Serocorrelate of Protection Against GBS (PREPARE WP3)

NCT ID: NCT04732026

Last Updated: 2023-10-26

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

UNKNOWN

Total Enrollment

600 participants

Study Classification

OBSERVATIONAL

Study Start Date

2020-04-01

Study Completion Date

2024-04-01

Brief Summary

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A multicentre, international case-control study to develop a biobank of sera from 150 cases of serotype III GBS disease and associated clinical information from seven countries (Malawi, Uganda, UK, the Netherlands, Italy and France), with 3:1 (450) serotype matched healthy controls.

Detailed Description

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Group B Streptococcus (GBS) causes severe infections in young infants across the world. In 2015 it was estimated that there were at least 319,000 infants under three months of age with GBS disease worldwide, resulting in 90,000 deaths and at least 10,000 children with long term disabilities. Around 20% of all pregnant women carry GBS in their vagina and bowel, and babies are exposed to GBS bacteria around the time of birth. The options for prevention are currently limited to offering antibiotics during labour.

A vaccine that could be given to pregnant women has the greatest potential to benefit mothers and babies worldwide. There are vaccines currently being tested in clinical trials, including in pregnant women. Given the complexity, size and costs associated with a phase III trial, it is generally agreed that indirect evidence (correlates) of protection (CoP), based on immunologic data from vaccine and seroepidemiological studies, opsonophagocytic assays and supported by animal models, could be pivotal for vaccine licensure, with effectiveness subsequently confirmed in post-licensure evaluations.

This study aims to develop a biobank of sera from 150 cases of serotype III GBS disease and associated clinical information from seven countries (Malawi, Uganda, UK, the Netherlands, Italy and France) with 3:1 (450) serotype matched healthy controls.

GBS cases will be identified through active surveillance of GBS disease in infants, as part of ongoing epidemiological studies in Uganda, the UK, Italy, France, the Netherlands and Malawi. Upon identification of cases, consent will be requested to obtain a serum sample (1-2 mL of blood collected from infant), the GBS isolate and to collect brief clinical and demographic details. Each site will aim to collect around 50 cases of invasive GBS disease cases (with all samples) over the course of 2 years.

Each site will also recruit approximately 1000 women to have a rectovaginal swab at 35-37 weeks gestation and cord and maternal blood samples at delivery. These women and their infants will be followed up to 90 days of age and considered appropriate controls if the infants are exposed to the same serotype/strain of GBS at delivery as the case - but do not develop GBS the first 90 days of life. We will select 3 controls for every case.

The biorepository will be established at the St George's University of London for all samples from the European Union and Malawi and the MRC/UVRI \& LSHTM Uganda Research Unit for Ugandan samples.

Conditions

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Group B Streptococcus Carrier in Childbirth Group B Streptococcal Infection, Late-Onset Group B Streptococcal Infection, Early-Onset Group B Streptococcus Neonatal Sepsis Group B Strep Infection

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

PROSPECTIVE

Study Groups

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Cases

150 infants with invasive serotype III GBS disease (isolation of GBS from a normally sterile site, i.e. blood or CSF) in the first 90 days of life from six countries (Malawi, Uganda, UK, the Netherlands, Italy and France).

No interventions assigned to this group

Controls

450 infants exposed to serotype III GBS at birth - but who do not develop invasive GBS disease in the first 90 days of life from six countries (Malawi, Uganda, UK, the Netherlands, Italy and France).

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

Cases:

Infant 0-90 days of life with GBS identified from a normally sterile site.

Controls:

Healthy infant born to a GBS colonised woman that does not develop GBS disease between birth and 90 days of life.
Maximum Eligible Age

90 Days

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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MU-JHU CARE

OTHER

Sponsor Role collaborator

MRC/UVRI and LSHTM Uganda Research Unit

OTHER

Sponsor Role collaborator

University of Liverpool

OTHER

Sponsor Role collaborator

Assistance Publique - Hôpitaux de Paris

OTHER

Sponsor Role collaborator

Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)

OTHER

Sponsor Role collaborator

Azienda Ospedaliero-Universitaria di Modena

OTHER

Sponsor Role collaborator

St George's, University of London

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Kirsty Le Doare, Prof

Role: PRINCIPAL_INVESTIGATOR

St George's, University of London

Stephen Cose, Dr

Role: PRINCIPAL_INVESTIGATOR

London School of Hygiene and Tropical Medicine

Locations

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Assistance Publique Hopitaux de Paris (AP-HP)

Paris, , France

Site Status RECRUITING

Azienda Ospedaliero-Universitaria di Modena (AOU)

Modena, , Italy

Site Status RECRUITING

Queen Elizabeth Central Hospital College of Medicine, P.O. Box 30096 Chichiri,

Blantyre, , Malawi

Site Status RECRUITING

Academisch Medisch Centrum,Universiteit van Amsterdam

Amsterdam, , Netherlands

Site Status RECRUITING

MUJHU - Makerere University Johns Hopkins University Research Collaboration/MUJHU Care Ltd

Kampala, , Uganda

Site Status RECRUITING

St George's, University of London

London, , United Kingdom

Site Status RECRUITING

Countries

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France Italy Malawi Netherlands Uganda United Kingdom

Central Contacts

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Hannah Davies, Dr

Role: CONTACT

+442087255214

Madeleine Cochet

Role: CONTACT

+442087255214

Facility Contacts

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Claire Poyart, Prof.

Role: primary

01 58 41 15 60

Asmaa Tazi

Role: backup

015841156

Alberto Berardi, Prof.

Role: primary

Tiziana Cassetti, Dr.

Role: backup

+393930413618

Maryke Nielsen, Dr.

Role: primary

+265 (0)1812423

Merijn Bijlsma, Dr.

Role: primary

Mary Kyohere, Dr.

Role: primary

Rakan Musleh

Role: primary

Other Identifiers

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17.0021

Identifier Type: -

Identifier Source: org_study_id

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