Trial Outcomes & Findings for Early Versus Delayed BCG Vaccination of HIV-exposed Infants (NCT NCT02062580)
NCT ID: NCT02062580
Last Updated: 2017-03-15
Results Overview
Percentage of all CD4+ T cells expressing HLADR (NOT BCG-specific activation as in Tchakoute et al and as in secondary outcome). The n is smaller than the enrollment number as some participants were lost to follow-up, some were excluded due to HIV infection etc, and some samples did not have sufficient cells to analyse.
COMPLETED
PHASE2
149 participants
at 6 weeks
2017-03-15
Participant Flow
Participant milestones
| Measure |
Delayed BCG
BCG delayed to 8 weeks of age
BCG
|
Early BCG
BCG at birth; standard of care
BCG
|
|---|---|---|
|
Overall Study
STARTED
|
71
|
78
|
|
Overall Study
COMPLETED
|
59
|
65
|
|
Overall Study
NOT COMPLETED
|
12
|
13
|
Reasons for withdrawal
Withdrawal data not reported
Baseline Characteristics
Early Versus Delayed BCG Vaccination of HIV-exposed Infants
Baseline characteristics by cohort
| Measure |
Delayed BCG
n=71 Participants
BCG delayed to 8 weeks of age
BCG
|
Early BCG
n=78 Participants
BCG at birth; standard of care
BCG
|
Total
n=149 Participants
Total of all reporting groups
|
|---|---|---|---|
|
Age, Categorical
<=18 years
|
71 Participants
n=5 Participants
|
78 Participants
n=7 Participants
|
149 Participants
n=5 Participants
|
|
Age, Categorical
Between 18 and 65 years
|
0 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
|
Age, Categorical
>=65 years
|
0 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
|
Age, Continuous
|
39 weeks
n=5 Participants
|
40 weeks
n=7 Participants
|
39.5 weeks
n=5 Participants
|
|
Sex: Female, Male
Female
|
41 Participants
n=5 Participants
|
46 Participants
n=7 Participants
|
87 Participants
n=5 Participants
|
|
Sex: Female, Male
Male
|
30 Participants
n=5 Participants
|
32 Participants
n=7 Participants
|
62 Participants
n=5 Participants
|
|
Region of Enrollment
South Africa
|
70 count of participants
n=5 Participants
|
76 count of participants
n=7 Participants
|
146 count of participants
n=5 Participants
|
|
Birth weight
|
3.15 kg
n=5 Participants
|
3.12 kg
n=7 Participants
|
3.13 kg
n=5 Participants
|
|
Maternal CD4 T cell count
|
358 cells/mm^3
n=5 Participants
|
366 cells/mm^3
n=7 Participants
|
362 cells/mm^3
n=5 Participants
|
|
Breastfed
yes
|
8 participants
n=5 Participants
|
12 participants
n=7 Participants
|
20 participants
n=5 Participants
|
|
Breastfed
no
|
62 participants
n=5 Participants
|
64 participants
n=7 Participants
|
126 participants
n=5 Participants
|
PRIMARY outcome
Timeframe: at 6 weeksPercentage of all CD4+ T cells expressing HLADR (NOT BCG-specific activation as in Tchakoute et al and as in secondary outcome). The n is smaller than the enrollment number as some participants were lost to follow-up, some were excluded due to HIV infection etc, and some samples did not have sufficient cells to analyse.
Outcome measures
| Measure |
Delayed BCG
n=63 Participants
BCG delayed to 8 weeks of age
BCG
|
Early BCG
n=68 Participants
BCG at birth; standard of care
BCG
|
|---|---|---|
|
T Cell Activation
|
1.8 percentage of CD4+ T cells
Interval 1.0 to 2.8
|
1.3 percentage of CD4+ T cells
Interval 0.8 to 2.4
|
SECONDARY outcome
Timeframe: 6 weeks after BCG vaccinationPopulation: Analysis population n is smaller than enrollment numbers as we calculated that that only 28 were needing in each arm to detect a difference.
Percent of CD4+ T cells expressing Ki67 after stimulation in vitro with BCG.
Outcome measures
| Measure |
Delayed BCG
n=28 Participants
BCG delayed to 8 weeks of age
BCG
|
Early BCG
n=28 Participants
BCG at birth; standard of care
BCG
|
|---|---|---|
|
Vaccine Immunogenicity
|
22.4 percentage of Ki67% CD4+ T cells
Interval 4.7 to 28.5
|
20.5 percentage of Ki67% CD4+ T cells
Interval 10.0 to 31.5
|
Adverse Events
Delayed BCG
Early BCG
Serious adverse events
| Measure |
Delayed BCG
n=71 participants at risk
BCG delayed to 8 weeks of age
BCG
|
Early BCG
n=78 participants at risk
BCG at birth; standard of care
BCG
|
|---|---|---|
|
Immune system disorders
HIV infection
|
2.8%
2/71 • Number of events 2
|
5.1%
4/78
|
|
General disorders
Death
|
0.00%
0/71
|
3.8%
3/78
|
Other adverse events
| Measure |
Delayed BCG
n=71 participants at risk
BCG delayed to 8 weeks of age
BCG
|
Early BCG
n=78 participants at risk
BCG at birth; standard of care
BCG
|
|---|---|---|
|
Respiratory, thoracic and mediastinal disorders
Blocked nostrils
|
5.6%
4/71 • Number of events 4
|
14.1%
11/78 • Number of events 11
|
|
Respiratory, thoracic and mediastinal disorders
Cough
|
12.7%
9/71 • Number of events 9
|
19.2%
15/78 • Number of events 15
|
|
General disorders
Fever
|
8.5%
6/71 • Number of events 6
|
7.7%
6/78 • Number of events 6
|
|
Skin and subcutaneous tissue disorders
Rash- nonspecific
|
12.7%
9/71 • Number of events 9
|
12.8%
10/78 • Number of events 10
|
|
Skin and subcutaneous tissue disorders
Diaper Rash
|
9.9%
7/71 • Number of events 7
|
6.4%
5/78 • Number of events 5
|
Additional Information
Heather Jaspan
University of Cape Town and University of Washington
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place