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| Name | Class |
|---|---|
| Hvidovre University Hospital | OTHER |
| Kolding Sygehus | OTHER |
| Danish National Research Foundation | OTHER |
| Research Center for Vitamins and Vaccines (CVIVA) |
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In high-income societies the use of health care and medication is steadily increasing. Children have high morbidity, many visits at the general practitioner, an increasing number of hospitalisations, and an increasing use of medication. And, when children are ill, someone has to stay home to care for them. An un-explained global increase in the incidence of the allergic diseases eczema, wheezing, asthma and allergies means that 25% of high-income populations are affected. Cheap preventive measures are highly warranted. Recent studies have shown a positive, non-specific effect of early Bacille Calmette Guérin (BCG) immunisation on neonatal mortality in low-income countries and suggested a positive, non-specific effect on allergic disease in high-income countries. "Non-specific" means that the vaccine effect goes beyond prevention of the targeted disease, i.e. the BCG vaccine benefits the health status of the immunised individual in ways unrelated to protection against tuberculosis (TB). For instance, in a recent randomised trial in West Africa the investigators showed that the BCG vaccine at birth was safe in low birth weight (LBW) infants and significantly reduced neonatal mortality in these children, with a significant long-lasting effect on infant mortality in the smallest newborns with a birth weight <1.5 kg. There is an urgent need to explore the huge potential of the BCG's beneficial immune-stimulatory effects among children in high-income populations.
Therefore, the investigators will carry out a large prospective randomised clinical trial in Denmark primarily designed to test the hypothesis that infants who get the BCG vaccine at birth experience 20% fewer hospitalisations during early childhood.
Secondary outcomes
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| BCG-vaccine (SSI) | Experimental | Children born to mothers, who have accepted to participate, will be randomised to either intervention group or to the control group at birth. Block-randomisation stratified by hospital, gender and gestational age (≥37 weeks of gestation vs. < 37 weeks of gestation) will be performed electronically just before vaccination by the overall study electronic case report system (e-crf). Children randomised to the BCG vaccination group will receive an intradermal BCG vaccine (Statens Serum Institute "CG vaccine" in the standard dose 0.05 ml in the upper, lateral part of the arm of the child by a specially trained midwife or a study physician. |
|
| No Intervention | No Intervention | Control children will be treated as usual, since no suitable placebo exists. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| BCG-vaccine (SSI) | Biological |
|
| Measure | Description | Time Frame |
|---|---|---|
| All-cause Hospitalisations | To test that infants who get the BCG vaccine at birth experience 20% fewer hospitalisations in early childhood than non-BCG-immunised infants. | 0-15 months of age |
| Measure | Description | Time Frame |
|---|---|---|
| Antibiotics | To test that infants who get the BCG vaccine at birth are prescribed less antibiotics during early childhood than non-BCG-immunised infants. Use of antibiotics was defined as one or more precriptions of systemic antibiotics (ATC groups J01, J02, J05, all subgroups inclusive). | 0-15 months of age |
| Measure | Description | Time Frame |
|---|---|---|
| Decisional Conflict Scale Score | After parents having made the decision about whether to accept vaccination of their newborn through participation in The Danish Calmette Study, O'Connor's Decisional Conflict Scale was used to identify decisional conflicts. The score ranges from 0 (no decisional conflict) til 100 (maximum decisional conflict). Scores lower than 25 are associated with implementing decisions; scores exceeding 37.5 are associated with decision delay or feeling unsure about implementation; so a low score reflects a low level of doubt about the decision about participation/decline participation in the trial, and a high score reflects a high level of doubt. |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Lone G Stensballe, MD, PhD | Rigshospitalet. The Danish National Hospital in Denmark. | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Rigshospitalet | Copenhagen | Copenhagen Ø | 2100 | Denmark | ||
| Hvidovre Hospital |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 37622649 | Derived | Dybdal D, Stensballe LG, Greisen G, Kjaergaard J. Validity of parent-reported weight and length of infants. Dan Med J. 2023 Aug 23;70(9):A11220712. | |
| 28774269 | Derived | Birk NM, Nissen TN, Ladekarl M, Zingmark V, Kjaergaard J, Jensen TM, Jensen SK, Thostesen LM, Kofoed PE, Stensballe LG, Andersen A, Pryds O, Nielsen SD, Benn CS, Jeppesen DL. The association between Bacillus Calmette-Guerin vaccination (1331 SSI) skin reaction and subsequent scar development in infants. BMC Infect Dis. 2017 Aug 3;17(1):540. doi: 10.1186/s12879-017-2641-0. |
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| ID | Title | Description |
|---|---|---|
| FG000 | BCG-vaccine | |
| FG001 | Control Children (no Intervention) |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
Baseline characteristics by allocation among the 4184 mothers in The Danish Calmette Study
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| ID | Title | Description |
|---|---|---|
| BG000 | BCG-vaccine | SSI strain 1331 standard dose |
| BG001 | Control Children | No intervention |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Maternal age |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | All-cause Hospitalisations | To test that infants who get the BCG vaccine at birth experience 20% fewer hospitalisations in early childhood than non-BCG-immunised infants. | Intention-to-treat | Posted | Number | Events | 0-15 months of age |
|
|
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | BCG-vaccine |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Dead | General disorders |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| BCG-vaccine related event | Infections and infestations |
The allocation was planned to be stratified by sex, study site, and prematurity, however, due to a programming error the allocation was stratified only by prematurity.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Lone Graff Stensballe, Research leader, Pediatrician, PhD | Rigshospitalet | +0045 35459727 | lone.graff.stensballe@regionh.dk |
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| ID | Term |
|---|---|
| D001500 | BCG Vaccine |
| ID | Term |
|---|---|
| D032581 | Tuberculosis Vaccines |
| D001428 | Bacterial Vaccines |
| D014612 | Vaccines |
| D001688 | Biological Products |
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| UNKNOWN |
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| Atopic Dermatitis |
To test if BCG vaccination within 7 days after birth influence the risk of atopic dermatitis defined by clinical examination at 13 months of age using "scoring atopic dermatitis (SCORAD)" or by parental report of physician diagnosed atopic dermatitis in the telephone interview at 13 months of age. |
| 13 months of age |
| Specific IgE | Number of participants with specific IgE (Phadiatop Infant) above the clinical cut-of level of 0.35. | 13 months of age |
| Standardized Weight at 13 Months | To test that infants who get the BCG vaccine at birth respond in weight.The Z-score indicates the number of standard deviations away from the mean weight-for-age of the WHO anthropometric reference population (http://www.who.int/childgrowth/standards/en/). A Z-score of 0 is equal to the mean. Negative numbers indicate values lower than the mean and positive numbers indicate values higher than the mean. | 13 months of age |
| Psychomotor Development in Premature Infants | To test that premature infants with gestational age less than 37 weeks who get the BCG vaccine at birth have unaffected psychomotor development measures: ASQ: Ages and stages questionnaire - a parent reported questionnaire that measures child psychomotor development. Total range of ASQ score: 0 to 300 points. Higher scores indicate higher level of psychomotor development. | 13 months of age |
| DTaP-IPV-Hib Vaccination Coverage at 12 Months of Age | To test that infants who get the BCG vaccine at birth has unaffected coverage with the subsequent 3rd diphtheria, tetanus, acellular pertussis, polio, Haemophilus influenzae type b (DTaP-IPV-Hib) vaccination scheduled to 12 months of age according to the Danish child vaccination programme. Since we did not expect all children to get their immunizations exactly at 12 months of age, the children were followed up until 13-months of age. | 13 months of age |
| Standardized Weight, Length and Head Circumference of Premature Children at 13 Months | The Z-score indicates the number of standard deviations away from the mean weight-for-age of the WHO anthropometric reference population (http://www.who.int/childgrowth/standards/en/). A Z-score of 0 is equal to the mean. Negative numbers indicate values lower than the mean and positive numbers indicate values higher than the mean. | 13 months of age |
| Episodic Viral Wheeze | Number of participants diagnosed with episodic viral wheeze by a physician and treated with anti-asthmatic medicine according to the telephone interview. | 13 months |
| Food Allergy | Number of participants with food allergy diagnosed by a physician and mentioned in the telephone interview at 13 months of age | 13 months |
| Length at 13 Months of Age | To test if infants who get the BCG vaccine at birth respond in length. The Z-score indicates the number of standard deviations away from the mean weight-for-age of the WHO anthropometric reference population (http://www.who.int/childgrowth/standards/en/). A Z-score of 0 is equal to the mean. Negative numbers indicate values lower than the mean and positive numbers indicate values higher than the mean. | 13months |
| Standardized Head Circumference at 13 Months of Age | To test if infants who get the BCG vaccine at birth respond in head circumference. The Z-score indicates the number of standard deviations away from the mean weight-for-age of the WHO anthropometric reference population (http://www.who.int/childgrowth/standards/en/). A Z-score of 0 is equal to the mean. Negative numbers indicate values lower than the mean and positive numbers indicate values higher than the mean. | 13 months |
| Thymic Gland Size at 3 Months of Age | To test that infants who receive the BCG at birth respond in thymic gland size defined by ultra sound examination. First, the thymus gland was identified in a horizontal scanning plane and the largest transverse diameter of the thymus was obtained. Second, in a sagittal scanning plane, the area of the largest lobe was assessed. Both measurements were obtained twice, and in case of more than 15% difference, both measurements were repeated. The mean of the two measurements were multiplied and defined as the thymic index. | 3 months of age |
| Leucocyte Count 4 Days After Randomisation/Vaccination | To test if infants who receive the BCG at birth respond in leucocyte count (white blood cell count) measured as geometric mean (GM) cell concentrations (GM*10^9 cells/L). | 4 days after randomisation/vaccination within 7 days after birth |
| Monocyte Count 4 Days After Randomisation/Vaccination | To test if infants who receive the BCG at birth respond in monocyte count measured as geometric mean (GM) cell concentrations (GM*10^9 cells/L). | 4 days after randomisation/vaccination within 7 days after birth |
| Interferon Gamma Response | To test that infants who receive the BCG at birth respond in interferon-gamma response upon stimulation with BCG. The interferon gamma response was defined as a value above the cut-off value of 107 pg/ml. | 13 months of age |
| Number of Participants With Antibody Concentration (AC) Against Tetanus of > 0.1 IU/mL | To test the tetenus antibody response in BCG-vaccinated vs. non-BCG vaccinated children following routine immunisation against tetanus at 3, 5 and 12 months of age in blood samples obtained 13 months of age. | 13 months of age |
| Number of Events of Common Cold | To test that Danish infants who get the BCG vaccine at birth experience less events of common cold until 13 months of age than non-BCG-immunised infants. | 13 months of age |
| Number of Events of Pneumonia | To test that Danish infants who get the BCG vaccine at birth get less pneumonia at 13 months of age than non-BCG-immunised infants. | 13 months of age |
| Number of Events of Febrile Episodes | To test that Danish infants who get the BCG vaccine at birth get less febrile episodes at 13 months of age than non-BCG-immunised infants. | 13 months of age |
| Number of Events With Diarrhoea and Vomiting | To test that Danish infants who get the BCG vaccine at birth develop less episodes with diarrhoea and vomiting at 13 months of age than non-BCG-immunised infants. | 13 months of age |
| Number of Events of Acute Otitis Media | To test that Danish infants who get the BCG vaccine at birth develop less acute otitis media at 13 months of age than non-BCG-immunised infants. | 13 months of age |
| Number of Events of Febrile Convulsions | To test that Danish infants who get the BCG vaccine at birth develop less febrile convulsions at 13 months of age than non-BCG-immunised infants. | 13 months of age |
| The decisional conflict score was measured before randomisation |
| Quality of Communication and Information | To test that the use of telephone and internet was acceptable in the study population using the Quality of Informed Consent (QuIC) questionnaire. The questionnaire was divided into six categories; five on study comprehension and one on satisfaction with the information process. The items in the first five categories could be answered with "yes", "no" or "do not know". The last category was rated on a 7-point Likert scale, with 1 being "very dissatisfied" and 7 being "very satisfied". The primary outcome was the sum of the score for comprehension items and satisfaction items. Comprehension items were scored 1 point for each correct answer and 0 points for each incorrect answer. Satisfaction items were scored as rated on the 7-point Likert scale. Total score ranged from 7 to 69 points, comprehension score from 0 to 20 points and satisfaction score from 7 to 49 points. The higher score, the better comprehension and satisfaction. | 2 days after the information was given |
| Copenhagen |
| 2650 |
| Denmark |
| Kolding Sygehus | Kolding | 6000 | Denmark |
| 27443836 | Derived | Stensballe LG, Sorup S, Aaby P, Benn CS, Greisen G, Jeppesen DL, Birk NM, Kjaergaard J, Nissen TN, Pihl GT, Thostesen LM, Kofoed PE, Pryds O, Ravn H. BCG vaccination at birth and early childhood hospitalisation: a randomised clinical multicentre trial. Arch Dis Child. 2017 Mar;102(3):224-231. doi: 10.1136/archdischild-2016-310760. Epub 2016 Jul 21. |
| 27429204 | Derived | Kjaergaard J, Birk NM, Nissen TN, Thostesen LM, Pihl GT, Benn CS, Jeppesen DL, Pryds O, Kofoed PE, Aaby P, Greisen G, Stensballe LG. Nonspecific effect of BCG vaccination at birth on early childhood infections: a randomized, clinical multicenter trial. Pediatr Res. 2016 Nov;80(5):681-685. doi: 10.1038/pr.2016.142. Epub 2016 Jul 18. |
| 27394195 | Derived | Kjaergaard J, Stensballe LG, Birk NM, Nissen TN, Thostesen LM, Pihl GT, Nielsen AV, Kofoed PE, Aaby P, Pryds O, Greisen G. Bacillus Calmette-Guerin vaccination at birth: Effects on infant growth. A randomized clinical trial. Early Hum Dev. 2016 Sep;100:49-54. doi: 10.1016/j.earlhumdev.2016.05.015. Epub 2016 Jul 7. |
| 27123570 | Derived | Kjaergaard J, Stensballe LG, Birk NM, Nissen TN, Foss KT, Thostesen LM, Pihl GT, Andersen A, Kofoed PE, Pryds O, Greisen G. Lack of a Negative Effect of BCG-Vaccination on Child Psychomotor Development: Results from the Danish Calmette Study - A Randomised Clinical Trial. PLoS One. 2016 Apr 28;11(4):e0154541. doi: 10.1371/journal.pone.0154541. eCollection 2016. |
| 27060379 | Derived | Nissen TN, Birk NM, Kjaergaard J, Thostesen LM, Pihl GT, Hoffmann T, Jeppesen DL, Kofoed PE, Greisen G, Benn CS, Aaby P, Pryds O, Stensballe LG. Adverse reactions to the Bacillus Calmette-Guerin (BCG) vaccine in new-born infants-an evaluation of the Danish strain 1331 SSI in a randomized clinical trial. Vaccine. 2016 May 11;34(22):2477-82. doi: 10.1016/j.vaccine.2016.03.100. Epub 2016 Apr 7. |
| BG002 |
| Total |
Total of all reporting groups |
| Standard Deviation |
| years |
|
| Sex: Female, Male | Gender of the child. In multiple births: gender of the first born child. | Count of Participants | Participants |
|
| Region of Enrollment | All three study sites are situated in Denmark. | Number | participants |
|
| Premature birth | Number | participants |
|
|
| Secondary | Antibiotics | To test that infants who get the BCG vaccine at birth are prescribed less antibiotics during early childhood than non-BCG-immunised infants. Use of antibiotics was defined as one or more precriptions of systemic antibiotics (ATC groups J01, J02, J05, all subgroups inclusive). | Intention-to-treat | Posted | Number | participants | 0-15 months of age |
|
|
|
| Secondary | Atopic Dermatitis | To test if BCG vaccination within 7 days after birth influence the risk of atopic dermatitis defined by clinical examination at 13 months of age using "scoring atopic dermatitis (SCORAD)" or by parental report of physician diagnosed atopic dermatitis in the telephone interview at 13 months of age. | This analysis includes children with follow-up data from clinical examination or telephone interview. As opposed to the register-based primary outcome, adherence to telephone-interview and clinical examination was slightly lower than 100%. | Posted | Number | participants | 13 months of age |
|
|
|
| Secondary | Specific IgE | Number of participants with specific IgE (Phadiatop Infant) above the clinical cut-of level of 0.35. | This analysis includes children who participated with blood samples for this sub-study regarding specific IgE. | Posted | Number | participants | 13 months of age |
|
|
|
| Secondary | Standardized Weight at 13 Months | To test that infants who get the BCG vaccine at birth respond in weight.The Z-score indicates the number of standard deviations away from the mean weight-for-age of the WHO anthropometric reference population (http://www.who.int/childgrowth/standards/en/). A Z-score of 0 is equal to the mean. Negative numbers indicate values lower than the mean and positive numbers indicate values higher than the mean. | This analysis only includes children with available follow-up data from telephone interviews or clinical examinations. As opposed to the primary outcome, follow-up was lower than 100%. | Posted | Mean | Standard Deviation | Weight z-score at 13 months | 13 months of age |
|
|
|
| Secondary | Psychomotor Development in Premature Infants | To test that premature infants with gestational age less than 37 weeks who get the BCG vaccine at birth have unaffected psychomotor development measures: ASQ: Ages and stages questionnaire - a parent reported questionnaire that measures child psychomotor development. Total range of ASQ score: 0 to 300 points. Higher scores indicate higher level of psychomotor development. | This analysis only includes children from a particular subgroup (premature children, N = 144), who had with available follow-up data. As opposed to the primary outcome, follow-up was lower than 100%. | Posted | Mean | Standard Deviation | Score on ASQ scale | 13 months of age |
|
|
|
| Secondary | DTaP-IPV-Hib Vaccination Coverage at 12 Months of Age | To test that infants who get the BCG vaccine at birth has unaffected coverage with the subsequent 3rd diphtheria, tetanus, acellular pertussis, polio, Haemophilus influenzae type b (DTaP-IPV-Hib) vaccination scheduled to 12 months of age according to the Danish child vaccination programme. Since we did not expect all children to get their immunizations exactly at 12 months of age, the children were followed up until 13-months of age. | Per-protocol analysis excluding 11 children randomised to BCG who did not receive the vaccine, and 36 children randomised to control who received the BCG vaccine. | Posted | Number | participants | 13 months of age |
|
|
|
| Secondary | Standardized Weight, Length and Head Circumference of Premature Children at 13 Months | The Z-score indicates the number of standard deviations away from the mean weight-for-age of the WHO anthropometric reference population (http://www.who.int/childgrowth/standards/en/). A Z-score of 0 is equal to the mean. Negative numbers indicate values lower than the mean and positive numbers indicate values higher than the mean. | Premature children born with gestational age 32-36 weeks. This analysis only includes children from a particular subgroup (premature children, N = 144), who had with available follow-up data. As opposed to the primary outcome, follow-up was lower than 100%. | Posted | Mean | Standard Deviation | z-score | 13 months of age |
|
|
|
| Secondary | Episodic Viral Wheeze | Number of participants diagnosed with episodic viral wheeze by a physician and treated with anti-asthmatic medicine according to the telephone interview. | This analysis only includes children with available follow-up telephone interview data. As opposed to the primary outcome, follow-up was lower than 100%. | Posted | Number | participants | 13 months |
|
|
|
| Secondary | Food Allergy | Number of participants with food allergy diagnosed by a physician and mentioned in the telephone interview at 13 months of age | This analysis only includes children with available follow-up telephone interview data. As opposed to the primary outcome, follow-up was lower than 100%. | Posted | Number | participants | 13 months |
|
|
|
| Secondary | Length at 13 Months of Age | To test if infants who get the BCG vaccine at birth respond in length. The Z-score indicates the number of standard deviations away from the mean weight-for-age of the WHO anthropometric reference population (http://www.who.int/childgrowth/standards/en/). A Z-score of 0 is equal to the mean. Negative numbers indicate values lower than the mean and positive numbers indicate values higher than the mean. | This analysis only includes children with available follow-up data. As opposed to the primary outcome, follow-up for this outcome was lower than 100%. | Posted | Mean | Standard Deviation | Length z-score | 13months |
|
|
|
| Secondary | Standardized Head Circumference at 13 Months of Age | To test if infants who get the BCG vaccine at birth respond in head circumference. The Z-score indicates the number of standard deviations away from the mean weight-for-age of the WHO anthropometric reference population (http://www.who.int/childgrowth/standards/en/). A Z-score of 0 is equal to the mean. Negative numbers indicate values lower than the mean and positive numbers indicate values higher than the mean. | This analysis only includes children with available follow-up data. As opposed to the primary outcome, follow-up for this outcome was lower than 100%. | Posted | Mean | Standard Deviation | Head circumference z-score | 13 months |
|
|
|
| Secondary | Thymic Gland Size at 3 Months of Age | To test that infants who receive the BCG at birth respond in thymic gland size defined by ultra sound examination. First, the thymus gland was identified in a horizontal scanning plane and the largest transverse diameter of the thymus was obtained. Second, in a sagittal scanning plane, the area of the largest lobe was assessed. Both measurements were obtained twice, and in case of more than 15% difference, both measurements were repeated. The mean of the two measurements were multiplied and defined as the thymic index. | This outcome was a sub-study to The Danish Calmette Study with 301 (BCG 153, Control 148) participating children. | Posted | Mean | 95% Confidence Interval | Thymic index | 3 months of age |
|
|
|
| Secondary | Leucocyte Count 4 Days After Randomisation/Vaccination | To test if infants who receive the BCG at birth respond in leucocyte count (white blood cell count) measured as geometric mean (GM) cell concentrations (GM*10^9 cells/L). | This was a sub study among 153 children with blood-samples at 4 days after randomisation/vaccination. | Posted | Geometric Mean | 95% Confidence Interval | cell concentrations (GM*10^9 cells/L) | 4 days after randomisation/vaccination within 7 days after birth |
|
|
|
| Secondary | Monocyte Count 4 Days After Randomisation/Vaccination | To test if infants who receive the BCG at birth respond in monocyte count measured as geometric mean (GM) cell concentrations (GM*10^9 cells/L). | This was a sub study among 153 children with blood-samples at 4 days after randomisation/vaccination. | Posted | Geometric Mean | 95% Confidence Interval | Cell concentrations (GM*10^9 cells/L) | 4 days after randomisation/vaccination within 7 days after birth |
|
|
|
| Secondary | Interferon Gamma Response | To test that infants who receive the BCG at birth respond in interferon-gamma response upon stimulation with BCG. The interferon gamma response was defined as a value above the cut-off value of 107 pg/ml. | This is a sub study using bloodsamples. Only a small sub population from the overall trial participated. | Posted | Number | participants | 13 months of age |
|
|
|
| Secondary | Number of Participants With Antibody Concentration (AC) Against Tetanus of > 0.1 IU/mL | To test the tetenus antibody response in BCG-vaccinated vs. non-BCG vaccinated children following routine immunisation against tetanus at 3, 5 and 12 months of age in blood samples obtained 13 months of age. | This outcome was a sub-study with 158 participants. Antibody concentration (AC) of > 0.1 IU/mL was considered protective | Posted | Number | participants | 13 months of age |
|
|
|
| Secondary | Number of Events of Common Cold | To test that Danish infants who get the BCG vaccine at birth experience less events of common cold until 13 months of age than non-BCG-immunised infants. | This analysis only includes children with available follow-up data. As opposed to the primary outcome, follow-up for this outcome was lower than 100%. | Posted | Number | Events | 13 months of age |
|
|
|
| Secondary | Number of Events of Pneumonia | To test that Danish infants who get the BCG vaccine at birth get less pneumonia at 13 months of age than non-BCG-immunised infants. | This analysis only includes children with available follow-up data. As opposed to the primary outcome, follow-up for this outcome was lower than 100%. | Posted | Number | Events | 13 months of age |
|
|
|
| Secondary | Number of Events of Febrile Episodes | To test that Danish infants who get the BCG vaccine at birth get less febrile episodes at 13 months of age than non-BCG-immunised infants. | This analysis only includes children with available follow-up data. As opposed to the primary outcome, follow-up for this outcome was lower than 100%. | Posted | Number | Events | 13 months of age |
|
|
|
| Secondary | Number of Events With Diarrhoea and Vomiting | To test that Danish infants who get the BCG vaccine at birth develop less episodes with diarrhoea and vomiting at 13 months of age than non-BCG-immunised infants. | This analysis only includes children with available follow-up data. As opposed to the primary outcome, follow-up for this outcome was lower than 100%. | Posted | Number | Events | 13 months of age |
|
|
|
| Secondary | Number of Events of Acute Otitis Media | To test that Danish infants who get the BCG vaccine at birth develop less acute otitis media at 13 months of age than non-BCG-immunised infants. | This analysis only includes children with available follow-up data. As opposed to the primary outcome, follow-up for this outcome was lower than 100%. | Posted | Number | Events | 13 months of age |
|
|
|
| Secondary | Number of Events of Febrile Convulsions | To test that Danish infants who get the BCG vaccine at birth develop less febrile convulsions at 13 months of age than non-BCG-immunised infants. | This analysis only includes children with available follow-up data. As opposed to the primary outcome, follow-up for this outcome was lower than 100%. | Posted | Number | Events | 13 months of age |
|
|
|
| Other Pre-specified | Decisional Conflict Scale Score | After parents having made the decision about whether to accept vaccination of their newborn through participation in The Danish Calmette Study, O'Connor's Decisional Conflict Scale was used to identify decisional conflicts. The score ranges from 0 (no decisional conflict) til 100 (maximum decisional conflict). Scores lower than 25 are associated with implementing decisions; scores exceeding 37.5 are associated with decision delay or feeling unsure about implementation; so a low score reflects a low level of doubt about the decision about participation/decline participation in the trial, and a high score reflects a high level of doubt. | This outcome was a sub-study to The Danish Calmette Study with 667 participating mothers and 320 declining mothers. | Posted | Mean | Inter-Quartile Range | decisional conflict score | The decisional conflict score was measured before randomisation |
|
|
|
|
| Other Pre-specified | Quality of Communication and Information | To test that the use of telephone and internet was acceptable in the study population using the Quality of Informed Consent (QuIC) questionnaire. The questionnaire was divided into six categories; five on study comprehension and one on satisfaction with the information process. The items in the first five categories could be answered with "yes", "no" or "do not know". The last category was rated on a 7-point Likert scale, with 1 being "very dissatisfied" and 7 being "very satisfied". The primary outcome was the sum of the score for comprehension items and satisfaction items. Comprehension items were scored 1 point for each correct answer and 0 points for each incorrect answer. Satisfaction items were scored as rated on the 7-point Likert scale. Total score ranged from 7 to 69 points, comprehension score from 0 to 20 points and satisfaction score from 7 to 49 points. The higher score, the better comprehension and satisfaction. | This is a small, separate sub-study. 59 + 59 participants had sufficient follow-up data to participate in the analysis. | Posted | Mean | Inter-Quartile Range | Score on QuIC scale | 2 days after the information was given |
|
|
|
| 65 |
| 2,129 |
| 233 |
| 2,129 |
| EG001 | Control Children (no Intervention) | 45 | 2,133 | 123 | 2,133 |
| Other than dead | General disorders | Systematic Assessment | Registered as: life-threatening events, hospitalizations, events causing disability. No life-threatening events, or events causing disability were however registered. |
|
| Other than BCG-vaccine related | General disorders |
|
Not provided
Not provided
| D045424 |
| Complex Mixtures |
| Head circumference |
|