ClinicalTrials.gg
Not yet recruitingNCT05477953Updated Jul 6, 2026

An Observational Pregnancy Safety Study in Women Who Were Exposed to the Drug Nifurtimox During Pregnancy to Learn About the Risk of Pregnancy Complications and About the Mother's and Baby's Health

An observational study in Chagas Disease, sponsored by Bayer. Not yet recruiting at 12 sites in 12 countries. Open to female participants. Per ClinicalTrials.gov, last updated 2026-07-06.

Sponsored by Bayer · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
50
Sex
Female
01

Study summary

This is an observational study in which data from women with Chagas disease who will take or have already taken nifurtimox during pregnancy and the impact on their babies are studied.

Chagas disease is an inflammatory, infectious disease caused by the parasite Trypanosoma cruzi. This parasite is mainly spread by insects called triatomine bug. If Chagas disease is left untreated, it can later cause e.g. serious heart and digestive problems.

Nifurtimox has been used for more than 50 years to treat Chagas disease in children and adults.

It is not recommended to be used during pregnancy as data from animal studies indicate that it may harm the baby. Currently, there are not enough data to know if this is also the case in humans.

In this study, researchers want to collect data on the safety of nifurtimox use in pregnant women. To do this, researchers will collect the following information:

  • Birth defects (abnormal and problematic structures or functions, a child is born with)
  • Pregnancy outcomes (like live birth, preterm birth, still birth/death of the unborn baby, miscarriage, or abortion)
  • Certain health problems of the child up to 12 months of age
  • Certain health problems of the women experienced during pregnancy The data will be collected from different sources including telephone calls with the women or their doctor, CRFs (case reprt forms) or from medical records The researchers will compare the proportion of children with birth defects, pregnancy outcomes or certain health problems of the child or the women during pregnancy with available data on these outcomes in the general population.

The study will run for approximately 10 years.

02

Conditions studied

  • Chagas Disease

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03

In context

Chagas Disease

73 studies on the registry are indexed under Chagas Disease; 5 are open to participants now.

This study's planned enrollment of 50 is below the median of 120 across 21 observational studies indexed under Chagas Disease.

Browse Chagas Disease studies →

Lead sponsor

Bayer is the lead sponsor of 1,674 studies on the registry; 51 are open to participants now.

Of its 214 completed or terminated interventional studies of FDA-regulated products, 132 (62%) have results posted.

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

04

Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
Female
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

The study will actively pursue and attempt to capture all nifurtimox exposures during pregnancy that occur in all countries where nifurtimox is approved to be marketed by Bayer.

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

  • Females exposed to at least 1 dose of nifurtimox at any time during pregnancy (i.e., from the first day of the last menstrual period / time of conception to pregnancy outcome).
  • Written (for adolescents under the age of majority, written informed assent by the pregnant minor (where applicable) and written informed consent by the parent/legal guardian).

Exclusion criteria

Exclusion Criteria:

  • None
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.

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.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
50 participants (estimated)
Patient registry
No

Groups and cohorts

  • Pregnant women exposed to nifurtimox

    The study will examine the effects of nifurtimox on fetuses, neonates and infants through 12 months of age who were exposed to nifurtimox in utero and maternal complications of pregnancy in women who were exposed to at least one dose of nifurtimox during pregnancy.

    Drug: Nifurtimox (BAYA2502)

Interventions

06

What researchers measure

Primary outcomes

  1. Major Congenital Malformations (birth defects)

    1. any major structural defect diagnosed with signs/symptoms, using the selected major congenital anomalies list extracted from the Birth defects surveillance: a manual, CDC. 2. on a case-by-case basis, through evaluator review and agreement from external advisors (if required), any structural defect (that satisfy criterion 1 or 2) detected in the prenatal evaluation of a pregnancy or in the gross or pathologic examination of an abortus, fetus, or deceased infant will be included, if available, to increase the sensitivity of pregnancy study monitoring

    Time frame: Up to pregnancy week 40

Secondary outcomes

  1. Events of Interest in Neonates and Infants through 12 Months of Age: Hospitalizations for serious illness

    Time frame: Up to 12 months of age

  2. Events of Interest in Neonates and Infants through 12 Months of Age: Medications

    Time frame: Up to 12 months of age

  3. Events of Interest in Neonates and Infants through 12 Months of Age: Growth and development milestones

    Apgar Scale, CDC Growth Calculators, Cognitive Checklists, ASD (autism spectrum disorder) Tool

    Time frame: Up to 12 months of age

  4. Events of Interest in Neonates and Infants through 12 Months of Age: Neonatal or infant mortality

    Time frame: Up to 12 months of age

  5. Maternal Complications: Premature rupture of membranes (PROM)

    Time frame: Up to pregnancy week 40

  6. Maternal Complications: Preeclampsia

    Time frame: Up to pregnancy week 40

  7. Maternal Complications: Severe pregnancy-induced hypertension (PIH)

    Time frame: Up to pregnancy week 40

  8. Maternal Complications: Proteinuria

    Time frame: Up to pregnancy week 40

  9. Maternal Complications: Gestational diabetes

    Time frame: Up to pregnancy week 40

  10. Maternal Complications: Measures of fetal growth deficiency (small for gestational age)

    Time frame: Up to pregnancy week 40

  11. Spontaneous abortion

    Any loss of a fetus due to natural causes less than 20 weeks gestation as a spontaneous abortion (WHO/CDC/ICBDSR, 2014). If available, data from gross or pathological examination of the abortus or fetus will be evaluated for structural defects.

    Time frame: Up to 20 weeks

  12. Elective/Induced abortion

    Elective or induced abortion is the termination of pregnancy through medical or surgical procedures (ACOG, 2014) (WHO, 2014) If available, data from gross or pathological examination of the abortus or fetus will be evaluated for structural defects.

    Time frame: Up to pregnancy week 40

  13. Fetal death/Still birth

    Fetal death or stillbirth refers to fetuses born dead at \> 20 weeks gestation or weighing \> 500 grams. Fetal death occurring \> 20 weeks but less than 28 weeks gestation is considered an early fetal loss. Fetal death occurring \> 28 weeks is considered a late fetal loss (ACOG, 2014). If available, data from gross or pathological examination of the abortus or fetus will be evaluated for structural defects. • The study will make the final classification between fetal death/still birth and spontaneous abortion based on gestational age and weight. If these parameters are not available, the study will accept the classification indicated by the HCP.

    Time frame: More than 20 weeks gestation or weighing less than 500 grams

  14. Preterm delivery

    Births delivered prior to 37 completed weeks of gestation per 100 births. Gestational age is based on the obstetric estimate of gestation (CDC).

    Time frame: Prior to 37 completed weeks of gestation

  15. Live Birth

    A live birth refers to a complete expulsion from its mother of a surviving neonate breathing or showing any evidence of life such as a heartbeat, umbilical cord pulsation, or definite movement of voluntary muscles, whether the umbilical cord has been cut or the placenta is attached (WHO, 2014).

    Time frame: Up to pregnancy week 40

  16. Ectopic or Molar Pregnancy

    Any reported ectopic or molar pregnancy will be sub-classified in the respective pregnancy outcome including induced abortion, live birth, or spontaneous pregnancy loss. CDC National Center for Health Statistics surveillance system (NCHS, 2004 ).

    Time frame: Up to pregnancy week 40

07

Study locations

12 sites
  • Many Locations
    Multiple Locations, West Virginia 26505, United States
  • Many Locations
    Multiple Locations, Argentina
  • Many Locations
    Multiple Locations, Bolivia
  • Many Locations
    Multiple Locations, Chile
  • Many Locations
    Multiple Locations, Colombia
  • Many Locations
    Multiple Locations, El Salvador
  • Many Locations
    Multiple Locations, Germany
  • Many Locations
    Multiple Locations, Guatemala
  • Many locations
    Multiple Locations, Honduras
  • Many Locations
    Multiple Locations, Mexico
  • Many Locations
    Multiple Locations, Spain
  • Many Locations
    Multiple Locations, Uruguay
08

References and documents

Individual participant data

Plan to share: No — Availability of this study's data will later be determined according to Bayer's commitment to the EFPIA/PhRMA "Principles for responsible clinical trial data sharing". This pertains to scope, timepoint and process of data access. As such, Bayer commits to sharing upon request from qualified researchers patient-level clinical trial data, study-level clinical trial data, and protocols from clinical trials in patients for medicines and indications approved in the US and EU as necessary for conducting legitimate research. This applies to data on new medicines and indications that have been approved by the EU and US regulatory agencies on or after January 01, 2014. Interested researchers can use www.vivli.org to request access to anonymized patient-level data and supporting documents from clinical studies to conduct research. Information on the Bayer criteria for listing studies and other relevant information is provided in the member section of the portal.

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Start is estimated for Dec 2026; primary completion for Jan 2032, 61 months later.

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

Registered
May 19, 2022
First posted
Jul 28, 2022
StartEst.
Dec 31, 2026
Primary completionEst.
Jan 31, 2032
CompletionEst.
Jan 31, 2032
Last update
Jul 6, 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 Jul 6, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05477953
Lead sponsor
Bayer
Responsible party
Sponsor
First posted
Jul 28, 2022
Start date
Dec 31, 2026 (estimated)
Primary completion
Jan 31, 2032 (estimated)
Completion
Jan 31, 2032 (estimated)
Last update
Jul 6, 2026

Study contacts

Bayer Clinical Trials Contact
Contact
clinical-trials-contact@bayer.com
(+)1-888-84 22937

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 not yet recruiting, as verified in Jul 2026. You cannot join it, but the record below documents what was studied.

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