Resources for pregnancy and lactation PK in TB studies
The FDA provides guidance on bioanalytical method development for industry.
Examples of Breastmilk Validation Assays and PK studies from TB clinical trials:
- Rifapentine (https://www.sciencedirect.com/science/article/pii/S0731708522001959)
- Levofloxacin
- Bedaquiline
- Delamanid (https://doi.org/10.1016/j.jpba.2024.116225)
Several registries, databases, and biobanks exist that can be leveraged by investigators looking to harvest data on medicines used in pregnant and lactating women.
- FDA Adverse Event Reporting System – post-marketing surveillance data including exposure and adverse drug events during pregnancy and lactation.
- All of Us Research Program – NIH initiative that integrates survey, EHR, and biospecimen data, including for pregnant and lactating women.
- NICHD Data and Specimen Hub – repository of deidentified biospecimens and clinical data
- PKRxiv – open-access platform hosted by University of Liverpool for sharing individual-level pharmacokinetic and pregnancy-related data.
- Pregnancy Risk Assessment Monitoring System – survey of maternal experiences and behaviour in the peripartum period.
funded by pharmaceutical companies
Resources
Accelerating research to end tuberculosis in pregnant and lactating women: a call to action
This call to action accompanies the consensus statement on the optimal and early inclusion of pregnant and lactating women in tuberculosis research and...
Guidance for best practices for clinical trials
This document responds to requests by the World Health Assembly to the Director-General in resolution WHA75.8 (2022) on strengthening clinical trials...
The importance of community and civil society engagement to end TB has been highlighted in various strategies and global commitments. The WHO End TB Strategy,...