AzTrials
AzTrials

AllergyPhase 3MIS BAIRNCT01906853

Melbourne Infant Study - Bacille Calmette Guérin (BCG) for Allergy & Infection Reduction

A Phase 3 study testing BCG in people with Allergy and Eczema, run by Murdoch Childrens Research Institute at 2 sites in Australia.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

1. To determine if BCG immunisation at birth, compared to no BCG immunisation, leads to a reduction in measures of allergy and infection in the first 12 months of life. 2. To evaluate the immunological mechanisms underlying the non-specific effects of BCG by comparing markers of immunity between the BCG and non-BCG… Read more about this study

Who is it for?
Ages Up to 10 daysHealthy volunteers can take part
Conditions the study is for
Allergy, Eczema, Respiratory Tract Infections
What is being tested?
BCG
Type of treatment
Vaccines
Could I receive a placebo?
No, everyone receives an active treatment
How many people
1,272 participants
Where
2 sitesAustralia
Study dates
Jul 2013to Feb 2025
Phase
Phase 3
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 Up to 10 days
  • All sexes
  • Healthy volunteers accepted
  • Child

Who may be able to join

  • Less than 10 days old;
  • English speaking mother;
  • An informed consent form must be signed and dated by their parent(s) or legally acceptable representative after the nature of the study has been explained and prior to any study assessments/procedures;
  • The infant's mother has screened negative for HIV during this pregnancy;
  • Born no earlier than eight weeks before estimated date of delivery;
  • Birth weight >1500g.
  • The legal guardian expects to be able to complete four online/phone questionnaires over the infant's first 12 months of life and for the infant to be available for skin prick testing at RCH between 12-16 months of age.

Who cannot join

  • Any indication for BCG immunisation in the first 12 months of life including:
  • likely travel to a high tuberculosis (TB) incidence country in the first year of life.
  • Aboriginal and Torres Strait Islander babies living in parts of Australia where the incidence of TB is higher
  • newborn babies, if either parent has leprosy or a family history of leprosy
  • newborn in contact with a patient with TB.
  • Known or suspected HIV infection
Show all 18Show fewer
  • Treatment with corticosteroids or other immunosuppressive therapy, including monoclonal antibodies against tumour necrosis factor-alpha (TNF-alpha) (e.g. infliximab, etanercept, adalimumab).
  • Born to a mother treated with bDMARDS (e.g. TNF-alpha blocking monoclonal antibodies) in the 3rd trimester;
  • Congenital cellular immunodeficiencies including specific deficiencies of the interferon gamma pathway;
  • Malignancies involving bone marrow or lymphoid systems;
  • Serious underlying illness including severe malnutrition;
  • Medically unstable;
  • Generalised septic skin disease and skin conditions such as eczema, dermatitis and psoriasis;
  • Significant febrile illness;
  • Mother immunosuppressed;
  • Family history of immunodeficiency;
  • Consanguineous parents;
  • Multiple births more than twins.

Trial locations and contacts

2 sites in 1 country.

Australia2 sites
  • Mercy Hospital for Women

    Heidelberg, Victoria, 3084

  • Royal Children's Hospital

    Melbourne, Victoria, 3052

Other trials in Australia

About this study

Official title: A Randomised, Controlled Trial to Determine if BCG Immunisation at Birth Reduces Allergy and Infection in Infants

  1. To determine if BCG immunisation at birth, compared to no BCG immunisation, leads to a reduction in measures of allergy and infection in the first 12 months of life.
  2. To evaluate the immunological mechanisms underlying the non-specific effects of BCG by comparing markers of immunity between the BCG and non-BCG groups.
Read the detailed description

There has been a dramatic rise in allergic diseases worldwide since the 1980s. Asthma rates increased first, followed by eczema, allergic rhinitis and, more recently, food allergy - especially in infants and young children. In Australia, the prevalence of allergic disease is particularly high: up to 30% of children are affected, and eczema and asthma are among the most common chronic diseases of childhood.

Preventing allergic disease by an immunomodulatory intervention early in life would be a major advance with significant implications for individual health and public health resources. Bacillus Calmette-Guérin (BCG) immunisation is a potential intervention with an established safety profile. This vaccine has powerful non-specific effects on the cellular immune response that potentially prime host immunity away from an allergic pathway. Observational data and one small randomised controlled trial (RCT) suggest that BCG immunisation at birth leads to a substantial reduction in allergic disease - however, there is an absence of level 1 evidence.

Being tested
BCG
Keywords
BCG, Bacille Calmette Guérin, Allergy, Immunity, Immune response, Vaccine, Infants, Children, Infection
Medical subject headings
Hypersensitivity, Eczema, Respiratory Tract Infections, Infections

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • BCGBiological

    Also called BCG vaccine - Denmark strain, BCG Denmark, Statens Serum Institute BCG vaccine, Mycobacterium bovis BCG (Bacille Calmette Guérin), Danish Strain 1331

Study groups in NCT01906853
Study groupRoleWhat they receive
No BCGNo interventionNo BCG
BCGExperimentalMycobacterium bovis BCG (Bacille Calmette Guérin) vaccine, Danish Strain 1331
Receives: Biological: BCG

What is being measured

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

  1. Atopic sensitisation measured by skin prick test (SPT)

    Proportion of participants with a positive SPT defined as wheal diameter ≥2 mm greater than negative control at 15 min to one or more of a panel of food and aeroallergens

    Measured: 1 year of age

  2. Atopic sensitisation measured by skin prick test (SPT)

    Proportion of participants with a positive SPT defined as wheal diameter ≥2 mm greater than negative control at 15 min to one or more of a panel of food and aeroallergens

    Measured: 5 years of age

  3. Lower respiratory tract infection (LRTI)

    Measured by parent report

    Measured: 0-12 months

  4. Lower respiratory tract infection (LRTI) hospital admissions

    Proportion of participants with ≥1 hospital admission for LRTI reported by parent

    Measured: 0-5 years of age

  5. Eczema ever

    Proportion of participants with eczema measured by Williams' UK diagnostic criteria using parental report of symptoms

    Measured: 0-12 months

  6. Eczema ever

    Proportion of participants with eczema measured by Williams' UK diagnostic criteria using parental report of symptoms

    Measured: 0-5 years of age

  7. Current asthma

    Using ISAAC definitions

    Measured: 5 years of age

  8. Asthma ever

    Using ISAAC definitions

    Measured: 5 years of age

Secondary outcomes (51)
  1. Clinical food allergy

    Proportion of participants with challenge-proven food allergy OR convincing history of food allergy in participants with a SPT wheal diameter ≥2 mm greater than negative control at 15 min to one or more of a panel of food allergens

    Measured: 1 year of age

  2. Clinical food allergy

    Proportion of participants with challenge-proven food allergy OR convincing history of food allergy in participants with a SPT wheal diameter ≥2 mm greater than negative control at 15 min to one or more of a panel of food allergens

    Measured: 5 years of age

  3. Atopic sensitisation measured by SPT using a more stringent cut-off

    Proportion of participants with a positive SPT defined as wheal diameter ≥3 mm greater than negative control at 15 min to one or more of a panel of food allergens and aeroallergens

    Measured: 1 year of age

  4. Atopic sensitisation measured by SPT using a more stringent cut-off

    Proportion of participants with a positive SPT defined as wheal diameter ≥3 mm greater than negative control at 15 min to one or more of a panel of food allergens and aeroallergens

    Measured: 5 years of age

  5. Atopic sensitisation to multiple allergens measured by SPT

    Proportion of participants with a positive SPT defined as wheal diameter ≥2 mm greater than negative control at 15 min to two or more of a panel of food allergens and aeroallergens

    Measured: 1 year of age

  6. Atopic sensitisation to multiple allergens measured by SPT

    Proportion of participants with a positive SPT defined as wheal diameter ≥2 mm greater than negative control at 15 min to two or more of a panel of food allergens and aeroallergens

    Measured: 5 years of age

  7. Parent report of food allergy

    Proportion of participants with an allergic reaction to any food reported by parent

    Measured: 0-12 months of age

  8. Parent report of food allergy

    Proportion of participants with an allergic reaction to any food reported by parent

    Measured: 0-5 years of age

  9. Egg sensitisation

    Proportion of participants with a positive SPT defined as wheal diameter ≥2 mm greater than negative control at 15 min to egg allergen

    Measured: 1 year of age

  10. Egg sensitisation

    Proportion of participants with a positive SPT defined as wheal diameter ≥2 mm greater than negative control at 15 min to egg allergen

    Measured: 5 years of age

  11. Egg allergy

    Proportion of participants with a challenge-proven egg allergy OR convincing history of egg allergy in participants with a SPT wheal diameter ≥2 mm greater than negative control at 15 min to egg

    Measured: 1 year of age

  12. Egg allergy

    Proportion of participants with a challenge-proven egg allergy OR convincing history of egg allergy in participants with a SPT wheal diameter ≥2 mm greater than negative control at 15 min to egg

    Measured: 5 years of age

  13. Atopic wheeze

    Proportion of participants with a positive SPT defined as wheal diameter ≥2 mm greater than negative control at 15 min to one or more of a panel of food and aeroallergens together with parent-reported wheeze

    Measured: 1 year of age

  14. Atopic wheeze

    Proportion of participants with a positive SPT defined as wheal diameter ≥2 mm greater than negative control at 15 min to one or more of a panel of food and aeroallergens together with parent-reported wheeze

    Measured: 5 years of age

  15. Lower respiratory tract infection (LRTI)

    Proportion of participants with ≥1 episode of LRTI, by parental report

    Measured: Prior to first Diphtheria, Tetanus, Pertussis (DTP) vaccination

  16. Lower respiratory tract infection (LRTI)

    Proportion of participants with ≥1 episode of LRTI, by parental report

    Measured: 0-5 years of age

  17. Rate of lower respiratory tract infection (LRTI)

    Number of clinical episodes of LRTI, by parental report

    Measured: 0-12 months

  18. Rate of lower respiratory tract infection (LRTI)

    Number of clinical episodes of LRTI, by parental report

    Measured: Prior to first DTP vaccination

  19. Rate of lower respiratory tract infection (LRTI)

    Number of clinical episodes of LRTI, by parental report

    Measured: 0-5 years of age

  20. Infections

    Hospital admissions for any infection by parental report

    Measured: 0-12 months

  21. Infections

    Hospital admissions for any infection by parental report

    Measured: Prior to first DTP vaccination

  22. Infections

    Hospital admissions for any infection by parental report

    Measured: 0-5 years of age

  23. Hospitalisation for respiratory tract infection (RTI)

    Proportion of participants with ≥1 hospital admission for a RTI, by parent report

    Measured: 0-12 months of age

  24. Hospitalisation for respiratory tract infection (RTI)

    Proportion of participants with ≥1 hospital admission for a RTI, by parent report

    Measured: Prior to first DTP vaccination

  25. Hospitalisation for respiratory tract infection (RTI)

    Proportion of participants with ≥1 hospital admission for a RTI, by parent report

    Measured: 0-5 years of age

  26. Rate of any infection

    Number of clinical episodes of where an infant had symptoms of: wheeze, rattle/rattly chest, fever, runny/blocked nose, cough, or diarrhoea (with vomiting), by parent report

    Measured: 0-12 months of age

  27. Rate of any infection

    Number of clinical episodes of where an infant had symptoms of: wheeze, rattle/rattly chest, fever, runny/blocked nose, cough, or diarrhoea (with vomiting), by parent report

    Measured: Prior to first DTP vaccination

  28. Rate of upper respiratory tract infection (URTI)

    Number of clinical episodes of upper respiratory tract infections, by parent report

    Measured: 0-12 months of age

  29. Rate of upper respiratory tract infection (URTI)

    Number of clinical episodes of upper respiratory tract infections, by parent report

    Measured: Prior to first DTP vaccination

  30. Rate of fever

    Number of clinical episodes of fever, by parent report

    Measured: 0-12 months of age

  31. Rate of fever

    Number of clinical episodes of fever, by parent report

    Measured: Prior to first DTP vaccination

  32. Diarrhoea

    Proportion of participants with ≥1 episodes of diarrhoea

    Measured: 0-12 months of age

  33. Diarrhoea

    Proportion of participants with ≥1 episodes of diarrhoea

    Measured: Prior to first DTP vaccination

  34. Rash with fever

    Proportion of participants with ≥1 episodes of rash with fever

    Measured: 0-12 months of age

  35. Rash with fever

    Proportion of participants with ≥1 episodes of rash with fever

    Measured: Prior to first DTP vaccination

  36. Eczema ever

    Proportion of participants with eczema measured by a combined eczema measure

    Measured: 0-12 months of age

  37. Eczema ever

    Proportion of participants with eczema measured by a combined eczema measure

    Measured: 0-5 years of age

  38. Eczema

    Proportion of clinician-diagnosed eczema, by parental report

    Measured: 0-12 months

  39. Eczema

    Proportion of clinician-diagnosed eczema, by parental report

    Measured: 0-5 years of age

  40. Eczema onset

    Age of onset of eczema, by parental report

    Measured: 0-12 months

  41. Eczema onset

    Age of onset of eczema, by parental report

    Measured: 0-5 years of age

  42. Eczema severity

    Measured by parental report (POEM score)

    Measured: 0-12 months

  43. Eczema severity

    Measured by clinical assessment (SCORAD)

    Measured: 0-12 months

  44. Eczema severity

    Eczema medication use, by parental report

    Measured: 0-12 months

  45. Eczema severity

    Measured by parental report (POEM score)

    Measured: 0-5 years of age

  46. Eczema severity

    Measured by clinical assessment (SCORAD)

    Measured: 0-5 years of age

  47. Eczema severity

    Eczema medication use, by parental report

    Measured: 0-5 years of age

  48. Asthma severity

    Measured by asthma control test (ACT), by parental/participant report

    Measured: 4 years of age

  49. Asthma severity

    Measured by asthma control test (ACT), by parental/participant report

    Measured: 5 years of age

  50. Asthma severity

    Hospital admissions for asthma, by parental report

    Measured: 2-5 years of age

  51. Laboratory measures of the immune response

    Measured: Time Frame: 0-5 years of age

Timeline

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

  1. First posted24 Jul 2013 (estimated)
  2. Study startJul 2013
  3. Primary completionSep 2023
  4. Study completionFeb 2025

Resources

More details

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

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
1,272 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01906853
Sponsor's protocol ID
BCG12/01
Other IDs
1051228
Acronym
MIS BAIR
Status last verified
Feb 2025
First submitted
21 Jul 2013
Last updated
17 Feb 2025
Results posted
No
Data monitoring committee
No

Publications

  • Khazaei Y, Kodikara S, Butler CA, Messina NL, Le Cao KA, Dashper SG, Silva MJ. Development and validation of diagnostic and prognostic prediction tools for dental caries in young children through prospective and cross-sectional observational studies: a protocol. BMJ Open. 2025 Oct 5;15(10):e105145. doi: 10.1136/bmjopen-2025-105145.

    PubMed 41047269
  • Pittet LF, Forbes EK, Donath S, Francis KL, Gardiner K, Flanagan KL, Ponsonby AL, Robins-Browne R, Shann F, South M, Vuillermin P, Casalaz D, Curtis N, Messina NL; Melbourne Infant Study: BCG for Allergy and Infection Reduction (MIS BAIR) Group. Neonatal BCG vaccination to prevent asthma: Results from the MIS BAIR randomized controlled trial. Pediatr Allergy Immunol. 2025 Jun;36(6):e70110. doi: 10.1111/pai.70110.

    PubMed 40464744
  • Messina NL, Gardiner K, Pittet LF, Forbes EK, Francis KL, Freyne B, Zufferey C, Abruzzo V, Morison C, Turner H, Allen KJ, Flanagan KL, Ponsonby AL, Robins-Browne R, Shann F, Vuillermin P, Donath S, Casalaz D, Curtis N; Melbourne Infant Study: BCG for Allergy and Infection Reduction (MIS BAIR) Group. Neonatal BCG Vaccination for Prevention of Allergy in Infants: The MIS BAIR Randomised Controlled Trial. Clin Exp Allergy. 2024 Sep;54(9):682-693. doi: 10.1111/cea.14537. Epub 2024 Jul 14.

    PubMed 39004434
  • Pittet LF, Messina NL, Gardiner K, Freyne B, Abruzzo V, Morrison C, Vuillermin P, Allen KJ, Ponsonby AL, Robins-Browne R, Shann F, Flanagan KL, Donath S, Casalaz D, Phillips R, Curtis N. Discordance Between Diagnosis Tools for Assessing Eczema in Infants: A Challenge for Intervention Trials. Dermatitis. 2022 May-Jun 01;33(3):207-214. doi: 10.1097/DER.0000000000000842. Epub 2022 Feb 16.

    PubMed 35170523
  • Pittet LF, Messina NL, Gardiner K, Freyne B, Abruzzo V, Francis KL, Morrison C, Zufferey C, Vuillermin P, Allen KJ, Ponsonby AL, Robins-Browne R, Shann F, Flanagan KL, Phillips R, Donath S, Casalaz D, Curtis N. Prevention of infant eczema by neonatal Bacillus Calmette-Guerin vaccination: The MIS BAIR randomized controlled trial. Allergy. 2022 Mar;77(3):956-965. doi: 10.1111/all.15022. Epub 2021 Aug 9.

    PubMed 34309859
  • Cirovic B, de Bree LCJ, Groh L, Blok BA, Chan J, van der Velden WJFM, Bremmers MEJ, van Crevel R, Handler K, Picelli S, Schulte-Schrepping J, Klee K, Oosting M, Koeken VACM, van Ingen J, Li Y, Benn CS, Schultze JL, Joosten LAB, Curtis N, Netea MG, Schlitzer A. BCG Vaccination in Humans Elicits Trained Immunity via the Hematopoietic Progenitor Compartment. Cell Host Microbe. 2020 Aug 12;28(2):322-334.e5. doi: 10.1016/j.chom.2020.05.014. Epub 2020 Jun 15.

    PubMed 32544459
  • Messina NL, Gardiner K, Donath S, Flanagan K, Ponsonby AL, Shann F, Robins-Browne R, Freyne B, Abruzzo V, Morison C, Cox L, Germano S, Zufferey C, Zimmermann P, Allen KJ, Vuillermin P, South M, Casalaz D, Curtis N. Study protocol for the Melbourne Infant Study: BCG for Allergy and Infection Reduction (MIS BAIR), a randomised controlled trial to determine the non-specific effects of neonatal BCG vaccination in a low-mortality setting. BMJ Open. 2019 Dec 15;9(12):e032844. doi: 10.1136/bmjopen-2019-032844.

    PubMed 31843845
  • Zimmermann P, Perrett KP, van der Klis FR, Curtis N. The immunomodulatory effects of measles-mumps-rubella vaccination on persistence of heterologous vaccine responses. Immunol Cell Biol. 2019 Jul;97(6):577-585. doi: 10.1111/imcb.12246. Epub 2019 Mar 28.

    PubMed 30791143

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing BCG in people with Allergy and Eczema, run by Murdoch Childrens Research Institute at 2 sites in Australia.

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 7 inclusion and 18 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: finished, as of the sponsor's last update on 17 Feb 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in Australia. 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.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Atopic sensitisation measured by skin prick test (SPT) (time frame: 1 year of age). The study lists 8 primary outcomes in all. 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 NCT01906853, 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 17 Feb 2025.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in