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COVID Booster in Pregnancy and Lactation

Serological and Functional Impact of COVID-19 Vaccination on the Maternal Fetal Unit and Infant Immunity

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT05543993
Enrollment
150
Registered
2022-09-16
Start date
2022-09-29
Completion date
2024-06-10
Last updated
2025-12-02

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

COVID-19

Keywords

vaccine, COVID-19 vaccine, booster, pregnancy, breastfeeding, immunity

Brief summary

This is a prospective longitudinal cohort study to evaluate the impact of COVID-19 vaccination and booster on maternal and infant immunity against COVID-19 variants over time.

Detailed description

We will enroll 100 pregnant patients who have received COVID-19 mRNA booster as well as 100 breastfeeding patients who have received COVID-19 mRNA booster. Participants will be following longitudinally through 3 months post partum, or 3 months post enrollment for those in the breastfeeding cohort. Maternal blood will be collected, as will cordblood at delivery, breastmilk, and infant samples.

Interventions

DRUGBivalent COVID-19 Booster

Bivalent COVID-19 Booster by Pfizer or Moderna

Sponsors

Walter Reed Army Institute of Research (WRAIR)
CollaboratorFED
Nemours Childrens Health
CollaboratorUNKNOWN
Thomas Jefferson University
Lead SponsorOTHER

Study design

Observational model
COHORT
Time perspective
PROSPECTIVE

Eligibility

Sex/Gender
FEMALE
Age
13 Years to 55 Years
Healthy volunteers
Yes

Inclusion criteria

* Singleton gestation * Received mRNA bivalent COVID-19 booster during 1) pregnancy or 2) breastfeeding

Exclusion criteria

* Multifetal gestation * Unable to provide consent

Design outcomes

Primary

MeasureTime frameDescription
Maternal Serological Profile3 monthsQuantitative Maternal IgG to SARS CoV2 spike and other domains
Maternal Functional Immunity3 monthsQuantitative Antibody neutralization capacity

Secondary

MeasureTime frameDescription
Infant serological profile3 months oldQuantitative IgG to SARS CoV2
Infant functional immunity3 months oldQuantitative Antibody neutralization capacity
Breastmilk serological profile3 monthsQuantitative IgA to SARS CoV2
Infant oral immunity3 monthsQuantitative Salivary SARS CoV2 IgG

Countries

United States

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026