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Safety and Immunogenicity of Hecolin® in Healthy Pregnant Women

Primary Purpose

Hepatitis E Infection

Status
Not yet recruiting
Phase
Phase 2
Locations
Pakistan
Study Type
Interventional
Intervention
Hecolin® (Recombinant Hepatitis E Vaccine (Escherichia coli)).
Isotonic Sodium Chloride injection
Sponsored by
International Vaccine Institute
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Hepatitis E Infection focused on measuring Hepatitis E infection, Hepatitis E virus, Hepatitis E vaccine, Hepatitis E in pregnancy

Eligibility Criteria

16 Years - 45 Years (Child, Adult)FemaleAccepts Healthy Volunteers

Inclusion Criteria: In order to be eligible to participate in this study, a pregnant/non-pregnant woman must meet all of the following criteria: Pregnant women only: Healthy women 16-45 years of age who are between 14 0/7 and 34 6/7 weeks gestation1 on the day of planned vaccination with an uncomplicated, singleton pregnancy, who are at no known increased risk for complications for herself and her infant. Individual willing to provide written informed consent for herself and her infant to participate in the study. Individual who can be followed up during the study period and can comply with the study requirements. Individual and fetus in good health as determined by the outcome of medical history, physical examination, obstetric history, prenatal care (by ultrasound and other prenatal assessment subject to gestational age), vital signs, laboratory evaluations at screening and the clinical judgment of the investigator. Participants who are willing and able to comply with scheduled visits, treatment plan, laboratory tests, and other study procedures. Non-pregnant women only: Healthy women 16-45 years of age. Individual willing to provide written informed consent to participate in the study. Individual who can be followed up during the study period and can comply with the study requirements. Individual in good health as determined by the outcome of medical history, physical examination, vital signs, laboratory evaluations at screening and the clinical judgment of the investigator. Individuals who are willing and able to comply with scheduled visits, treatment plan, laboratory tests, and other study procedures. Females of childbearing potential with negative urinary pregnancy test on the day of screening. Females of childbearing potential who are using an effective birth control method2 for at least 4 weeks before the screening and up to 4 weeks after the last vaccination. Exclusion Criteria: A pregnant/non-pregnant woman who meets any of the following criteria will be excluded from participation in this study: Has received any hepatitis E vaccine in the past. Febrile illness (axillary temperature ≥ 38.5°C) or acute illness within 3 days prior to the study vaccination. Known history or allergy to study vaccine components and/or excipients or other medications, or any other allergies or medical history deemed by the investigator to increase the risk of an adverse event if they were to participate in the trial (e.g., Guillain-Barre Syndrome). Major congenital abnormalities which in the opinion of investigator may affect the participant's participation in the study. Known history of immune function disorders including immunodeficiency diseases (known HIV infection or other immune function disorders) and lupus. Chronic use of systemic steroids (>2 mg/kg/day or >20 mg/day prednisone equivalent for periods exceeding 10 days), cytotoxic or other immunosuppressive drugs within past 6 weeks. Any abnormality or chronic disease which in the opinion of the investigator might be detrimental for the safety of the participant and interfere with the assessment of the study objectives. Behavioral or cognitive impairment, or chronic substance abuse, or psychiatric disease or neural disorders, that, in the opinion of the investigator, could interfere with the participant's ability to participate in the trial. History of splenectomy. Past history of thrombocytopenia and/or thrombosis, myocarditis or pericarditis or any other significant cardiac condition. With a known bleeding diathesis, or any condition that may be associated with a prolonged bleeding time resulting in contraindication for IM injections/blood extractions. (Those who receive low dose aspirin (less than 100mg/day) are not excluded) Receipt of blood or blood-derived products in the past 3 months. Receipt of other vaccines from 4 weeks prior to test vaccination or planned to receive any vaccine within 4 weeks of last dose of study vaccine As per Investigator's medical judgement, an individual could be excluded from the study in spite of meeting all inclusion/exclusion criteria mentioned above. Concomitantly enrolled or scheduled to be enrolled in another trial. Research staff involved with the clinical study or family/household members of research staff. Body mass index (BMI) of ≥ 40, at the time of the screening visit. Pregnant women only: 1. Plans to terminate her pregnancy. Pregnancy complications (in the current pregnancy) such as preterm labor, gestational diabetes, hypertension (blood pressure (BP) > 140/90 in the presence of proteinuria or BP > 150/100 with or without proteinuria), or currently on an antihypertensive therapy, or pre-eclampsia, or evidence of intrauterine growth restriction. 3. Prior stillbirth or neonatal death, or multiple (≥ 3) spontaneous abortions. 4. Prior preterm delivery ≤ 34 weeks gestation or having ongoing intervention (medical/surgical) in current pregnancy to prevent preterm birth. 5. Previous infant with a known genetic disorder or major congenital anomaly. 6. History of major gynecologic or major abdominal surgery (previous Caesarean section is not an exclusion) 7. Current pregnancy results from in vitro fertilization (IVF). 8. Current pregnancy results from rape or incest. 9. Plans to release the neonate for adoption or the neonate to be a ward of the state. 10. Greater than 5 prior deliveries Non-pregnant women only: 1. Pregnant or plan to be pregnant during the study period.

Sites / Locations

  • The Aga Khan University

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Placebo Comparator

Active Comparator

Arm Label

Pregnant participant receiving Hecolin®

Pregnant participants receiving placebo

Non-Pregnant participants receiving Hecolin®

Arm Description

1 (N=1,104): Pregnant participants receiving Hecolin® (n=150 immunogenicity subset). For Arm 1, pregnant participants will receive 2 doses of Hecolin® at a 4 weeks interval and the third dose will be administered postpartum, approximately 20 weeks after the second dose.

Arm 2 (N=1,104): Pregnant participants receiving placebo (n= 150 immunogenicity subset). For Arm 2, pregnant participants will receive 2 doses of placebo at a 4 weeks interval and the third dose will be administered postpartum, approximately 20 weeks after the second dose.

Arm 3 (N=150): Non-Pregnant participants receiving Hecolin® (n= 150 immunogenicity subset). For Arm 3, non-pregnant participants will receive Hecolin® at 0-1-6 months schedule.

Outcomes

Primary Outcome Measures

Proportion of pregnancy-related AESI and SAE from vaccination in pregnant participant.
Proportion of pregnancy-related AESI from the vaccination throughout the entire study in pregnant participants. Proportion of SAE from the vaccination throughout the entire study in pregnant participants.
Immunogenicity in pregnant and non-pregnant participants
GMC of anti-HEV IgG at 4 weeks post second dose of Hecolin® administered 4 weeks apart in pregnant women and non-pregnant women.

Secondary Outcome Measures

Proportion of AESIs and SAE in neonate/infant participants.
Proportion of neonatal/infant AESIs. Proportion of SAE through the 6 months of life in neonate/infant.
Proportion of immediate adverse events in pregnant and non-pregnant participants
Proportion of immediate adverse events within 30 minutes post each dose of vaccination in pregnant and non-pregnant participants.
Proportion of Solicited local and system adverse events in pregnant and non-pregnant participants
Proportion of solicited local and systemic adverse events within 7 days post each dose of vaccination in pregnant and non-pregnant participants.
Proportion of unsolicited adverse events in pregnant and non-pregnant participants
Proportion of unsolicited adverse events within 28 days post each dose of vaccination in pregnant and non-pregnant participants.
Immunogenicity in pregnant and non-pregnant participants
SCR (antibody response greater than four times or more increase of anti-HEV IgG in paired sera) at 4 weeks post second dose of Hecolin® administered 4 weeks apart in pregnant and non-pregnant participants.
Immunogenicity in pregnant and non-pregnant participants
GMC of anti-HEV IgG at 4 weeks post third dose of Hecolin® (2 doses in pregnancy and 1 dose after delivery) in pregnant and non-pregnant participants.
Immunogenicity in pregnant and non-pregnant participants
SCR (antibody response greater than four times or more increase of anti-HEV IgG in paired sera) at 4 weeks post third dose of Hecolin® (2 doses in pregnancy and 1 dose after delivery) in pregnant and non-pregnant participants.
Immunogenicity in pregnant and non-pregnant participants
GMC of anti-HEV IgG at 4 weeks post first dose of Hecolin® in pregnant and non-pregnant participants.
Immunogenicity in pregnant and non-pregnant participants
SCR (antibody response greater than four times or more increase of anti-HEV IgG in paired sera) at 4 weeks post first dose of Hecolin® in pregnant and non-pregnant participants.
Immunogenicity in pregnant and non-pregnant participants
GMC of anti-HEV IgG at 4 weeks post second dose of Hecolin® in pregnant participants of GA 14-27 weeks (second trimester) and 28-34 weeks (third trimester) and non-pregnant participants as measured by anti HEV IgG ELISA.
Immunogenicity in pregnant and non-pregnant participants
SCR (antibody response greater than four times or more increase of anti-HEV IgG in paired sera) at 4 weeks post second dose of Hecolin® in pregnant participants of GA 14-27 weeks (second trimester) and 28-34 weeks (third trimester) and non-pregnant participants.

Full Information

First Posted
March 7, 2023
Last Updated
March 29, 2023
Sponsor
International Vaccine Institute
Collaborators
Open Philanthropy, Bill and Melinda Gates Foundation, Thrasher Research Fund
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1. Study Identification

Unique Protocol Identification Number
NCT05808166
Brief Title
Safety and Immunogenicity of Hecolin® in Healthy Pregnant Women
Official Title
A Phase II, Randomized, Observer-blinded, Placebo Controlled Trial to Evaluate the Safety and Immunogenicity of Hecolin® in Healthy Pregnant Women Between Gestational Age 14-34 Weeks and Non-Pregnant Women of 16-45 Years Old.
Study Type
Interventional

2. Study Status

Record Verification Date
March 2023
Overall Recruitment Status
Not yet recruiting
Study Start Date
May 2023 (Anticipated)
Primary Completion Date
July 2024 (Anticipated)
Study Completion Date
May 2025 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
International Vaccine Institute
Collaborators
Open Philanthropy, Bill and Melinda Gates Foundation, Thrasher Research Fund

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No

5. Study Description

Brief Summary
This is a phase II randomized, observer-blinded, placebo-controlled study with 3 arms enrolling a total of 2,358 participants. The arms are composed of Arm 1, pregnant participants receiving Hecolin® (N=1,104) with immunogenicity subset (n=150), Arm 2, pregnant participants receiving placebo (N=1,104) with immunogenicity subset (n=150), and Arm 3, non-pregnant participants receiving Hecolin® (N=150) of which all participants in this arm will be included in the immunogenicity subset.
Detailed Description
Hecolin® is licensed in China and Pakistan indicated to be used for prevention of hepatitis E in healthy adult. The primary goal of this clinical trial is to establish the safety and immunogenicity of Hecolin® during pregnancy. As secondary and exploratory objectives, infant immune response through passive immunization of infants achieved through transplacental transfer of maternal IgG antibodies from the pregnant mother who has received Hecolin® in the second or third trimester will be evaluated. Hecolin® follows a 3-dose schedule (0-1-6 months). For Arm 1 and 2, pregnant participants will receive 2 doses of Hecolin® or placebo at a 4 weeks interval and the third dose will be administered postpartum, approximately 20 weeks after the second dose. The neonates from these Arms will be followed for 24 weeks after birth. For Arm 3, non-pregnant participants will receive Hecolin® at 0-1-6 months schedule. After each dose of IP injection to pregnant/non-pregnant participants, immediate AE (30 minutes post injection), solicited AE (7 days post injection), unsolicited AE (28 days post injection) and AESI/SAE (during the whole study period) will be collected. For the immunogenicity subset, the participants' blood will be drawn before and 4 weeks post each dose of IP injection. At delivery, maternal blood will be drawn. Breast milk samples will be taken at delivery, 6 weeks, and 24 weekss after delivery. All infant AESI/SAE will be collected throughout the study period and developmental assessment will be performed at age of 6 weeks, and 24 weeks. Blood will be drawn from infant immunogenicity subset at the same time points, umbilical cord blood (neonate blood will be collected if cord blood is not available for collection) at delivery, venous blood at age of 6 weeks and 24 weeks.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hepatitis E Infection
Keywords
Hepatitis E infection, Hepatitis E virus, Hepatitis E vaccine, Hepatitis E in pregnancy

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
2358 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Pregnant participant receiving Hecolin®
Arm Type
Experimental
Arm Description
1 (N=1,104): Pregnant participants receiving Hecolin® (n=150 immunogenicity subset). For Arm 1, pregnant participants will receive 2 doses of Hecolin® at a 4 weeks interval and the third dose will be administered postpartum, approximately 20 weeks after the second dose.
Arm Title
Pregnant participants receiving placebo
Arm Type
Placebo Comparator
Arm Description
Arm 2 (N=1,104): Pregnant participants receiving placebo (n= 150 immunogenicity subset). For Arm 2, pregnant participants will receive 2 doses of placebo at a 4 weeks interval and the third dose will be administered postpartum, approximately 20 weeks after the second dose.
Arm Title
Non-Pregnant participants receiving Hecolin®
Arm Type
Active Comparator
Arm Description
Arm 3 (N=150): Non-Pregnant participants receiving Hecolin® (n= 150 immunogenicity subset). For Arm 3, non-pregnant participants will receive Hecolin® at 0-1-6 months schedule.
Intervention Type
Biological
Intervention Name(s)
Hecolin® (Recombinant Hepatitis E Vaccine (Escherichia coli)).
Other Intervention Name(s)
26 kDa protein (239 amino acids, aa368 to aa606) encoded by ORF2 of the HEV1 (Chinese HEV strain, genotype 1) and is expressed in Escherichia coli as a non-fusion protein.
Intervention Description
Hecolin® will be administered 2 doses administered 4 weeks apart during pregnancy and 1 dose administered after delivery at least 20 weeks following the second dose for the pregnant participants (arm 1), and 0, 1 and 6 months for the non-pregnant participant (arm 3).
Intervention Type
Other
Intervention Name(s)
Isotonic Sodium Chloride injection
Other Intervention Name(s)
Sterile 0.9% sodium chloride
Intervention Description
Placebo will be administered 2 doses administered 4 weeks apart during pregnancy and 1 dose administered after delivery at least 20 weeks following the second dose for the pregnant participants (arm 2)
Primary Outcome Measure Information:
Title
Proportion of pregnancy-related AESI and SAE from vaccination in pregnant participant.
Description
Proportion of pregnancy-related AESI from the vaccination throughout the entire study in pregnant participants. Proportion of SAE from the vaccination throughout the entire study in pregnant participants.
Time Frame
Throughout the study period, approximately 24 months.
Title
Immunogenicity in pregnant and non-pregnant participants
Description
GMC of anti-HEV IgG at 4 weeks post second dose of Hecolin® administered 4 weeks apart in pregnant women and non-pregnant women.
Time Frame
4 weeks post second dose of Hecolin®
Secondary Outcome Measure Information:
Title
Proportion of AESIs and SAE in neonate/infant participants.
Description
Proportion of neonatal/infant AESIs. Proportion of SAE through the 6 months of life in neonate/infant.
Time Frame
6 months of life in neonate/infant
Title
Proportion of immediate adverse events in pregnant and non-pregnant participants
Description
Proportion of immediate adverse events within 30 minutes post each dose of vaccination in pregnant and non-pregnant participants.
Time Frame
Within 30 minutes post each dose of vaccination.
Title
Proportion of Solicited local and system adverse events in pregnant and non-pregnant participants
Description
Proportion of solicited local and systemic adverse events within 7 days post each dose of vaccination in pregnant and non-pregnant participants.
Time Frame
Within 7 days post each dose of vaccination.
Title
Proportion of unsolicited adverse events in pregnant and non-pregnant participants
Description
Proportion of unsolicited adverse events within 28 days post each dose of vaccination in pregnant and non-pregnant participants.
Time Frame
Within 28 days post each dose of vaccination.
Title
Immunogenicity in pregnant and non-pregnant participants
Description
SCR (antibody response greater than four times or more increase of anti-HEV IgG in paired sera) at 4 weeks post second dose of Hecolin® administered 4 weeks apart in pregnant and non-pregnant participants.
Time Frame
4 weeks post second dose of vaccination.
Title
Immunogenicity in pregnant and non-pregnant participants
Description
GMC of anti-HEV IgG at 4 weeks post third dose of Hecolin® (2 doses in pregnancy and 1 dose after delivery) in pregnant and non-pregnant participants.
Time Frame
4 weeks post third dose of vaccination.
Title
Immunogenicity in pregnant and non-pregnant participants
Description
SCR (antibody response greater than four times or more increase of anti-HEV IgG in paired sera) at 4 weeks post third dose of Hecolin® (2 doses in pregnancy and 1 dose after delivery) in pregnant and non-pregnant participants.
Time Frame
4 weeks post third dose of vaccination.
Title
Immunogenicity in pregnant and non-pregnant participants
Description
GMC of anti-HEV IgG at 4 weeks post first dose of Hecolin® in pregnant and non-pregnant participants.
Time Frame
4 weeks post first dose of vaccination.
Title
Immunogenicity in pregnant and non-pregnant participants
Description
SCR (antibody response greater than four times or more increase of anti-HEV IgG in paired sera) at 4 weeks post first dose of Hecolin® in pregnant and non-pregnant participants.
Time Frame
4 weeks post first dose of vaccination.
Title
Immunogenicity in pregnant and non-pregnant participants
Description
GMC of anti-HEV IgG at 4 weeks post second dose of Hecolin® in pregnant participants of GA 14-27 weeks (second trimester) and 28-34 weeks (third trimester) and non-pregnant participants as measured by anti HEV IgG ELISA.
Time Frame
4 weeks post second dose of vaccination.
Title
Immunogenicity in pregnant and non-pregnant participants
Description
SCR (antibody response greater than four times or more increase of anti-HEV IgG in paired sera) at 4 weeks post second dose of Hecolin® in pregnant participants of GA 14-27 weeks (second trimester) and 28-34 weeks (third trimester) and non-pregnant participants.
Time Frame
4 weeks post second dose of vaccination.
Other Pre-specified Outcome Measures:
Title
Proportion of vaginal delivery, elective cesarian section and emergency cesarian section in pregnant participants.
Time Frame
throughout the study
Title
Immunogenicity in neonate/infant participants
Description
GMC of anti-HEV IgG in neonates/infants at delivery and age of 6 weeks and 6 months. Anti-HEV IgG Subclass
Time Frame
at delivery, infant age of 6 weeks and 6 months
Title
Immunogenicity in maternal blood and umbilical cord at delivery
Description
GMC of anti-HEV IgG in maternal blood and umbilical cord at the time of delivery Anti-HEV IgG Subclass
Time Frame
at time of delivery
Title
Immunogenicity in breastmilk
Description
GMC of anti-HEV IgG in breastmilk at delivery and postpartum 6 weeks and 6 months. Anti-HEV IgG Subclass
Time Frame
at delivery, 6 weeks and 6 months post partum
Title
Counts and proportion of laboratory confirmed Hepatitis E among pregnant recipients of Hecolin® and placebo and their infants during pregnancy and 6 months after birth.
Time Frame
throughout the study period, approximately 24 months
Title
Safety in seropositive and seronegative pregnant participants at baseline
Description
Proportion of pregnancy-related AESI from the vaccination throughout the entire study in pregnant participants by serostatus. Proportion of SAE from the vaccination throughout the entire study in pregnant by serostatus.
Time Frame
throughout the study period, approximately 24 months
Title
Immunogenicity in seropositive and seronegative pregnant and non-pregnant participants
Description
GMC of anti-HEV IgG at 4 weeks post third dose of Hecolin® (2 doses in pregnancy and 1 dose after delivery) in pregnant and non-pregnant participants depending on serostatus.
Time Frame
4 weeks post third dose of vaccination.

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
16 Years
Maximum Age & Unit of Time
45 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: In order to be eligible to participate in this study, a pregnant/non-pregnant woman must meet all of the following criteria: Pregnant women only: Healthy women 16-45 years of age who are between 14 0/7 and 34 6/7 weeks gestation1 on the day of planned vaccination with an uncomplicated, singleton pregnancy, who are at no known increased risk for complications for herself and her infant. Individual willing to provide written informed consent for herself and her infant to participate in the study. Individual who can be followed up during the study period and can comply with the study requirements. Individual and fetus in good health as determined by the outcome of medical history, physical examination, obstetric history, prenatal care (by ultrasound and other prenatal assessment subject to gestational age), vital signs, laboratory evaluations at screening and the clinical judgment of the investigator. Participants who are willing and able to comply with scheduled visits, treatment plan, laboratory tests, and other study procedures. Non-pregnant women only: Healthy women 16-45 years of age. Individual willing to provide written informed consent to participate in the study. Individual who can be followed up during the study period and can comply with the study requirements. Individual in good health as determined by the outcome of medical history, physical examination, vital signs, laboratory evaluations at screening and the clinical judgment of the investigator. Individuals who are willing and able to comply with scheduled visits, treatment plan, laboratory tests, and other study procedures. Females of childbearing potential with negative urinary pregnancy test on the day of screening. Females of childbearing potential who are using an effective birth control method2 for at least 4 weeks before the screening and up to 4 weeks after the last vaccination. Exclusion Criteria: A pregnant/non-pregnant woman who meets any of the following criteria will be excluded from participation in this study: Has received any hepatitis E vaccine in the past. Febrile illness (axillary temperature ≥ 38.5°C) or acute illness within 3 days prior to the study vaccination. Known history or allergy to study vaccine components and/or excipients or other medications, or any other allergies or medical history deemed by the investigator to increase the risk of an adverse event if they were to participate in the trial (e.g., Guillain-Barre Syndrome). Major congenital abnormalities which in the opinion of investigator may affect the participant's participation in the study. Known history of immune function disorders including immunodeficiency diseases (known HIV infection or other immune function disorders) and lupus. Chronic use of systemic steroids (>2 mg/kg/day or >20 mg/day prednisone equivalent for periods exceeding 10 days), cytotoxic or other immunosuppressive drugs within past 6 weeks. Any abnormality or chronic disease which in the opinion of the investigator might be detrimental for the safety of the participant and interfere with the assessment of the study objectives. Behavioral or cognitive impairment, or chronic substance abuse, or psychiatric disease or neural disorders, that, in the opinion of the investigator, could interfere with the participant's ability to participate in the trial. History of splenectomy. Past history of thrombocytopenia and/or thrombosis, myocarditis or pericarditis or any other significant cardiac condition. With a known bleeding diathesis, or any condition that may be associated with a prolonged bleeding time resulting in contraindication for IM injections/blood extractions. (Those who receive low dose aspirin (less than 100mg/day) are not excluded) Receipt of blood or blood-derived products in the past 3 months. Receipt of other vaccines from 4 weeks prior to test vaccination or planned to receive any vaccine within 4 weeks of last dose of study vaccine As per Investigator's medical judgement, an individual could be excluded from the study in spite of meeting all inclusion/exclusion criteria mentioned above. Concomitantly enrolled or scheduled to be enrolled in another trial. Research staff involved with the clinical study or family/household members of research staff. Body mass index (BMI) of ≥ 40, at the time of the screening visit. Pregnant women only: 1. Plans to terminate her pregnancy. Pregnancy complications (in the current pregnancy) such as preterm labor, gestational diabetes, hypertension (blood pressure (BP) > 140/90 in the presence of proteinuria or BP > 150/100 with or without proteinuria), or currently on an antihypertensive therapy, or pre-eclampsia, or evidence of intrauterine growth restriction. 3. Prior stillbirth or neonatal death, or multiple (≥ 3) spontaneous abortions. 4. Prior preterm delivery ≤ 34 weeks gestation or having ongoing intervention (medical/surgical) in current pregnancy to prevent preterm birth. 5. Previous infant with a known genetic disorder or major congenital anomaly. 6. History of major gynecologic or major abdominal surgery (previous Caesarean section is not an exclusion) 7. Current pregnancy results from in vitro fertilization (IVF). 8. Current pregnancy results from rape or incest. 9. Plans to release the neonate for adoption or the neonate to be a ward of the state. 10. Greater than 5 prior deliveries Non-pregnant women only: 1. Pregnant or plan to be pregnant during the study period.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Katerina Rok Song, M.D.
Phone
+82-2-881-1228
Email
katerina.song@ivi.int
Facility Information:
Facility Name
The Aga Khan University
City
Karachi
State/Province
Sindh
ZIP/Postal Code
74800
Country
Pakistan
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Imran Nisar, Assistant Professor
Phone
+92 21 3486 4354
Email
imran.nisar@aku.edu

12. IPD Sharing Statement

Plan to Share IPD
No
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Safety and Immunogenicity of Hecolin® in Healthy Pregnant Women

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