A phase 3, open-label, single-arm, prospective, multi-center trial of Cytotect CP Biotest (BT097) for prevention of maternal-fetal CMV transmission after primary maternal CMV infection. The main purpose of the trial is to demonstrate efficacy and safety of Cytotect CP Biotest in preventing maternal-fetal transmission of cytomegalovirus (CMV).
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
PREVENTION
Masking
NONE
Enrollment
48
Subjects will receive BT097 200 U per kg of maternal body weight intravenously every 2 weeks until at least GW 17
4906
Berlin, Germany
4903
Bonn, Germany
4902
Erlangen, Germany
4901
Tübingen, Germany
4905
Wasserburg am Inn, Germany
To determine the overall rate of maternal-fetal transmission at the time of amniocentesis (week 20 [-1 week / +2 weeks] of gestation)
To determine the overall rate of maternal-fetal transmission at the time of amniocentesis
Time frame: Gestational week 19 - week 22
Subgroups: (1) Subjects with periconceptionally acquired infection or (2) Subjects with infection acquired during first trimester
To determine the rate of maternal-fetal transmission at the time of amniocentesis
Time frame: Gestational week 20 +-1 Week
To determine maternal CMV viral load (copies/ml)
Number of CMV-DNA copies (copies/mL) and corresponding absolute and percentage changes from baseline, until gestational week (GW) 30
Time frame: until gestational week 30
To determine maternal anti-CMV IgG Levels (U/ml)
Maternal anti-CMV IgG Levels (U/ml), absolute and percentage changes from baseline
Time frame: until gestational week 30
To determine maternal anti-CMV IgG avidity (%)
Number/percentage of subjects with Low, Intermediate, High avidity
Time frame: until gestational week 30
To determine maternal anti-CMV IgM index (Index)
Number/percentage of subjects with non-reactive, indeterminate and reactive cut-off index (COI)
Time frame: until gestational week 30
To determine soluble fms-like tyrosine kinase 1 (sFlt-1) concentration in maternal serum
Number/percentage of subjects with high (≥1504 pg/mL) or low (\<1504 pg/mL) values
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Time frame: until gestational week 30
To evaluate vitality of the fetuses/newborns
Number/percentage of subjects with Normal / Abnormal Not Clinically Significant / Abnormal Clinically Significant results per parameter and visit
Time frame: until date of delivery
To evaluate growth of the fetuses/newborns
Number/percentage of subjects with Normal / Abnormal Not Clinically Significant / Abnormal Clinically Significant results per parameter and visit
Time frame: Until date of delivery
To evaluate the rate of congenital CMV infection at delivery or within the first 3 days after delivery
To evaluate the rate of congenital CMV infection at delivery or within the first 3 days after delivery
Time frame: Date of Delivery + 3 days
To measure the number of CMV-DNA copies in the urine of newborns
To measure the number of CMV-DNA copies in the urine of newborns
Time frame: Date of Delivery
To assess the number, severity, causality, outcome, and seriousness of all adverse events (AEs)/ treatment-emergent AEs (TEAEs)/ AEs of special interest until delivery (+3 days) in both mother and fetus/newborn
To assess the number, severity, causality, outcome, and seriousness of all adverse events (AEs)/ treatment-emergent AEs (TEAEs)/ AEs of special interest until delivery (+3 days) in both mother and fetus/newborn
Time frame: Date of Delivery + 3 days