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Zika Virus Disease (Disorder)NCT02856984

Zika in Infants and Pregnancy (ZIP)

An observational study of Zika Virus Disease (Disorder), run by RTI International at 10 sites in 6 countries.

Completed

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

Official record
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Trial summary

The overall objective of this multisite, multicountry Zika in Infants and Pregnancy (ZIP) study is to assess the strength of the association between Zika virus infection (ZIKV) during pregnancy and adverse maternal/fetal outcomes and the risk of vertical transmission. Read more about this study

Who is it for?
Ages 15 years and older, women onlyHealthy volunteers can take part
Conditions the study is for
Zika Virus Disease (Disorder)
How many people
6,461 participants
Where
10 sitesin 6 countries
Study dates
Jun 2016to 5 May 2020
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 15 years and older
  • Women only
  • Healthy volunteers accepted
  • Child, Adult, Older adult

Study population: The study will recruit up to 10,000 pregnant women up to 17 weeks and 6 days gestation and subjects at any gestational age with acute Zika infection, confirmed by serology or PCR (polymerase chain reaction) test from ZIKV-endemic regions and follow them longitudinally to study the impact of incident ZIKV during pregnancy on maternal, fetal, and newborn outcomes. Researchers will identify cases of incident ZIKV among pregnant women by monitoring for symptoms of Zika-like illness and performing serial laboratory sampling for diagnosis of seroconversion and viral shedding. After delivery, infants born with evidence of ZIKV or born to mothers diagnosed with incident virus infection will be followed in a prospective longitudinal cohort for at least 1 year. In addition, a control group of infants born to mothers without evidence of ZIKV during pregnancy will be followed.

Who may be able to join

  • Informed consent
  • Age >15 years
  • Assent and consent as required per local country regulations
  • Confirmation of pregnancy by beta human chorionic gonadotropin (hCG) measurement in blood/urine or ultrasound confirmation of pregnancy with fetal heart tones present
  • Pregnant women up to 17 weeks and 6 days gestation and subjects at any gestational age with acute Zika infection, confirmed by serology or PCR (polymerase chain reaction) test.
  • All infants born to women enrolled in the observational cohort are eligible for enrollment

Who cannot join

  • Women who cannot adhere to proposed testing schedule
  • Pregnant women enrolled in other research including other ZIKV research
  • Mother or custodial parent does not consent to have child participate
  • Infants born to mothers that are not part of the ZIP cohort study

Trial locations and contacts

10 sites in 6 countries.

10 sites in 6 countries

Brazil4 sites
  • Departamento de Medicina Tropical da Universidade Federal de Pernambuco-UFPE

    Recife, Pernambuco, CEP: 50670-901

  • Ribeirão Preto Medical School, University of São Paulo, Av. Bandeirantes, 3900 - Monte Alegre

    Ribeirão Preto, São Paulo, 14049-900

  • Instituto Fernandes Figueira - FIOCRUZ

    Rio de Janeiro, Rio de Janeiro, 22250-020

  • Centro de Pesquisas Gonçalo Moniz, Fundação Oswaldo Cruz/MS; Rue Waldemar Falcao

    Salvador, Estado de Bahia, 40296-710

Other trials in Brazil

Puerto Rico2 sites
  • University of Puerto Rico Medical Sciences Campus

    San Juan, 00921

  • University of Puerto Rico - Recinto de Río Piedras

    San Juan, 00936

Other trials in Puerto Rico

Colombia1 site
  • Centro Medico Imbanaco

    Cali

Other trials in Colombia

Guatemala1 site
  • Fundación para la Alimentación y Nutrición de Centro América y Panamá (INCAP)

    Guatemala City

Other trials in Guatemala

Nicaragua1 site
  • MINSA Central

    Managua, 16064

Peru1 site
  • Universidad Peruana

    Lima

Other trials in Peru

About this study

Official title: International Prospective Observational Cohort Study of Zika in Infants

The overall objective of this multisite, multicountry Zika in Infants and Pregnancy (ZIP) study is to assess the strength of the association between Zika virus infection (ZIKV) during pregnancy and adverse maternal/fetal outcomes and the risk of vertical transmission. The study will prospectively enroll a cohort of pregnant women up to 17 weeks and 6 days gestation and subjects at any gestational age with acute Zika infection, confirmed by serology or PCR (polymerase chain reaction) test. The study will follow these women through their pregnancy to identify for clinical evidence of acute ZIKV, while controlling for potential confounders. Outcomes in the women, the developing fetus, and infants will be assessed. All protocol-specified data will be recorded and entered in a central data management system for the purposes of analysis of composite data from the study.

Read the detailed description

The overall objective of this multisite, multicountry Zika in Infants and Pregnancy (ZIP) study is to assess the strength of the association between Zika virus infection (ZIKV) during pregnancy and adverse maternal/fetal outcomes and the risk of vertical transmission. The study will prospectively enroll a cohort of pregnant women up to 17 weeks and 6 days gestation and subjects at any gestational age with acute Zika infection, confirmed by serology or PCR (polymerase chain reaction) test. The study will follow these women through their pregnancy to identify for clinical evidence of acute ZIKV, while controlling for potential confounders. Outcomes in the women, the developing fetus, and infants will be assessed. All protocol-specified data will be recorded and entered in a central data management system for the purposes of analysis of composite data from the study.

The study will recruit up to10,000 pregnant women in their first trimester from ZIKV-endemic regions and follow them longitudinally to study the impact of incident ZIKV during pregnancy on maternal, fetal, and newborn outcomes. Researchers will identify cases of incident ZIKV among pregnant women by monitoring for symptoms of Zika-like illness and performing serial laboratory sampling for diagnosis of seroconversion and viral shedding. After delivery, infants born with evidence of ZIKV or born to mothers diagnosed with incident virus infection will be followed in a prospective longitudinal cohort for at least 1 year. In addition, a control group of infants born to mothers without evidence of ZIKV during pregnancy will be followed.

Keywords
Pregnancy, Infant
Medical subject headings
Zika Virus Infection

What participants receive

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

Study groups in NCT02856984
Study groupRoleWhat they receive
ZIKV infected womenThe study will prospectively enroll pregnant women up to 17 weeks and 6 days gestation and follow them through their pregnancy for clinical evidence of acute ZIKV infection while controlling for potential confounders. All pregnant women will be followed throughout the pregnancy, delivery, and 6 weeks postpartum. Outcomes in women, the developing fetus, and infants will be assessed.
Control (uninfected women)The women who remain uninfected will serve as the internal comparison group. The infants who remain uninfected at delivery and throughout the follow-up period will serve as the internal comparison group.

What is being measured

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

  1. Incidence of congenital malformations for ZIKV infected participants

    To measure the incidence of congenital malformations in fetuses/infants.

    Measured: Time of birth of infant

  2. Incidence of congenital malformations for ZIKV infected participants

    To measure the incidence of congenital malformations in fetuses/infants.

    Measured: 3 months of age

  3. Incidence of congenital malformations for ZIKV infected participants

    To measure the incidence of congenital malformations in fetuses/infants.

    Measured: 6 months of age

  4. Incidence of congenital malformations for ZIKV infected participants

    To measure the incidence of congenital malformations in fetuses/infants.

    Measured: 12 months of age

  5. Incidence of adverse fetal outcomes for ZIKV infected participants

    To measure the incidence of adverse fetal outcomes (including microcephaly, fetal demise, neonatal death, central nervous system (CNS) malformations, hydrops, and ocular abnormalities) in fetuses/infants.

    Measured: Time of birth of infant

  6. Incidence of adverse fetal outcomes for ZIKV infected participants

    To measure the incidence of adverse fetal outcomes (including microcephaly, fetal demise, neonatal death, central nervous system (CNS) malformations, hydrops, and ocular abnormalities) in fetuses/infants.

    Measured: 3 months of age

  7. Incidence of adverse fetal outcomes for ZIKV infected participants

    To measure the incidence of adverse fetal outcomes (including microcephaly, fetal demise, neonatal death, central nervous system (CNS) malformations, hydrops, and ocular abnormalities) in fetuses/infants.

    Measured: 6 months of age

  8. Incidence of adverse fetal outcomes for ZIKV infected participants

    To measure the incidence of adverse fetal outcomes (including microcephaly, fetal demise, neonatal death, central nervous system (CNS) malformations, hydrops, and ocular abnormalities) in fetuses/infants.

    Measured: 12 months of age

  9. Incidence of congenital malformations for ZIKV symptomatic participants

    To measure the incidence of congenital malformations in fetuses/infants.

    Measured: Time of birth of infant

  10. Incidence of congenital malformations for ZIKV symptomatic participants

    To measure the incidence of congenital malformations in fetuses/infants.

    Measured: 3 months of age

  11. Incidence of congenital malformations for ZIKV symptomatic participants

    To measure the incidence of congenital malformations in fetuses/infants.

    Measured: 6 months of age

  12. Incidence of congenital malformations for ZIKV symptomatic participants

    To measure the incidence of congenital malformations in fetuses/infants.

    Measured: 12 months of age

  13. Incidence of adverse fetal outcomes for ZIKV symptomatic participants

    To measure the incidence of adverse fetal outcomes (including microcephaly, fetal demise, neonatal death, CNS malformations, hydrops, and ocular abnormalities) in fetuses/infants.

    Measured: Time of birth of infant

  14. Incidence of adverse fetal outcomes for ZIKV symptomatic participants

    To measure the incidence of adverse fetal outcomes (including microcephaly, fetal demise, neonatal death, CNS malformations, hydrops, and ocular abnormalities) in fetuses/infants.

    Measured: 3 months of age

  15. Incidence of adverse fetal outcomes for ZIKV symptomatic participants

    To measure the incidence of adverse fetal outcomes (including microcephaly, fetal demise, neonatal death, CNS malformations, hydrops, and ocular abnormalities) in fetuses/infants.

    Measured: 6 months of age

  16. Incidence of adverse fetal outcomes for ZIKV symptomatic participants

    To measure the incidence of adverse fetal outcomes (including microcephaly, fetal demise, neonatal death, CNS malformations, hydrops, and ocular abnormalities) in fetuses/infants.

    Measured: 12 months 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 posted5 Aug 2016 (estimated)
  2. Study startJun 2016
  3. Primary completion5 May 2020
  4. Study completion5 May 2020

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
6,461 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02856984
Sponsor's protocol ID
GN ZIKA
Status last verified
Aug 2021
First submitted
20 Jul 2016
Last updated
19 Aug 2021
Results posted
No
Data monitoring committee
Yes
Individual data sharing
Yes: de-identified participant data will be entered into the National Institute of Child Health and Human Development (NICHD) Data and Specimen Hub (N-DASH) system.

Publications

  • WHO statement on the first meeting of the International Health Regulations (2005) (IHR 2005) Emergency Committee on Zika virus and observed increase in neurological disorders and neonatal malformations; 1 February 2016. Available at http://www.who.int/ mediacentre/news/statements/2016/1st-emergency-committee-zika/en/

  • Petersen EE, Staples JE, Meaney-Delman D, Fischer M, Ellington SR, Callaghan WM, Jamieson DJ. Interim Guidelines for Pregnant Women During a Zika Virus Outbreak--United States, 2016. MMWR Morb Mortal Wkly Rep. 2016 Jan 22;65(2):30-3. doi: 10.15585/mmwr.mm6502e1.

    PubMed 26796813
  • Powles R, Smith C, Milan S, Treleaven J, Millar J, McElwain T, Gordon-Smith E, Milliken S, Tiley C. Human recombinant GM-CSF in allogeneic bone-marrow transplantation for leukaemia: double-blind, placebo-controlled trial. Lancet. 1990 Dec 8;336(8728):1417-20. doi: 10.1016/0140-6736(90)93111-2.

    PubMed 1978880
  • CDC. Chikungunya virus. Atlanta, GA: US Department of Health and Human Services, CDC; 2015. http://www.cdc.gov/chikungunya/hc/clinicalevaluation.html

  • Dengue: Guidelines for Diagnosis, Treatment, Prevention and Control: New Edition. Geneva: World Health Organization; 2009. Available from http://www.ncbi.nlm.nih.gov/books/NBK143157/

    PubMed 23762963
  • CDC Zika Virus; Areas with Zika http://www.cdc.gov/zika/geo/index.html

  • Oliveira Melo AS, Malinger G, Ximenes R, Szejnfeld PO, Alves Sampaio S, Bispo de Filippis AM. Zika virus intrauterine infection causes fetal brain abnormality and microcephaly: tip of the iceberg? Ultrasound Obstet Gynecol. 2016 Jan;47(1):6-7. doi: 10.1002/uog.15831. No abstract available.

    PubMed 26731034
  • CDC. West Nile virus: insect repellent use & safety. Atlanta, GA: US Department of Health and Human Services, CDC; 2015. http://www.cdc.gov/westnile/faq/repellent.html.

  • CDC. Zika virus. Atlanta, GA: US Department of Health and Human Services, CDC; 2015. http://www.cdc.gov/zika/index.html

  • Oduyebo T, Petersen EE, Rasmussen SA, Mead PS, Meaney-Delman D, Renquist CM, Ellington SR, Fischer M, Staples JE, Powers AM, Villanueva J, Galang RR, Dieke A, Munoz JL, Honein MA, Jamieson DJ. Update: Interim Guidelines for Health Care Providers Caring for Pregnant Women and Women of Reproductive Age with Possible Zika Virus Exposure - United States, 2016. MMWR Morb Mortal Wkly Rep. 2016 Feb 12;65(5):122-7. doi: 10.15585/mmwr.mm6505e2.

    PubMed 26866840
  • Babaliche P, Doshi D. Catching Dengue Early: Clinical Features and Laboratory Markers of Dengue Virus Infection. J Assoc Physicians India. 2015 May;63(5):38-41.

    PubMed 26591143
  • Wahala WM, Silva AM. The human antibody response to dengue virus infection. Viruses. 2011 Dec;3(12):2374-95. doi: 10.3390/v3122374. Epub 2011 Nov 25.

    PubMed 22355444
  • Gibney KB, Edupuganti S, Panella AJ, Kosoy OI, Delorey MJ, Lanciotti RS, Mulligan MJ, Fischer M, Staples JE. Detection of anti-yellow fever virus immunoglobulin m antibodies at 3-4 years following yellow fever vaccination. Am J Trop Med Hyg. 2012 Dec;87(6):1112-5. doi: 10.4269/ajtmh.2012.12-0182. Epub 2012 Oct 29.

    PubMed 23109371
  • Roehrig JT, Nash D, Maldin B, Labowitz A, Martin DA, Lanciotti RS, Campbell GL. Persistence of virus-reactive serum immunoglobulin m antibody in confirmed west nile virus encephalitis cases. Emerg Infect Dis. 2003 Mar;9(3):376-9. doi: 10.3201/eid0903.020531.

    PubMed 12643836
  • http://www.salud.gov.pr/Estadisticas-Registros-y-Publicaciones/Informes %20Arbovirales/Reporte%20ArboV%20semana%204-2016.pdf

Questions about this trial

What is this clinical trial studying?

An observational study of Zika Virus Disease (Disorder), run by RTI International at 10 sites in 6 countries.

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 6 inclusion and 4 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 19 Aug 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 10 sites in Brazil, Puerto Rico, Colombia, Guatemala, Nicaragua and 1 more country. 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?

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?

Incidence of congenital malformations for ZIKV infected participants (time frame: Time of birth of infant). The study lists 16 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 NCT02856984, which also lists 28 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 19 Aug 2021.

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