ClinicalTrials.gg
Active, not recruitingNCT03457194OPTIWINUpdated Jan 31, 2024

Optimising Protection for Pregnant Women and Infants With Maternal Vaccination

An observational study in Obesity, sponsored by Women's and Children's Hospital, Australia. Active, not recruiting at 1 site in Australia. Open to female participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-01-31.

Sponsored by Women's and Children's Hospital, Australia · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
73
Ages
18 Years and older
Sex
Female
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Study summary

This study has been designed to investigate if:

  1. BMI affects the immunogenicity of influenza and pertussis vaccines given during pregnancy.
  2. If pertussis vaccine co-administered with influenza vaccine impacts on the immunogenicity of the influenza vaccine.
  3. If BMI affects transplacental antibody transfer efficiency following maternal vaccinations.
Read the detailed description

A clinical observation study to determine whether obesity during pregnancy is associated with altered immunogenicity of influenza and pertussis vaccines during pregnancy. The study will also assess vaccine specific antibody concentrations in cord blood collected from vaccinated women at the time of delivery to estimate any effect of obesity on transplacental transfer of antibodies and will measure and compare cytokine profiles between obese and non-obese participants to determine any correlation with immune responses. This study will enrol 150 pregnant women (50 obese and 100 non-obese) during 2017-2019 to receive a recommended, licensed influenza vaccine (FluQuadri) as well as pertussis vaccination (Adacel) for women enrolled in their third trimester, as part of routine antenatal care. Local and systemic adverse events will be captured using a 7 day diary card and unexpected or serious adverse events will be recorded for the duration of the study. Blood samples will be collected to measure antigen specific vaccine antibody responses. The proportion of influenza vaccine recipients achieving seroprotective antibody titres at 4 weeks post vaccination and persisting at 6 months post vaccination be compared between obese and non-obese recipients.

02

Conditions studied

  • Obesity

Keywords

  • Obesity
  • Vaccination
  • Pregnancy
  • Influenza
  • Pertussis
  • Maternal antibodies
03

In context

Obesity

11,522 studies on the registry are indexed under Obesity; 2,033 are open to participants now.

This study's enrollment of 73 is below the median of 114 across 2,154 observational studies indexed under Obesity.

Browse Obesity studies →

Lead sponsor

Women's and Children's Hospital, Australia is the lead sponsor of 3 studies on the registry; none are open to participants now.

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

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
Female
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

A total of 150 healthy pregnant women

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

  • Participants who, in the opinion of the study staff, can and will comply with the requirements of the protocol (eg. return for follow-up visits, blood collection etc).
  • Pregnant women aged 18 years and over at the time of vaccination.
  • Able to understand the information sheet and provide a written .

Exclusion criteria

Exclusion Criteria:

  • Any major illness that, in the investigator's judgment, will substantially increase the risk associated with the subject's participation in the study, or interfere with the evaluation of the study objectives.
  • History of serious medical conditions (eg cardiac, respiratory, renal, hepatic disorders, diabetes requiring treatment with insulin).
  • History of seasonal influenza or dTpa vaccination within the last 6 months prior to enrolment.
  • History of any condition or currently on immunosuppressive medication.
  • Any to influenza or dTpa immunisation.
  • Anaphylaxis following a previous dose of any influenza or pertussis containing vaccine.
  • History of anaphylaxis to egg.
  • Past history of Guillain Barre Syndrome.
  • Bleeding diathesis or condition associated with prolonged bleeding that may contraindicate intramuscular injection or blood draw.
  • Receipt of immunoglobulins, blood or blood products within the past 6 months.
Terms in these criteria, in plain language(3)

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.

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.

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.

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Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
73 participants (actual)
Patient registry
No

Groups and cohorts

  • Pregnant women

    150 participants (pregnant women at least 18 years of age and meeting eligibility criteria) will be enrolled and administered the FluQuadri, the quadrivalent influenza vaccine which will be administered by single-dose intramuscular injection. Single-dose intramuscular injection of Adacel - DTP vaccine (multiple actives) will also be administered to all enrolled pregnant women who are at gestation 28 weeks or greater at the time of enrolment. Where the vaccines are to be co-administered, FluQuadri will be administered into the dominant arm and Adacel into the non-dominant arm. Pregnant women will be at a gestation of 20 weeks or greater at the time of enrolment. The vaccines administered are currently licensed and recommended in Australia to be given during pregnancy.

    Biological: Quadrivalent Influenza Vaccine · Biological: DTP Vaccine (Multiple Actives)

Interventions

  • BiologicalQuadrivalent Influenza Vaccine

    Inactivated quadrivalent influenza vaccine that is used for active immunisation against influenza A, B virus strains (contained in vaccine). Single dose administration by intramuscular injection to all enrolled pregnant women as part of routine antenatal care.

    Also known as: FluQuadri

  • Pertussis vaccine acellular combined with diphtheria and tetanus toxoids. Single dose administration by intramuscular injection, to all enrolled pregnant women who are 28 weeks or greater gestation at time of enrolment, as part of routine antenatal care.

    Also known as: Adacel

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What researchers measure

Primary outcomes

  1. Immunogenicity against the 4 influenza strains included in the 2017-2019 Southern Hemisphere Influenza vaccine pre and post vaccination in obese and non-obese women

    1. Hl titres (as measured by Haemagglutination Inhibition Assay). 1. Proportion with antibody titres (HI\>=40) following vaccination.

    Time frame: 1 month post vaccination

Secondary outcomes

  1. Antibodies to pertussis antigens

    1. antibody titres to PRN, PT, FHA (measured by ELISA)

    Time frame: 1 month post vaccination compared with baseline (pre vaccination).

  2. Persistence of antibodies to pertussis antigens

    1. antibody titres to PRN, PT, FHA (measured by ELISA)

    Time frame: 6 months post vaccination.

  3. Persistence of antibodies to the 4 influenza strains included in the 2017-2019

    1. Hl titres (as measured by Haemagglutination Inhibition Assay). 1. Proportion with antibody titres (HI\>=40) following vaccination.

    Time frame: 6 months post vaccination

Other outcomes

  1. Serum cytokines

    Serum cytokine (TNF, IL6, IFNg) concentration (as measured by flow cytometry/ bead array).

    Time frame: 1 month post vaccination

  2. Serum cytokines

    Serum cytokine (TNF, IL6, IFNg) concentration (as measured by flow cytometry/ bead array)

    Time frame: 6 month post vaccination.

  3. birthweight

    weight in grams

    Time frame: delivery of infant

  4. haemagglutination Inhibition Antibody Titres in cord blood

    HI Titre (as measured by Haemagglutination Inhibition Assay)

    Time frame: at delivery of infant

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Study locations

1 site
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References and documents

Individual participant data

Plan to share: No — Individual participant data (IPD) will not be made available to share with other researchers

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 31, 2024, 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
NCT03457194
Lead sponsor
Women's and Children's Hospital, Australia
Responsible party
Professor Helen Marshall (Senior Medical Officer, Director Vaccinology and Immunology Research Trials Unit, Women's and Children's Hospital, Australia) — Principal investigator
First posted
Mar 7, 2018
Start date
Aug 28, 2018
Primary completion
Sep 29, 2023
Completion
Mar 1, 2024 (estimated)
Last update
Jan 31, 2024

Study contacts

Helen S Marshall, MBBS,MD,MPH
principal investigator · Vaccinology and Immunology Research Trials Unit (VIRTU)

Oversight

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

Not currently enrolling

This study is active, not recruiting, as verified in Jan 2024. You cannot join it, but the record below documents what was studied.

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