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RecruitingNCT01770119MMRinOLTUpdated Sep 18, 2020

Induction of Immunity Against Measles in Pediatric Liver Transplant Recipients

A Phase 4 interventional study of MMR vaccination in Measles, sponsored by Klara M. Pósfay Barbe. Recruiting at 1 site in Switzerland. Open to participants aged 12 Months to 20 Years. Per ClinicalTrials.gov, last updated 2020-09-18.

Sponsored by Klara M. Pósfay Barbe · Phase 4, Interventional, and Prevention

From the registry’s dates

  • Primary completion was expected by Apr 2022, 4 years 7 months ago, but the record still lists the study as recruiting.
Phase
Phase 4
Study type
Interventional
Enrollment
90
Allocation
Not applicable
Ages
12 Months to 20 Years
Sex
All
01

Study summary

Measles is a vaccine-preventable disease, which can be life-threatening in immunosuppressed children. Currently, measles vaccine is not recommended in pediatric orthotopic liver transplant recipients, because it is a live-attenuated vaccine.

We want to assess the influence of immunosuppression on immunity against measles in previously vaccinated children and to evaluate the induction of B cell and T cell response against measles elicited by vaccination in children at least 12 months after transplantation.

Read the detailed description

Eligible children in Group 2 will receive a standard dose (0.5 ml) of MMR vaccine during the first medical visit (V1). The lot number and the expiration date will both be recorded on the patient's case report form (CRF). A serological evaluation 4-8 weeks after MMR will identify children requiring an additional dose given 1-2 months apart, as currently recommended for subjects 1 year-old or with limited immune competence (i.e. HIV-infected children). Serological evaluation 4-8 weeks after the second dose or at the one-year follow-up will identify eventual non-responder requiring a third dose. Three will be the maximal number of administrated dose according to this protocol. The persistence of measles-specific antibodies will be assessed yearly, when patients come for their routine visit to the transplant center.

Children who do not need MMR immunization because of protective levels will be monitored yearly for maintenance of antibody levels during routine yearly visits/ blood samplings and will not have further intervention.

02

Conditions studied

  • Measles

Keywords

  • Measles
  • Mumps
  • Rubella
  • Pediatric
  • Solid-organ transplant
  • serology
  • vaccine
03

In context

Measles

134 studies on the registry are indexed under Measles; 17 are open to participants now.

This study's planned enrollment of 90 is below the median of 852 across 105 interventional studies indexed under Measles.

Browse Measles studies →

Lead sponsor

Klara M. Pósfay Barbe is the lead sponsor of 2 studies on the registry; 1 is open to participants now.

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

04

Who can participate

Ages eligible
12 Months to 20 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Age ≥ 12 months
  • Measles-specific IgG antibodies negative (\<0.2 IU/L), as detected by the routine ELISA assay
  • ≥ 12 months from the time of transplantation and ≥ 2 months from the time of an acute rejection episode
  • \< 2 mg/kg/day, tacrolimus \< 0.3mg/kg/day and tacrolimus level \< 8 ng/ml for > 1 month.
  • Total lymphocyte count ≥ 750 cells/ul at time of immunization

Exclusion criteria

Exclusion Criteria:

  • Known wild-type measles exposure during the last four weeks
  • Measles-containing immunoglobulins administered within the 5 months preceding the measles vaccine. If the child receives measles-containing Ig before an additional dose of MMR vaccine, he/she will be withdrawn from the study
  • Antiviral agents administered during the last four weeks
  • Febrile illness (>38.5°) in the 72 hours before vaccine administration
  • Chronic aspirin therapy
  • Any other immunization with a during the last four weeks
  • Pregnancy
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Live vaccines

Vaccines made with a weakened form of the germ, such as measles–mumps–rubella (MMR), chickenpox and yellow fever. They can be risky when the immune system is weakened. Flu injections are not live; the nasal flu spray is.

05

Study design

Phase
Phase 4
Primary purpose
Prevention
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
90 participants (estimated)

Study arms

  • Experimental
    MMR vaccination

    MMR vaccine to seronegative pediatric SOT recipients

    Biological: MMR vaccination

Interventions

  • BiologicalMMR vaccination

    Unprotected children will be vaccinated with two MMR vaccines

06

What researchers measure

Primary outcomes

  1. serologic response to MMR vaccine in seronegative transplant recipients

    Pediatric transplant recipients will be vaccinated with MMR vaccine (previously seronegative) and their seroresponse will be measured 2 months later

    Time frame: 2 months after vaccination

Secondary outcomes

  1. Persistance of seroresponse to MMR vaccine

    Seroresponse to MMR vaccine will be followed over time in pediatric transplant recipients

    Time frame: 3 years

Other outcomes

  1. Efficacy of MMR vaccine in pediatric SOT recipients

    Protection against vaccine-preventable diseases will be assessed in pediatric SOT recipients

    Time frame: 3 years

07

Study locations

1 of 1 sites recruiting
08

References and documents

Publications

  • Pittet LF, Verolet CM, McLin VA, Wildhaber BE, Rodriguez M, Cherpillod P, Kaiser L, Siegrist CA, Posfay-Barbe KM. Multimodal safety assessment of measles-mumps-rubella vaccination after pediatric liver transplantation. Am J Transplant. 2019 Mar;19(3):844-854. doi: 10.1111/ajt.15101. Epub 2018 Oct 1. PubMed 30171797 ↗
  • Suresh S, Upton J, Green M, Pham-Huy A, Posfay-Barbe KM, Michaels MG, Top KA, Avitzur Y, Burton C, Chong PP, Danziger-Isakov L, Dipchand AI, Hebert D, Kumar D, Morris SK, Nalli N, Ng VL, Nicholas SK, Robinson JL, Solomon M, Tapiero B, Verma A, Walter JE, Allen UD. Live vaccines after pediatric solid organ transplant: Proceedings of a consensus meeting, 2018. Pediatr Transplant. 2019 Nov;23(7):e13571. doi: 10.1111/petr.13571. Epub 2019 Sep 9. PubMed 31497926 ↗

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of Apr 2013, a primary completion of Apr 2022 and a completion of Oct 2025. It does not say whether these dates are actual or estimated.

How these figures are worked out, and which studies are left out of them.

Registered
Jan 15, 2013
First posted
Jan 17, 2013
Start
Apr 2013
Primary completionEst.
Apr 2022
CompletionEst.
Oct 2025
Last update
Sep 18, 2020
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 18, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01770119
Lead sponsor
Klara M. Pósfay Barbe
Responsible party
Klara M. Pósfay Barbe (Head of Pediatric Infectious Diseases, University Hospital, Geneva) — Sponsor-investigator
First posted
Jan 17, 2013
Start date
Apr 2013
Primary completion
Apr 2022 (estimated)
Completion
Oct 2025 (estimated)
Last update
Sep 18, 2020

Study contacts

Klara M Posfay-Barbe, MD, MS
principal investigator · University Hospitals of Geneva

Oversight

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

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