HIV Infections Clinical Trial
— IMMUNEOOfficial title:
Transcriptomic Profile of the Immune Response to BCG Vaccination in Neonates Born to HIV and LTBI Infected and Non-infected Mothers
NCT number | NCT03383211 |
Other study ID # | GWMDA2017 |
Secondary ID | |
Status | Completed |
Phase | |
First received | |
Last updated | |
Start date | June 16, 2017 |
Est. completion date | June 30, 2021 |
Verified date | October 2021 |
Source | George Washington University |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Observational |
Maternal infections affect the basal immune status of neonates. One of the possible mechanism is the fetomaternal microchimerism, in which some cells and active substances are exchanged bi-directionally between maternal and fetal circulation through placenta. Even in the absence of a direct (vertical) transmission of pathogens to fetuses, certain infections make the neonates more prone to allergies and some adverse events of early vaccinations. We postulate that the basal immune status of neonates born to HIV and LTBI infected mothers is primed by gestational exposure to immunological active molecules, which could results in an altered response to early BCG vaccination. Transcripts expression identified by RNA sequencing are compared between sets of mother-child and their respective umbilical cord blood, and between groups of infected and non-infected pairs.
Status | Completed |
Enrollment | 125 |
Est. completion date | June 30, 2021 |
Est. primary completion date | September 1, 2020 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | Female |
Age group | 18 Years to 45 Years |
Eligibility | Inclusion Criteria: Pregnant women, 18-45 years old, capable of reading and understanding the informed consent and the purpose of the study The newborns of the enrolled pregnant women. Women of reproductive age with or without HIV and LTBI infections Exclusion Criteria: Pregnant women younger than 18 years or older than 45 years of age Pregnant women and infants with known genetic abnormalities, including primary immunodeficiencies; or receiving immunosuppressive therapy; Infants infected in utero, perinatally, or neonatally with hepatitis B virus, Treponema pallidum (syphilis), Toxoplasma gondii, rubella virus, cytomegalovirus, or herpes simplex virus. Pregnant women with known history of alcohol or drug abuse, cancer diagnosis and treatment with chemotherapeutic agents, radiation. Pregnant women with history of organ transplantation. |
Country | Name | City | State |
---|---|---|---|
Moldova, Republic of | Clinical Municipal Hospital No. 1 | Chisinau | |
Moldova, Republic of | National Center for Mother and Child Health | Chisinau |
Lead Sponsor | Collaborator |
---|---|
George Washington University | Children's National Research Institute, DC-Center for Aids Research (DC-CFAR), SeqLL, Inc., Universitatea de Stat de Medicina si Farmacie Nicolae Testemitanu |
Moldova, Republic of,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Changes in immune-associated transcripts | Identification of transcripts that are differential expressed between groups | Collection of samples 7-days after BCG vaccination |
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