- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04802278
Gestational Immunity for Transfer (GIFT)
This is a study prospective cohort study at an urban academic centre, with two parts:
- Health outcomes, and maternally transferred antibodies, in babies born to mothers who had antenatal COVID-19 and convalesced before delivery, followed up until 12 months of age
- Safety and protective properties of breast milk after lactating women are vaccinated against COVID-19
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
This proposal aims to provide a multi-faceted approach to study how immunity may be transferred - both transplacentally and through breastfeeding, from mother to child, in the context of COVID-19.
We first recruit all babies delivered to mothers convalescent from antenatal COVID-19, to 1) follow up their growth and development, and 2) study the protective effects of antibodies transferred from mother to child transplacentally during pregnancy, as well as postnatally through breastfeeding. We compare these to a cohort of healthy controls whose mothers did not have COVID-19 during pregnancy.
Next, we compare the protective effects of antibodies transferred during breastfeeding from mother to child after lactating mothers are vaccinated against COVID-19, to that of natural infection. We also study the safety of breastfeeding after vaccination by looking for vaccine components in the breast milk.
Study Type
Enrollment (Anticipated)
Contacts and Locations
Study Locations
-
-
-
Singapore, Singapore
- Recruiting
- National University Hospital
-
Contact:
- Jia Ming Low, MBBS, MCI
- Email: jia_ming_low@nuhs.edu.sg
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
- Older Adult
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
Lives in Singapore
Exclusion Criteria:
Prematurity Congenital abnormalities Primary immunodeficiencies Autoimmune disorders
Study Plan
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
|---|---|
|
Babies born to mothers convalescent from antenatal COVID-19
|
|
|
Babies born to healthy mothers
|
|
|
Vaccinated mothers
Lactating mothers who received COVID-19 vaccination
|
Any COVID-19 vaccine
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Transplacentally transferred antibodies
Time Frame: From birth to 12 months of age
|
Binding and neutralising immunoglobulin G specific to SARS-CoV-2 spike and receptor-binding domain
|
From birth to 12 months of age
|
|
Antibodies transferred through breast milk (convalescent mothers)
Time Frame: From birth to 6 months of age
|
Binding and neutralising immunoglobulin A specific to SARS-CoV-2 spike and receptor-binding domain
|
From birth to 6 months of age
|
|
Antibodies transferred through breast milk (vaccinated mothers)
Time Frame: From just before vaccination, to 6 weeks after vaccination
|
Binding and neutralising immunoglobulin A specific to SARS-CoV-2 spike and receptor-binding domain
|
From just before vaccination, to 6 weeks after vaccination
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
General health
Time Frame: From birth to 12 months of age
|
Growth and development of infants
|
From birth to 12 months of age
|
Collaborators and Investigators
Publications and helpful links
General Publications
- Gu Y, Low JM, Tan JSY, Ng MSF, Ng LFP, Shunmuganathan B, Gupta R, MacAry PA, Amin Z, Lee LY, Lian D, Shek LP, Zhong Y, Wang LW. Immune and pathophysiologic profiling of antenatal coronavirus disease 2019 in the GIFT cohort: A Singaporean case-control study. Front Pediatr. 2022 Sep 15;10:949756. doi: 10.3389/fped.2022.949756. eCollection 2022.
- Low JM, Lee LY, Ng YPM, Zhong Y, Amin Z. Breastfeeding Mother and Child Clinical Outcomes After COVID-19 Vaccination. J Hum Lact. 2022 Feb;38(1):37-42. doi: 10.1177/08903344211056522. Epub 2021 Oct 29.
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Anticipated)
Study Completion (Anticipated)
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
Other Study ID Numbers
- 2021/00095
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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