Pertussis Maternal Immunization Study

NCT ID: NCT00553228

Last Updated: 2020-08-27

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2/PHASE3

Total Enrollment

320 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-11-30

Study Completion Date

2015-12-09

Brief Summary

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The purpose of this study is to assess whether immunization against pertussis in the mid third trimester of pregnancy provides passive protection to the infant by transfer of IgG transplacentally and by transfer of secretory IgA (and possibly IgG) in breast milk, sufficient to protect the infant against pertussis disease in the critical neonatal period, without suppressing the infant's immune response to active immunization and disease

Detailed Description

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The purpose of this study is to assess the potential of providing initial immunological protection to the neonate by providing passive placentally transferred serum antibodies and breast milk antibodies against pertussis antigens (PT, FHA, PRN, FIM). This will be accomplished by

* determining the rate of maternal antibody decline from time of immunization until 12 months postpartum by measuring antibody levels in serum, saliva, and breast milk at specified intervals;
* determining levels of antibody transferred to the neonate relative to the interval from immunization to delivery;
* comparing levels of transplacentally transferred antibody with those achieved after the first, second, and third dose of the primary immunization series; and
* determining whether maternal immunization interferes with active antibody production following licensed DTaP-IPV-Hib in infants of women immunized during the mid third trimester of pregnancy.

Conditions

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Pregnant Women

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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group I

Tdap

Group Type EXPERIMENTAL

Tdap

Intervention Type BIOLOGICAL

0.5 mL IM once at visit #2

group 2

Td

Group Type ACTIVE_COMPARATOR

Td

Intervention Type BIOLOGICAL

0.5 mL IM once at visit #2

Interventions

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Tdap

0.5 mL IM once at visit #2

Intervention Type BIOLOGICAL

Td

0.5 mL IM once at visit #2

Intervention Type BIOLOGICAL

Other Intervention Names

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Adacel Diphtheria and tetanus toxoids, adsorbed

Eligibility Criteria

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Inclusion Criteria

* Pregnant women 18 years of age and over.
* Women who, at ≥30-\<32 weeks gestation, are at low risk for complications as determined by the obstetrical algorithm for identification of eligible subjects and the obstetrical risk assessment form.
* Signed, informed consent.

Exclusion Criteria

* Failure to meet eligibility criteria as determined by the obstetrical algorithm for identification of eligible subjects and the obstetrical risk assessment form.
* History of significant medical disorder (such as bleeding disorders, cancer, autoimmune disease, immunodeficiency (including HIV-infected individuals, transplant recipients), seizure disorder or significant psychiatric illness, drug or alcohol dependence).
* Receipt of any high-dose daily corticosteroids (inhaled steroids are acceptable) within 2 weeks of study entry. High dose is defined as a dose of ≥20 mg of prednisone daily or equivalent.
* History of physician-diagnosed or laboratory-confirmed pertussis within the past 5 years.
* Personal history (verbal or documented) of ever having received Tdap.
* Personal history (verbal or documented) of having received Td immunization within the past 2 years.
* History of febrile illness (\>37.8ºC orally) within the past 72 hours (immunization may be deferred).
* History of sensitivity to any component of Tdap.
* Receipt of blood products or immunoglobulin within 3 months of study entry (except RH-negative women who receive immunoglobulin during pregnancy are eligible).
* Receipt of any vaccines within 2 weeks of study vaccine (except influenza vaccine which may be given concurrently).
* Failure to give written, informed consent.
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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IWK Health Centre

OTHER

Sponsor Role collaborator

Sanofi Pasteur, a Sanofi Company

INDUSTRY

Sponsor Role collaborator

Scott Halperin

OTHER

Sponsor Role lead

Responsible Party

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Scott Halperin

Dr Scott Halperin

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Scott A Halperin, MD

Role: PRINCIPAL_INVESTIGATOR

Dalhousie Univeristy - Canadian Center for Vaccinology

Locations

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Clinical Trial Research Center - Canadian Center for Vaccinology

Halifax, Nova Scotia, Canada

Site Status

Countries

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Canada

References

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Brousseau N, Angers-Goulet ME, Bastien R, Ye L, Sadarangani M, Halperin SA. Vaccination during pregnancy and modulation of IgG response to pertussis vaccines in infants: The impact of different vaccine formulations. Vaccine. 2024 Apr 2;42(9):2138-2143. doi: 10.1016/j.vaccine.2024.03.015. Epub 2024 Mar 8.

Reference Type DERIVED
PMID: 38461048 (View on PubMed)

Halperin SA, Langley JM, Ye L, MacKinnon-Cameron D, Elsherif M, Allen VM, Smith B, Halperin BA, McNeil SA, Vanderkooi OG, Dwinnell S, Wilson RD, Tapiero B, Boucher M, Le Saux N, Gruslin A, Vaudry W, Chandra S, Dobson S, Money D. A Randomized Controlled Trial of the Safety and Immunogenicity of Tetanus, Diphtheria, and Acellular Pertussis Vaccine Immunization During Pregnancy and Subsequent Infant Immune Response. Clin Infect Dis. 2018 Sep 14;67(7):1063-1071. doi: 10.1093/cid/ciy244.

Reference Type DERIVED
PMID: 30010773 (View on PubMed)

Related Links

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http://centerforvaccinology.ca

Canadian Center for Vaccinology Home Page

Other Identifiers

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DAL07-01

Identifier Type: -

Identifier Source: org_study_id

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