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H1N1v Vaccination of Pregnant Women: A Longitudinal Cohort Study Characterizing Influenza A H1N1v Vaccination in Pregnant Women

C

Copenhagen Studies on Asthma in Childhood

Status

Completed

Conditions

H1N1v Influenza

Treatments

Biological: Focetria

Study type

Interventional

Funder types

Other
Industry

Identifiers

Details and patient eligibility

About

Pregnant women are at particular risk during the imminent H1N1v influenza pandemic. The new H1N1v virus requires urgent political and medical decisions on vaccination strategies in order to minimize severe disease and death from this pandemic. However, there is a lack of evidence to build such decisions upon. A vaccine will be provided in the fourth quarter of 2009, but there is little knowledge on the immunogenicity. Particularly its clinical effectiveness and duration of immunity in pregnant women and their newborn infants is unknown. Therefore, it will be important to study the optimal vaccination regimens with respect to dosing and use of adjuvant to decide future health policies on vaccination of pregnant women. We have a unique possibility to study these aspects of H1N1v infection in pregnant women in our ongoing unselected, prospective, birth-cohort study recruiting 800 pregnant mothers between Q1- 2009 and Q4-2010. Pregnant women from East-Denmark are being enrolled during the 2nd trimester and their infant will undergo a close clinical follow-up. The H1N1v pandemic is expected to reach Denmark Q4-2009. The timing of this enrollment and the imminent pandemic allows for an "experiment of nature" whereby the first half of the mothers completes pregnancy before the H1N1v pandemic. The other half of this cohort will be pregnant while H1N1v is prevalent in the community and will require H1N1v vaccination. The aim of this randomized, controlled, trial is to compare and evaluate the dose-related immune protection conferred by vaccine and adjuvant (Novartis vaccine Focetria) in pregnant women and non-pregnant women. In addition the protocol will assess the passive immunity conferred to the newborn from these vaccine regimes. The study will provide evidence-based guidance for health policies on vaccination for the population of pregnant women during future H1N1v pandemics.

Enrollment

296 patients

Sex

Female

Volunteers

Accepts Healthy Volunteers

Inclusion criteria

  • Healthy pregnant and non pregnant women living in Eastern Denmark
  • Fluent in Danish

Exclusion criteria

  • Heart disease, endocrine disease, tuberculosis and sarcoidosis.
  • History of any anaphylaxis, serious vaccine reactions, or hypersensitivity to influenza viral proteins, to any excipients, and to eggs (including ovalbumin), and chicken proteins.

Trial design

Primary purpose

Prevention

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Single Blind

296 participants in 4 patient groups

Pregnant women (>20 weeks), 7.5 mcg H1N1v full MF59 adjuvant
Active Comparator group
Treatment:
Biological: Focetria
Biological: Focetria
Biological: Focetria
Biological: Focetria
Pregnant women (>20 weeks), 3.75 mcg H1N1v half MF59 adjuvant
Active Comparator group
Treatment:
Biological: Focetria
Biological: Focetria
Biological: Focetria
Biological: Focetria
Pregnant women (>20 weeks), 15 mcg H1N1v unadjuvanted
Active Comparator group
Treatment:
Biological: Focetria
Biological: Focetria
Biological: Focetria
Biological: Focetria
Non-pregnant mothers, 7.5 mcg H1N1v full MF59 adjuvant
Active Comparator group
Treatment:
Biological: Focetria
Biological: Focetria
Biological: Focetria
Biological: Focetria

Trial contacts and locations

2

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Data sourced from clinicaltrials.gov

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