Measles Vaccination at Health System Contacts
NCT04220671 · Status: ENROLLING_BY_INVITATION · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 5400
Last updated 2025-07-29
Summary
In addition to protecting against measles infection, measles vaccine (MV) strengthens the individual's ability to combat infections in general - MV has beneficial non-specific effects (NSE) lowering the risk of death and admissions by around 30%.
In Guinea-Bissau 30% of children do not receive a routine MV scheduled at 9 months of age, putting both the individual child's health and measles eradication at risk. The coverage of a second dose of MV, which was added to the Bissau-Guinean vaccination programme in 2022, is even lower. WHO recommends vaccination at health system contacts, including those for curative services. At the paediatric ward of the national hospital in Guinea-Bissau, there are more than 2600 yearly contacts with measles-un or under-vaccinated children aged 9-59 months, but no vaccines are given. In a randomised controlled trial, we will assess the effect of providing MV vs placebo to 5400 children at hospital contacts (at discharge or after an out-patient consultation) to test the hypothesis that MV reduces the risk of admission or death (composite outcome) by 25% over the subsequent 6 months.
Conditions
- Measles Vaccine
- Hospital Admission
- Mortality
- Non-specific (Heterologous) Effects of Vaccines
Interventions
- BIOLOGICAL
-
Measles vaccine, Edmonston-Zagreb strain, 0.5 ml administered as a subcutaneous injection
- OTHER
-
Saline
0.9% NaCl
Sponsors & Collaborators
-
Bandim Health Project
lead OTHER
Principal Investigators
-
Ane Fisker, MD, PhD · Bandim Health Project
Study Design
- Allocation
- RANDOMIZED
- Purpose
- PREVENTION
- Masking
- QUADRUPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 9 Months
- Max Age
- 59 Months
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2020-01-08
- Primary Completion
- 2026-12-31
- Completion
- 2027-06-30
Countries
- Guinea-Bissau
Study Locations
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