Vertical Transmission of Hepatitis C Virus
Study Details
Study Description
Brief Summary
Vertical HCV Transmission has been extensively studied, with a risk around 5% (range: 3 to 10%). Spontaneous viral clearance in infected children during childhood can occur, but data about this phenomenon are scarse, justifying the study.
Condition or Disease | Intervention/Treatment | Phase |
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Detailed Description
Hepatitis C Virus (HCV) Mother-To-Child Transmission (MTCT) has been extensively studied, with a risk around 5% (range: 3 to 10%) from chronically infected pregnant women with a positive HCV RNA during pregnancy. Risk factors include: HCV RNA load level, HIV-HCV co-infection, duration of labour, HCV genotype, child gender, and invasive procedures either during pregnancy or at birth. Hepatitis C Virus (HCV) Mother-To-Child Transmission (MTCT) mainly occurs during the last trimester of pregnancy or at birth or around the birth (El-Shabrawi et al., World Journal of Gastroenterology 2013). Currently, using caesarian section to reduce the risk of Hepatitis C Virus (HCV) Mother-To-Child Transmission (MTCT) is still debated and not recommended in International Guidelines (EASL 2012). Spontaneous viral clearance in infected children during childhood seems to occur in 20% of cases, with predisposing genetic factors (Ruiz-Extremera A et al. Hepatology 2011 ; 53 : 1830-1838) but data about this phenomenon are scarse (Rerksuppaphol S et al. J Gastroenterol Hepatol 2004), justifying the study.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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HCV pregnant women HCV chronically infected pregnant women, with a positive HCV RNA during pregnancy |
Outcome Measures
Primary Outcome Measures
- HCV status in children born from chronically HCV infected pregnant women [up to 10 years (expected average: 5 years)]
Secondary Outcome Measures
- HCV RNA in children with positive HCV antibodies (Ab) [up to 10 years (expected average: 5 years)]
Eligibility Criteria
Criteria
Inclusion Criteria:
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HCV chronically infected pregnant women
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with a positive HCV RNA
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who gave birth in the Maternity Department, Lariboisiere Hospital, Paris, France
Exclusion Criteria:
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negative HCV RNA during pregnancy
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acute HCV infection during pregnancy (previous negative HCV test during pregnancy)
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MTCT not to be tested (early child death for instance)
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Hopital Lariboisiere | Paris | France | 75475 |
Sponsors and Collaborators
- Hopital Lariboisière
Investigators
- Principal Investigator: Pierre O SELLIER, M.D., Ph.D, Hopital Lariboisiere
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- Liver005