Congenital CYtoMEgalovirus Infection in VIEtnam (CYMEVIE)

NCT ID: NCT04822142

Last Updated: 2024-03-01

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

RECRUITING

Total Enrollment

5000 participants

Study Classification

OBSERVATIONAL

Study Start Date

2022-04-01

Study Completion Date

2026-06-01

Brief Summary

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To estimate the prevalence of congenital CMV infection in Vietnamese neonates and relating morbidity within 2-year follow-up. Along with evaluating the predictive value of the presence and the level of CMV replication in the first trimester in a highly seropositive population

Detailed Description

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Congenital cytomegalovirus infection (cCMV) is the main non-genetic cause of sensorineural hearing loss (SNHL), and a major cause of neuro-disability. High maternal CMV prevalence seems to be consistently associated with high prevalence of cCMV infection but the associated morbidity might be different from one population to another.

There exists no serologic marker useful to differentiate non-primary infection from primary infection. Since the morbidity of cCMV is similar between both primary and non-primary maternal infection, and to be infected in the first trimester is the major risk factor for long-term sequelae in neonates. Hence, it is needed to focus on finding markers that predict cCMV after maternal infection in the first trimester of pregnancy.

To date, the epidemiology of cCMV, the morbidity related to cCMV in Vietnamese population and the predictive value of Cytomegalovirus Polymerase Chain Reaction (CMV PCR) in maternal blood and urine in the first trimester remain unknown. Therefore, it is necessary to conduct this study.

Conditions

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Prenatal Infection Congenital Infection Neonatal Disease

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Eligibility Criteria

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Inclusion Criteria

* Vietnamese pregnant women in the first trimester of pregnancy and at delivery and subsequent live neonates at birth.
* Informed consent

Exclusion Criteria

* Women under 18 years old.
* Miscarriages
* Stillbirths
* Premature delivery before 34th gestational week
* Loss to follow-up maternal monitoring.
* Participation in another interventional study that influences management of labour at delivery or perinatal morbidity or mortality.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Hôpital Necker-Enfants Malades

OTHER

Sponsor Role collaborator

Hanoi Obstetrics and Gynecology Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Yves Ville, MD.PhD

Role: STUDY_CHAIR

Hôpital Necker-Enfants Malades

Marianne Leruez-Ville, MD.PhD

Role: STUDY_DIRECTOR

Hôpital Necker-Enfants Malades

Anh Nguyen Duy, MD.PhD

Role: STUDY_DIRECTOR

Hanoi Obstetrics and Gynecology Hospital

Ha Nguyen Thi Thu, MD.PhD

Role: PRINCIPAL_INVESTIGATOR

Hanoi Obstetrics and Gynecology Hospital

Linh Dinh Thuy, MD.PhD

Role: PRINCIPAL_INVESTIGATOR

Hanoi Obstetrics and Gynecology Hospital

Locations

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Hanoi Obstetrics and Gynecology Hospital

Hanoi, , Vietnam

Site Status RECRUITING

Countries

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Vietnam

Central Contacts

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Ha Nguyen Thi Thu, MD.PhD

Role: CONTACT

0084989661093

Linh Dinh Thuy, MD.PhD

Role: CONTACT

Facility Contacts

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HA Nguyen Thi Thu, PhD.MD

Role: primary

0084989661093

LINH Dinh Thuy, PhD.MD

Role: backup

0084936655779

References

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Kenneson A, Cannon MJ. Review and meta-analysis of the epidemiology of congenital cytomegalovirus (CMV) infection. Rev Med Virol. 2007 Jul-Aug;17(4):253-76. doi: 10.1002/rmv.535.

Reference Type BACKGROUND
PMID: 17579921 (View on PubMed)

Leruez-Ville M, Magny JF, Couderc S, Pichon C, Parodi M, Bussieres L, Guilleminot T, Ghout I, Ville Y. Risk Factors for Congenital Cytomegalovirus Infection Following Primary and Nonprimary Maternal Infection: A Prospective Neonatal Screening Study Using Polymerase Chain Reaction in Saliva. Clin Infect Dis. 2017 Aug 1;65(3):398-404. doi: 10.1093/cid/cix337.

Reference Type BACKGROUND
PMID: 28419213 (View on PubMed)

Puhakka L, Renko M, Helminen M, Peltola V, Heiskanen-Kosma T, Lappalainen M, Surcel HM, Lonnqvist T, Saxen H. Primary versus non-primary maternal cytomegalovirus infection as a cause of symptomatic congenital infection - register-based study from Finland. Infect Dis (Lond). 2017 Jun;49(6):445-453. doi: 10.1080/23744235.2017.1279344. Epub 2017 Jan 24.

Reference Type BACKGROUND
PMID: 28116961 (View on PubMed)

Mussi-Pinhata MM, Yamamoto AY, Aragon DC, Duarte G, Fowler KB, Boppana S, Britt WJ. Seroconversion for Cytomegalovirus Infection During Pregnancy and Fetal Infection in a Highly Seropositive Population: "The BraCHS Study". J Infect Dis. 2018 Sep 8;218(8):1200-1204. doi: 10.1093/infdis/jiy321.

Reference Type BACKGROUND
PMID: 29868783 (View on PubMed)

Ross SA, Fowler KB, Ashrith G, Stagno S, Britt WJ, Pass RF, Boppana SB. Hearing loss in children with congenital cytomegalovirus infection born to mothers with preexisting immunity. J Pediatr. 2006 Mar;148(3):332-6. doi: 10.1016/j.jpeds.2005.09.003.

Reference Type BACKGROUND
PMID: 16615962 (View on PubMed)

Yamamoto AY, Anastasio ART, Massuda ET, Isaac ML, Manfredi AKS, Cavalcante JMS, Carnevale-Silva A, Fowler KB, Boppana SB, Britt WJ, Mussi-Pinhata MM. Contribution of Congenital Cytomegalovirus Infection to Permanent Hearing Loss in a Highly Seropositive Population: The Brazilian Cytomegalovirus Hearing and Maternal Secondary Infection Study. Clin Infect Dis. 2020 Mar 17;70(7):1379-1384. doi: 10.1093/cid/ciz413.

Reference Type BACKGROUND
PMID: 31102409 (View on PubMed)

Wang S, Wang T, Zhang W, Liu X, Wang X, Wang H, He X, Zhang S, Xu S, Yu Y, Jia X, Wang M, Xu A, Ma W, Amin MM, Bialek SR, Dollard SC, Wang C. Cohort study on maternal cytomegalovirus seroprevalence and prevalence and clinical manifestations of congenital infection in China. Medicine (Baltimore). 2017 Feb;96(5):e6007. doi: 10.1097/MD.0000000000006007.

Reference Type BACKGROUND
PMID: 28151899 (View on PubMed)

Faure-Bardon V, Magny JF, Parodi M, Couderc S, Garcia P, Maillotte AM, Benard M, Pinquier D, Astruc D, Patural H, Pladys P, Parat S, Guillois B, Garenne A, Bussieres L, Guilleminot T, Stirnemann J, Ghout I, Ville Y, Leruez-Ville M. Sequelae of Congenital Cytomegalovirus Following Maternal Primary Infections Are Limited to Those Acquired in the First Trimester of Pregnancy. Clin Infect Dis. 2019 Oct 15;69(9):1526-1532. doi: 10.1093/cid/ciy1128.

Reference Type BACKGROUND
PMID: 30596974 (View on PubMed)

Other Identifiers

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PSHN.0003.2021

Identifier Type: -

Identifier Source: org_study_id

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