Long-Term Outcomes of Children With Congenital CMV in New York State

NCT ID: NCT06226558

Last Updated: 2025-05-13

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

1000 participants

Study Classification

OBSERVATIONAL

Study Start Date

2024-02-01

Study Completion Date

2026-10-01

Brief Summary

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PROACTIVE NYS is a long-term follow-up study of all infants who test positive for congenital Cytomegalovirus infection (CMV) throughout New York State on the Newborn Screen. By following all infants who screen positive, we will learn important information about the range of symptoms caused by congenital CMV, from those babies with more severe findings to those with no symptoms.

In particular, our study will provide new information about many facets of congenital CMV, including:

* Developmental, hearing, neurologic, and vision outcomes
* The spectrum and timing of symptoms
* The impact congenital CMV has on the baby and its family
* How many babies are infected with congenital CMV in New York State How antiviral medications and other interventions impact outcomes of children with congenital CMV

Throughout the duration of the study, children will undergo routine developmental and hearing assessments, which will assist with early diagnosis of any infection complications.

Any child found to have a neurodevelopmental, hearing, or vision abnormality will be referred for appropriate evaluation and treatment.

Families will also be asked to complete periodic surveys about their experience with congenital CMV, both as a medical diagnosis and as it affects their day-to-day activities.

Detailed Description

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Conditions

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Congenital CMV Infection Sensorineural Hearing Loss

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Category 1: Confirmed cCMV infection identified by NYS newborn screen

Infants who have both a positive cCMV NYS newborn screen AND are positive for cCMV on confirmatory testing

No interventions assigned to this group

Category 2: Confirmed cCMV infection NOT identified by NYS newborn screen

Infants who have both a NEGATIVE cCMV NYS newborn screen AND are found to have cCMV on confirmatory testing

No interventions assigned to this group

Category 3: False-positive cCMV NYS newborn screen

Infants who have both a positive cCMV NYS newborn screen AND are NEGATIVE for cCMV on confirmatory testing

No interventions assigned to this group

Category 4: Premature infants with confirmed CMV infection on late positive NBS

Infants who are: (a) born prior to 37 weeks gestation AND (b) cCMV positive on any NYS newborn screen collected prior to 44 weeks gestational age AND (c) Have a positive cCMV confirmatory test obtained within 14 days of a positive NYS newborn screen

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* Neonates born in New York State during cCMV NBS Pilot Program (September 27, 2023 - October 1, 2024)
* cCMV evaluation provided by a designated NYS cCMV clinical referral site
* Family willing and able to complete all study procedures
* Study participants meet criteria for one of the following four categories:
* 1\. Category 1 (Confirmed cCMV identified by NBS Program): cCMV NYS newborn screen positive AND cCMV confirmatory test positive
* 2\. Category 2 (Confirmed cCMV not identified by NBS Program): cCMV NYS newborn screen negative AND cCMV confirmatory test positive
* 3\. Category 3 (False-positive cCMV screen): cCMV NYS newborn screen positive AND negative cCMV confirmatory test
* 4\. Category 4 (Premature infants with confirmed CMV infection on late positive NBS): Infant born prior to 37 weeks gestation AND cCMV positive on any NYS newborn screen collected prior to 44 weeks gestational age AND Positive cCMV confirmatory test obtained within 14 days of a positive NBS

Exclusion Criteria

* Neonate whose parents refuse participation in the long-term follow-up study
Minimum Eligible Age

0 Days

Maximum Eligible Age

1 Year

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Frontier Science & Technology Research Foundation, Inc.

INDUSTRY

Sponsor Role collaborator

Stony Brook University

OTHER

Sponsor Role lead

Responsible Party

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Andrew S Handel

Physician

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Stony Brook Children's Hospital

Stony Brook, New York, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Andrew Handel, MD

Role: CONTACT

631-444-7692

Sharon Nachman, MD

Role: CONTACT

631-444-7692

Facility Contacts

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Andrew Handel, MD

Role: primary

631-444-7692

References

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Pesch MH, Saunders NA, Abdelnabi S. Cytomegalovirus Infection in Pregnancy: Prevention, Presentation, Management and Neonatal Outcomes. J Midwifery Womens Health. 2021 May;66(3):397-402. doi: 10.1111/jmwh.13228. Epub 2021 May 24.

Reference Type BACKGROUND
PMID: 34031974 (View on PubMed)

Rawlinson WD, Boppana SB, Fowler KB, Kimberlin DW, Lazzarotto T, Alain S, Daly K, Doutre S, Gibson L, Giles ML, Greenlee J, Hamilton ST, Harrison GJ, Hui L, Jones CA, Palasanthiran P, Schleiss MR, Shand AW, van Zuylen WJ. Congenital cytomegalovirus infection in pregnancy and the neonate: consensus recommendations for prevention, diagnosis, and therapy. Lancet Infect Dis. 2017 Jun;17(6):e177-e188. doi: 10.1016/S1473-3099(17)30143-3. Epub 2017 Mar 11.

Reference Type BACKGROUND
PMID: 28291720 (View on PubMed)

Fowler KB, Boppana SB. Congenital cytomegalovirus infection. Semin Perinatol. 2018 Apr;42(3):149-154. doi: 10.1053/j.semperi.2018.02.002. Epub 2018 Mar 2.

Reference Type BACKGROUND
PMID: 29503048 (View on PubMed)

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Document Type: Informed Consent Form

View Document

Related Links

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https://www.proactivenys.org/

PROACTIVE NYS Website

Other Identifiers

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75N94021D00018-75N94023F00001

Identifier Type: -

Identifier Source: org_study_id

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