About this trial
BEATRIX (group B strEptococcus mATeRnal and Infant VaX study) The purpose of this study is to learn about the safety and how the group B streptococcus (GBS) vaccine works in pregnant women and their babies.
This study is seeking healthy pregnant participants:
* aged 49 or younger who can join. * between 24 and 36 weeks of gestation ("Gestational age" is a medical term used to describe how far along your pregnancy is) * had a fetal ultrasound examination performed with no major fetal abnormalities observed * documented negative for HIV, syphilis and Hepatitis B All participants in this study will receive only 1 shot in an arm. This could either be a group B streptococcus 6-valent polysaccharide conjugate vaccine (GBS6) or placebo. Placebo is an inactive substance used in the study for comparison purposes; in this study, the placebo injection will be saline (saltwater). The pregnant participants may take part in this study for a maximum of 14 months (6 months after delivery) , and their babies for about 12 months after they are born. The pregnant participants will need to visit the research site at least 3 to 4 times with some visits permitted to occur over the telephone.
A subset of infants will be asked to take part in the study for up to 19 months. The subset will receive diphtheria toxoid-containing vaccine and/or pneumococcal vaccine following each country's standard immunization plan and have blood drawn 1 month after completion of the primary and/or toddler (booster) doses.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Healthy pregnant women ≤49 years of age who are between 24 0/7 and 36 0/7 weeks of gestation on the day of planned vaccination, with an uncomplicated, singleton pregnancy, and who have no known increased risk of complications.
Had a fetal anomaly ultrasound examination with no significant fetal abnormalities observed.
Documented negative human immunodeficiency virus (HIV) antibody test, syphilis test, and hepatitis B virus (HBV) surface antigen test during this pregnancy and prior to randomization.
Capable of giving personal signed informed consent.
Disqualifiers
Prepregnancy body mass index (BMI) of >40 kg/m2.
Current pregnancy complications or abnormalities that may increase the risk associated with the participation in and completion of the study.
Prior pregnancy complications or abnormalities that, based on the investigator's judgment, may increase the risk associated with the participation in and completion of the study.
History of microbiologically proven invasive disease caused by GBS in the current pregnancy.
Trial design
Parallel
Treatments tested in this trial
Multivalent Group B streptococcus vaccine
Biological/VaccineMultivalent Group B streptococcus vaccine
Placebo
Biological/VaccineSaline Control
Infanrix hexa
Biological/VaccineVaccine administered in a subset of infant participants as per the national immunization schedule
Prevenar 20
Biological/VaccineVaccine administered in a subset of infant participants as per the national immunization schedule
Pediarix
Biological/VaccineVaccine administered in a subset of infant participants as per the national immunization schedule
Prevnar 20
Biological/VaccineVaccine administered in a subset of infant participants as per the national immunization schedule
Infanrix
Biological/VaccineVaccine administered in a subset of infant participants as per the national immunization schedule
Treatment groups
7
Treatment groupsSee each treatment group below.
Trial outcomes
Primary outcomes
The proportion of maternal participants reporting prespecified local reactions within 7 days following study intervention
The proportion of maternal participants reporting prespecified systemic events within 7 days following study intervention
The proportion of maternal participants reporting adverse events (AEs) through 1 month following study intervention
The proportion of maternal participants reporting serious adverse events (SAEs) through 6 months after delivery
Secondary outcomes
To measure GBS serotype-specific opsonophagocytic titers in infant participants at birth by geometric mean ratio between GBS6 group versus placebo group and by the difference in seroresponse rates between GBS6 group and placebo group
To describe anti-CPS IgG antibody levels predicted to provide protection from invasive GBS disease (all disease) caused by the 6 individual vaccine serotypes in infants when GBS6 is administered to healthy pregnant women.
To describe anti-CPS IgG antibody levels in infant participants born to maternal participants vaccinated with GBS6.
To describe anti-CPS IgG antibody levels predicted to provide protection from invasive GBS LOD and EOD, separately, caused by the 6 individual vaccine serotypes (Ia, Ib, II, III, IV, and V) in infants when GBS6 is administered to healthy pregnant women.