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An Observational Study of Hepatitis C Virus in Pregnancy (HCV)

This study is currently recruiting participants. (see Contacts and Locations)
Verified October 2015 by The George Washington University Biostatistics Center
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
Information provided by (Responsible Party):
The George Washington University Biostatistics Center Identifier:
First received: October 8, 2013
Last updated: October 19, 2015
Last verified: October 2015
This multi-center observational study examines risk factors for HCV transmission from mother to baby.

Hepatitis C

Study Type: Observational
Study Design: Observational Model: Case Control
Time Perspective: Prospective

Resource links provided by NLM:

Further study details as provided by The George Washington University Biostatistics Center:

Primary Outcome Measures:
  • HCV infection of the offspring [ Time Frame: at 2 months and/or 18 months of age ]

    The primary outcome is HCV infection of the offspring, where infection is defined by satisfying any one of the following criteria:

    • HCV RNA positive (i.e. presence of viral load) by polymerase chain reaction (PCR) test at 2-6 months (2 month visit)
    • HCV RNA positive and HCV antibody positive at the 18-24 months (18 month visit)
    • HCV RNA positive at 18-24 months with a negative HCV antibody at 18-24 months and negative RNA at 2-6 months. However, the positive result must be confirmed by a repeat test on the 18-month sample to qualify.
    • HCV antibody positive at 18-24 months with negative HCV RNA at both visits. However, the positive result must be confirmed by a repeat test on the 18-month sample to qualify.

Secondary Outcome Measures:
  • Gestational age at delivery [ Time Frame: at birth ]
  • Preterm delivery < 37 weeks of gestation [ Time Frame: at birth ]
  • Gestational diabetes mellitus (GDM) [ Time Frame: during pregnancy ]
  • Vaginal bleeding during pregnancy [ Time Frame: during pregnancy ]
  • Preeclampsia [ Time Frame: during pregnancy ]
  • Cholestasis [ Time Frame: during pregnancy ]
  • Viral load in infant [ Time Frame: at birth, 2 months, and 18 months ]
  • HCV antibody status in infant [ Time Frame: at 18 months of age ]
    positive or negative

  • Birth weight of infant [ Time Frame: at birth ]
  • Hyperbilirubinemia [ Time Frame: at birth ]
    Peak total bilirubin of at least 15 mg% or the use of phototherapy

  • Neonatal intensive care unit (NICU) admission [ Time Frame: at birth ]
  • Small for gestational age [ Time Frame: at birth ]
    Defined as less than the 5th percentile birth weight for gestational age at birth, assessed specifically by sex and race of the infant based on United States birth certificate data

  • Neonatal infections [ Time Frame: at birth ]
    sepsis and pneumonia

Biospecimen Retention:   Samples With DNA
maternal serum maternal plasma infant serum infant plasma

Estimated Enrollment: 1800
Study Start Date: October 2012
Estimated Study Completion Date: April 2019
Estimated Primary Completion Date: October 2018 (Final data collection date for primary outcome measure)
Seropositive for Anti-HCV
Anti-HCV positive (includes seropositive viremic and seropositive non-viremic)
Seronegative for Anti-HCV
Anti-HCV negative

Detailed Description:

This multi-center observational study examines risk factors for HCV transmission from mother to baby. The study will also assess risk factors associated with Hepatitis C Virus (HCV) infection in pregnant women. Also, the study will describe the outcomes of pregnant women with HCV as well as the outcomes of their infants to 18 months of age.

Approximately 1,800 HCV antibody positive pregnant women and their infants will be followed from baseline until the infant is 18 months. A randomly selected control cohort of 3,600 pregnant women who are HCV antibody negative will be followed until delivery.


Ages Eligible for Study:   Child, Adult, Senior
Sexes Eligible for Study:   Female
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample
Study Population
Women with singleton pregnancies presenting for prenatal care prior to 23 weeks, 6 days gestation at Maternal-Fetal Medicine Units (MFMU) Network hospital sites.

Inclusion Criteria:

  1. Singleton pregnancy
  2. An HCV antibody positive screen (case) OR a randomly selected HCV antibody negative screen (control) matched to a case patient by project gestational age (see below) +/- 2 weeks and clinical center site. HCV antibody screen will be measured using two FDA-approved ELISA tests, the Abbott Architect version 3.0 system and the Ortho HCV 3.0.
  3. Gestational age at screening no later than 236 weeks and gestational age at enrollment no later than 276 weeks, based on clinical information and evaluation of the earliest ultrasound as described below.

Exclusion Criteria:

  1. Eligible for the Maternal-Fetal Medicine Units (MFMU) Network Cytomegalovirus (CMV) trial (positive CMV Immunoglobulin M (IgM) and Immunoglobulin G (IgG) with low avidity) or potentially eligible (positive IgM, negative IgG)
  2. Planned termination of pregnancy
  3. Known major fetal anomalies or demise
  4. Intention of the patient or the managing obstetricians for the delivery to be outside a MFMU Network center
  5. For the case cohort only: unwilling or unable to commit to 18 months of follow-up for HCV positive infants
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its identifier: NCT01959321

Contact: Uma Reddy, MD 301-496-1074

United States, Alabama
University of Alabama - Birmingham Recruiting
Birmingham, Alabama, United States, 35233
Contact: Stacy Harris, BSN    205-996-6262   
Principal Investigator: Alan TN Tita, MD         
United States, California
Stanford University Recruiting
Stanford, California, United States, 94305-5317
Contact: Cynthia Willson, RN, BSN    650-724-6372   
Principal Investigator: Yasser El-Sayed, MD         
United States, Colorado
University of Colorado Recruiting
Denver, Colorado, United States, 80045
Contact: Kathy Hale, RN BSN    303-724-6685   
Principal Investigator: Ronald Gibbs, MD         
United States, Illinois
Northwestern University Recruiting
Chicago, Illinois, United States, 60611
Contact: Gail Mallett, RN BSN CCRC    312-503-3200   
Principal Investigator: William Grobman, MD         
United States, New York
Columbia University Recruiting
New York City, New York, United States, 10032
Contact: Sabine Bousleiman, RNC MSN MPH    212-305-4348   
Principal Investigator: Ronald J Wapner, MD         
United States, North Carolina
University of North Carolina - Chapel Hill Recruiting
Chapel Hill, North Carolina, United States, 27599
Contact: Kelly Clark, RN    919-350-6117   
Principal Investigator: John M Thorp, Jr., MD         
Duke University Recruiting
Durham, North Carolina, United States, 27710
Contact: Tammy S Bishop, RNC MSN    919-668-7475   
Principal Investigator: Geeta K Swamy, MD         
United States, Ohio
Case Western Reserve University Recruiting
Cleveland, Ohio, United States, 44109
Contact: Wendy Dalton, RNC    216-778-7533   
Principal Investigator: Edward Chien, MD         
Ohio State University Recruiting
Columbus, Ohio, United States, 43210
Contact: Francee Johnson, BSN    614-293-5632   
Principal Investigator: Jay Iams, MD         
United States, Rhode Island
Brown University Recruiting
Providence, Rhode Island, United States, 02905
Contact: Donna Allard, RNC    401-274-1122   
Principal Investigator: Dwight J Rouse, MD         
United States, Texas
University of Texas Southwestern Medical Center Recruiting
Dallas, Texas, United States, 75235-9032
Contact: Lisa Moseley, RN    214-648-2591   
Principal Investigator: Brian M Casey, MD         
University of Texas - Galveston Recruiting
Galveston, Texas, United States, 77555
Contact: Ashley Salazar, MSN    409-772-0312   
Principal Investigator: George R Saade, MD         
University of Texas - Houston Recruiting
Houston, Texas, United States, 77030
Contact: Felecia Ortiz, RN BSN    713-500-6467   
Principal Investigator: Baha Sibai, MD         
United States, Utah
University of Utah Recruiting
Salt Lake City, Utah, United States, 84132
Contact: Kim Hill, RN    801-585-7645   
Principal Investigator: Michael W Varner, MD         
Sponsors and Collaborators
The George Washington University Biostatistics Center
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
Study Director: Uma Reddy, MD, MPH Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
Principal Investigator: Elizabeth A Thom, PhD The George Washington University Biostatistics Center
Study Chair: Mona Prasad, DO, MPH Ohio State University
  More Information

Responsible Party: The George Washington University Biostatistics Center Identifier: NCT01959321     History of Changes
Other Study ID Numbers: HD36801-HCV 
Study First Received: October 8, 2013
Last Updated: October 19, 2015

Additional relevant MeSH terms:
Hepatitis C
Hepatitis, Viral, Human
Virus Diseases
Flaviviridae Infections
RNA Virus Infections
Liver Diseases
Digestive System Diseases
Hepatitis C Antibodies
Immunologic Factors
Physiological Effects of Drugs processed this record on February 24, 2017