Measles Vaccination at Health System Contacts

NCT ID: NCT04220671

Last Updated: 2025-07-29

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

ENROLLING_BY_INVITATION

Clinical Phase

PHASE4

Total Enrollment

5400 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-01-08

Study Completion Date

2027-06-30

Brief Summary

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In addition to protecting against measles infection, measles vaccine (MV) strengthens the individual's ability to combat infections in general - MV has beneficial non-specific effects (NSE) lowering the risk of death and admissions by around 30%.

In Guinea-Bissau 30% of children do not receive a routine MV scheduled at 9 months of age, putting both the individual child's health and measles eradication at risk. The coverage of a second dose of MV, which was added to the Bissau-Guinean vaccination programme in 2022, is even lower. WHO recommends vaccination at health system contacts, including those for curative services. At the paediatric ward of the national hospital in Guinea-Bissau, there are more than 2600 yearly contacts with measles-un or under-vaccinated children aged 9-59 months, but no vaccines are given. In a randomised controlled trial, we will assess the effect of providing MV vs placebo to 5400 children at hospital contacts (at discharge or after an out-patient consultation) to test the hypothesis that MV reduces the risk of admission or death (composite outcome) by 25% over the subsequent 6 months.

Detailed Description

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Conditions

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Measles Vaccine Hospital Admission Mortality Non-specific (Heterologous) Effects of Vaccines

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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Intervention

Standard dose measles vaccine, 0.5 ml

Group Type EXPERIMENTAL

measles vaccine

Intervention Type BIOLOGICAL

Measles vaccine, Edmonston-Zagreb strain, 0.5 ml administered as a subcutaneous injection

Control

Saline injection, 0.5 ml

Group Type PLACEBO_COMPARATOR

Saline

Intervention Type OTHER

0.9% NaCl

Interventions

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measles vaccine

Measles vaccine, Edmonston-Zagreb strain, 0.5 ml administered as a subcutaneous injection

Intervention Type BIOLOGICAL

Saline

0.9% NaCl

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Measles-unvaccinated children
* 9-59 months with a hospital contact (discharged or outpatient consultation) at the paediatric ward at the national hospital Simao Mendes.

Measles-under-vaccinated children (received first but not second dose of MV)

* 15-59 months with a hospital contact (discharged or outpatient consultation) at the paediatric ward at the national hospital Simao Mendes.

Exclusion Criteria

* Axil temperature \>38.0
* Mid upper arm circumference \<110 mm
Minimum Eligible Age

9 Months

Maximum Eligible Age

59 Months

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Bandim Health Project

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Ane Fisker, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Bandim Health Project

Locations

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Bandim Health Project

Bissau, , Guinea-Bissau

Site Status

Countries

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Guinea-Bissau

References

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Fisker AB, Martins JSD, Jensen AM, Martins C, Aaby P, Thysen SM. Health effects of utilising hospital contacts to provide measles vaccination to children 9-59 months-a randomised controlled trial in Guinea-Bissau. Trials. 2022 Apr 23;23(1):349. doi: 10.1186/s13063-022-06291-z.

Reference Type DERIVED
PMID: 35461287 (View on PubMed)

Other Identifiers

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053/CNES/INASA/2019

Identifier Type: -

Identifier Source: org_study_id

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