Safety of Tetanus, Diphtheria, Acellular Pertussis With 5 Acellular Pertussis Components (Tdap5) Vaccination During Pregnancy

NCT ID: NCT06258057

Last Updated: 2025-11-20

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

ACTIVE_NOT_RECRUITING

Total Enrollment

365000 participants

Study Classification

OBSERVATIONAL

Study Start Date

2024-01-02

Study Completion Date

2026-12-31

Brief Summary

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The purpose of this study is to evaluate the safety of Adacel vaccine among pregnant individuals exposed to Adacel at any point between the 1st day of the 27th week of gestation up to the end of pregnancy and their offspring (ie, Adacel-exposed cohort), in comparison with pregnant individuals not vaccinated with any Tdap vaccines during pregnancy and their offspring (ie, Tdap-unvaccinated comparator cohort).

The primary objectives are to estimate incidence rates and relative risks for each prespecified pregnancy outcome in Adacel-exposed and Tdap-unvaccinated comparator cohorts and for each prespecified adverse birth outcome in the offspring of both cohorts.

The secondary objectives are to estimate incidence rates and relative risks for each prespecified adverse fetal and neonatal outcome in the offspring of Adacel-exposed and Tdap unvaccinated comparator cohorts and for each prespecified adverse outcome for pregnant individuals in both cohorts.

Detailed Description

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Study outcomes to be assessed in electronic medical records between January 2016 to December 2025.

Conditions

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Pertussis (Whooping Cough)

Study Design

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Observational Model Type

COHORT

Study Time Perspective

OTHER

Study Groups

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Adacel-Exposed Cohort

Cohort will include all pregnant individuals with a record of Adacel vaccination during the third trimester of pregnancy (ie, first day of 27th week of gestation up to the end of pregnancy) and their offspring

Not applicable / database analysis

Intervention Type OTHER

Not applicable / database analysis

Tdap-Unvaccinated Comparator Cohort

Cohort will include all pregnant individuals meeting eligibility criteria and with no record of any Tdap vaccination from pregnancy onset date until the end of pregnancy and their offspring

Not applicable / database analysis

Intervention Type OTHER

Not applicable / database analysis

Interventions

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Not applicable / database analysis

Not applicable / database analysis

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* For pregnant individuals:

* Continuous enrollment, with no more than a 1-month administrative gap from 90 days prior to their last menstrual period (LMP)
* Continuous enrollment for the duration of their pregnancy through delivery or termination of pregnancy (or 6 weeks postpartum for preeclampsia/eclampsia and 28 days for PPH) unless censored at death in order to capture study outcomes
* At least 1 prenatal visit prior to 27 weeks of gestation during pregnancy
* For offspring:

* With gestational age as calculated based on date of birth recorded in the EMR

Exclusion Criteria

* For pregnant individuals:

* Loss of pregnancy or with delivery before 27 weeks of gestation
* Vaccinated with Boostrix® (Tdap vaccine, GSK), or with an unknown brand of Tdap vaccine, or Td (tetanus, diphtheria) vaccine during pregnancy
* Vaccinated with any Tdap vaccine prior to the ACIP recommended optimal timeframe of ≥ 270/7 weeks of gestation
* Received more than one Tdap vaccine during pregnancy
* Vaccinated with one or more live vaccines during pregnancy
* Pregnant individuals with multiple gestation pregnancies (eg, twins, triplets)
* For offspring:
Minimum Eligible Age

15 Years

Maximum Eligible Age

49 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Sanofi

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Clinical Sciences & Operations

Role: STUDY_DIRECTOR

Sanofi

Locations

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Investigational Site

Chilly-Mazarin, , France

Site Status

Countries

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France

Other Identifiers

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U1111-1290-9165

Identifier Type: REGISTRY

Identifier Source: secondary_id

TD500066

Identifier Type: OTHER

Identifier Source: secondary_id

TD500066

Identifier Type: -

Identifier Source: org_study_id

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