NCT03992729

Brief Summary

This study will utilize a prospective, observational, exposure cohort design to examine pregnancy and infant outcomes in women and infants who are exposed to tildrakizumab during pregnancy to treat an approved indication. The pregnancy registry cohort study will be conducted by the Organization of Teratology Information Specialists (OTIS), which is a network of university and health department based information centers serving pregnant women and healthcare providers throughout North America. These services provide a basis for collaborative research such as this Registry. These Services located throughout the United States (US) and Canada will serve as a source of referrals not only for tildrakizumab-exposed pregnancies but also for similarly ascertained disease-matched comparison pregnant women who have not used tildrakizumab in pregnancy. The target follow-up period will be until end of pregnancy and 1 year of age for live born infants.

Trial Health

77
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
200

participants targeted

Target at P75+ for all trials

Timeline
28mo left

Started Aug 2019

Longer than P75 for all trials

Geographic Reach
1 country

1 active site

Status
recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress75%
Aug 2019Jul 2028

First Submitted

Initial submission to the registry

June 17, 2019

Completed
3 days until next milestone

First Posted

Study publicly available on registry

June 20, 2019

Completed
2 months until next milestone

Study Start

First participant enrolled

August 29, 2019

Completed
8.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 31, 2028

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

July 31, 2028

Last Updated

January 21, 2026

Status Verified

January 1, 2026

Enrollment Period

8.9 years

First QC Date

June 17, 2019

Last Update Submit

January 19, 2026

Conditions

Outcome Measures

Primary Outcomes (1)

  • Major structural defects in children

    defined and classified using the US Centers for Disease Control and Prevention (CDC) coding manual that is used for the Metropolitan Atlanta Congenital Defects Program (MACDP) classification of major structural defects

    Up to 1 year of age

Secondary Outcomes (9)

  • Spontaneous abortion/miscarriage

    20 weeks post-last menstrual period

  • Stillbirth

    from 20 weeks post-last menstrual period to end of pregnancy

  • Elective termination/abortion

    At the end of pregnancy or through 9 month pregnancy period

  • neonatal/infant death

    6 months of age

  • Small for gestational age

    at birth

  • +4 more secondary outcomes

Study Arms (2)

Tildrakizumab-Exposed Cohort

Exposure to tildrakizumab for the treatment of an approved indication

Drug: Pregnant women exposed to tildrakizumab

Disease-Matched Comparison Cohort

No exposure to tildrakizumab at any time in the current pregnancy

Drug: Pregnant women not exposed to tildrakizumab

Interventions

Subjects exposure to tildrakizumab for the treatment of an approved indication, for any number of days, at any dose, and at any time from the first day of the last menstrual period (LMP) up to and including the end of pregnancy

Tildrakizumab-Exposed Cohort

Subjects diagnosed with a tildrakizumab-approved indication; frequency matched to the exposed group by disease indication, with the indication validated by medical records when possible, and Subjects with no exposure to tildrakizumab at any time in the current pregnancy; may or may not have taken another medication for their disease in the current pregnancy

Disease-Matched Comparison Cohort

Eligibility Criteria

Sexfemale(Gender-based eligibility)
Gender Eligibility DetailsPregnant women
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

Pregnant women diagnosed with tildrakizumab-approved indication with and without tildrakizumab

You may not qualify if:

  • Cohort 1: Tildrakizumab-Exposed Cohort:
  • Women who have first contact with the project after prenatal diagnosis of any major structural defect
  • Women who have enrolled in the tildrakizumab cohort study with a previous pregnancy (women may only enroll once in the Tildrakizumab Pregnancy Study)
  • Women who have used tildrakizumab for an indication other than a currently approved indication
  • Retrospective enrollment after the outcome of pregnancy is known
  • Cohort 2: Disease-Matched Comparison Cohort
  • Women who have first contact with the project after prenatal diagnosis of any major structural defect
  • Exposure to tildrakizumab anytime during the current pregnancy
  • Women who have enrolled in the tildrakizumab cohort study with a previous pregnancy (women may only enroll once in the Tildrakizumab Pregnancy Study)
  • Retrospective enrollment after the outcome of pregnancy is known

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Christina Chambers

San Diego, California, 92093, United States

RECRUITING

Central Study Contacts

Head, Clinical Development

CONTACT

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Target Duration
20 Months
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

June 17, 2019

First Posted

June 20, 2019

Study Start

August 29, 2019

Primary Completion (Estimated)

July 31, 2028

Study Completion (Estimated)

July 31, 2028

Last Updated

January 21, 2026

Record last verified: 2026-01

Locations