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CompletedNCT01012557Updated Nov 15, 2022

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

An interventional study of Focetria and Focetria in H1N1v Influenza, sponsored by Copenhagen Studies on Asthma in Childhood. Completed at 2 sites in Denmark. Open to female participants, including healthy volunteers. Per ClinicalTrials.gov, last updated 2022-11-15.

Sponsored by Copenhagen Studies on Asthma in Childhood · Not applicable, Interventional, and Prevention

Phase
Not applicable
Study type
Interventional
Enrollment
296
Allocation
Randomized
Sex
Female
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Study summary

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.

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Conditions studied

  • H1N1v Influenza

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Keywords

  • H1N1v
  • vaccine
  • pregnant
  • women
  • Assess whether the adjuvanted vaccine offers a meaningful benefit in pregnant women in terms of immune response over the non-adjuvanted vaccine.
  • Assess the persistence of immune response over a 15 month time period after one single vaccination of the pregnant mother.
  • Assess whether the immune response to H1N1 in pregnant women is different from that of non-pregnant women of similar age.
  • Gain insight on safety of the Novartis egg-based MF59 adjuvanted H1N1 vaccine Focetria in pregnant women and their babies.
  • Assess the maternally transferred specific antibodies against H1N1v in the newborn
  • Passive immunity transferred to the infant.
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In context

Influenza, Human

2,214 studies on the registry are indexed under Influenza, Human; 163 are open to participants now.

This study's enrollment of 296 is above the median of 238 across 1,853 interventional studies indexed under Influenza, Human.

Browse Influenza, Human studies →

Lead sponsor

Copenhagen Studies on Asthma in Childhood is the lead sponsor of 8 studies on the registry; 3 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
Female
Accepts healthy volunteers
Yes

Inclusion criteria

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

Exclusion criteria

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.
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Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
296 participants (actual)

Study arms

  • Active comparator
    Pregnant women (>20 weeks), 7.5 mcg H1N1v full MF59 adjuvant

    Biological: Focetria

  • Active comparator
    Pregnant women (>20 weeks), 3.75 mcg H1N1v half MF59 adjuvant

    Biological: Focetria

  • Active comparator
    Pregnant women (>20 weeks), 15 mcg H1N1v unadjuvanted

    Biological: Focetria

  • Active comparator
    Non-pregnant mothers, 7.5 mcg H1N1v full MF59 adjuvant

    Biological: Focetria

Interventions

  • BiologicalFocetria

    7.5 mcg H1N1v full MF59 adjuvant i.m.(intramuscular)x 1

  • BiologicalFocetria

    3.75 mcg H1N1v half MF59 adjuvant i.m.(intramuscular)x 1

  • BiologicalFocetria

    15 mcg N1N1v unadjuvanted i.m.(intramuscular) x 1.

  • BiologicalFocetria

    7.5 mcg H1N1v full MF59 adjuvant i.m.(intramuscular) x 1

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What researchers measure

Primary outcomes

  1. Day 22/Day 1, and at all the other relevant time points to assess persistence/Day 1 geometric mean ratio (GMR) of HI

    Time frame: Day 1, Day 22

  2. Geometric mean HI titer (GMT) on Day 1, Day 22, and at all the other relevant time points to assess persistence.

    Time frame: Day 1, Day 22

  3. Percentage of subjects achieving a seroconversion or a significant increase (defined as: HI ≥1:40 for subjects negative at baseline [<1:10]; a minimum 4-fold increase in HI titer for subjects positive at baseline [HI≥1:10])

    Time frame: Day 1, Day 22

  4. Percentage of subjects with a HI titer ≥1:40 (i.e. seroprotection) on Day 1, Day 22, and at all the other relevant time points to assess persistence

    Time frame: Day 1, Day 22

Secondary outcomes

  1. The safety of the study vaccines will be assessed based on number of subjects exposed to study vaccines with reported selected adverse events per vaccine group.

    Time frame: 12 months

  2. The outcomes of pregnancies will be categorized as normal, abnormal or therapeutic/elective termination

    Time frame: duration of pregnancy

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Study locations

2 sites
  • COPSAC
    Gentofte, 2620, Denmark
  • Næstved Hospital, Pediatric Department
    Næstved, 4700, Denmark
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References and documents

Publications

  • Bischoff AL, Folsgaard NV, Vissing NH, Birch S, Brix S, Bisgaard H. Airway mucosal immune-suppression in neonates of mothers receiving A(H1N1)pnd09 vaccination during pregnancy. Pediatr Infect Dis J. 2015 Jan;34(1):84-90. doi: 10.1097/INF.0000000000000529. PubMed 25229268 ↗
  • Bischoff AL, Folsgaard NV, Carson CG, Stokholm J, Pedersen L, Holmberg M, Bisgaard A, Birch S, Tsai TF, Bisgaard H. Altered response to A(H1N1)pnd09 vaccination in pregnant women: a single blinded randomized controlled trial. PLoS One. 2013 Apr 18;8(4):e56700. doi: 10.1371/journal.pone.0056700. Print 2013. PubMed 23637733 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 15, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT01012557
Lead sponsor
Copenhagen Studies on Asthma in Childhood
Collaborators
Novartis
Responsible party
Sponsor
First posted
Nov 13, 2009
Start date
Nov 2009
Primary completion
Sep 2010
Completion
Dec 2011
Last update
Nov 15, 2022

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Nov 2022. You cannot join it, but the record below documents what was studied.

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