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A Study to Characterise Immune Responses Following Immunisations With "Fendrix" or "Engerix B" Hepatitis B Vaccines

Primary Purpose

Hepatitis B

Status
Completed
Phase
Not Applicable
Locations
United Kingdom
Study Type
Interventional
Intervention
Engerix B IM injection - 20ug
Fendrix IM injection - 20ug
Sponsored by
University of Surrey
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional basic science trial for Hepatitis B focused on measuring ADITEC, Immunology, Vaccines, Hepatitis B, Investigational study, innate and adaptive immune responses, Hepatitis B vaccinations

Eligibility Criteria

18 Years - 55 Years (Adult)MaleAccepts Healthy Volunteers

Inclusion Criteria:

  1. Healthy male subjects aged 18-55 years inclusive
  2. The subject is, in the opinion of the investigator, healthy on the basis of a physical examination, medical history, blood results, vital signs, with no active disease process that could interfere with the study endpoints.
  3. The subject is able to read and understand the Informed Consent Form (ICF), and understand study procedures.
  4. The subject has signed the ICF.
  5. The subject has not previously received a vaccine for Hepatitis B or contracted Hepatitis B infection.
  6. The subject is seronegative to Hepatitis B as confirmed at screening by assessments of sAb, sAg, and cAb.
  7. Seronegative for HIV 1 & 2 antibodies and hepatitis C antibodies at screening.
  8. Available for follow-up for the duration of the study.
  9. Agree to abstain from donating blood during and for three months after the end of their participation in the study, or longer if necessary.
  10. Visa long enough allowing them to complete the study (if applicable).
  11. The subject has venous access sufficient to allow blood sampling as per the protocol.

Exclusion Criteria:

  1. Known hypersensitivity to any component of the vaccines (excipients: sodium chloride, disodium phosphate dehydrate, sodium dihydrogen phosphate; adjuvants: aluminium phosphate, AS04C, aluminium hydroxide; Hepatitis B antigen produced in yeast cells) or subjects who have exhibited hypersensitivity to any other Hepatitis B vaccine, or a history of any allergy that in the opinion of the investigator would contraindicate subject participation.
  2. Presence of primary or acquired immunodeficiency states with a total lymphocyte count less than 1,200 per mm3 or presenting other evidence of lack of cellular immune competence e.g. leukaemias, lymphomas, blood dyscrasias, or patients receiving immunosuppressive therapy (including regular use of oral, inhaled, topical or parenteral corticosteroids).
  3. Use of any immune suppressing or immunomodulating drugs within 6 months of Visit 1 (screening).
  4. Regular use of non-steroidal anti-inflammatory drugs (by any route of administration including topical) within 6 months of Visit 1 (screening) considered by the study physician as likely to interfere with immune responses.
  5. Receipt of a vaccine within 30 days of visit 2. Other vaccines (e.g. for travel) may be administered between visit 13 and 14 only.
  6. Currently participating in another clinical study with an investigational or non-investigational drug or device, or has participated in a clinical study within the 3 months preceding Visit 1.
  7. Any condition that, in the investigator's opinion, compromises the subject's ability to meet protocol requirements or to complete the study.
  8. Receipt of blood products or immunoglobin, or blood donation, within 3 months of screening.
  9. Unable to read and speak English to a fluency level adequate for the full comprehension of procedures required in participation and consent.

Sites / Locations

  • Surrey Clinical Research Centre

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Engerix B

Fendrix

Arm Description

Engerix B IM injection - 20ug At 0, 1 and 6 months

Fendrix IM injection - 20ug At 0, 1 and 6 months

Outcomes

Primary Outcome Measures

Change from pre-immunisation baseline values in global gene expression measured on whole blood samples.

Secondary Outcome Measures

Change from pre-immunisation baseline values in serum anti-hepatitis B IgG (immunoglobulin G) titre in serum samples.

Full Information

First Posted
June 18, 2013
Last Updated
February 5, 2016
Sponsor
University of Surrey
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1. Study Identification

Unique Protocol Identification Number
NCT02032160
Brief Title
A Study to Characterise Immune Responses Following Immunisations With "Fendrix" or "Engerix B" Hepatitis B Vaccines
Official Title
Study to Generate Exploratory Training Data Characterising Innate/ Adaptive Immune Responses Following 1st & 3rd Intra-muscular Immunisations With Fendrix/Engerix B Vaccines in Healthy Adult Males With no Pre-existing Immunity to Hep B
Study Type
Interventional

2. Study Status

Record Verification Date
February 2016
Overall Recruitment Status
Completed
Study Start Date
May 2014 (undefined)
Primary Completion Date
February 2016 (Actual)
Study Completion Date
February 2016 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
University of Surrey

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to generate an exploratory training set of data and to identify predictive biomarkers (a measurable biological response that predicts something) of innate and adaptive responses to immunisation of two vaccines utilizing different adjuvant technology given according to approved schedules to healthy adult volunteers. The vaccines are model agents selected as they match antigens but have discordant adjuvants, have a known immunogenicity profile, assays are freely available to measure responses, and they are safe to administer to healthy adults at the doses and schedules proposed. This study will strive to correlate biomarker activity with observed immunological responses to vaccination and if successful, these biomarkers could be used in early stage clinical trials to optimize selection of vaccine candidates with a profile that will be most likely to be effective once they are in generalized use.
Detailed Description
The purpose of this study is to generate an exploratory training set of data and to identify predictive biomarkers (a measurable biological response that predicts something) of innate and adaptive responses to immunisation of two vaccines utilizing different adjuvant technology given according to approved schedules to healthy adult volunteers. The vaccines are model agents selected as they match antigens but have discordant adjuvants, have a known immunogenicity profile, assays are freely available to measure responses, and they are safe to administer to healthy adults at the doses and schedules proposed. This study will strive to correlate biomarker activity with observed immunological responses to vaccination and if successful, these biomarkers could be used in early stage clinical trials to optimize selection of vaccine candidates with a profile that will be most likely to be effective once they are in generalized use. In this study, 15 subjects per vaccine will be recruited to receive immunization with one of two hepatitis B vaccines, Engerix B or Fendrix, representing exactly matched antigens (hepatitis B surface antigen) but discordant adjuvant technologies. Following a screening visit, subjects will be randomly allocated to receive three doses of a vaccine at 0, 1 and 2 months. Innate immune responses (cytokine levels and whole blood gene expression) after doses #1 and #3 and adaptive immune responses (serum antibody and antigen specific cellular responses) will be measured at various timepoints after immunisation on an outpatient basis. The study is funded by ADITEC, which is a collaborative research programme that aims to accelerate the development of novel and powerful immunisation technologies for the next generation of human vaccines.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hepatitis B
Keywords
ADITEC, Immunology, Vaccines, Hepatitis B, Investigational study, innate and adaptive immune responses, Hepatitis B vaccinations

7. Study Design

Primary Purpose
Basic Science
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Participant
Allocation
Randomized
Enrollment
30 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Engerix B
Arm Type
Experimental
Arm Description
Engerix B IM injection - 20ug At 0, 1 and 6 months
Arm Title
Fendrix
Arm Type
Experimental
Arm Description
Fendrix IM injection - 20ug At 0, 1 and 6 months
Intervention Type
Biological
Intervention Name(s)
Engerix B IM injection - 20ug
Intervention Description
Engerix B IM injection - 20ug At 0, 1 and 6 months
Intervention Type
Biological
Intervention Name(s)
Fendrix IM injection - 20ug
Intervention Description
Fendrix IM injection - 20ug At 0, 1 and 6 months
Primary Outcome Measure Information:
Title
Change from pre-immunisation baseline values in global gene expression measured on whole blood samples.
Time Frame
visit 2 - 14 (Day 0, 1, 3, 7, 14, 28, 56, 57, 59, 63, 70, 84 and 168).
Secondary Outcome Measure Information:
Title
Change from pre-immunisation baseline values in serum anti-hepatitis B IgG (immunoglobulin G) titre in serum samples.
Time Frame
visit 2 - 14 (Day 0, 1, 3, 7, 14, 28, 56, 57, 59, 63, 70, 84 and 168).
Other Pre-specified Outcome Measures:
Title
Change from pre-immunisation baseline values in metabolic gene expression and pathway activation measured on whole blood samples.
Time Frame
visit 2 - 14 (Day 0, 1, 3, 7, 14, 28, 56, 57, 59, 63, 70, 84 and 168).
Title
Change from pre-immunisation baseline values in concentration of selected cytokines and acute phase proteins in serum samples.
Time Frame
visit 2 - 14 (Day 0, 1, 3, 7, 14, 28, 56, 57, 59, 63, 70, 84 and 168).
Title
Change from pre-immunisation baseline values in PBMC (peripheral blood mononuclear cell) cytokine secretion, proliferation or surface markers in response to in vitro antigen stimulation.
Time Frame
visit 2 - 14 (Day 0, 1, 3, 7, 14, 28, 56, 57, 59, 63, 70, 84 and 168).
Title
Fold increase in serum hepatitis B IgG titre
Time Frame
visit 2 - 14 (Day 0, 1, 3, 7, 14, 28, 56, 57, 59, 63, 70, 84 and 168).
Title
Correlations in changes in innate immune activation with adaptive immune responses
Time Frame
visit 2 - 14 (Day 0, 1, 3, 7, 14, 28, 56, 57, 59, 63, 70, 84 and 168).

10. Eligibility

Sex
Male
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
55 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Healthy male subjects aged 18-55 years inclusive The subject is, in the opinion of the investigator, healthy on the basis of a physical examination, medical history, blood results, vital signs, with no active disease process that could interfere with the study endpoints. The subject is able to read and understand the Informed Consent Form (ICF), and understand study procedures. The subject has signed the ICF. The subject has not previously received a vaccine for Hepatitis B or contracted Hepatitis B infection. The subject is seronegative to Hepatitis B as confirmed at screening by assessments of sAb, sAg, and cAb. Seronegative for HIV 1 & 2 antibodies and hepatitis C antibodies at screening. Available for follow-up for the duration of the study. Agree to abstain from donating blood during and for three months after the end of their participation in the study, or longer if necessary. Visa long enough allowing them to complete the study (if applicable). The subject has venous access sufficient to allow blood sampling as per the protocol. Exclusion Criteria: Known hypersensitivity to any component of the vaccines (excipients: sodium chloride, disodium phosphate dehydrate, sodium dihydrogen phosphate; adjuvants: aluminium phosphate, AS04C, aluminium hydroxide; Hepatitis B antigen produced in yeast cells) or subjects who have exhibited hypersensitivity to any other Hepatitis B vaccine, or a history of any allergy that in the opinion of the investigator would contraindicate subject participation. Presence of primary or acquired immunodeficiency states with a total lymphocyte count less than 1,200 per mm3 or presenting other evidence of lack of cellular immune competence e.g. leukaemias, lymphomas, blood dyscrasias, or patients receiving immunosuppressive therapy (including regular use of oral, inhaled, topical or parenteral corticosteroids). Use of any immune suppressing or immunomodulating drugs within 6 months of Visit 1 (screening). Regular use of non-steroidal anti-inflammatory drugs (by any route of administration including topical) within 6 months of Visit 1 (screening) considered by the study physician as likely to interfere with immune responses. Receipt of a vaccine within 30 days of visit 2. Other vaccines (e.g. for travel) may be administered between visit 13 and 14 only. Currently participating in another clinical study with an investigational or non-investigational drug or device, or has participated in a clinical study within the 3 months preceding Visit 1. Any condition that, in the investigator's opinion, compromises the subject's ability to meet protocol requirements or to complete the study. Receipt of blood products or immunoglobin, or blood donation, within 3 months of screening. Unable to read and speak English to a fluency level adequate for the full comprehension of procedures required in participation and consent.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
David JM Lewis, MD
Organizational Affiliation
University of Surrey
Official's Role
Principal Investigator
Facility Information:
Facility Name
Surrey Clinical Research Centre
City
Guildford
State/Province
Surrey
ZIP/Postal Code
Gu2 7XP
Country
United Kingdom

12. IPD Sharing Statement

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A Study to Characterise Immune Responses Following Immunisations With "Fendrix" or "Engerix B" Hepatitis B Vaccines

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