Association Between a Mother's Exposure to "Strep Throat" and Her Baby's Developing Heart Disease
Evaluation of Maternal B-hemolytic Streptococcal Pharyngeal Exposure in Pregnancies Affected by Congenital Heart Disease(CHD)
2 other identifiers
observational
397
1 country
2
Brief Summary
The goal of this study is to find out if there is any association between a mother's exposure to bacteria that normally causes "strep throat" and her baby's developing heart disease/heart defect.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Jan 2010
Longer than P75 for all trials
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
January 1, 2010
CompletedFirst Submitted
Initial submission to the registry
May 18, 2012
CompletedFirst Posted
Study publicly available on registry
May 23, 2012
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2015
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2015
CompletedApril 4, 2017
April 1, 2017
5.9 years
May 18, 2012
April 3, 2017
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Title: Evaluation of Maternal ß-hemolytic Streptococcal Pharyngeal Exposure in Pregnancies Affected by Congenital Heart Disease
History of strep infection using a detailed questionnaire and maternal medical records (primary end-point) and (b) maternal titers of the anti-strep antibody, anti-streptolysin O (ASO) (secondary endpoint).
01/15/2010 - 12/31/2014
Secondary Outcomes (1)
Title: Evaluation of Maternal ß-hemolytic Streptococcal Pharyngeal Exposure in Pregnancies Affected by Congenital Heart Disease
01/15/2010 - 12/31/2014
Study Arms (4)
Moms w HLHS or variant
Mom's fetal diagnosis Hypoplastic Left Heart Syndrome/variant
Moms w/ Other congential heart defect)
Moms fetal diagnosis -other congenital heart defects
Moms-fetal - echo normal
Moms echo fetal diagnosis is normal.
Random Healthy Moms
Mom with healthy pregnancy.
Eligibility Criteria
Random Healthy Controls and Moms with fetal care/echos during pregnancy.
You may qualify if:
- For Fetal pts:
- HLHS or variant diagnosis
- Other Congenital Heart Disease
- Greater than or = 20wks gestation
- For Healthy moms:
- No diagnosis of Congenital Heart Disease
- Greater than or = 20wks gestation
You may not qualify if:
- For fetal pts \& healthy controls:
- Mom less than 18 years old
- Twins or multiple gestations
- Pregnancy affected by 2 or more congenital anomalies( in addition to heart defects)
- Pregnancy affected by OB complications like pre-eclampsia
- Known history of chromosomal anomaly or carrier status
- Pregnancy result of fertility treatment including in vitro fertilization
- Emotionally distress
- Mom received blood transfusion or immunoglobin infusion within 6 months of the pregnancy.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
St Louis Childrens Hospital
St Louis, Missouri, 63110, United States
Cincinatti Children's Hospital Medical Center
Cincinnati, Ohio, 45229, United States
Related Publications (2)
Eghtesady P. Hypoplastic left heart syndrome: Rheumatic heart disease of the fetus? Med Hypotheses. 2006;66(3):554-65. doi: 10.1016/j.mehy.2005.09.013. Epub 2005 Oct 20.
PMID: 16242853BACKGROUNDMcGregor KF, Spratt BG, Kalia A, Bennett A, Bilek N, Beall B, Bessen DE. Multilocus sequence typing of Streptococcus pyogenes representing most known emm types and distinctions among subpopulation genetic structures. J Bacteriol. 2004 Jul;186(13):4285-94. doi: 10.1128/JB.186.13.4285-4294.2004.
PMID: 15205431BACKGROUND
Biospecimen
Confirmation of maternal ß-hemolytic streptococcal \& enterovirus infection(s) will be determined from nose and rectal swabs \& blood samples assayed for standard marker antibodies to ß-hemolytic streptococcal \& enterovirus exposure.
Study Officials
- PRINCIPAL INVESTIGATOR
Pirooz Eghtesady, MD,PhD
Washington University School of Medicine and St Louis Children's Hospital
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
May 18, 2012
First Posted
May 23, 2012
Study Start
January 1, 2010
Primary Completion
December 1, 2015
Study Completion
December 1, 2015
Last Updated
April 4, 2017
Record last verified: 2017-04