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CompletedNCT05856396MADI-02Updated Jan 13, 2026

Maternal Determinants of Infant Immunity to Pertussis

A Phase 4 interventional study of Triaxis® (Pertussis-containing vaccine) and Vaxelis® (Pertussis-containing vaccine) in Vaccination; Infection, Maternal-Fetal Relations and Pertussis, sponsored by Centre Hospitalier Universitaire Saint Pierre. Completed at 1 site in Belgium. Open to participants aged 2 Months to 45 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-01-13.

Sponsored by Centre Hospitalier Universitaire Saint Pierre · Phase 4, Interventional, and Basic science

Phase
Phase 4
Study type
Interventional
Enrollment
200
Allocation
Non-randomized
Ages
2 Months to 45 Years
Sex
All
01

Study summary

The overall objective of the project is to identify the determinants of antibody-mediated immunity in infants born to mothers immunized during pregnancy. Using maternal pertussis immunization as a model, the project will identify key predictors and potential determinants of vaccine responses in pregnant women, of the transfer of maternal antibodies to the newborn and of vaccine responses in infants. A systems biology approach will be used to delineate pre-vaccination and post-vaccination cellular and molecular correlates of the immune response to pertussis immunization in peripheral blood and in breastmilk.

Read the detailed description

The overall objective of the project is to identify the determinants of antibody-mediated immunity to pertussis in infants born to mothers immunized during pregnancy. Three specific objectives will be targeted:

  1. Determine the impact of pregnancy on the quality of antibody response to pertussis immunization and identify immune predictors of vaccine responses in pregnant and non-pregnant women.
  2. Identify immune predictors of the transfer of maternal antibodies to the newborn and the presence of antibody in breastmilk following pertussis immunization during pregnancy.
  3. Determine the impact of maternal antibodies on the quality of antibody response to pertussis immunization in infants born to mothers immunized or not immunized during pregnancy and identify immune predictors of vaccine responses in the first months of life.

To reach these objectives, 40 non-pregnant and 80 pregnant women will be recruited into the study and vaccinated with a single dose of a pertussis containing vaccine (Triaxis). Blood samples will be collected from:

  • non-pregnant women: before vaccination, and day 1/7/28 and month 5 post-vaccination.
  • pregnant women: before vaccination, day 1/7/28 post-vaccination, at delivery, and week 6/12 post-delivery. At week 6/12 post-delivery, breast milk samples will be collected as well.

At delivery, a placenta fragment will be collected.

In addition, infants 2-3 months old born either from mothers who were not vaccinated against pertussis during pregnancy (n=40) or born from mothers who were vaccinated against pertussis during pregnancy (n=80) will be recruited in the study. Infants will be vaccinated with three doses of a pertussis containing vaccine (Vaxelis), each one month apart starting from 2-3 months of age. Blood samples will be collected from:

  • infants from vaccinated mothers: cord blood, before 1st vaccine dose, day 1 post 1st vaccine dose, before 3rd vaccine dose, and day 28 post 3rd vaccine dose.
  • infants from unvaccinated mothers: before 1st vaccine dose, day 1 post 1st vaccine dose, before 3rd vaccine dose, and day 28 post 3rd vaccine dose.
02

Conditions studied

  • Vaccination; Infection
  • Maternal-Fetal Relations
  • Pertussis
  • Immunoglobulins
03

In context

Infections

6,687 studies on the registry are indexed under Infections; 807 are open to participants now.

This study's enrollment of 200 is above the median of 120 across 4,200 interventional studies indexed under Infections.

Browse Infections studies →

Lead sponsor

Centre Hospitalier Universitaire Saint Pierre is the lead sponsor of 78 studies on the registry; 12 are open to participants now.

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

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Who can participate

Ages eligible
2 Months to 45 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • For non-pregnant \& pregnant women Age between 18 and 45 years Eligible for Tdap vaccination
  • For infants Born to mothers vaccinated or not with Tdap Vaccinated with hexavalent vaccine Age between 2 and 3 months

Exclusion criteria

Exclusion Criteria:

  • For pregnant and non-pregnant women

    • Inability to understand the nature and extent of the study and the procedures required
    • Grade III/IV anemia,
    • Acute infection at the time of immunization
    • Chronic infections such as Hepatitis B Virus (HBV), Hepatitis C Virus (HCV) or Human Immunodeficiency Virus (HIV) infection, acute toxoplasmosis
    • Current or recent use of immunosuppressive drugs
    • Active neoplasia
    • Other vaccine(s) administered at the same time as Tdap vaccination (wash out of 4 weeks after others vaccinations and 28 days after Tdap vaccination )
  • For pregnant women

    • Risk of premature delivery or intrauterine growth retardation
    • Twin or triplet pregnancies
  • For non-pregnant women Last Tdap vaccination \< 12 months before

For infants:

  • Infants born before 35 weeks of gestation
  • Birthweight below 2.5 kg,
  • Severe neonatal distress
  • Serious congenital abnormalities or congenital infection.
05

Study design

Phase
Phase 4
Primary purpose
Basic science
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
200 participants (actual)

Study arms

  • Active comparator
    Pregnant women

    Pregnant women will receive one dose of Pertussis-containing vaccine during pregnancy.

    Biological: Triaxis® (Pertussis-containing vaccine)

  • Active comparator
    Non pregnant women

    Non-Pregnant women will receive one dose of Pertussis-containing vaccine.

    Biological: Triaxis® (Pertussis-containing vaccine)

  • Active comparator
    Infants born to Tdap-vaccinated mothers

    Infants whose mothers have been immunized during pregnancy with Tdap vaccine. Infants will receive three doses of Pertussis-containing vaccine (with 28 days interval starting at two months of age).

    Biological: Vaxelis® (Pertussis-containing vaccine)

  • Active comparator
    Infants born to non Tdap-vaccinated mothers

    Infants whose mothers have not been immunized during pregnancy with Tdap vaccine. Infants will receive three doses of Pertussis-containing vaccine (with 28 days interval starting at two months of age).

    Biological: Vaxelis® (Pertussis-containing vaccine)

Interventions

  • BiologicalTriaxis® (Pertussis-containing vaccine)

    Triaxis® (Pertussis-containing vaccine) will be administered: * in non-pregnant women presenting to the Travel and Vaccine clinic for pertussis immunization only or hospital member staff requiring Tetanus Toxoid (TT)-booster immunisation * in Pregnant women between 16 and 29 weeks of gestation.

  • BiologicalVaxelis® (Pertussis-containing vaccine)

    Vaxelis® (Hexavalent vaccine) will be proposed in infants at 8, 12 and 16 weeks of life.

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What researchers measure

Primary outcomes

  1. IgG titers specific to Bordetella Pertussis Antigens by Enzyme-linked immunosorbent assay (ELISA)

    IgG titers specific to Bordetella Pertussis Antigens will be assessed by ELISA: * in women (pregnant and non-pregnant) at 28 days post vaccination * in infants (from unvaccinated mothers and mothers vaccinated during pregnancy) at 28 days post third vaccine dose

    Time frame: Day 28 post-vaccination

  2. IgG titers specific to Bordetella Pertussis Antigens by Enzyme-linked immunosorbent assay (ELISA)

    IgG titers specific to Bordetella Pertussis Antigens will be assessed by ELISA: * in women vaccinated during pregnancy, at delivery * in umbilical cord blood of infants born to mothers vaccinated during pregnancy

    Time frame: At delivery

Secondary outcomes

  1. IgG titers specific to Bordetella Pertussis Antigens by Enzyme-linked immunosorbent assay (ELISA)

    IgG titers specific to Bordetella Pertussis Antigens will be assessed by ELISA: * in pregnant women (PW): at day of vaccination , day 7 post-vaccination, week 6 and 12 post-delivery * in non-pregnant women (non PW): at day of vaccination, day 7 and Month 5 post-vaccination * in infants (from unvaccinated mothers and mothers vaccinated during pregnancy) at day of first and third vaccine dose

    Time frame: up to 9 month after vaccination

  2. CD4+ T cell frequencies specific to Bordetella Pertussis Antigens by flow cytometry

    The percentage of CD4+ T cells expressing any of the following biomarkers (CD154, Interferon gamma, IL-2) in response to in vitro stimulation with Bordetella Pertussis Antigens will be measured by flow cytometry: i. in pregnant and non-pregnant women: at day of vaccination, and day 28 post vaccination ii. in infants (from unvaccinated mothers and mothers vaccinated during pregnancy) at day of first vaccine dose and 28 days after third vaccine dose

    Time frame: up to 9 month after vaccination

07

Study locations

1 site
  • CHU Saint-Pierre
    Brussels, 1000, Belgium
08

References and documents

Publications

  • Marchant A, Sadarangani M, Garand M, Dauby N, Verhasselt V, Pereira L, Bjornson G, Jones CE, Halperin SA, Edwards KM, Heath P, Openshaw PJ, Scheifele DW, Kollmann TR. Maternal immunisation: collaborating with mother nature. Lancet Infect Dis. 2017 Jul;17(7):e197-e208. doi: 10.1016/S1473-3099(17)30229-3. Epub 2017 Apr 19. PubMed 28433705 ↗
  • Gunn BM, Alter G. Modulating Antibody Functionality in Infectious Disease and Vaccination. Trends Mol Med. 2016 Nov;22(11):969-982. doi: 10.1016/j.molmed.2016.09.002. Epub 2016 Oct 15. PubMed 27756530 ↗
  • Jennewein MF, Alter G. The Immunoregulatory Roles of Antibody Glycosylation. Trends Immunol. 2017 May;38(5):358-372. doi: 10.1016/j.it.2017.02.004. Epub 2017 Apr 3. PubMed 28385520 ↗
  • Jennewein MF, Abu-Raya B, Jiang Y, Alter G, Marchant A. Transfer of maternal immunity and programming of the newborn immune system. Semin Immunopathol. 2017 Nov;39(6):605-613. doi: 10.1007/s00281-017-0653-x. Epub 2017 Oct 2. PubMed 28971246 ↗
  • Jennewein MF, Goldfarb I, Dolatshahi S, Cosgrove C, Noelette FJ, Krykbaeva M, Das J, Sarkar A, Gorman MJ, Fischinger S, Boudreau CM, Brown J, Cooperrider JH, Aneja J, Suscovich TJ, Graham BS, Lauer GM, Goetghebuer T, Marchant A, Lauffenburger D, Kim AY, Riley LE, Alter G. Fc Glycan-Mediated Regulation of Placental Antibody Transfer. Cell. 2019 Jun 27;178(1):202-215.e14. doi: 10.1016/j.cell.2019.05.044. Epub 2019 Jun 13. PubMed 31204102 ↗
  • Jennewein MF, Kosikova M, Noelette FJ, Radvak P, Boudreau CM, Campbell JD, Chen WH, Xie H, Alter G, Pasetti MF. Functional and structural modifications of influenza antibodies during pregnancy. iScience. 2022 Mar 16;25(4):104088. doi: 10.1016/j.isci.2022.104088. eCollection 2022 Apr 15. PubMed 35402869 ↗
  • Tsang JS. Utilizing population variation, vaccination, and systems biology to study human immunology. Trends Immunol. 2015 Aug;36(8):479-93. doi: 10.1016/j.it.2015.06.005. Epub 2015 Jul 14. PubMed 26187853 ↗

Individual participant data

Plan to share: Yes

Supporting information: Study protocol, Icf

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 13, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05856396
Lead sponsor
Centre Hospitalier Universitaire Saint Pierre
Collaborators
Université Libre de Bruxelles
Responsible party
Tessa Goetghebuer (Head of Clinic, Centre Hospitalier Universitaire Saint Pierre) — Principal investigator
First posted
May 12, 2023
Start date
Sep 12, 2023
Primary completion
Dec 23, 2025
Completion
Dec 23, 2025
Last update
Jan 13, 2026

Oversight

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

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