Study of the Transmission of Cytomegalovirus (CMV) Infection From Mother to Foetus
Study of Maternal-foetal Cytomegalovirus (CMV) Transmission
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
-
Brussels, Belgium, 1000
- GSK Investigational Site
-
Bruxelles, Belgium, 1070
- GSK Investigational Site
-
Bruxelles, Belgium, 1050
- GSK Investigational Site
-
Charleroi, Belgium, 6000
- GSK Investigational Site
-
La Louvière, Belgium, 7100
- GSK Investigational Site
-
Leuven, Belgium, 3000
- GSK Investigational Site
-
Liège, Belgium, 4000
- GSK Investigational Site
-
Mons, Belgium, 7000
- GSK Investigational Site
-
Wilrijk, Belgium, 2610
- GSK Investigational Site
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Subjects who the investigator believes that they can and will comply with the requirements of the protocol .
- A pregnant female, 18 years of age or older at the time of study enrolment.
- Women with confirmed primary CMV infection.
- Written informed consent obtained from the subject.
Exclusion Criteria:
- Chronic administration of immunosuppressants or other immune-modifying drugs within six months prior to study entry.
- Concurrently participating in another clinical study, at any time during the study period, in which the subject has been or will be exposed to an investigational or a non-investigational pharmaceutical product.
- Previous vaccination against CMV infection.
- Any confirmed or suspected immunosuppressive or immunodeficient condition, based on medical history or physical examination
- Major congenital defects, serious chronic illness or organ transplantation.
- Administration of immunoglobulins and/or any blood products within the three months preceding study enrolment or during the pregnancy.
- Documented Human immunodeficiency virus (HIV)-positive subject.
- Gestational age of more than 34 weeks, as determined by foetal ultrasound.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Other
- Allocation: Non-Randomized
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: CMV Mothers' Group
Pregnant subjects with confirmed primary CMV infection.
|
Blood sample at study entry, every two months during pregnancy, at pregnancy conclusion and one month after pregnancy conclusion.
Cord blood sample taken at the time of delivery.
Saliva swab taken at study entry, every month during pregnancy, at pregnancy conclusion and one month after pregnancy conclusion.
Approximately 10 mL of urine will be sampled at study entry, every month during pregnancy, at pregnancy conclusion and one month after pregnancy conclusion.
Vaginal swab taken at study entry, every month during pregnancy and one month after pregnancy conclusion.
|
|
Experimental: CMV Newborns' Group
Offsprings of the CMV Mothers' Group, also tested for CMV infection, comprising infants that were live born.
|
Blood sample at study entry, every two months during pregnancy, at pregnancy conclusion and one month after pregnancy conclusion.
Cord blood sample taken at the time of delivery.
Saliva swab taken at study entry, every month during pregnancy, at pregnancy conclusion and one month after pregnancy conclusion.
Approximately 10 mL of urine will be sampled at study entry, every month during pregnancy, at pregnancy conclusion and one month after pregnancy conclusion.
Vaginal swab taken at study entry, every month during pregnancy and one month after pregnancy conclusion.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Number of Subjects With Any Cytomegalovirus (CMV) Congenital Infection
Time Frame: At Month 0
|
The CMV congenital infections were assessed in newborns and foetuses of subjects who had a confirmed primary CMV infection during pregnancy.
|
At Month 0
|
|
Number of Subjects With CMV Presence in the Urine
Time Frame: Within 10 days post-delivery (Days 0-9)
|
Evidence of infection in urine was assessed by culture or by Polymerase Chain Reaction (PCR).
|
Within 10 days post-delivery (Days 0-9)
|
|
Number of Subjects With CMV Presence in the Amniotic Fluid
Time Frame: Within 10 days post-delivery (Days 0-9)
|
Evidence of infection in the amniotic fluid was assessed by culture or by Polymerase Chain Reaction (PCR).
|
Within 10 days post-delivery (Days 0-9)
|
|
Evidence of CMV DNA or CMV Inclusions in Tissues of an Aborted or Stillborn Foetus
Time Frame: Within 10 days post-delivery (Days 0-9)
|
Within 10 days post-delivery (Days 0-9)
|
|
|
Number of CMV DNA Copies in Saliva, Urine, Blood or Vaginal Secretions
Time Frame: At Month 0
|
The assessment focused on the presence of CMV DNA copies (by Quantitative Polymerase Chain Reaction [qPCR]) in saliva, urine, blood and vaginal secretions every month from study entry to, and including, pregnancy conclusion.
|
At Month 0
|
|
Number of CMV DNA Copies in Saliva, in Urine and in Blood or Vaginal Secretions
Time Frame: At pregnancy conclusion (Day 0 to 5, Day 0 = day of delivery, stillbirth or termination)
|
The assessment focused on the presence of CMV DNA copies (by Quantitative Polymerase Chain Reaction [qPCR]) in saliva, urine and blood every month from study entry to, and including, pregnancy conclusion.
|
At pregnancy conclusion (Day 0 to 5, Day 0 = day of delivery, stillbirth or termination)
|
|
Descriptive Statistics of the Anti-CMV Immunoglobulin Type M (IgM) Status
Time Frame: At Month 0
|
Anti-CMV IgM status was assessed by Enzyme-Linked Immunosorbent Assay [ELISA], with respect to positive and negative subjects.
Grey Zone = optical density zone within 20% of cut-off value.
When an optical density is within this grey zone, sample testing is repeated to confirm the result.
|
At Month 0
|
|
Descriptive Statistics of the Anti-CMV IgM Status
Time Frame: At Month 2
|
Anti-CMV IgM status was assessed by Enzyme-Linked Immunosorbent Assay [ELISA], with respect to positive and negative subjects.
Grey Zone = optical density zone within 20% of cut-off value.
When an optical density is within this grey zone, sample testing is repeated to confirm the result.
|
At Month 2
|
|
Descriptive Statistics of the Anti-Cytomegalovirus (Anti-CMV) Immunoglobulin Type M (IgM) Status
Time Frame: At Month 4
|
Anti-CMV IgM status was assessed by Enzyme-Linked Immunosorbent Assay [ELISA], with respect to positive and negative subjects.
Grey Zone = optical density zone within 20% of cut-off value.
When an optical density is within this grey zone, sample testing is repeated to confirm the result.
|
At Month 4
|
|
Anti-CMV Immunoglobulin Type M (IgM) Status, Descriptive Statistics
Time Frame: At Month 6
|
Anti-CMV IgM status was assessed by Enzyme-Linked Immunosorbent Assay [ELISA], with respect to positive and negative subjects.
|
At Month 6
|
|
Descriptive Statistics for the Anti-CMV IgM Status
Time Frame: At pregnancy conclusion (Day 0 to 5, Day 0 = day of delivery, stillbirth or termination)
|
Anti-CMV IgM status was assessed by Enzyme-Linked Immunosorbent Assay [ELISA], with respect to positive and negative subjects.
Grey Zone = optical density zone within 20% of cut-off value.
When an optical density is within this grey zone, sample testing is repeated to confirm the result.
|
At pregnancy conclusion (Day 0 to 5, Day 0 = day of delivery, stillbirth or termination)
|
|
Anti-glycoprotein B (gB) Immunoglobulin Type G (IgG) Antibody Concentrations
Time Frame: At Month 0
|
Anti-gB IgG concentrations were assessed by ELISA, presented as geometric mean concentrations (GMCs) and expressed in ELISA units per milliliter (EU/mL).
The cut-off value was greater than or equal to (≥) 54 EU/mL.
|
At Month 0
|
|
Anti-gB IgG Antibody Concentrations
Time Frame: At pregnancy conclusion (Day 0 to 5, Day 0 = day of delivery, stillbirth or termination)
|
Anti-gB IgG concentrations were assessed by ELISA, presented as geometric mean concentrations (GMCs) and expressed in ELISA units per milliliter (EU/mL).
The cut-off value was greater than or equal to (≥) 54 EU/mL.
|
At pregnancy conclusion (Day 0 to 5, Day 0 = day of delivery, stillbirth or termination)
|
|
Descriptive Statistics of the Anti-glycoprotein B (gB) Immunoglobulin Type G (IgG) Avidity Index
Time Frame: At Month 0
|
The avidity index was calculated as the mean absorbance of reactions in which the immune complexes were exposed to urea divided by the mean absorbance of reactions in which the immune complexes were not exposed to urea, expressed as a percentage.
|
At Month 0
|
|
Descriptive Statistics of the Anti-gB IgG Avidity Index
Time Frame: At pregnancy conclusion (Day 0 to 5, Day 0 = day of delivery, stillbirth or termination)
|
The avidity index was calculated as the mean absorbance of reactions in which the immune complexes were exposed to urea divided by the mean absorbance of reactions in which the immune complexes were not exposed to urea, expressed as a percentage.
|
At pregnancy conclusion (Day 0 to 5, Day 0 = day of delivery, stillbirth or termination)
|
|
CMV-specific Cluster of Differentiation 4 (CD4) T-cell Frequencies
Time Frame: At Month 0
|
Descriptive statistics of the frequency of CMV-specific CD4 T cells expressing at least two markers among: cluster of differentiation 40 ligand (CD40L), interleukin-2 (IL-2), interferon-gamma (IFN-γ), tumor necrosis factor-alpha (TNF-α), as assessed by Intracellular Cytokine Staining [ICS], by stimulating agent (among Human Cytomegalovirus [HCMV] immediate-early gene [IE1] antigen, HCMV glicoprotein B [gB] antigen, HCMV lysate antigen and HCMV pp65 antigen).
|
At Month 0
|
|
CMV-specific CD4 T-cell Frequencies
Time Frame: At pregnancy conclusion (Day 0 to 5, Day 0 = day of delivery, stillbirth or termination)
|
Descriptive statistics of the frequency of CMV-specific CD4 T cells expressing at least two markers among CD40L, IL-2, IFNg, TNFa, as assessed by Intracellular Cytokine Staining [ICS], by stimulating agent (among immediate-early gene [IE1] antigen, glicoprotein B [gB] antigen, CMV lysate antigen and CMV pp65 antigen).
|
At pregnancy conclusion (Day 0 to 5, Day 0 = day of delivery, stillbirth or termination)
|
|
CMV-specific Cluster of Differentiation 8 (CD8) T-cell Frequencies
Time Frame: At Month 0
|
Descriptive statistics of the frequency of CMV-specific CD8 T cells expressing at least two markers among CD40L, IL-2, IFNg, TNFa, as assessed by Intracellular Cytokine Staining [ICS], by stimulating agent (among immediate-early gene [IE1] antigen, glicoprotein B [gB] antigen, CMV lysate antigen and CMV pp65 antigen).
|
At Month 0
|
|
CMV-specific CD8 T-cell Frequencies
Time Frame: At pregnancy conclusion (Day 0 to 5, Day 0 = day of delivery, stillbirth or termination)
|
Descriptive statistics of the frequency of CMV-specific CD8 T cells expressing at least two markers among CD40L, IL-2, IFNg, TNFa, as assessed by Intracellular Cytokine Staining [ICS], by stimulating agent (among immediate-early gene [IE1] antigen, glicoprotein B [gB] antigen, CMV lysate antigen and CMV pp65 antigen).
|
At pregnancy conclusion (Day 0 to 5, Day 0 = day of delivery, stillbirth or termination)
|
|
CMV-specific Proliferating Cluster of Differentiation (CD4) T Cells Frequencies
Time Frame: At Month 0
|
Labelled cells were quantified by flow cytometry, by stimulating agent (among immediate-early gene [IE1] antigen, glicoprotein B [gB] antigen, CMV lysate antigen and CMV pp65 antigen).
|
At Month 0
|
|
CMV-specific Proliferating CD4 T Cells Frequencies
Time Frame: At pregnancy conclusion (Day 0 to 5, Day 0 = day of delivery, stillbirth or termination)
|
Labelled cells were quantified by flow cytometry, by stimulating agent (among immediate-early gene [IE1] antigen, glicoprotein B [gB] antigen, CMV lysate antigen and CMV pp65 antigen). Note: Results were retrieved by subtracting the background without imputing the negative and zero values, this generated negative values. |
At pregnancy conclusion (Day 0 to 5, Day 0 = day of delivery, stillbirth or termination)
|
|
Concentrations of Anti-CMV Tegument Protein Immunoglobulin G (IgG) Antibodies
Time Frame: At Day 0 = study entry
|
Antibody concentrations were expressed as Geometric Mean Concentrations (GMCs), measured in units per milliliter (U/mL).
Concentrations of antibodies were assessed by the Enzyme-Linked Immunosorbent Assay (ELISA) for a cut-off greater than or equal to (≥) 0.668 U/mL.
|
At Day 0 = study entry
|
|
Anti-CMV Tegument Protein Immunoglobulin G (IgG) Antibody Concentrations
Time Frame: At Month 2
|
Antibody concentrations were expressed as Geometric Mean Concentrations (GMCs), measured in units per milliliter (U/mL).
Concentrations of antibodies were assessed by the Enzyme-Linked Immunosorbent Assay (ELISA) for a cut-off greater than or equal to (≥) 0.668 U/mL.
|
At Month 2
|
|
Concentrations of Anti-CMV Tegument Protein IgG Antibodies
Time Frame: At Month 4
|
Antibody concentrations were expressed as Geometric Mean Concentrations (GMCs), measured in units per milliliter (U/mL).
Concentrations of antibodies were assessed by the Enzyme-Linked Immunosorbent Assay (ELISA) for a cut-off greater than or equal to (≥) 0.668 U/mL.
|
At Month 4
|
|
Anti-CMV Tegument Protein IgG Antibody Concentrations
Time Frame: At Month 6
|
Antibody concentrations were expressed as Geometric Mean Concentrations (GMCs), measured in units per milliliter (U/mL).
Concentrations of antibodies were assessed by the Enzyme-Linked Immunosorbent Assay (ELISA) for a cut-off greater than or equal to (≥) 0.668 U/mL.
|
At Month 6
|
|
Concentrations of Anti-CMV IgG Antibodies
Time Frame: At pregnancy conclusion (Day 0 to 5, Day 0 = day of delivery, stillbirth or termination)
|
Antibody concentrations were expressed as Geometric Mean Concentrations (GMCs), measured in units per milliliter (U/mL).
Concentrations of antibodies were assessed by the Enzyme-Linked Immunosorbent Assay (ELISA) for a cut-off greater than or equal to (≥) 0.668 U/mL.
|
At pregnancy conclusion (Day 0 to 5, Day 0 = day of delivery, stillbirth or termination)
|
|
Descriptive Statistics of the Anti-CMV Tegument Protein Globulin Type B (gB) Immunoglobulin G (IgG) Avidity, by Congenital Infection Status
Time Frame: At Day 0 = study entry
|
Avidity of anti-CMV tegument protein gB IgG was assessed by ELISA.
The avidity index was calculated as the mean absorbance of reactions in which the immune complexes were exposed to urea divided by the mean absorbance of reactions in which the immune complexes were not exposed to urea, expressed as a percentage.
|
At Day 0 = study entry
|
|
Descriptive Statistics of the Anti-CMV Tegument Protein gB Immunoglobulin G (IgG) Avidity, by Congenital Infection Status
Time Frame: At Month 2
|
Avidity of anti-CMV tegument protein gB IgG was assessed by ELISA.
The avidity index was calculated as the mean absorbance of reactions in which the immune complexes were exposed to urea divided by the mean absorbance of reactions in which the immune complexes were not exposed to urea, expressed as a percentage.
|
At Month 2
|
|
Descriptive Statistics of the Anti-CMV Tegument Protein gB IgG Avidity, by Congenital Infection Status
Time Frame: At Month 4
|
Avidity of anti-CMV tegument protein gB IgG was assessed by ELISA.
The avidity index was calculated as the mean absorbance of reactions in which the immune complexes were exposed to urea divided by the mean absorbance of reactions in which the immune complexes were not exposed to urea, expressed as a percentage.
|
At Month 4
|
|
Descriptive Statistics of the Anti-CMV Tegument Protein Globulin Type B (gB) IgG Avidity, by Congenital Infection Status
Time Frame: At Month 6
|
Avidity of anti-CMV tegument protein gB IgG was assessed by ELISA.
The avidity index was calculated as the mean absorbance of reactions in which the immune complexes were exposed to urea divided by the mean absorbance of reactions in which the immune complexes were not exposed to urea, expressed as a percentage.
|
At Month 6
|
|
Anti-CMV Tegument Protein Globulin Type B (gB) Immunoglobulin G (IgG) Avidity Descriptive Statistics, by Congenital Infection Status
Time Frame: At pregnancy conclusion (Day 0 to 5, Day 0 = day of delivery, stillbirth or termination)
|
Avidity of anti-CMV tegument protein gB IgG was assessed by ELISA.
The avidity index was calculated as the mean absorbance of reactions in which the immune complexes were exposed to urea divided by the mean absorbance of reactions in which the immune complexes were not exposed to urea, expressed as a percentage.
|
At pregnancy conclusion (Day 0 to 5, Day 0 = day of delivery, stillbirth or termination)
|
|
Anti-CMV Antibody Titers, by Neutralisation Assay (Fibroblast)
Time Frame: At Month 0
|
Antibody titers were expressed as Geometric Mean Titers (GMTs), for the seropositivity cut-off of ≥ 10 ED50.
|
At Month 0
|
|
Anti-CMV Antibody Titers, by Neutralisation Assay (Fibroblast)
Time Frame: At Month 2
|
Antibody titers were expressed as Geometric Mean Titers (GMTs), for the seropositivity cut-off of ≥ 10 ED50.
|
At Month 2
|
|
Anti-CMV Antibody Titers, by Neutralisation Assay (Fibroblast)
Time Frame: At Month 4
|
Antibody titers were expressed as Geometric Mean Titers (GMTs), for the seropositivity cut-off of ≥ 10 ED50.
|
At Month 4
|
|
Anti-CMV Antibody Titers, by Neutralisation Assay (Fibroblast)
Time Frame: At Month 6
|
Antibody titers were expressed as Geometric Mean Titers (GMTs), for the seropositivity cut-off of ≥ 10 ED50.
|
At Month 6
|
|
Anti-CMV Antibody Titers, by Neutralisation Assay (Fibroblast)
Time Frame: At pregnancy conclusion (Day 0 to 5, Day 0 = day of delivery, stillbirth or termination)
|
Antibody titers were expressed as Geometric Mean Titers (GMTs), for the seropositivity cut-off of ≥ 10 ED50.
|
At pregnancy conclusion (Day 0 to 5, Day 0 = day of delivery, stillbirth or termination)
|
|
Anti-CMV Antibody Titers, by Neutralisation Assay (Epithelial Cells)
Time Frame: At Month 0
|
Antibody titers were expressed as Geometric Mean Titers (GMTs), for the seropositivity cut-off of ≥ 15 ED50.
|
At Month 0
|
|
Anti-CMV Antibody Titers, by Neutralisation Assay (Epithelial Cells)
Time Frame: At Month 2
|
Antibody titers were expressed as Geometric Mean Titers (GMTs), for the seropositivity cut-off of ≥ 15 ED50.
|
At Month 2
|
|
Anti-CMV Antibody Titers, by Neutralisation Assay (Epithelial Cells)
Time Frame: At Month 4
|
Antibody titers were expressed as Geometric Mean Titers (GMTs), for the seropositivity cut-off of ≥ 15 ED50.
|
At Month 4
|
|
Anti-CMV Antibody Titers, by Neutralisation Assay (Epithelial Cells)
Time Frame: At Month 6
|
Antibody titers were expressed as Geometric Mean Titers (GMTs), for the seropositivity cut-off of ≥ 15 ED50.
|
At Month 6
|
|
Anti-CMV Antibody Titers, by Neutralisation Assay (Epithelial Cells)
Time Frame: At pregnancy conclusion (Day 0 to 5, Day 0 = day of delivery, stillbirth or termination)
|
Antibody titers were expressed as Geometric Mean Titers (GMTs), for the seropositivity cut-off of ≥ 10 ED50.
|
At pregnancy conclusion (Day 0 to 5, Day 0 = day of delivery, stillbirth or termination)
|
Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 113134
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.