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| Name | Class |
|---|---|
| Schneider Children's Hospital | OTHER |
| Tel Aviv Medical Center | OTHER |
| Shaare Zedek Medical Center | OTHER |
| Assaf-Harofeh Medical Center |
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The secondary aims are to follow anti TNF drug levels in infants born to IBD patients treated with anti-TNF medications during pregnancy and to evaluate the risk of infections during the first year of life in this population, compared to children of IBD patients not treated with anti-TNF medications during pregnancy.
Significance -The results of this study have the potential to change clinical practice of anti TNF treatment during pregnancy and the follow-up of infants born to these patients
1. We aim to evaluate the immune response to vaccines in infants of IBD patients treated with anti-TNF medications during pregnancy compared to infants of IBD mother not treated with anti-TNF medications.
2 WE aim to evaluate the immune function of B and T cells at 3 months and one year of age in infants of IBD patients treated with anti-TNF medications during pregnancy compared to infants of non anti-TNF treated mothers.
Our secondary aims are to follow anti TNF drug levels in infants born to IBD patients treated with anti-TNF medications during pregnancy and to evaluate the risk of infections during the first year of life in this population, compared to children of IBD patients not treated with anti-TNF medications during pregnancy.
The results of this study have the potential to change clinical practice of anti TNF treatment during pregnancy and the follow-up of infants born to these patients
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Infants, IBD, anti TNF, pregnancy | Infants of mothers with anti-TNF in pregnancy | ||
| infants, IBD, pregnancy, medications | Infants of mothers with non anti TNFin pregnancy |
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| Measure | Description | Time Frame |
|---|---|---|
| Antibodies to vaccine agents at age 12 months. 2. Immunoglobulin levels, B and T cell production (IgG subclasses, T cell subpopulation numbers) and function (response to mitogens and antigens) at age 3 months and 1 year | 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| Anti TNF drug level in cord blood | birth | |
| Infection number and type during the first year of life | 12 months | |
| Antibiotic use in the first year |
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Inclusion Criteria:
Exclusion Criteria:
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This is a multicenter prospective controlled trial. The study population includes infants born to mothers with IBD, divided into two groups: Study group- infants of IBD patients treated with anti-TNF during pregnancy. Control group- infants of IBD patients treated with non-anti TNF medications during pregnancy.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Sheba_Medical Center | Ramat Gan | 52625 | Israel |
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| ID | Term |
|---|---|
| D015212 | Inflammatory Bowel Diseases |
| ID | Term |
|---|---|
| D005759 | Gastroenteritis |
| D005767 | Gastrointestinal Diseases |
| D004066 | Digestive System Diseases |
| D007410 | Intestinal Diseases |
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| OTHER_GOV |
| Rambam Health Care Campus | OTHER |
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Blood tests
| 12 months |
| Breast feeding influence (with and without additional medications) on the immune function of the children | Not performed | 12 months |