- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04405700
Measuring Adverse Pregnancy and Newborn Congenital Outcomes (MANGO)
Measuring Adverse Pregnancy and Newborn Congenital Outcomes: An IeDEA Collaboration Study
Study Overview
Status
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Estimated)
Contacts and Locations
Study Locations
-
-
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Eldoret, Kenya, 30100
- Recruiting
- Moi Teaching and Referral Hospital
-
Contact:
- Edwin O Were, MBChB, MMed
- Phone Number: +254722288653
- Email: eowere@gmail.com
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
- Older Adult
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
C1. Prospective recruitment of HIV+ and HIV- pregnant women enrolling in ANC at the site:
Inclusion criteria for women
- Pregnant and enrolled in ANC at the study site;
- Understands English or Swahili.
Exclusion criteria for women a. Any physical or mental disability that prevents the woman from providing informed consent
Inclusion criteria for infants
a. All infants at any gestational age who are born to enrolled women will be included Exclusion criteria for infants (none)
C2. Data collection for all deliveries at the site:
Inclusion criteria for women a. Woman delivers at the site and the delivery is registered at the site
Exclusion criteria for women (none)
Inclusion criteria for live/stillborn infants
a. Infant is delivered at the site and results in the infant/stillbirth being registered at the site
Exclusion criteria for infants (none)
C3. Photos/videos of infants with CAs:
Inclusion criteria for infants
- The infant is live or stillborn at ≥ 24 weeks estimated gestational age
- The infant has a suspected CA on surface exam
Exclusion criteria for infants (none)
Study Plan
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
---|---|
Cohort 2 (C2)
Cross-sectional data collection for deliveries at the site.
Data will be collected retrospectively from medical records for all women who deliver at the site (including the women enrolled in C1 above), as well from the medical records of all newborn infants and stillbirths delivered at the site.
Missing or incomplete information in the woman or her infant's medical record will be clarified by contacting the woman to provide this information.
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The pharmacovigilance (PV) surveillance program will prospectively monitor for adverse pregnancy and infant outcomes, including the presence of congenital abnormalities, among HIV-positive and HIV-negative women and their infants at clinical sites affiliated with the International Epidemiology Databases to Evaluate consortium (IeDEA).
|
Cohort 3 (C3)
Photos/videos of infants with CAs.
All newborn infants and stillbirths ≥ 24 weeks gestational age delivered at the site, as well as all infants born to women enrolled in C1, will be assessed by surface exam for the presence of CAs.
Video and photographs will be taken of CAs identified on surface exam.
These images will be reviewed and classified by panel of experts in genetics, dysmorphology and teratology.
Mothers of infants with major CAs will be contacted by phone at 1, 6, and 12 months post-delivery to ascertain their infants' vital status and care engagement status.
|
The pharmacovigilance (PV) surveillance program will prospectively monitor for adverse pregnancy and infant outcomes, including the presence of congenital abnormalities, among HIV-positive and HIV-negative women and their infants at clinical sites affiliated with the International Epidemiology Databases to Evaluate consortium (IeDEA).
|
Cohort 1 (C1)
Prospective recruitment of pregnant women enrolling in antenatal clinic (ANC) at the site.
All HIV+ pregnant women and a 1:1 systematic sample of HIV- pregnant women enrolling in ANC at the site will be prospectively enrolled.
In addition, medical record data for the mother and infant will be collected at the time of delivery for all women who deliver at the site and as such will contribute to a subset of C2 (below).
Women enrolled in C1 who do not deliver at the site will be contacted by phone and through field follow-up to ascertain their pregnancy and infant outcomes.
Infants born to women enrolled in this component who are suspected of having congenital abnormalities (CAs) will be enrolled as outlined in C3 (below) if their mothers deliver at the site.
If their mothers do not deliver at the site these infants will be enrolled in the field.
Photos/videos of infants with CAs will also be taken for review and classification by a panel of experts (see C3 below).
|
The pharmacovigilance (PV) surveillance program will prospectively monitor for adverse pregnancy and infant outcomes, including the presence of congenital abnormalities, among HIV-positive and HIV-negative women and their infants at clinical sites affiliated with the International Epidemiology Databases to Evaluate consortium (IeDEA).
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Pregnancy outcomes
Time Frame: At time of delivery
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Live Birth, Still Birth, Miscarriage, Termination of pregnancy, Ectopic Pregnancy, Molar Pregnancy, Not Pregnant, Other); also including pre-term delivery (<37 weeks gestational age) or very pre-term delivery (<32 weeks gestational age)
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At time of delivery
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Infant/birth outcomes
Time Frame: At 1, 6, and 12 months post-delivery
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Congenital abnormalities on newborn surface exam (e.g., extra digit, hydrocephalus, skull defects, eyes, face, mouth/lip/palate, chest, abdomen, anus, limbs, spine (including neural tube defects), hips, genitalia, skin, etc.); also including low birth weight, small for gestational age (<10th percentile) or very small for gestational age (<3rd percentile)
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At 1, 6, and 12 months post-delivery
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Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- RNA Virus Infections
- Virus Diseases
- Infections
- Blood-Borne Infections
- Communicable Diseases
- Sexually Transmitted Diseases, Viral
- Sexually Transmitted Diseases
- Lentivirus Infections
- Retroviridae Infections
- Immunologic Deficiency Syndromes
- Immune System Diseases
- Slow Virus Diseases
- Urogenital Diseases
- Genital Diseases
- HIV Infections
- Acquired Immunodeficiency Syndrome
Other Study ID Numbers
- 2002126816
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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.
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