Prevention of Maternal-fetal Cytomegalovirus Transmission After Primary Maternal Infection, GW ≤ 14 (PreCyssion) (PreCyssion)
Prevention of Maternal-fetal Cytomegalovirus Transmission After Primary Maternal Infection With Gestational Age ≤ 14 Weeks - an Open-label, Single-arm, Prospective Trial Investigating Efficacy and Safety of Cytotect CP Biotest
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Contact
Study Contact
- Name: Andrea Wartenberg-Demand, Dr. med.
- Phone Number: +49 6103 801
- Email: andrea.wartenberg-demand@biotest.com
Study Locations
-
-
-
Berlin, Germany, 13353
- 4906
-
Bonn, Germany, 53127
- 4903
-
Erlangen, Germany, 91054
- 4902
-
Tuebingen, Germany, 72076
- 4901
-
Wasserburg am Inn, Germany, 83512
- 4905
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Written informed consent obtained from subjects indicating that they understand the purpose of and procedures required for the trial and are willing to participate in it
- Pregnant women, age 18 to 45 years
- Pregnant women at trial entry with gestational age ≤14 weeks; pregnancy after in-vitro fertilization permitted
- Detection of early primary CMV infection
Exclusion Criteria:
- Women with current multiple pregnancy
- History of severe pre-eclampsia or severe gestational hypertension (GHTN), which required medical intervention. Definition according to AWMF guideline (AWMF, 2019)
- Presence of severe disease impairing course of pregnancy (e.g. diabetes, epilepsy, cancer)
- Congenital or acquired autoimmune disease
- Known immunosuppressive (e.g., transplanted patients) or immunodeficient condition
- Known infection with hepatitis B or C, or HIV from the medical history or active infection at screening as assessed by respective virus serology
- Maternal CMV infection prior to this pregnancy (preconceptional CMV infection)
- Covid-19 infection at time of inclusion
- Any signs or symptoms indicating an increased risk of abortion or premature labor or has known negative effect on fetus with exception of a CMV infection
- Active infection according to TORCH serology with exception of CMV in the assessment of the investigator
- Known major fetal anomalies or demise
- Intolerance to proteins of human origin or known allergic reactions to components of the trial product
- Selective absolute IgA deficiency or known antibodies to IgA
- Known pre-existing clinically relevant risk factors for thrombotic events
- Known renal insufficiency with serum creatinine levels >1.4 mg/dL and proteinuria (albuminuria) at screening (≥30 mg/dL or dipstick reading of 1+ and greater)
- Participation in another clinical trial within 90 days before entering the trial or during the trial
- Women who are dependent on trial site staff, on Biotest AG or its authorized representatives
- Inability or lacking motivation to participate in the trial
- Medical condition, laboratory finding, or physical examination finding that in the opinion of the investigator precludes participationInability or lacking motivation to participate in the trial
- Eligibility for a subgroup where enrollment was stopped
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: BT097
Subjects will receive BT097 200 U per kg of maternal body weight intravenously every 2 weeks until at least GW 17
|
Subjects will receive BT097 200 U per kg of maternal body weight intravenously every 2 weeks until at least GW 17
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
To determine the overall rate of maternal-fetal transmission at the time of amniocentesis (week 20 [-1 week / +2 weeks] of gestation)
Time Frame: Gestational week 19 - week 22
|
To determine the overall rate of maternal-fetal transmission at the time of amniocentesis
|
Gestational week 19 - week 22
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Subgroups: (1) Subjects with periconceptionally acquired infection or (2) Subjects with infection acquired during first trimester
Time Frame: Gestational week 20 +-1 Week
|
To determine the rate of maternal-fetal transmission at the time of amniocentesis
|
Gestational week 20 +-1 Week
|
|
To determine maternal CMV viral load (copies/ml)
Time Frame: until gestational week 30
|
Number of CMV-DNA copies (copies/mL) and corresponding absolute and percentage changes from baseline, until gestational week (GW) 30
|
until gestational week 30
|
|
To determine maternal anti-CMV IgG Levels (U/ml)
Time Frame: until gestational week 30
|
Maternal anti-CMV IgG Levels (U/ml), absolute and percentage changes from baseline
|
until gestational week 30
|
|
To determine maternal anti-CMV IgG avidity (%)
Time Frame: until gestational week 30
|
Number/percentage of subjects with Low, Intermediate, High avidity
|
until gestational week 30
|
|
To determine maternal anti-CMV IgM index (Index)
Time Frame: until gestational week 30
|
Number/percentage of subjects with non-reactive, indeterminate and reactive cut-off index (COI)
|
until gestational week 30
|
|
To determine soluble fms-like tyrosine kinase 1 (sFlt-1) concentration in maternal serum
Time Frame: until gestational week 30
|
Number/percentage of subjects with high (≥1504 pg/mL) or low (<1504 pg/mL) values
|
until gestational week 30
|
|
To evaluate vitality of the fetuses/newborns
Time Frame: until date of delivery
|
Number/percentage of subjects with Normal / Abnormal Not Clinically Significant / Abnormal Clinically Significant results per parameter and visit
|
until date of delivery
|
|
To evaluate growth of the fetuses/newborns
Time Frame: Until date of delivery
|
Number/percentage of subjects with Normal / Abnormal Not Clinically Significant / Abnormal Clinically Significant results per parameter and visit
|
Until date of delivery
|
|
To evaluate the rate of congenital CMV infection at delivery or within the first 3 days after delivery
Time Frame: Date of Delivery + 3 days
|
To evaluate the rate of congenital CMV infection at delivery or within the first 3 days after delivery
|
Date of Delivery + 3 days
|
|
To measure the number of CMV-DNA copies in the urine of newborns
Time Frame: Date of Delivery
|
To measure the number of CMV-DNA copies in the urine of newborns
|
Date of Delivery
|
|
To assess the number, severity, causality, outcome, and seriousness of all adverse events (AEs)/ treatment-emergent AEs (TEAEs)/ AEs of special interest until delivery (+3 days) in both mother and fetus/newborn
Time Frame: Date of Delivery + 3 days
|
To assess the number, severity, causality, outcome, and seriousness of all adverse events (AEs)/ treatment-emergent AEs (TEAEs)/ AEs of special interest until delivery (+3 days) in both mother and fetus/newborn
|
Date of Delivery + 3 days
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Karl O Kagan, Prof, Universitätsklinik Tuebingen - Frauenklinik; 72076 Tübingen
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 (Actual)
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
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 997
- 2020-002383-32 (EudraCT Number)
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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