Pertussis Maternal Immunization Study

This study is currently recruiting participants.
Verified November 2013 by Dalhousie University
Sponsor:
Collaborators:
IWK Health Centre
Sanofi Pasteur, a Sanofi Company
Information provided by (Responsible Party):
Scott Halperin, Dalhousie University
ClinicalTrials.gov Identifier:
NCT00553228
First received: November 2, 2007
Last updated: November 21, 2013
Last verified: November 2013
  Purpose

The purpose of this study is to assess whether immunization against pertussis in the mid third trimester of pregnancy provides passive protection to the infant by transfer of IgG transplacentally and by transfer of secretory IgA (and possibly IgG) in breast milk, sufficient to protect the infant against pertussis disease in the critical neonatal period, without suppressing the infant's immune response to active immunization and disease


Condition Intervention Phase
Pregnant Women
Biological: Tdap
Biological: Td
Phase 2
Phase 3

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Parallel Assignment
Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor)
Primary Purpose: Prevention
Official Title: Immunization of Women With Diphtheria and Tetanus Toxoids Combined With Acellular Pertussis (Tdap) During the Mid Third Trimester of Pregnancy: An Evaluation of the Potential for Immunological Protection for the Neonate

Resource links provided by NLM:


Further study details as provided by Dalhousie University:

Primary Outcome Measures:
  • Comparison of serum IgG antibody levels against PT, FHA, PRN, FIM between Tdap and Td groups [ Time Frame: birth, 2, 4, 6, 7, 12, and 13 months of age ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Safety of Tdap in pregnancy including pregnancy outcome and developmental assessment. [ Time Frame: developmental screening at 1 year of age ] [ Designated as safety issue: Yes ]

Estimated Enrollment: 440
Study Start Date: November 2007
Estimated Study Completion Date: June 2014
Estimated Primary Completion Date: December 2013 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: group I
Tdap
Biological: Tdap
0.5 mL IM once at visit #2
Other Name: Adacel
Active Comparator: group 2
Td
Biological: Td
0.5 mL IM once at visit #2
Other Name: Diphtheria and tetanus toxoids, adsorbed

Detailed Description:

The purpose of this study is to assess the potential of providing initial immunological protection to the neonate by providing passive placentally transferred serum antibodies and breast milk antibodies against pertussis antigens (PT, FHA, PRN, FIM). This will be accomplished by

  • determining the rate of maternal antibody decline from time of immunization until 12 months postpartum by measuring antibody levels in serum, saliva, and breast milk at specified intervals;
  • determining levels of antibody transferred to the neonate relative to the interval from immunization to delivery;
  • comparing levels of transplacentally transferred antibody with those achieved after the first, second, and third dose of the primary immunization series; and
  • determining whether maternal immunization interferes with active antibody production following licensed DTaP-IPV-Hib in infants of women immunized during the mid third trimester of pregnancy.
  Eligibility

Ages Eligible for Study:   18 Years to 45 Years
Genders Eligible for Study:   Female
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Pregnant women 18-45 years of age.
  • Women who, at ≥30-<32 weeks gestation, are at low risk for complications as determined by the obstetrical algorithm for identification of eligible subjects and the obstetrical risk assessment form.
  • Signed, informed consent.

Exclusion Criteria:

  • Failure to meet eligibility criteria as determined by the obstetrical algorithm for identification of eligible subjects and the obstetrical risk assessment form.
  • History of significant medical disorder (such as bleeding disorders, cancer, autoimmune disease, immunodeficiency (including HIV-infected individuals, transplant recipients), seizure disorder or significant psychiatric illness, drug or alcohol dependence).
  • Receipt of any high-dose daily corticosteroids (inhaled steroids are acceptable) within 2 weeks of study entry. High dose is defined as a dose of ≥20 mg of prednisone daily or equivalent.
  • History of physician-diagnosed or laboratory-confirmed pertussis within the past 5 years.
  • Personal history (verbal or documented) of ever having received Tdap.
  • Personal history (verbal or documented) of having received Td immunization within the past 2 years.
  • History of febrile illness (>37.8ºC orally) within the past 72 hours (immunization may be deferred).
  • History of sensitivity to any component of Tdap.
  • Receipt of blood products or immunoglobulin within 3 months of study entry (except RH-negative women who receive immunoglobulin during pregnancy are eligible).
  • Receipt of any vaccines within 2 weeks of study vaccine (except influenza vaccine which may be given concurrently).
  • Failure to give written, informed consent.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00553228

Contacts
Contact: Beth A Halperin, MN 902-470-8992 bhalperin@nb.aibn.com
Contact: Pamela L MacIntyre, RN 902-470-8948 pamela.macintyre@iwk.nshealth.ca

Locations
Canada, Nova Scotia
Clinical Trial Research Center - Canadian Center for Vaccinology Recruiting
Halifax, Nova Scotia, Canada, B3K 6R8
Contact: Beth A Halperin, MN    902-470-8992    bhalperi@nb.aibn.com   
Contact: Pam L MacIntyre, RN    902-470-8948    pamela.macintyre@iwknshealth.ca   
Sponsors and Collaborators
Scott Halperin
IWK Health Centre
Sanofi Pasteur, a Sanofi Company
Investigators
Principal Investigator: Scott A Halperin, MD Dalhousie Univeristy - Canadian Center for Vaccinology
  More Information

No publications provided

Responsible Party: Scott Halperin, Dr Scott Halperin, Dalhousie University
ClinicalTrials.gov Identifier: NCT00553228     History of Changes
Other Study ID Numbers: DAL07-01
Study First Received: November 2, 2007
Last Updated: November 21, 2013
Health Authority: Canada: Health Canada

Keywords provided by Dalhousie University:
maternal immunization
whooping cough
pertussis

Additional relevant MeSH terms:
Whooping Cough
Bordetella Infections
Gram-Negative Bacterial Infections
Bacterial Infections
Respiratory Tract Infections
Infection
Respiratory Tract Diseases

ClinicalTrials.gov processed this record on April 15, 2014