Additional Measles Vaccine at 4 Months of Age
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Purpose
Overall objective: To conduct a randomised controlled trial (RCT) to examine whether an early two-dose measles vaccination (MV) strategy at 4 and 9 months will reduce child mortality compared with the WHO strategy of one dose of MV at 9 months.
Specific hypotheses Hypothesis I) Two doses of MV at 4 and 9 months compared with the standard dose of MV at 9 months will reduce mortality by 30% between 4 months and 5 years of age1. As in a previous trial it is expected that the beneficial effect is strongest for girls.
Hypothesis II) Children receiving MV at 4 months in the presence of maternal measles antibodies (MatAb) will have 35% lower mortality between 4 months and 5 years of age than children receiving MV at 4 months with no detectable MatAb.
Implications: These hypotheses are based on a previous RCT showing strong beneficial effects of providing an early measles vaccine, in particular among children with MatAb.
| Condition | Intervention | Phase |
|---|---|---|
|
Measles Infection |
Biological: Measles vaccine |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Primary Purpose: Prevention |
| Official Title: | A Randomised Trial of an Additional Measles Vaccine at 4 Months of Age to Reduce Child Mortality and to Explore the Role of Maternal Measles Antibodies for the Beneficial Non-specific Effects of Measles Vaccine |
- MortalityDifferences in mortality rates between the intervention and control groups
- MorbiditySymptoms of infection
- Hospitalisations/consultationsVisits to health center for consultation due to illness, hospitalisation
- GrowthWeight, length, arm circumference
- Measles infectionMeasles infection assessed by medical doctor and/or verified by blood samples
| Study Start Date: | August 2011 |
| Estimated Primary Completion Date: | July 2016 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Early measles vaccine
Receives an early measles vaccine in addition to the standard measles vaccine at 9 months of age
|
Biological: Measles vaccine
Edmonston-Zagreb measles vaccine
|
|
No Intervention: No early measles vaccine
Receives only the standard measles vaccine at 9 months of age
|
Eligibility| Ages Eligible for Study: | 4 Months to 7 Months |
| Genders Eligible for Study: | Both |
Inclusion Criteria:
- Children aged 4 to 7 months who received the third dose of pentavalent vaccine at least 4 weeks earlier
Exclusion Criteria:
- Malformations
- Severely ill
- Severely malnourished
Contacts and Locations| Contact: Peter Aaby, DMSc | +45 3268 3950 | p.aaby@bandim.org |
| Contact: Christine S Benn, MD, PhD | +45 3268 8354 | cb@ssi.dk |
| Guinea-Bissau | |
| Bandim Health Project | Recruiting |
| Bissau, Guinea-Bissau, 1004 | |
| Principal Investigator: Cesario L Martins, MD, PhD | |
More Information
Additional Information:
Publications:
| ClinicalTrials.gov Identifier: | NCT01486355 History of Changes |
| Other Study ID Numbers: | MVurban |
| Study First Received: | August 3, 2011 |
| Last Updated: | December 5, 2011 |
| Health Authority: | Denmark: The Danish National Committee on Biomedical Research Ethics Guinea-Bissau: Ministry of Health |
Keywords provided by Bandim Health Project:
|
Mortality Morbidity Hospitalisations/consultations Growth Measles infection |
Additional relevant MeSH terms:
|
Measles Morbillivirus Infections Paramyxoviridae Infections |
Mononegavirales Infections RNA Virus Infections Virus Diseases |
ClinicalTrials.gov processed this record on May 16, 2013