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CompletedNCT03443791CMVUpdated Oct 7, 2026Results posted

Cytomegalovirus (CMV) Vaccines: Reinfection and Antigenic Variation

An interventional study of Women Enrolled and Newborns of Female Study Participants in Cmv Congenital and CMV Viremia, sponsored by University of Alabama at Birmingham. Completed at 1 site in Brazil. Open to participants aged 1 Hour to 35 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-10-07.

Sponsored by University of Alabama at Birmingham · Not applicable, Interventional, and Other

Updated Oct 7, 2026Results postedStudy documents posted+2 moreGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
121
Allocation
Non-randomized
Ages
1 Hour to 35 Years
Sex
All
01

Where this study stands

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

Among 12 studies in Cytomegalovirus Infections with a site in Brazil — 1 open to participants now, 1 under way, none of them phase 3. Cytomegalovirus Infections · Brazil.

Started
2022
the only one that year
No phase
Only one
of the 12
Registered
10th of 12
by date
Lead sponsor
1 of 12
University of Alabama at Birmingham

Among the 12 studies in Cytomegalovirus Infections with a site in Brazil, this one is the only one that started in 2022, is the only one with no phase, and was the 10th registered.

By phase

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

Observational5 · 1 open
Phase 45 · 0 open
No phasethis study1 · 0 open
Phase 31 · 0 open

By the year they started

First in 2004; this study’s year is marked. 1 started in 2022.

Size and results

Median enrollment 250 across the 7 interventional studies, 150 across the 5 observational. Of the 8 that completed or were terminated, 3 (38%) have results posted.

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Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 12 studies in Cytomegalovirus Infections with a site in Brazil, or all of them as a file.
02

Study summary

The objectives of the protocol are to determine if a structured cognitive-behavioral interventional counseling of pregnant women can limit acquisition of human cytomegalovirus (HCMV) during pregnancy that we believe, will in turn decrease the incidence of congenital HCMV infections in this highly seroimmune population. Previously, investigators have demonstrated the success of a similar approach in pregnant women without previous evidence of HCMV infection (non-immune women) but to date, there is no evidence that such an approach will alter the incidence of congenital HCMV infections in seroimmune women. This protocol will take advantage of recently derived data in this maternal population that has identified sources HCMV exposure in women in this population and thus provided new insight into targeted counseling interventions that could limit maternal acquisition of HCMV. The primary endpoints of this study will be a 50% reduction in the overall incidence of congenital HCMV infections in this maternal population with secondary endpoints being efficient uptake of behavioral recommendations and modifications of simple hygiene behaviors that have previously been shown to decrease exposure and acquisition of HCMV.

Read the detailed description

The proposed cognitive-behavioral intervention protocol to modify the risk of exposure and acquisition of HCMV in pregnant women will include a two components. The first component of the trial will consist of a pilot study in which 100 women enrolled in the parent study will be asked to participate in this substudy. We will target women with young children in the household and households with more than 5 inhabitants as these two characteristics have been shown to be associated with virus excretion in pregnant women in this population, and by inference, exposure and acquisition of HCMV during pregnancy in this maternal population. Women will be counseled at enrollment utilizing both a brief counseling session that will provide basic information about HCMV and congenital HCMV (cCMV) infections, and an individualized behavioral skills session. A take home packet describing the; (i) cCMV infections, (ii) routes of virus acquisition/spread and measures to limit virus spread, and (iii) guidance in behavior modifications to reduce risk of exposures and infection with HCMV will be provided. Enrollees will be seen during their following prenatal visits and asked to complete a questionnaire that will include a self-assessment of adherence to recommended risk reduction behaviors, understanding of routes of HCMV transmission, and importantly, the burden of introducing recommended risk reduction practices into their daily routines. In addition, we will poll these women on the most effective components of the cognitive-behavioral intervention pilot. Data derived from these questionnaires will represent the outcome of this pilot study and will permit us to modify the strategy that will be deployed in the larger intervention trial.

The second component will consist of a larger trial of cognitive-behavioral intervention trial to limit HCMV exposure and acquisition in pregnant women in this maternal population. Women \ will complete a standard questionnaire that will provide demographics such as description of housing, number of people in household, number and ages of children. Information will also be gathered on number and age of sexual partners, previous STIs, and if partner currently resides in household. Standard of care counseling will include discussion of sources of infections and routes of acquisition. After enrollment, women will be randomized to standard of care of counseling or the HCMV exposure risk reduction intervention strategy by assignment of every other enrollee to the intervention cohort. Women enrolled in the exposure risk reduction intervention will receive standard of care and receive an individualized behavioral skills session from a trained nurse or health educator (see following section). As part of enrollment in this study, all women will provide permission to screen their newborn infants or any specimens from miscarriages or fetal loss for HCMV infection. Samples of prenatal blood specimens collected as part of routine care will be stored for future use and enrollment saliva swab, vaginal swab, and urine will be obtained and stored for studies of viral load and baseline viral genomic diversity. The behavioral intervention group will also watch a short video detailing basic information about HCMV, the natural history of HCMV infections (sources and routes of transmission), and consequences of maternal infection during pregnancy to the outcomes of pregnancy. Within this video will be explicit and specific descriptions of exposures, such as kissing young children on the mouth, handling objects that have been or could have been in the mouths of young children, and the importance of hygiene after exposure to urine during diaper changing. After viewing the video, a nurse (or health educator) specifically trained to reinforce the information in the video will provide a brief behavioral skills session, and distribute a take home packet containing an information pamphlet. Study participants will receive weekly brief text messages for the initial 12 weeks to deliver reminders of recommended behaviors to limit risks of exposures. To power this study for a 50% difference in the outcome of pregnancy (delivery of a infant with cCMV infection) in a population with the incidence of cCMV of 0.6%, we have estimated that 4300 women will be required. Between the two hospitals and clinics that serve the population in this study, approximately 4700 deliveries take place per year. Our plan is to enroll patients over 2 years, thus we believe that we can enroll 5,000 women in this study.

03

Conditions studied

  • Cmv Congenital
  • CMV Viremia

Keywords

  • CMV
  • Congenital Birth
  • Infectious Diseases
04

Who can participate

Ages eligible
1 Hour to 35 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

  • Women in Ribeirao Preto who receive maternity care through the Hospital Das Clinicas, University of São Paulo and the Mater Hospital
  • enrollment in prenatal care before 23 weeks gestation

Exclusion criteria

Exclusion:

  • late enrollment in prenatal care, after 23 weeks gestation
  • known major fetal anomalies or demise
  • planned termination of pregnancy
  • intention of the patient to deliver at a non-study hospital
  • referral for high risk prenatal care
05

Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Non-randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
121 participants (actual)

Study arms

  • Experimental
    women enrolled

    pregnant women enrolled in trial

    Diagnostic Test: Women Enrolled

  • Other
    newborns of female study participants

    newborns will be tested to determine if virus is present.

    Diagnostic Test: Newborns of Female Study Participants

Interventions

  • Diagnostic testWomen Enrolled

    Diagnostic Testing will be performed. Results of individual test results will determine the degree of intervention offered.

  • Diagnostic testNewborns of Female Study Participants

    Newborns will be tested after birth as soon as possible for CMV positivity.

06

What researchers measure

Primary outcomes

  1. Percent of Participants That Received Educational Material.

    Participants were provide a pamphlet of general educational material regarding their pregnancy.

    Time frame: Baseline (first appointment)

Secondary outcomes

  1. The Number of Particpants That Completed an Interview About the Eduational Material.

    Participants received an in-person interview at the end of pregnancy about the instructional material provided at the beginning of the study.

    Time frame: 39 weeks

07

Results

Posted Oct 7, 2026

Participant flow

Phase 1: Pilot (Observational): 6 months
Participant flow — Phase 1: Pilot (Observational): 6 months
MilestonePhase 1:PilotPhase 2: Intervention
Started1210
Completed1210
Not completed00
Phase 2 : 12 months
Participant flow — Phase 2 : 12 months
MilestonePhase 1:PilotPhase 2: Intervention
Started00
Completed00
Not completed00

Outcome measures

SecondaryThe Number of Particpants That Completed an Interview About the Eduational Material.

Participants received an in-person interview at the end of pregnancy about the instructional material provided at the beginning of the study.

Time frame:
39 weeks
Reported as:
Count of participants · Participants
The Number of Particpants That Completed an Interview About the Eduational Material.
ParticipantsWomen Enrolled
The Number of Particpants That Completed an Interview About the Eduational Material.121
PrimaryPercent of Participants That Received Educational Material.

Participants were provide a pamphlet of general educational material regarding their pregnancy.

Time frame:
Baseline (first appointment)
Reported as:
Count of participants · Participants
Percent of Participants That Received Educational Material.
ParticipantsWomen Enrolled
Percent of Participants That Received Educational Material.121 ± 35.21

Adverse events

Collected over 39 weeks. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Women Enrolled0/121 (0%)0/121 (0%)0/121 (0%)

Baseline characteristics

Newborns were not part of clinical trial but were screened routinely as all newborns in this hospital are screened. The Phase 2 intervention had no participants and is not shown below, additional no neonate were enrolled in Phase 2.

Age, Categorical
Age, Categorical(Participants)Women Enrolled
<=18 years33
Between 18 and 65 years88
>=65 years0
Sex: Female, Male
Sex: Female, Male(Participants)Women Enrolled
Female121
Male0
Race and Ethnicity Not Collected
Race and Ethnicity Not Collected(Participants)Women Enrolled
Region of Enrollment
Region of Enrollment(Participants)Women Enrolled
Brazil121
08

Study locations

1 site
  • University of Sao Paulo
    São Paulo, Brazil
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

10

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Sep 2022 to primary completion in Dec 2025, 39 months.

Results were first posted in Oct 2026, 10 months after primary completion.

Of 23 interventional studies with no phase under Cytomegalovirus Infections, half reached primary completion within 40 months of starting (the median), counting those still running; a quarter within 24 and three quarters within 56. This study's 39 months is close to that.

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

Registered
Feb 19, 2018
First posted
Feb 23, 2018
StartActual
Sep 1, 2022
Primary completionActual
Dec 1, 2025
CompletionActual
Dec 1, 2025
Results first posted
Oct 7, 2026
Last update
Oct 7, 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.
Results
Results posted
posted Oct 7, 2026
Enrollment
200→121
Oct 7, 2026
Primary outcomes
1 edited
What changed in the outcomes
  • ChangedBefore A 50% reduction in the overall incidence of congenital HCMV infections in this maternal populationNow Percent of Participants That Received Educational Material.Time frame: baseline through 60 months → Baseline (first appointment)
Oct 7, 2026
Documents
Secondary outcomes
1 edited
What changed in the outcomes
  • ChangedBefore efficient uptake of behavioral recommendations and modifications of simple hygiene behaviorsNow The Number of Particpants That Completed an Interview About the Eduational Material.Time frame: baseline through 60 months → 39 weeks
Oct 7, 2026
Show all 1 update
  1. Oct 7, 2026
    Results posted
    Enrollment 200→121
    Primary outcomes 1 edited
    What changed in the outcomes
    • ChangedBefore A 50% reduction in the overall incidence of congenital HCMV infections in this maternal populationNow Percent of Participants That Received Educational Material.Time frame: baseline through 60 months → Baseline (first appointment)
    Secondary outcomes 1 edited
    What changed in the outcomes
    • ChangedBefore efficient uptake of behavioral recommendations and modifications of simple hygiene behaviorsNow The Number of Particpants That Completed an Interview About the Eduational Material.Time frame: baseline through 60 months → 39 weeks
    + 5 other changes: identifiers, verification date, responsible party, index terms and registry notes

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

11

Registry details

Key details

Study ID
NCT03443791
Responsible party
William J. Britt (Professor, University of Alabama at Birmingham) — Principal investigator
First posted
Feb 23, 2018
Start date
Sep 1, 2022
Primary completion
Dec 1, 2025
Completion
Dec 1, 2025
Results posted
Oct 7, 2026
Last update
Oct 7, 2026

Study contacts

William J. Britt, MD
principal investigator · The University of Alabama at Birmingham

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Sep 2026. You cannot join it, but the record below documents what was studied.

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