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The Immunogenicity and Safety of 60mcg/30mcg Recombinant Hepatitis B Vaccines in People Who Failed to Respond to Routine Administration of Hepatitis B Vaccines

Primary Purpose

Hepatitis b

Status
Completed
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
60mcg/1.0ml recombinant hepatitis B vaccine
30mcg/1.0ml recombinant hepatitis B vaccine
10mcg/1.0ml recombinant hepatitis B vaccine
Sponsored by
Jiangsu Province Centers for Disease Control and Prevention
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Hepatitis b focused on measuring immunogenicity, safety, recombinant hepatitis B vaccine, nonresponders

Eligibility Criteria

16 Years - undefined (Child, Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria :

Filter period: The subjects to receive first 10mcg recombinant hepatitis B vaccines:

  • Healthy subjects aged 16 and older as established by medical history and clinical examination
  • The subjects or their guardians are able to understand and sign the informed consent
  • Had never received the hepatitis B vaccines
  • Subjects who can and will comply with the requirements of the protocol

Revaccination period: The nonresponders to receive first 60mcg recombinant hepatitis B vaccines:

  • Healthy subjects aged 16 and older as established by medical history and clinical examination
  • The subjects or their guardians are able to understand and sign the informed consent
  • After the routine administration of 10mcg hepatitis B vaccines, the peak period levels of anti-HBs is lower than 10mIU/ml
  • Subjects with temperature <37.1°C on axillary setting
  • Subjects who can and will comply with the requirements of the protocol

Exclusion Criteria:

Filter period: The subjects to receive first 10mcg recombinant hepatitis B vaccines:

  • Subject that has a medical history of any of the following: allergic history, or allergic to any ingredient of vaccine
  • Family history of seizures or progressive neurological disease
  • Family history of congenital or hereditary immunodeficiency
  • Women of pregnancy, lactation or about to be pregnant in 60 days
  • Autoimmune disease or immunodeficiency
  • Bleeding disorder diagnosed by a doctor or significant bruising or bleeding difficulties with IM injections or blood draws
  • Any prior administration of administration of immunoglobulins

Filter period: The subjects to receive second or/and third 10mcg recombinant hepatitis B vaccines:

  • Any reaction or hypersensitivity to the recombinant hepatitis B vaccines after the vaccinations
  • Serious adverse reactions to vaccines
  • Active infections
  • Subjects who want to quit the study
  • Any condition that in the opinion of the investigator, may interfere with the evaluation of study objectives

Revaccination period: The nonresponders to receive first 60mcg recombinant hepatitis B vaccines:

  • Qualitative test of Anti-HBs, HBsAg or Anti-HBc on serum is positive
  • Any reaction or hypersensitivity to the recombinant hepatitis B vaccines after the vaccinations
  • Family history of seizures or progressive neurological disease
  • Family history of congenital or hereditary immunodeficiency
  • Women of pregnancy, lactation or about to be pregnant in 60 days
  • Autoimmune disease or immunodeficiency
  • Bleeding disorder diagnosed by a doctor or significant bruising or bleeding difficulties with IM injections or blood draws
  • Any prior administration of immunoglobulins, any other vaccines or experimental drugs in the last 7days
  • Any active infections and received any antibiotic or anti-virus treatments in the last 7 days
  • Had a fever in the last 3 days, with temperature ≥37.1°C
  • Participate in another clinical trials
  • Any condition that in the opinion of the investigator, may interfere with the evaluation of study objectives

Revaccination period: The nonresponders to receive second or/and third 60mcg recombinant hepatitis B vaccines:

  • Any reaction or hypersensitivity to the recombinant hepatitis B vaccines after the vaccinations
  • Serious adverse reactions to vaccines
  • Active infections
  • Subjects who want to quit the study
  • Any condition that in the opinion of the investigator, may interfere with the evaluation of study objectives

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm Type

    Experimental

    Experimental

    Placebo Comparator

    Arm Label

    60mcg/1.0ml recombinant hepatitis B vaccine

    30mcg/1.0ml recombinant hepatitis B vaccine

    10mcg/1.0ml recombinant hepatitis B vaccine

    Arm Description

    600 participants aged 16 and older who failed to respond to routine administration of 10mcg recombinant hepatitis B vaccines to receive 60mcg/1.0ml recombinant hepatitis B vaccines on day 0, 30 and 60.

    600 participants aged 16 and older who failed to respond to routine administration of 10mcg recombinant hepatitis B vaccines to receive 30mcg/1.0ml recombinant hepatitis B vaccines on day 0, 30 and 60.

    300 participants aged 16 and older who failed to respond to routine administration of 10mcg recombinant hepatitis B vaccines to receive 10mcg/1.0ml recombinant hepatitis B vaccines on day 0, 30 and 60.

    Outcomes

    Primary Outcome Measures

    Immunogenicity of Recombinant Hepatitis B Vaccines in Nonresponders
    Quantitative detection of anti-HBs using ratio-immunity method on serum obtained one month after second vaccination
    Immunogenicity of Recombinant Hepatitis B Vaccines in Nonresponders
    Quantitative detection of anti-HBs using ratio-immunity method on serum obtained one month after third vaccination

    Secondary Outcome Measures

    Immunogenicity of Recombinant Hepatitis B Vaccines in Nonresponders
    Quantitative detection of anti-HBs using ratio-immunity method on serum obtained one month after first vaccination
    the Safety of Recombinant Hepatitis B Vaccines in Nonresponders
    assessment of the local and systemic adverse reaction within the first 30 days after first vaccination
    the Safety of Recombinant Hepatitis B Vaccines in Nonresponders
    assessment of the local and systemic adverse reaction within the first 30 days after second vaccination
    the Safety of Recombinant Hepatitis B Vaccines in Nonresponders
    assessment of the local and systemic adverse reaction within the first 30 days after third vaccination

    Full Information

    First Posted
    September 15, 2010
    Last Updated
    April 21, 2012
    Sponsor
    Jiangsu Province Centers for Disease Control and Prevention
    Collaborators
    Shenzhen Kangtai Biological Products Co., LTD
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    1. Study Identification

    Unique Protocol Identification Number
    NCT01203319
    Brief Title
    The Immunogenicity and Safety of 60mcg/30mcg Recombinant Hepatitis B Vaccines in People Who Failed to Respond to Routine Administration of Hepatitis B Vaccines
    Official Title
    The Immunogenicity and Safety of 60mcg and 30mcg Recombinant Hepatitis B Vaccines in People Aged 16 and Older Who Failed to Respond to Routine Administration of 10mcg Recombinant Hepatitis B Vaccines
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    April 2012
    Overall Recruitment Status
    Completed
    Study Start Date
    November 2006 (undefined)
    Primary Completion Date
    December 2010 (Actual)
    Study Completion Date
    March 2011 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Jiangsu Province Centers for Disease Control and Prevention
    Collaborators
    Shenzhen Kangtai Biological Products Co., LTD

    4. Oversight

    Data Monitoring Committee
    Yes

    5. Study Description

    Brief Summary
    This study is an expanded Phase 2/Phase 3 clinical trial base on the safety data obtained from the phase 1 clinical trial. The purpose of this study is to further evaluate the immunogenicity and safety of 60mcg/30mcg recombinant hepatitis B vaccines in people aged 16 and older who failed to respond to routine administration of 10mcg recombinant hepatitis B vaccines and to explore the optimizing immunizing dose and immune procedure.
    Detailed Description
    The most effective method to prevent hepatitis B virus infection is to receive the vaccination of hepatitis b vaccine to get the protective antibody anti-HBs. Both the blood-derived hepatitis B vaccine and the recombinant hepatitis B vaccines have been proved to be effective and safe since the application in 1981 and 1989 respectively. Previous passive or active immunization testes indicated that the lowest effective level of anti-HBs for prevention of infection is 10mIU/ml. However there are still some recipients can't generate expected level of anti-HBs after the vaccinations. In adults, there are 5% to 10% recipients will failed to respond to routine administration of 10mcg recombinant hepatitis B vaccines, and those nonresponders are susceptible population even after the vaccinations. In this study, a recipient whose peak period (1 month after vaccination) levels of anti-HBs is lower than 10mIU/ml after finishing the vaccinations of 3 dose 10mcg hepatitis b vaccines is called nonresponders. Nowadays, a lot tests are conducted on nonresponders to help them generate the protective antibody anti-HBs, including increase the antigen dosage of vaccines, increase the injections of vaccines, change the route of inoculation and the use of adjuvant. Unfortunately, these previous studies can not get coincident and persuasive outcomes due to the small sample size and poor representativeness. This study is plan to evaluate the immunogenicity and safety of 60mcg/30mcg recombinant hepatitis B vaccines in people aged 16 and older who failed to respond to routine administration of 10mcg recombinant hepatitis B vaccines and to provide the scientific evidences for the revaccination strategy in China.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Hepatitis b
    Keywords
    immunogenicity, safety, recombinant hepatitis B vaccine, nonresponders

    7. Study Design

    Primary Purpose
    Prevention
    Study Phase
    Phase 2, Phase 3
    Interventional Study Model
    Parallel Assignment
    Masking
    ParticipantCare ProviderInvestigator
    Allocation
    Randomized
    Enrollment
    1091 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    60mcg/1.0ml recombinant hepatitis B vaccine
    Arm Type
    Experimental
    Arm Description
    600 participants aged 16 and older who failed to respond to routine administration of 10mcg recombinant hepatitis B vaccines to receive 60mcg/1.0ml recombinant hepatitis B vaccines on day 0, 30 and 60.
    Arm Title
    30mcg/1.0ml recombinant hepatitis B vaccine
    Arm Type
    Experimental
    Arm Description
    600 participants aged 16 and older who failed to respond to routine administration of 10mcg recombinant hepatitis B vaccines to receive 30mcg/1.0ml recombinant hepatitis B vaccines on day 0, 30 and 60.
    Arm Title
    10mcg/1.0ml recombinant hepatitis B vaccine
    Arm Type
    Placebo Comparator
    Arm Description
    300 participants aged 16 and older who failed to respond to routine administration of 10mcg recombinant hepatitis B vaccines to receive 10mcg/1.0ml recombinant hepatitis B vaccines on day 0, 30 and 60.
    Intervention Type
    Biological
    Intervention Name(s)
    60mcg/1.0ml recombinant hepatitis B vaccine
    Intervention Description
    to receive 60mcg/1.0ml recombinant HBV vaccines on day 0, 30 and 60
    Intervention Type
    Biological
    Intervention Name(s)
    30mcg/1.0ml recombinant hepatitis B vaccine
    Intervention Description
    to receive 30mcg/1.0ml recombinant hepatitis B vaccines on day 0, 30 and 60.
    Intervention Type
    Biological
    Intervention Name(s)
    10mcg/1.0ml recombinant hepatitis B vaccine
    Intervention Description
    to receive 10mcg/1.0ml recombinant hepatitis B vaccines on day 0, 30 and 60
    Primary Outcome Measure Information:
    Title
    Immunogenicity of Recombinant Hepatitis B Vaccines in Nonresponders
    Description
    Quantitative detection of anti-HBs using ratio-immunity method on serum obtained one month after second vaccination
    Time Frame
    one month after the second vaccination
    Title
    Immunogenicity of Recombinant Hepatitis B Vaccines in Nonresponders
    Description
    Quantitative detection of anti-HBs using ratio-immunity method on serum obtained one month after third vaccination
    Time Frame
    one month after the third vaccination
    Secondary Outcome Measure Information:
    Title
    Immunogenicity of Recombinant Hepatitis B Vaccines in Nonresponders
    Description
    Quantitative detection of anti-HBs using ratio-immunity method on serum obtained one month after first vaccination
    Time Frame
    one month after the first vaccination
    Title
    the Safety of Recombinant Hepatitis B Vaccines in Nonresponders
    Description
    assessment of the local and systemic adverse reaction within the first 30 days after first vaccination
    Time Frame
    within the first 30 days after first vaccination
    Title
    the Safety of Recombinant Hepatitis B Vaccines in Nonresponders
    Description
    assessment of the local and systemic adverse reaction within the first 30 days after second vaccination
    Time Frame
    within the first 30 days after second vaccination
    Title
    the Safety of Recombinant Hepatitis B Vaccines in Nonresponders
    Description
    assessment of the local and systemic adverse reaction within the first 30 days after third vaccination
    Time Frame
    within the first 30 days after third vaccination

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    16 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria : Filter period: The subjects to receive first 10mcg recombinant hepatitis B vaccines: Healthy subjects aged 16 and older as established by medical history and clinical examination The subjects or their guardians are able to understand and sign the informed consent Had never received the hepatitis B vaccines Subjects who can and will comply with the requirements of the protocol Revaccination period: The nonresponders to receive first 60mcg recombinant hepatitis B vaccines: Healthy subjects aged 16 and older as established by medical history and clinical examination The subjects or their guardians are able to understand and sign the informed consent After the routine administration of 10mcg hepatitis B vaccines, the peak period levels of anti-HBs is lower than 10mIU/ml Subjects with temperature <37.1°C on axillary setting Subjects who can and will comply with the requirements of the protocol Exclusion Criteria: Filter period: The subjects to receive first 10mcg recombinant hepatitis B vaccines: Subject that has a medical history of any of the following: allergic history, or allergic to any ingredient of vaccine Family history of seizures or progressive neurological disease Family history of congenital or hereditary immunodeficiency Women of pregnancy, lactation or about to be pregnant in 60 days Autoimmune disease or immunodeficiency Bleeding disorder diagnosed by a doctor or significant bruising or bleeding difficulties with IM injections or blood draws Any prior administration of administration of immunoglobulins Filter period: The subjects to receive second or/and third 10mcg recombinant hepatitis B vaccines: Any reaction or hypersensitivity to the recombinant hepatitis B vaccines after the vaccinations Serious adverse reactions to vaccines Active infections Subjects who want to quit the study Any condition that in the opinion of the investigator, may interfere with the evaluation of study objectives Revaccination period: The nonresponders to receive first 60mcg recombinant hepatitis B vaccines: Qualitative test of Anti-HBs, HBsAg or Anti-HBc on serum is positive Any reaction or hypersensitivity to the recombinant hepatitis B vaccines after the vaccinations Family history of seizures or progressive neurological disease Family history of congenital or hereditary immunodeficiency Women of pregnancy, lactation or about to be pregnant in 60 days Autoimmune disease or immunodeficiency Bleeding disorder diagnosed by a doctor or significant bruising or bleeding difficulties with IM injections or blood draws Any prior administration of immunoglobulins, any other vaccines or experimental drugs in the last 7days Any active infections and received any antibiotic or anti-virus treatments in the last 7 days Had a fever in the last 3 days, with temperature ≥37.1°C Participate in another clinical trials Any condition that in the opinion of the investigator, may interfere with the evaluation of study objectives Revaccination period: The nonresponders to receive second or/and third 60mcg recombinant hepatitis B vaccines: Any reaction or hypersensitivity to the recombinant hepatitis B vaccines after the vaccinations Serious adverse reactions to vaccines Active infections Subjects who want to quit the study Any condition that in the opinion of the investigator, may interfere with the evaluation of study objectives
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Feng-Cai Zhu, Master
    Organizational Affiliation
    Jiangsu Provincial Center for Diseases Control and Prevention
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Citations:
    PubMed Identifier
    24681228
    Citation
    Pan HX, Zeng Y, Song XF, Zhang YJ, Xu K, Liang ZL, Zhu FC. Immune response to hepatitis B vaccine with high antigen content in non-responders after standard primary vaccination in Chinese adults. Vaccine. 2014 Jun 17;32(29):3706-12. doi: 10.1016/j.vaccine.2014.02.094. Epub 2014 Mar 27.
    Results Reference
    derived

    Learn more about this trial

    The Immunogenicity and Safety of 60mcg/30mcg Recombinant Hepatitis B Vaccines in People Who Failed to Respond to Routine Administration of Hepatitis B Vaccines

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