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Study to Assess Maternal and Infant Outcomes Following Exposure to SPIKEVAX During Pregnancy

Completed
Conditions
Maternal Outcomes
Infant Outcomes
Pregnancy
Registration Number
NCT06369272
Lead Sponsor
ModernaTX, Inc.
Brief Summary

The primary objectives of this study are:

In infants of women exposed to SPIKEVAX during pregnancy, to assess:

* If exposure to SPIKEVAX during pregnancy is associated with an increased birth prevalence of major congenital malformations (MCMs).

* If exposure to SPIKEVAX during pregnancy is associated with an increased birth prevalence of adverse neonatal and infant outcomes, specifically neonatal encephalopathy, small for gestational age, respiratory distress in the newborn, and incidence of hospitalization due to infections including coronavirus disease 2019 (COVID-19).

* In women exposed to SPIKEVAX during pregnancy, to assess whether exposure to SPIKEVAX is associated with an increased prevalence of hypertensive disorders \[e.g., pre-eclampsia, eclampsia, and gestational hypertension\] gestational diabetes, and post-partum hemorrhage; and

* To assess whether exposure to SPIKEVAX during pregnancy is associated with an increased incidence of stillbirth, preterm birth, and medically attended spontaneous abortion.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
1192
Inclusion Criteria
  • EOP within study period
  • Continuous enrollment in a health plan contributing to the HealthCare Integrated Research Databaseâ„  (HIRD) database for at least 90 days prior to the estimated LMP.
Exclusion Criteria
  • Exposure to any non-Moderna COVID-19 vaccines at any time prior to LMP and from LMP through the exposure ascertainment period for the outcome of interest. However, pregnant women exposed to other non-Moderna vaccines in addition to SPIKEVAX will be included in a sensitivity analysis.
  • Instances where the outcome of a pregnancy is not documented (e.g., a prenatal care claim is followed by no further documentation of pregnancy, termination, or delivery where the participant remains enrolled in the health plan) may also be observed. The number of these possibly exposed pregnancies will be tabulated and described; however, they will not be included in the descriptive or comparative analyses.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Number of Adverse Neonatal and Infant OutcomesUp to approximately 3 years

Adverse neonatal and infant outcomes include neonatal encephalopathy, small for gestational age, respiratory distress in the newborn, or incidence of hospitalization due to infections including COVID-19.

Number of Stillbirths, Preterm Births, and Medically Attended Spontaneous AbortionsUp to approximately 3 years
Number of MCMsUp to approximately 3 years
Number of Participants with Hypertensive DisordersUp to approximately 3 years

Hypertensive disorders include pre-eclampsia, eclampsia, and gestational hypertension, gestational diabetes, or post-partum hemorrhage

Secondary Outcome Measures
NameTimeMethod
Healthcare Utilization: Number of Office Visits, Emergency Department Visits, and HospitalizationsBaseline
Demographics: Age at LMPBaseline
Demographics: Participant Socio-economic StatusBaseline
Demographics: Participant Region of ResidenceBaseline
Demographics: Number of Overweight or Obese ParticipantsBaseline
Demographics: Duration of Health Plan Enrolment Prior to PregnancyBaseline
Demographics: Calendar Date of the Pregnancy OutcomeBaseline
Demographics: Participant Race and EthnicityBaseline
Healthcare Utilization: Number of Distinct Medications UsedBaseline

Trial Locations

Locations (1)

Carelon Research

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Newton, Massachusetts, United States

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