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NCT03722615

Epidemiology of Congenital Cytomegalovirus in a High HIV Prevalence Setting, South Africa

Completed Last updated 6 August 2019
What this trial tests

trial in Cytomegalovirus Congenital in 3,000 participants. Completed in 1 April 2019.

Timeline
6 May 2016
Primary endpoint
1 April 2019
1 April 2019

Quick facts

Lead sponsorUniversity of Witwatersrand, South Africa
StatusCompleted
Study typeOBSERVATIONAL
Enrollment3,000
Start date6 May 2016
Primary completion1 April 2019
Estimated completion1 April 2019
Sites1 location across South Africa

Conditions studied

Sponsor

University of Witwatersrand, South Africa

Who can join

Adults 1 Minute to 48 Hours, any sex, with Cytomegalovirus Congenital or Hearing Loss. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

The aim of this project is to determine the epidemiology of congenital cytomegalovirus (CMV) infection and incidence of subsequent permanent neurological sequelae in a high HIV prevalent setting in Soweto, Johannesburg. A cross-sectional study will be conducted on mother-infant pairs, screening mothers for CMV infection and newborns for congenital CMV infection. Maternal CMV prevalence will be determined by testing for CMV specific antibodies in blood. Newborn congenital infection will be determined by polymerase chain reaction (PCR) tests on newborn saliva and urine within 3 weeks of birth. Various risk factors associated with congenital CMV such as HIV exposure, and gestational age will be assessed. The association between maternal vaginal CMV shedding postnatally with congenital CMV infection will be explored by swabbing maternal vaginal fluid and conducting quantitative CMV PCR analysis. Newborns confirmed with congenital CMV and a control group of uninfected newborns will form a cohort to be followed up until 12 months of age monitoring for various neurological sequelae such as hearing loss, neurodevelopmental impairment, ocular damage, cerebral damage and seizures. A comparison of vaccine immune responses between cases of congenital CMV and the CMV uninfected infants to the primary series of vaccines in the National Expanded Programme on Immunisation will be compared. The contribution of CMV infection to neonatal death and stillbirths will be described by minimally invasive tissue sampling (MITS) for CMV on babies that die during the neonatal period and stillbirths.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. Neurological and growth outcomes in South African children with congenital cytomegalovirus: A cohort study.
    Pathirana J, Texeira L, Munian H, Nakwa F, et al · · 2020 · cited 7× · PMID 32941484 · DOI 10.1371/journal.pone.0238102

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