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CompletedNCT02325310BREMEAVACUpdated Mar 30, 2026

Search for the Measles Vaccine Virus Excretion in Breast Milk of Breastfeeding Women After Postpartum Vaccination With MMR

A Phase 4 interventional study of Combined measles-mumps-rubella (MMR) vaccine - PRIORIX® in Measles, Rubella and Mumps, sponsored by Assistance Publique - Hôpitaux de Paris. Completed at 1 site in France. Open to participants aged 18 Years to 36 Years. Per ClinicalTrials.gov, last updated 2026-03-30.

Sponsored by Assistance Publique - Hôpitaux de Paris · Phase 4, Interventional, and Prevention

Phase
Phase 4
Study type
Interventional
Enrollment
14
Allocation
Not applicable
Ages
18 Years to 36 Years
Sex
All
01

Study summary

In order to assess the safety of breastfed infants after their mother's postpartum immunization with a combined measles-mumps-rubella (MMR) vaccine, the purpose of this study is to investigate whether measles vaccine strain is excreted in breast milk of breastfeeding women with negative rubella and measles serologies.

Read the detailed description

This is a multicentre prospective study, to evaluate the safety of infant from 50 breastfeeding women, analyzable for primary endpoint, after postpartum immunization with MMR vaccine.

During the screening period, eligibility will be determined based on the inclusion and exclusion criteria. Medical records of pregnant women will be screened by study investigators, who will then propose to the woman to participate to the study during a phone call or a follow-up visit. Screening visit could take place 4 months before delivery planned date up until the day of delivery.

The investigator will explain the study to the woman. A copy of the informed consent documents will be given to the woman for reading and for further information about the study (by email, by post, or personally).

If the woman is willing to participate to the study and after she had given her screening informed consent, a blood sample for measles serological analysis will be drawn.

After signing the consent, women meeting all the inclusion criteria and none of the exclusion criteria will be vaccinated in post partum and before the exit of the maternity at day 0.

Each woman will have a blood draw at day 0 and breast milk samples as well as urine samples at the hospital at day 0 before vaccination.

Each included woman will also provide breast milk and urine home samples at days 7, 11 and 14 after vaccination. Reminder calls will be performed at days 7, 11 and 14 after vaccination.

Women will then be followed and vaccinated 8 weeks after the first vaccination, visit V1.

Each infant will be followed during 8 weeks. An optional blood sample for immunological analysis will be drawn at week 8 (visit v1). Informed consent form signed by the person(s) holding parental authority (both parents or mother only if the father has no parental authority) is needed for the infant to be included as well.

Diary cards will be used to follow the infant and the mother. If Infant and/or mother develop(s) suspected measles symptom(s), they will be evaluated by a study physician as soon as possible, preferably within 24 to 72 hours of acute measles symptom(s) onset.

In case of mother symptoms, infant will be also seen by a physician during mother's supplementary visit.

The visit at day 0 (V0) of the study will be performed at the maternity. The other visits, screening visit, V1 and supplementary visit (SV), will be performed either at the maternity or at the corresponding CIC if applicable. Home samples at 7, 11 and 14 days after vaccination will be directly sent at the laboratory of virology at Limoges. Home sampling can also be performed at the maternity or CIC according to their internal organization.

02

Conditions studied

  • Measles
  • Rubella
  • Mumps

Keywords

  • Vaccine strain excretion in breast milk
  • Postpartum vaccination
  • Breastfeeding women
  • Measles-mumps-rubella vaccine
  • Breast milk
  • Vaccinology
03

In context

Measles

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

This study's enrollment of 14 is below the median of 852 across 105 interventional studies indexed under Measles.

Browse Measles studies →

Lead sponsor

Assistance Publique - Hôpitaux de Paris is the lead sponsor of 3,592 studies on the registry; 1,033 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 36 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

Women:

  • Pregnant woman
  • Age ≥ 18 years
  • Planning to breastfeed her infant (mixed feeding is allowed)
  • Having a negative serology for rubella during pregnancy
  • Negative serology for measles based on the result from local laboratory
  • Affiliated to a social security regimen

Infants:

  • form signed by the person(s) holding parental authority.
  • Term newborn (≥36LMP)

Exclusion criteria

Exclusion Criteria:

Women:

  • Woman having a multiple pregnancy
  • Woman planning to get pregnant in the month following the 2nd vaccination
  • Woman with known or suspected infection
  • Woman with known or suspected immunodeficiency
  • Woman with family history of hereditary immune deficiency
  • Woman not mastering enough the reading / understanding of the French language to be able to consent to participate to the study
  • Woman incapable to follow the procedures of the study and to respect study visits for the whole period of the study.
  • Woman with for MMR vaccination:

    • Scarce hereditary problems of fructose intolerance
    • Woman with history of to the active substances or to any of the of the vaccine
    • Administration of human gammaglobulins in the past 3 to 11 months depending on the dose of human globulins administered (except for Rhophylac®)
    • Acute severe febrile illness within 7 days prior to injection
  • Woman under systemic (prednisone, or equivalent ≥10 mg/day) within the previous 15 days or planning to use corticosteroids (i.e. prednisone, or equivalent ≥10 mg/day) during the 15 days following vaccination
  • Woman under therapy within the previous 3 months before vaccination or planning to use immunosuppressive therapy during the 15 days following vaccination Woman participating in any clinical trial with another product 28 days prior to visit V0 or intent to participate in another clinical study with another investigational product at any time during the conduct of this study
  • Any other reason which, according to the investigator, may interfere with the evaluation of the study objectives
  • Woman with documented history of measles vaccination (1 or 2 doses) and/or history of documented measles

Infants:

  • Blood draw is contraindicated or cannot be performed
  • Infant with family history of hereditary immune deficiency
  • Infant with suspected or confirmed immunodeficiency
  • Any other reason which, according to the investigator, may interfere with the evaluation of the study objectives
Terms in these criteria, in plain language(8)

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

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.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

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.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

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

Study arms

  • Experimental
    Breastfeeding women

    70 breastfeeding women meeting all the inclusion criteria and none of the exclusion criteria will be immunized with MMR vaccine in postpartum (before the exit of the maternity)

    Biological: Combined measles-mumps-rubella (MMR) vaccine - PRIORIX®

Interventions

  • BiologicalCombined measles-mumps-rubella (MMR) vaccine - PRIORIX®

    One dose of 0.5 mL vaccine will be administered (intra-muscularly or subcutaneous) in post-partum (before the exit of the maternity) during visit V0. A second dose will be administered at week 8(+/-15 days) during visit V1.

06

What researchers measure

Primary outcomes

  1. Prevalence of the measles vaccine virus strain in breast milk.

    Number of women with positive RT-PCR for measles vaccine virus strain in breast milk for at least one sample from day 7, 11 and 14 after postpartum vaccination with a combined measles-mumps-rubella (MMR) vaccine. RT PCR will be considered positive if the measurements exceed the limit of detection of 10 copies of genome per reaction

    Time frame: day 7 after the first vaccination.

  2. Prevalence of the measles vaccine virus strain in breast milk.

    Number of women with positive RT-PCR for measles vaccine virus strain in breast milk for at least one sample from day 7, 11 and 14 after postpartum vaccination with a combined measles-mumps-rubella (MMR) vaccine. RT PCR will be considered positive if the measurements exceed the limit of detection of 10 copies of genome per reaction

    Time frame: day 11 after the first vaccination.

  3. Prevalence of the measles vaccine virus strain in breast milk.

    Number of women with positive RT-PCR for measles vaccine virus strain in breast milk for at least one sample from day 7, 11 and 14 after postpartum vaccination with a combined measles-mumps-rubella (MMR) vaccine. RT PCR will be considered positive if the measurements exceed the limit of detection of 10 copies of genome per reaction

    Time frame: day 14 after the first vaccination.

Secondary outcomes

  1. Number of infants with reported clinical symptoms of measles

    Evaluation of the clinical impact of MMR vaccination in breastfeeding infant

    Time frame: At V1 Visit (8 weeks +/- 15 days)

  2. Number of infants with reported clinical symptoms of measles

    Evaluation of the clinical impact of MMR vaccination in breastfeeding infant from data reported in the infant diary card (DiCa).

    Time frame: Between V0 visit and V1 visit (8 weeks +/- 15 days) after the first MMR vaccination

  3. Number of women with reported clinical symptoms of measles

    Evaluation of the clinical impact of MMR vaccination in breastfeeding infant from mother clinical data

    Time frame: V1 Visit (8 weeks +/- 15 days) after the first MMR vaccination

  4. Number of women with reported clinical symptoms of measles

    Evaluation of the clinical impact of MMR vaccination in breastfeeding infant from mother clinical data repoted in the diary card (DiCa).

    Time frame: Between V0 visit and V1 visit (8 weeks +/- 15 days) after the first MMR vaccination

  5. Number of infants with positive measles serology (IgM)

    Evaluation of the immunological impact of MMR vaccination in breastfeeding infant.

    Time frame: V1 visit (8 weeks +/- 15 days) after the first MMR vaccination

  6. Number of women with positive RT-PCR for measles vaccine virus strain in urine in at least one sample

    For detection of measles vaccine strain excretion in urine of breastfeeding women, the number of women, with negative rubella and measles serologies with positive RT-PCR for measles vaccine virus strain in urine for at least one sample from day 7, 11 and 14 after postpartum vaccination with a combined measles-mumps-rubella (MMR) vaccine will be assessed. RT PCR will be considered positive if the measurements exceed the limit of detection of 10 copies of genome per reaction

    Time frame: At day 7 after the first vaccination.

  7. Number of women with positive RT-PCR for measles vaccine virus strain in urine in at least one sample

    For detection of measles vaccine strain excretion in urine of breastfeeding women, the number of women, with negative rubella and measles serologies with positive RT-PCR for measles vaccine virus strain in urine for at least one sample from day 7, 11 and 14 after postpartum vaccination with a combined measles-mumps-rubella (MMR) vaccine will be assessed. RT PCR will be considered positive if the measurements exceed the limit of detection of 10 copies of genome per reaction

    Time frame: At day 11 after the first vaccination.

  8. Number of women with positive RT-PCR for measles vaccine virus strain in urine in at least one sample

    For detection of measles vaccine strain excretion in urine of breastfeeding women, the number of women, with negative rubella and measles serologies with positive RT-PCR for measles vaccine virus strain in urine for at least one sample from day 7, 11 and 14 after postpartum vaccination with a combined measles-mumps-rubella (MMR) vaccine will be assessed. RT PCR will be considered positive if the measurements exceed the limit of detection of 10 copies of genome per reaction

    Time frame: At day 14 after the first vaccination.

  9. Quantification of the measles vaccine virus strain presented in breast milk in at least one sample

    In case of detection of measles vaccine virus strain excretion in breast milk, RT-PCR quantification measure of measles vaccine virus strain in woman breastmilk will be performed.

    Time frame: At day 7 after the first vaccination.

  10. Quantification of the measles vaccine virus strain presented in breast milk in at least one sample

    In case of detection of measles vaccine virus strain excretion in breast milk, RT-PCR quantification measure of measles vaccine virus strain in woman breastmilk will be performed.

    Time frame: At day 11 after the first vaccination.

  11. Quantification of the measles vaccine virus strain presented in breast milk in at least one sample

    In case of detection of measles vaccine virus strain excretion in breast milk, RT-PCR quantification measure of measles vaccine virus strain in woman breastmilk will be performed.

    Time frame: At day 14 after the first vaccination.

  12. Microscopy assessment of the infectious activity of the measles vaccine virus presented in breast milk in at least one sample.

    In case of detection of measles vaccine virus strain excretion in breast milk. The evaluation of the infectious activity of the measles vaccine virus will be performed using an in vitro infectivity assay. A result will be considered as positive when at least one positive fluorescent cell is detected.

    Time frame: At day 7

  13. Microscopy assessment of the infectious activity of the measles vaccine virus presented in breast milk in at least one sample.

    In case of detection of measles vaccine virus strain excretion in breast milk. The evaluation of the infectious activity of the measles vaccine virus will be performed using an in vitro infectivity assay. A result will be considered as positive when at least one positive fluorescent cell is detected.

    Time frame: At day 11 after the first vaccination.

  14. Microscopy assessment of the infectious activity of the measles vaccine virus presented in breast milk in at least one sample.

    In case of detection of measles vaccine virus strain excretion in breast milk. The evaluation of the infectious activity of the measles vaccine virus will be performed using an in vitro infectivity assay. A result will be considered as positive when at least one positive fluorescent cell is detected.

    Time frame: At day 14 after the first vaccination.

  15. Number of infant with positive salivary IgM/IgG

    Time frame: one year after the first vaccination

07

Study locations

1 site
  • Cochin Port Royal Hospital - Centre d'Investigation Clinique Cochin-Pasteur
    Paris, 75014, France
08

References and documents

Publications

  • Alain S, Dommergues MA, Jacquard AC, Caulin E, Launay O. State of the art: Could nursing mothers be vaccinated with attenuated live virus vaccine? Vaccine. 2012 Jul 13;30(33):4921-6. doi: 10.1016/j.vaccine.2012.05.047. Epub 2012 May 31. PubMed 22659446 ↗
  • Chen LH, Zeind C, Mackell S, LaPointe T, Mutsch M, Wilson ME. Yellow fever virus transmission via breastfeeding: follow-up to the paper on breastfeeding travelers. J Travel Med. 2010 Jul-Aug;17(4):286-7. doi: 10.1111/j.1708-8305.2010.00430.x. No abstract available. PubMed 20636609 ↗
  • Losonsky GA, Fishaut JM, Strussenberg J, Ogra PL. Effect of immunization against rubella on lactation products. I. Development and characterization of specific immunologic reactivity in breast milk. J Infect Dis. 1982 May;145(5):654-60. doi: 10.1093/infdis/145.2.654. PubMed 7077089 ↗
  • Losonsky GA, Fishaut JM, Strussenberg J, Ogra PL. Effect of immunization against rubella on lactation products. II. Maternal-neonatal interactions. J Infect Dis. 1982 May;145(5):661-6. doi: 10.1093/infdis/145.2.661. PubMed 7077090 ↗
09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Feb 2015 to primary completion in May 2016, 14 months.

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

Registered
Dec 19, 2014
First posted
Dec 24, 2014
StartActual
Feb 4, 2015
Primary completionActual
May 3, 2016
CompletionActual
Nov 1, 2017
Last update
Mar 30, 2026
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 Mar 30, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02325310
Collaborators
Service de Bactériologie-Virologie-Hygiène, CHU Limoge, GO-CIC network (Réseau Gynéco-Obstetrical des Centres d'Investigation Clinique), REIVAC network (Réseau National d'Investigation Clinique en Vaccinologie), URC-CIC Paris Descartes Necker Cochin
Responsible party
Sponsor
First posted
Dec 24, 2014
Start date
Feb 4, 2015
Primary completion
May 3, 2016
Completion
Nov 1, 2017
Last update
Mar 30, 2026

Study contacts

Odile Launay, MD, PhD
study director · Assistance Publique - Hôpitaux de Paris

Oversight

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

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