Immune Response Induced by a Vaccine Against Group B Streptococcus and Safety in Pregnant Women and Their Offsprings

NCT ID: NCT01446289

Last Updated: 2014-09-08

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

86 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-09-30

Study Completion Date

2013-10-31

Brief Summary

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The study investigated the immune response induced by the Group B streptococcus vaccine in healthy pregnant women. In addition, the study investigated the amount of vaccine induced antibodies which were transferred to the newborn.

Detailed Description

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Conditions

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Streptococcal Infection Gram-positive Bacterial Infection Bacterial Infection

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

SINGLE

Investigators

Study Groups

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Group B Streptococcus Trivalent Vaccine

Pregnant women who received one injection of Group B Streptococcus Trivalent Vaccine.

Group Type EXPERIMENTAL

Group B Streptococcus Trivalent Vaccine

Intervention Type BIOLOGICAL

Pregnant women who received one injection of Group B Streptococcus Trivalent Vaccine administered intramuscularly.

Placebo

Pregnant women who received one injection of saline solution.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type BIOLOGICAL

Pregnant women who received one injection of saline solution administered intramuscularly.

Interventions

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Group B Streptococcus Trivalent Vaccine

Pregnant women who received one injection of Group B Streptococcus Trivalent Vaccine administered intramuscularly.

Intervention Type BIOLOGICAL

Placebo

Pregnant women who received one injection of saline solution administered intramuscularly.

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

1. Healthy pregnant women 18-40 years of age at 24-35 weeks of gestation at screening.
2. Individuals who have given a written consent after the nature of the study has been explained according to local regulatory requirements.
3. Individuals in good health as determined by the outcome of medical history, physical examination and clinical judgment of the investigator.
4. Individuals who will be available for all scheduled visits (ie, not planning to leave the area before the end of the study period).

Exclusion Criteria

1. Individuals who were unwilling and/or unable to give written informed consent to participate in the study.
2. Individuals with a history of severe allergic reactions after previous vaccinations such as anaphylactic shock, asthma, urticaria, or other allergic reaction or hypersensitivity to any vaccine component.
3. Individuals with any known or suspected impairment/alteration of immune function, either congenital or acquired or resulting from:

* receipt of immunosuppressive therapy within 30 days prior to enrollment (any systemic corticosteroid administered for more than 5 days, or in a daily dose \> 15 mg/kg/day prednisone or equivalent during any of 30 days prior to enrollment, or cancer chemotherapy).
* receipt of immunostimulants.
* receipt of parenteral immunoglobulin preparation, blood products, and /or plasma derivatives within 12 weeks prior to enrollment and for the full length of the study.

Note: Anti-D (Rho) Immunoglobulins (anti-RhD) given for Anti-D prophylaxis were to be allowed.
4. Individuals characterized as "high risk" pregnancies at investigator discretion, such as those who have:

* gestational diabetes
* preeclampsia/eclampsia
* women at risk of preterm labor (except positivity for vaginal GBS)
* History of previous pregnancy complications including delivery of preterm infant.
* History of still-birth, late abortions and children with congenital anomalies.
5. Individuals who had received any other investigational agent or investigational intervention during the course of the study.
6. Individuals with acute infection including oral temperature ≥ 38°C were to be temporarily excluded. They could be enrolled once the infection had resolved (as judged by investigator).
7. HIV positive by history.
8. Individuals reporting any known or suspected serious acute, chronic or progressive disease (eg, any history of neoplasm, malignancy, including lymphoproliferative disorder, diabetes, cardiac disease, malnutrition, renal failure, autoimmune disease, HBV or HCV, blood disorders).

Note: Malignancies, highly likely to having been cured at the investigators discretion are allowed. (eg, no relapse since 5 years post last malignancy specific treatment).
9. Individuals with bleeding diathesis, or any condition that might have been associated with a prolonged bleeding time.
10. Individuals with behavioral or cognitive impairment or psychiatric disease that, in the opinion of the investigator, might have interfered with the subject's ability to participate in the study (eg, who were not able to comprehend or to follow all required study procedures for the whole period of the study).
11. Individuals with any progressive or severe neurologic disorder, seizure disorder, epilepsy or Guillain-Barré syndrome.
12. Individuals with history or any illness that, in the opinion of the investigator, might have posed additional risk to subjects due to participation in the study.
13. Individuals who were part of study personnel or close family members conducting this study.
Minimum Eligible Age

18 Years

Maximum Eligible Age

40 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Novartis Vaccines

INDUSTRY

Sponsor Role collaborator

Novartis

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Novartis Vaccines

Role: STUDY_CHAIR

Novartis Vaccines

Gilbert Donders, Prof.

Role: PRINCIPAL_INVESTIGATOR

Regional Hospital Heilig Hart, Tienen, Belgium

Locations

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UZ Leuven

Herestraat, Leuven, Belgium

Site Status

Regionaal Ziekenhuis Heilig Hart,

Gasthuismolenstraat 31, Tienen, Belgium

Site Status

University of British Columbia, Rm B3 25 B, 4500 Oak Street,

Vancouver, British Columbia, Canada

Site Status

Dalhousie University, IWK Health Centre, 5850/5980 University Avenue,

Halifax, Nova Scotia, Canada

Site Status

Centre hospitalier universitaire de Quebec (CHUQ)- hospital CHUL, Centre de recherche en infectiologie, 2705,

Boulevard Laurier, S-745, Quebec, Canada

Site Status

Countries

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Belgium Canada

References

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Fabbrini M, Rigat F, Tuscano G, Chiarot E, Donders G, Devlieger R, Filippini S, Frigimelica E, Forte P, Wittke F, Halperin SA, Slobod K, Grandi G, Margarit I. Functional activity of maternal and cord antibodies elicited by an investigational group B Streptococcus trivalent glycoconjugate vaccine in pregnant women. J Infect. 2018 May;76(5):449-456. doi: 10.1016/j.jinf.2018.01.006. Epub 2018 Jan 31.

Reference Type DERIVED
PMID: 29374589 (View on PubMed)

Donders GG, Halperin SA, Devlieger R, Baker S, Forte P, Wittke F, Slobod KS, Dull PM. Maternal Immunization With an Investigational Trivalent Group B Streptococcal Vaccine: A Randomized Controlled Trial. Obstet Gynecol. 2016 Feb;127(2):213-21. doi: 10.1097/AOG.0000000000001190.

Reference Type DERIVED
PMID: 26942345 (View on PubMed)

Other Identifiers

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2010-020840-36

Identifier Type: -

Identifier Source: secondary_id

V98_04

Identifier Type: -

Identifier Source: org_study_id

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