in the US were invited to participate based on availability of the target population (pregnant people receiving ceftriaxone or benzathine penicillin G as part of clinical care) and ability to meet the study's operational requirements.

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