ClinicalTrials.gg
CompletedNCT02145624iMAP2Updated Oct 1, 2020

A Trial Comparing Two Pertussis-containing Vaccines in Pregnancy and Vaccine Responses in UK Mothers and Their Infants

A Phase 4 interventional study of Repevax and Boostrix-IPV in Responses to Infant Immunisations, sponsored by Public Health England. Completed at 3 sites in United Kingdom. Open to participants aged 16 Years to 45 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2020-10-01.

Sponsored by Public Health England · Phase 4, Interventional, and Prevention

Phase
Phase 4
Study type
Interventional
Enrollment
366
Allocation
Randomized
Ages
16 Years to 45 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 12 studies in Whooping Cough with a site in United Kingdom — none open to participants now, none under way, none of them phase 3. Whooping Cough · United Kingdom.

Started
2014
the only one that year
Phase 4
6 of 12
none open now
Registered
3rd of 12
by date
Lead sponsor
3 of 12
Public Health England

Among the 12 studies in Whooping Cough with a site in United Kingdom, this one is the only one that started in 2014, is one of 6 in phase 4, and was the 3rd registered.

By phase

12 studies; the count open now beside each. This study's row is marked.

Phase 4this study6 · 0 open
Observational3 · 0 open
Phase 22 · 0 open
No phase1 · 0 open

By the year they started

First in 2011; this study’s year is marked. 1 started in 2014.

Size and results

Median enrollment 300 across the 9 interventional studies, 50 across the 3 observational. Of the 7 that completed or were terminated, 2 (29%) have results posted.

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Download CSVWith an account: the 12 studies in Whooping Cough with a site in United Kingdom as a file.
02

Study summary

Due to an unexpectedly high number of infant deaths from whooping cough in 2012, the Department of Health acted to protect newborns between birth and completion of primary immunisations, the period with greatest risk of disease.

Vaccination of pregnant women with whooping cough vaccine in the third trimester of pregnancy was instigated nationally, so that antibodies produced by the Mum would cross the placenta to the unborn child, giving them passive protection at the most vulnerable time. This antibody transfer has been known for some time but has not been compared between the two whooping cough vaccines being used in pregnancy. Any effect the raised antibody might have on infant responses to the vaccines given in the first few months of life has also not been measured. This is particularly important as the infant immunisations include some of the same components as the whooping cough vaccines, which include diphtheria, tetanus and polio. Previous studies have shown that high levels of antibody prior to vaccination may affect subsequent antibody responses. It is therefore important to assess whether administration of the whooping cough vaccine in pregnancy adversely affects the protection afforded by the infant vaccines, particularly to those which are similar, namely tetanus and diphtheria as well as meningitis C and Hib vaccines which include diptheria and tetanus components in their structures. This study will assess immune responses of mothers and their babies (\~200 pairs) to their vaccinations and will allow the comparison of two whooping cough vaccines being used in pregnancy. This will be done by taking small amounts of blood, which is the only way to measure antibody levels (the proxy of the immune response), before and after the vaccinations. A group of unvaccinated women and their babies (50 pairs) will also be recruited to allow comparison of their immune responses.

03

Conditions studied

  • Responses to Infant Immunisations

Browse trials for

Keywords

  • pertussis
  • maternal vaccination
  • maternal immunisation
  • immune response
04

Who can participate

Ages eligible
16 Years to 45 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

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

Pregnant women who, at the time of enrolment

  • are aged 1645 years Infants of the women recruited will also be seen during the study. They will be given their immunisations according to the routine childhood immunisation schedule and will have blood samples collected as detailed in the clinical procedures section of this form. Their inclusion/ exclusion will be as per the Green Book recommendations by the UK Dept of Health.

Exclusion criteria

Exclusion Criteria:

Participants may not be included in the study if any of the following apply:

All women:

  • Bleeding disorder
  • Receipt of any pertussis containing vaccine in the previous 12 months

Women to be vaccinated only (i.e. not the control group):

  • Received immunoglobulin or other blood product within the preceding 3 months
  • Fulfil any of the to vaccination specified in The Green Book on Immunisation (https://www.gov.uk/government/organisations/publichealthenglan d/series/immunisationagainstinfectiousdiseasethegreenbook), including:

    • A confirmed anaphylactic reaction to a previous dose of diphtheria, tetanus, pertussis or poliomyelitis containing vaccine
    • A confirmed anaphylactic reaction to any component of the vaccine
    • A confirmed anaphylactic reaction to a previous dose of diphtheria, tetanus, pertussis or poliomyelitis containing vaccine
    • Temporary Exclusion Criteria If the pregnant woman or the baby has an axillary/aural temperature ≥ 38°C, then vaccination and blood sampling will be postponed until resolution of fever. If the pregnant woman or baby is acutely unwell, vaccination will postponed until resolution. Blood sampling will also be postponed for seven days after completion of any antibiotic course.

Infants will be vaccinated under the routine national immunisation schedule in accordance with the inclusion/ exclusion criteria set out in the Department of Health "Green Book"

Terms in these criteria, in plain language(1)

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.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Phase
Phase 4
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
366 participants (actual)

Study arms

  • Active comparator
    Repevax

    Repevax in pregnancy

    Drug: Repevax

  • Active comparator
    Boostrix-IPV

    Boostrix-IPV in pregnancy

    Drug: Boostrix-IPV

  • No intervention
    unvaccinated

    unvaccinated mothers

Interventions

  • DrugRepevax

    vaccine

    Also known as: Pertussis containing vaccine

  • DrugBoostrix-IPV

    vaccine

    Also known as: Pertussis containing vaccine

06

What researchers measure

Primary outcomes

  1. PT immunogenicity (IgG GMC)

    To compare antiPertussis Toxin (PT) IgG responses following primary immunisation with an acellular pertussiscontaining vaccine in infants born to mothers who received REPEVAX in pregnancy compared to infants whose mothers received BOOSTRIXIPV in pregnancy.

    Time frame: Birth, 2, 5 and 13 months of age

  2. Immunogenicity of pertussis antigens (IgG GMC)

    To compare antibody responses to pertussis antigens (concentration of IgG antibody to PT, pertactin (PRN), filamentous haemagglutinnin (FHA) and fimbrial antigens 2 and 3 (FIM 2 and 3\]), tetanus toxoid and diphtheria toxoid at birth amongst infants born to mothers who received REPEVAX in pregnancy compared to infants whose mothers received BOOSTRIXIPV in pregnancy

    Time frame: Birth, 2, 5 and 13 months of age

  3. Immunogenicity of infant immunisations - pertussis antigens, meningococcal serogroup C, pnuemococcal vaccines at 2, 5 and 13 months of age, (all IgG GMC and SBA GMT for MenC)

    To compare antibody responses to pertussis antigens \[IgG to PT, PRN, FHA and FIM 2 and 3\], Hib antigen \[PRP\], tetanus toxoid and diphtheria toxoid; meningococcal serogroup C serum bactericidal antibody titres and meningococcal serogroup Cspecific IgG concentrations; 13 serotypespecific pneumococcal IgG concentrations and functional pneumococcal antibody studies at 2, 5 and 13 months of age (just before and one month after primary immunization and one month after booster vaccines) in infants born to mothers who received REPEVAX in pregnancy compared to infants whose mothers received BOOSTRIXIPV in pregnancy and compared to infants whose mothers who did not receive pertussis vaccination in pregnancy

    Time frame: Birth, 2, 5 and 13 months of age

Other outcomes

  1. immunogenicity of pnuemococcal conjugate vaccine

    immunogenicity of pnuemococcal conjugate vaccine

    Time frame: birth, 2, 5 13 months

  2. immunogenicity of meningococcal conjugate vaccine

    immunogenicity of meningococcal conjugate vaccine

    Time frame: birth, 2, 5, 13 months

  3. immunogenicity of diphtheria vaccine

    immunogenicity of diphtheria vaccine

    Time frame: borth 2, 5, 13 months

  4. immunogenicity of pertussis vaccination

    immunogenicity of pertussis vaccination

    Time frame: birth, 2, 5, 13 months

07

Study locations

3 sites
  • Gloucestershire
    Gloucestershire, United Kingdom
  • Hertfordshire
    Hertfordshire, United Kingdom
  • St George's Vaccine Institute
    London, United Kingdom
08

References and documents

Publications

  • Jones CE, Calvert A, Southern J, Matheson M, Andrews N, Khalil A, Cuthbertson H, Hallis B, England A, Heath PT, Miller E. A phase IV, multi-centre, randomized clinical trial comparing two pertussis-containing vaccines in pregnant women in England and vaccine responses in their infants. BMC Med. 2021 Jun 8;19(1):138. doi: 10.1186/s12916-021-02005-5. PubMed 34098951 ↗

Related links

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 Oct 2014, a primary completion of Jun 2017 and a completion of Dec 2017. 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
May 13, 2014
First posted
May 23, 2014
Start
Oct 2014
Primary completionActual
Jun 2017
CompletionActual
Dec 2017
Last update
Oct 1, 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 Oct 1, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02145624
Lead sponsor
Public Health England
Collaborators
Institute of Child Health, St George's, University of London
Responsible party
Sponsor
First posted
May 23, 2014
Start date
Oct 2014
Primary completion
Jun 2017
Completion
Dec 2017
Last update
Oct 1, 2020

Study contacts

Elizabeth Coates, PhD
study chair · Public Health England

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Aug 2018. You cannot join it, but the record below documents what was studied.

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