Effect of Morning vs. Evening Vaccination on Hypoxia and Bradycardia of Preterm Infants: a Randomised Controled Trial
Primary Purpose
Premature Birth, Intermittent Hypoxiema
Status
Completed
Phase
Phase 3
Locations
Germany
Study Type
Interventional
Intervention
Infanrix + Prevenar 13
Sponsored by
About this trial
This is an interventional treatment trial for Premature Birth
Eligibility Criteria
Inclusion Criteria:
- gestational Age: 26+0 to 30+6 Weeks of gestational age
Exclusion Criteria:
- bronchopulmonary dysplasia
- periventricular leukomalacia
- intraventricular hemorrhage >°2
- congenital malformations
Sites / Locations
- University Childrens Hospital
Arms of the Study
Arm 1
Arm 2
Arm Type
Active Comparator
Active Comparator
Arm Label
morning vaccination
evening vaccination
Arm Description
Vaccination with Infanrix + Prevenar 13 between 7 and 10 am
Vaccination with Infanrix + Prevenar 13 between 7 and 10 pm
Outcomes
Primary Outcome Measures
Number of hypoxia and bradycardia events
Secondary Outcome Measures
Vaccination titer in blood sample after vaccination compared to vaccination titer in blood sample before vaccination
Full Information
NCT ID
NCT02640703
First Posted
December 12, 2015
Last Updated
October 24, 2017
Sponsor
University Hospital Tuebingen
1. Study Identification
Unique Protocol Identification Number
NCT02640703
Brief Title
Effect of Morning vs. Evening Vaccination on Hypoxia and Bradycardia of Preterm Infants: a Randomised Controled Trial
Official Title
Effect of Morning vs. Evening Vaccination on Hypoxia and Bradycardia of Preterm Infants: a Randomised Controled Trial
Study Type
Interventional
2. Study Status
Record Verification Date
October 2017
Overall Recruitment Status
Completed
Study Start Date
March 2015 (undefined)
Primary Completion Date
December 2016 (Actual)
Study Completion Date
May 2017 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
University Hospital Tuebingen
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
Hypoxia/bradycardia are common symptoms after vaccination of preterm infants. Adults show diurnal variations in vaccination response, due to circadian regulation of the immune system. The investigators plan to investigate whether preterm infants also show differences in hypoxia/bradycardia rate upon morning vs. evening vaccination.
Hypoxia/bradycardia is recorded by pulse oximetry starting 24 hours before until 48 hours after vaccination; parents also kept a sleep-diary. 24 hours after vaccination interleukin-6, interleukin-1β and C-reactive protein get determined. To control vaccination response, pertussis- and haemophilus-titers are determined before vaccination and at 4 months corrected age.
Detailed Description
Intervention: First hexavalent vaccination given to very preterm infants either in the evening or in the morning.
Primary outcome: rate of desaturations (SpO2 <80%) and bradycardias (Pulse rate <100/min) in first 24 h following vaccination in evening vs. morning vaccination group Secondary outcomes: cytokine levels (IL 6, IL 1ß, CRP) measured 24 h after vaccination, pertussis- and haemophilus-titers as measured before and after vaccination, i.e. at 4 months corrected age, in evening vs. morning vaccination group
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Premature Birth, Intermittent Hypoxiema
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
16 (Actual)
8. Arms, Groups, and Interventions
Arm Title
morning vaccination
Arm Type
Active Comparator
Arm Description
Vaccination with Infanrix + Prevenar 13 between 7 and 10 am
Arm Title
evening vaccination
Arm Type
Active Comparator
Arm Description
Vaccination with Infanrix + Prevenar 13 between 7 and 10 pm
Intervention Type
Biological
Intervention Name(s)
Infanrix + Prevenar 13
Intervention Description
Different time of application
Primary Outcome Measure Information:
Title
Number of hypoxia and bradycardia events
Time Frame
72 hours
Secondary Outcome Measure Information:
Title
Vaccination titer in blood sample after vaccination compared to vaccination titer in blood sample before vaccination
Time Frame
Before vaccination and at the age of 4 months (corrected age)
10. Eligibility
Sex
All
Minimum Age & Unit of Time
30 Days
Maximum Age & Unit of Time
6 Months
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria:
gestational Age: 26+0 to 30+6 Weeks of gestational age
Exclusion Criteria:
bronchopulmonary dysplasia
periventricular leukomalacia
intraventricular hemorrhage >°2
congenital malformations
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Christian F. Poets, Prof.
Organizational Affiliation
Dept. of Neonatology, Tuebingen University Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
University Childrens Hospital
City
Tübingen
ZIP/Postal Code
72076
Country
Germany
12. IPD Sharing Statement
Plan to Share IPD
No
Learn more about this trial
Effect of Morning vs. Evening Vaccination on Hypoxia and Bradycardia of Preterm Infants: a Randomised Controled Trial
We'll reach out to this number within 24 hrs