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Prenatal InfectionCYMEVIENCT04822142

Congenital CYtoMEgalovirus Infection in VIEtnam (CYMEVIE)

An observational study of Prenatal Infection and Congenital Infection, run by Hanoi Obstetrics and Gynecology Hospital at 1 site in Vietnam.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

To estimate the prevalence of congenital CMV infection in Vietnamese neonates and relating morbidity within 2-year follow-up. Along with evaluating the predictive value of the presence and the level of CMV replication in the first trimester in a highly seropositive population Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
How many people
5,000 participants
Where
1 siteVietnam
Study dates
1 Apr 2022to 1 Jun 2026
How long will I take part?
3 Years
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Study population: 5,000 mother/neonate pairs

Who may be able to join

  • Vietnamese pregnant women in the first trimester of pregnancy and at delivery and subsequent live neonates at birth.
  • Informed consent

Who cannot join

  • Women under 18 years old.
  • Miscarriages
  • Stillbirths
  • Premature delivery before 34th gestational week
  • Loss to follow-up maternal monitoring.
  • Participation in another interventional study that influences management of labour at delivery or perinatal morbidity or mortality.

Trial locations and contacts

1 site in 1 country.

Ha Nguyen Thi Thu, MD.PhD contact

0084989661093

thuha.ivf@gmail.com

Linh Dinh Thuy, MD.PhD contact

drdinhlinhobgyn@gmail.com

Vietnam1 site, 1 recruiting
  • Hanoi Obstetrics and Gynecology Hospital

    Hanoi, 100000

    HA Nguyen Thi Thu, PhD.MD, 0084989661093, thuha.ivf@gmail.com

    LINH Dinh Thuy, PhD.MD, 0084936655779, drdinhlinhhobgyn@gmail.com

    Recruiting

Other trials in Vietnam

About this study

Official title: Congenital Cytomegalovirus Infection in Vietnam: Prevalence, Morbidity and Risk Factors

To estimate the prevalence of congenital CMV infection in Vietnamese neonates and relating morbidity within 2-year follow-up. Along with evaluating the predictive value of the presence and the level of CMV replication in the first trimester in a highly seropositive population

Read the detailed description

Congenital cytomegalovirus infection (cCMV) is the main non-genetic cause of sensorineural hearing loss (SNHL), and a major cause of neuro-disability. High maternal CMV prevalence seems to be consistently associated with high prevalence of cCMV infection but the associated morbidity might be different from one population to another.

There exists no serologic marker useful to differentiate non-primary infection from primary infection. Since the morbidity of cCMV is similar between both primary and non-primary maternal infection, and to be infected in the first trimester is the major risk factor for long-term sequelae in neonates. Hence, it is needed to focus on finding markers that predict cCMV after maternal infection in the first trimester of pregnancy.

To date, the epidemiology of cCMV, the morbidity related to cCMV in Vietnamese population and the predictive value of Cytomegalovirus Polymerase Chain Reaction (CMV PCR) in maternal blood and urine in the first trimester remain unknown. Therefore, it is necessary to conduct this study.

Keywords
CYMEVIE, Cytomegalovirus, Congenital Cytomegalovirus infection, CMV PCR, CMV, cCMV
Medical subject headings
Infant, Newborn, Diseases, Cytomegalovirus Infections

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Proportion of congenital CMV infection in Vietnamese neonates

    Number of CMV positive neonates among all tested neonates

    Measured: Within 7 days from birth

Secondary outcomes (29)
  1. To estimate the prevalence of symptomatic cCMV in neonates

    Proportion of neonates presenting with at least one symptom related to cCMV in all cCMV neonates

    Measured: Up to 25 months from recruitment

  2. To estimate the prevalence of cCMV related hearing loss in neonates

    Proportion of cCMV related hearing loss in neonates in all cCMV neonates

    Measured: Up to 25 months from recruitment

  3. To estimate the prevalence of cCMV related neurological sequelae in neonates

    Proportion of cCMV related neurological sequelae in neonates in all cCMV neonates

    Measured: Up to 25 months from recruitment

  4. To estimate CMV seroprevalence in pregnant Vietnamese women

    Proportion of seropositive women in all tested pregnant women, including mother of CMV positive neonates and control group

    Measured: Up to 25 months from recruitment

  5. To evaluate the value of a positive CMV PCR in maternal whole blood in the first trimester to predict infection in the neonates

    Comparison of the proportion of a positive CMV PCR in maternal whole blood in the first trimester between women who gave birth to an infected neonate and women gave birth to an uninfected neonate from control group

    Measured: Up to 25 months from recruitment

  6. To evaluate the value of a positive CMV PCR in maternal urine in the first trimester to predict infection in the neonates

    Comparison of the proportion of a positive CMV PCR in maternal urine in the first trimester between women who gave birth to an infected neonate and women gave birth to an uninfected neonate from control group

    Measured: Up to 25 months from recruitment

  7. To evaluate the value of a positive CMV PCR in maternal saliva in the first trimester to predict cCMV infection in the neonates

    Comparison of the proportion of a positive CMV PCR in maternal saliva in the first trimester between women who gave birth to an infected neonate and women gave birth to an uninfected neonate from control group

    Measured: Up to 25 months from recruitment

  8. To evaluate the value of a positive CMV PCR in maternal whole blood at delivery to predict infection in the neonates

    Comparison of the proportion of a positive CMV PCR in maternal whole blood at delivery between women who gave birth to an infected neonate and women gave birth to an uninfected neonate from control group

    Measured: Up to 25 months from recruitment

  9. To evaluate the value of a positive CMV PCR in maternal urine at delivery to predict infection in the neonates

    Comparison of the proportion of a positive CMV PCR in maternal urine at delivery between women who gave birth to an infected neonate and women gave birth to an uninfected neonate from control group

    Measured: Up to 25 months from recruitment

  10. To evaluate the value of a positive CMV PCR in whole blood in the first trimester to predict the presence of symptomatic cCMV infection in neonates

    Comparison of the proportion of a positive CMV PCR in maternal whole blood in the first trimester between symptomatic infected neonates and asymptomatic infected neonates

    Measured: Up to 25 months from recruitment

  11. To evaluate the value of a positive CMV PCR in maternal urine in the first trimester to predict a cCMV symptomatic infection in neonates

    Comparison of the proportion of a positive CMV PCR in maternal urine in the first trimester between symptomatic infected neonates and asymptomatic infected neonates

    Measured: Up to 25 months from recruitment

  12. To evaluate the value of a positive CMV PCR in maternal saliva in the first trimester to predict the presence of symptomatic cCMV infection in neonates

    Comparison of the proportion of a positive CMV PCR in maternal saliva in the first trimester between symptomatic infected neonates and asymptomatic infected neonates

    Measured: Up to 25 months from recruitment

  13. To evaluate the value of a positive CMV PCR in maternal whole blood at delivery to predict the presence of symptomatic cCMV infection in neonates

    Comparison of the proportion of a positive CMV PCR in maternal whole blood at delivery between symptomatic infected neonates and asymptomatic infected neonates

    Measured: Up to 25 months from recruitment

  14. To evaluate the value of a positive CMV PCR in maternal urine at delivery to predict a cCMV symptomatic infection in neonates

    Comparison of the proportion of a positive CMV PCR in maternal urine at delivery between symptomatic infected neonates and asymptomatic infected neonates

    Measured: Up to 25 months from recruitment

  15. To evaluate the association between CMV PCR viral load in maternal whole blood at first trimester and at delivery in mothers with infected neonates

    Evaluation the change of CMV PCR viral load in maternal whole blood at first trimester and at delivery in mothers with infected neonates

    Measured: Up to 25 months from recruitment

  16. To evaluate the association between CMV PCR viral load in maternal urine at first trimester and at delivery in mothers with infected neonates

    Evaluation the change of CMV PCR viral load in maternal urine at first trimester and at delivery in mothers with infected neonates

    Measured: Up to 25 months from recruitment

  17. To evaluate the association between CMV PCR viral load in maternal whole blood at first trimester and at delivery in mothers with uninfected neonates in control group

    Evaluation the change of CMV PCR viral load in maternal whole blood at first trimester and at delivery in mothers with uninfected neonates in control group

    Measured: Up to 25 months from recruitment

  18. To evaluate the association between CMV PCR viral load in maternal urine at first trimester and at delivery in mothers with uninfected neonates in control group

    Evaluation the change of CMV PCR viral load in maternal urine at first trimester and at delivery in mothers with uninfected neonates in control group

    Measured: Up to 25 months from recruitment

  19. To calculate the false positive rate of CMV PCR on neonatal saliva versus on dry blood spot in screening congenital CMV infection

    Calculation of the rate of positive CMV PCR on neonatal saliva with a negative result on CMV PCR on neonatal dry blood spot in all CMV positive on neonatal saliva

    Measured: Up to 25 months from recruitment

  20. To calculate the false positive rate of CMV PCR on neonatal saliva versus on urine in screening congenital CMV infection

    Calculation of the rate of positive CMV PCR on neonatal saliva with a negative result on CMV PCR on neonatal urine in all CMV positive on neonatal saliva

    Measured: Up to 25 months from recruitment

  21. To evaluate risks factors for cCMV in Vietnamese women

    Factors that may differ between mothers of uninfected neonates and mothers of infected ones regarding maternal age, parity, gestity, twin pregnancy, known health conditions including hypertension, diabetes, HIV, auto immune diseases and living conditions will be analyzed

    Measured: Up to 25 months from recruitment

  22. To estimate the prevalence of symptomatic cCMV at 2 years of age

    Proportion of infants presenting with at least one symptom related to cCMV at 2 years of age in all cCMV infants

    Measured: Up to 48 months from recruitment

  23. To estimate the prevalence of cCMV related hearing loss at 2 years of age

    Proportion of infants with cCMV related hearing loss at 2 years of age in all cCMV infants

    Measured: Up to 48 months from recruitment

  24. To estimate the prevalence of cCMV related neurological sequelae at 2 years of age

    Proportion of infants with cCMV related neurological sequelae at 2 years of age in all cCMV infants

    Measured: Up to 48 months from recruitment

  25. To evaluate the value of a positive CMV PCR in maternal whole blood in the first trimester to predict the cCMV long-term sequelae at the age of 2 years

    Comparison of the proportion of a positive CMV PCR in maternal whole blood in the first trimester between infected infants with long-term sequelae at 2 years of age and infected infants without long-term sequelae at 2 years of age

    Measured: Up to 48 months from recruitment

  26. To evaluate the value of a positive CMV PCR in maternal urine in the first trimester to predict the cCMV long-term sequelae at the age of 2 years

    Comparison of the proportion of a positive CMV PCR in maternal urine in the first trimester between between infected infants with long-term sequelae at 2 years of age and infected infants without long-term sequelae at 2 years of age

    Measured: Up to 48 months from recruitment

  27. To evaluate the value of a positive CMV PCR in maternal saliva in the first trimester to predict the cCMV long-term sequelae at the age of 2 years

    Comparison of the proportion of a positive CMV PCR in maternal saliva in the first trimester between between infected infants with long-term sequelae at 2 years of age and infected infants without long-term sequelae at 2 years of age

    Measured: Up to 48 months from recruitment

  28. To evaluate the value of a positive CMV PCR in maternal whole blood at delivery to predict the cCMV long-term sequelae at the age of 2 years

    Comparison of the proportion of a positive CMV PCR in maternal whole blood at delivery between between infected infants with long-term sequelae at 2 years of age and infected infants without long-term sequelae at 2 years of age

    Measured: Up to 48 months from recruitment

  29. To evaluate the value of a positive CMV PCR in maternal urine at delivery to predict the cCMV long-term sequelae at the age of 2 years

    Comparison of the proportion of a positive CMV PCR in maternal urine at delivery between between infected infants with long-term sequelae at 2 years of age and infected infants without long-term sequelae at 2 years of age

    Measured: Up to 48 months from recruitment

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted30 Mar 2021
  2. Study start1 Apr 2022
  3. Primary completion30 Nov 2025 (estimated)
  4. Study completion1 Jun 2026 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
5,000 participants (estimated)
Target duration
3 Years
IDs, dates and publications
ClinicalTrials.gov ID
NCT04822142
Sponsor's protocol ID
PSHN.0003.2021
Acronym
CYMEVIE
Status last verified
Feb 2024
First submitted
25 Mar 2021
Last updated
1 Mar 2024
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: To be determined

Publications

  • Kenneson A, Cannon MJ. Review and meta-analysis of the epidemiology of congenital cytomegalovirus (CMV) infection. Rev Med Virol. 2007 Jul-Aug;17(4):253-76. doi: 10.1002/rmv.535.

    PubMed 17579921
  • Leruez-Ville M, Magny JF, Couderc S, Pichon C, Parodi M, Bussieres L, Guilleminot T, Ghout I, Ville Y. Risk Factors for Congenital Cytomegalovirus Infection Following Primary and Nonprimary Maternal Infection: A Prospective Neonatal Screening Study Using Polymerase Chain Reaction in Saliva. Clin Infect Dis. 2017 Aug 1;65(3):398-404. doi: 10.1093/cid/cix337.

    PubMed 28419213
  • Puhakka L, Renko M, Helminen M, Peltola V, Heiskanen-Kosma T, Lappalainen M, Surcel HM, Lonnqvist T, Saxen H. Primary versus non-primary maternal cytomegalovirus infection as a cause of symptomatic congenital infection - register-based study from Finland. Infect Dis (Lond). 2017 Jun;49(6):445-453. doi: 10.1080/23744235.2017.1279344. Epub 2017 Jan 24.

    PubMed 28116961
  • Mussi-Pinhata MM, Yamamoto AY, Aragon DC, Duarte G, Fowler KB, Boppana S, Britt WJ. Seroconversion for Cytomegalovirus Infection During Pregnancy and Fetal Infection in a Highly Seropositive Population: "The BraCHS Study". J Infect Dis. 2018 Sep 8;218(8):1200-1204. doi: 10.1093/infdis/jiy321.

    PubMed 29868783
  • Ross SA, Fowler KB, Ashrith G, Stagno S, Britt WJ, Pass RF, Boppana SB. Hearing loss in children with congenital cytomegalovirus infection born to mothers with preexisting immunity. J Pediatr. 2006 Mar;148(3):332-6. doi: 10.1016/j.jpeds.2005.09.003.

    PubMed 16615962
  • Yamamoto AY, Anastasio ART, Massuda ET, Isaac ML, Manfredi AKS, Cavalcante JMS, Carnevale-Silva A, Fowler KB, Boppana SB, Britt WJ, Mussi-Pinhata MM. Contribution of Congenital Cytomegalovirus Infection to Permanent Hearing Loss in a Highly Seropositive Population: The Brazilian Cytomegalovirus Hearing and Maternal Secondary Infection Study. Clin Infect Dis. 2020 Mar 17;70(7):1379-1384. doi: 10.1093/cid/ciz413.

    PubMed 31102409
  • Wang S, Wang T, Zhang W, Liu X, Wang X, Wang H, He X, Zhang S, Xu S, Yu Y, Jia X, Wang M, Xu A, Ma W, Amin MM, Bialek SR, Dollard SC, Wang C. Cohort study on maternal cytomegalovirus seroprevalence and prevalence and clinical manifestations of congenital infection in China. Medicine (Baltimore). 2017 Feb;96(5):e6007. doi: 10.1097/MD.0000000000006007.

    PubMed 28151899
  • Faure-Bardon V, Magny JF, Parodi M, Couderc S, Garcia P, Maillotte AM, Benard M, Pinquier D, Astruc D, Patural H, Pladys P, Parat S, Guillois B, Garenne A, Bussieres L, Guilleminot T, Stirnemann J, Ghout I, Ville Y, Leruez-Ville M. Sequelae of Congenital Cytomegalovirus Following Maternal Primary Infections Are Limited to Those Acquired in the First Trimester of Pregnancy. Clin Infect Dis. 2019 Oct 15;69(9):1526-1532. doi: 10.1093/cid/ciy1128.

    PubMed 30596974

Questions about this trial

What is this clinical trial studying?

An observational study of Prenatal Infection and Congenital Infection, run by Hanoi Obstetrics and Gynecology Hospital at 1 site in Vietnam.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 2 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 1 Mar 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Vietnam. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Ha Nguyen Thi Thu, MD.PhD (0084989661093, thuha.ivf@gmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Proportion of congenital CMV infection in Vietnamese neonates (time frame: Within 7 days from birth). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04822142, which also lists 8 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 1 Mar 2024.

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