Table 1

Study characteristics of comparative studies for tenofovir-containing regimens in pregnant women 

Authors, yearDesignStudy periodSettingPopulationSample sizeMother age*Comparison
Pregnant women living with HIV
Campbell, 201235 RCT2005–2007Brazil, Haiti, India, Malawi, Peru, South Africa, Thailand, USA, ZimbabweAntiretroviral-naïve, non-pregnant adults, CD4 <350 cells/μL, continued ART if pregnant42 births34TDF/FTC/efavirenz versus AZT/3TC/efavirenz
Fowler et al, 2016 (PROMISE)12 RCT2012–2014India, Malawi, South Africa,
Tanzania, Uganda, Zambia, Zimbabwe
HIV-positive women, ≥14 weeks’ gestation, CD4 ≥350 cells/mm3, 3490694Median 26 (IQR 22–30)TDF/FTC/LPV/r versus AZT/3TC/LPV/r
Gibb, 201239 Obs2003–2009Uganda, ZimbabweInfants born to HIV-positive mothers on combination ART173NRTDF/AZT/3TC versus
ABC/AZT/3TC or NVP/AZT/3TC
Rough et al, 2017 (abstract)40 Obs2002–2016USAHIV-positive women with birth outcome information in a database1082NRTDF/FTC/LPV/r versus AZT/3TC/LPV/r
Wang, 201634 RCT2012–2015ChinaHIV-positive women, antiretroviral-naïve, 14–28 weeks’ gestation, hepatitis B coinfection31Mean 28.5 (range 19–39)TDF/3TC/LPV/r versus AZT/3TC/LPV/r
Zash et al, 2017 (abstract)41 Obs2014–2016BotswanaBirths >24 weeks’ gestational age to HIV-positive women in maternity wards258434 (IQR 30–38)TDF/FTC/NVP versus AZT/3TC/NVP and TDF/FTC/LPV/r versus AZT/3TC/LPV/r
At risk but HIV-negative women receiving tenofovir/FTC for PrEP and become pregnant
Mugo et al, 201415 RCT2008–2013Kenya, UgandaHIV serodiscordant heterosexual couples178533 (28–38)TDF versus TDF/FTC versus placebo
(discontinued when pregnancy detected)
Van Damme et al, 2012*37 RCT2009–2011Kenya, South Africa, TanzaniaWomen at risk of for HIV acquisition2120Mean 24.2TDF/FTC versus placebo
(discontinued when pregnancy detected)
Bunge et al, 2015 (abstract)*36 RCT2009–2011South Africa, Uganda, ZimbabweHIV-negative women using contraceptives428Median 23 (IQR 21–27)TDF versus TDF/FTC versus placebo
(discontinued when pregnancy confirmed)
Women living with hepatitis B but not HIV
Pan et al, 201638 RCT2012–2013ChinaWomen with active hepatitis B virus infection197Mean 27.1TDF versus placebo
From 32 weeks
  • *Excluded post hoc because of very low medication adherence.

  • 3TC, lamivudine; ABC, abacavir; AZT, zidovudine, FTC, emtricitabine; LPV/r, lopinavir boosted with ritonavir; NR, not reprted; NVP, nevirapine; Obs, observational study; PrEP, pre-exposure prophylaxis; PROMISE, Promoting Maternal and Infant Survival Everywhere; RCT, randomised controlled trial; TDF, tenofovir.