A Phase Ⅳ Clinical Trial of the Recombinant Hepatitis E Vaccine (Escherichia Coli)(the Chronic Hepatitis B Patients )
Primary Purpose
Hepatitis E
Status
Completed
Phase
Phase 4
Locations
China
Study Type
Interventional
Intervention
Recombinant Hepatitis E Vaccine (Escherichia Coli)
Sponsored by
About this trial
This is an interventional prevention trial for Hepatitis E focused on measuring Hepatitis E
Eligibility Criteria
Inclusion Criteria(all volunteers):
- Aged over 30 years old on the day of enrollment
- Axillary temperature is below than 37.0 ℃.
- No administration of HEV vaccine before the study
- Judged as healthy and eligible for vaccination by the investigators through a selfreported medical history and some physical examinations.
- Able to understand this study information and willing to comply with all study requirements.
- Willing to participate in this study and sign informed consent form.
- Negative serological markers for hepatitis E
Inclusion Criteria(experiment group):
- ALT < 1.5×ULN
- No spleen swelling,no cirrhosis and no hepatocellular carcinoma
Inclusion Criteria(control group):
1. HBsAg(-)
Exclusion Criteria:
- With clinical evidence of malignant tumor
- History of severe cardio-cerebrovascular disease
- Administration of hepatotoxicity drugs before or during the study
- Pregnancy,breast-feeding or plan to be pregnant in 7 months later
- Participated in any other clinical trial during the study period.
- Use of any investigational product or non-registered product (drug or vaccine)within 30 days preceding the first dose of the study vaccine or plan to use during the study period.
- Received immunosuppressed, immunoregulation therapy or corticosteroid systemic therapy for more than 14 days in the 6 months before entry, except local treatment.
- Administration of any immunoglobulin or blood products within 3 months preceding the first dose of the study vaccine,or plan to use during the study period.
- Administration of any inactivated vaccines within 14 days preceding the first dose of the study or attenuated live vaccines within 21 days preceding the first dose of the study.
- Had a fever (axillary temperature over 38°C) within 3 days or acute illness requiring systemic antibiotics or antiviral treatment within 5 days before vaccination.
- Immunodeficiency (such as HIV carriers), primary disease of important organs, malignant tumor, or any immune disease (such as systemic lupus erythematosus, arthritis pauperum, splenectomy or functional asplenia or other disease which might affect immune response).
- History of allergic disease or history of serious adverse events occurring after vaccination, i.e., allergy,urticaria, dyspnea, angioneurotic edema or abdominal pain.
- Allergic history to any component of this vaccine.
- Asthma that needed emergency treatment, hospitalization, oral or intravenous corticosteroid to keep stable in the past two years.
- Combining another severe internal medicine disease(such as severe hypertension, cardiopathy,diabetes and hyperthyroidism)
- Anomal coagulation function or coagulopathy diagnosed by doctor
- Epilepsy(not including alcohol epilepsy within 3 years prior to abstinence and simple epilepsy that do without curing within 3 years prior to the study )
- Anomal psychology or mind affecting the individual's ability to obey the study requie
- Other medical, psychological, social or occupational factors that, according to the investigators' judgment,might affect the individual's ability to obey the protocol or sign the informed consent.
Sites / Locations
- Rushan Center for Disease Control and Prevention
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Active Comparator
Arm Label
the chronic Hepatitis B patients
the healthy volunteer
Arm Description
Participants in this arm are aged over 30 years and would receive three doses of Recombinant Hepatitis E Vaccine (Escherichia Coli)(Hecolin®) at 0,1,6 month.
Participants in this arm are aged over 30 years and would receive three doses of Recombinant Hepatitis E Vaccine (Escherichia Coli)(Hecolin®) at 0,1,6 month.
Outcomes
Primary Outcome Measures
Number of Participants Whose Anti-HEV Antibody Seroconverted at One Month After The Third Dose
Measure the number of participants whose anti-HEV antibody seroconverted at month 7 to evaluate the immunogenicity of the Hepatitis E vaccine.
Geometric Mean Concentrations of Anti-HEV Antibody at One Month After The Third Dose
Measure the level of anti-HEV antibody in serum samples at month 7 to evaluate the immunogenicity of the Hepatitis E vaccine.
Wu/ml:World Health Organization (WHO) units per ml. The WHO standard was used to calibrate the antibody quantitative reference.
Secondary Outcome Measures
Number of Participants With Changes in Liver Function Index Before and One Month After the First Dose
ALT, AST and TBIL were detected in both groups to determine the liver function of participants. The grade of ALT, AST and TBIL was determined according to the rules issued by CFDA. The fluctuations were classified into three categories: "no change" indicated no grade change; "processed" indicated a change from normal to abnormal or an increase in grade; and "improved" indicated a change from abnormal to normal or a decrease in grade or the change from abnormal to normal.
Number of Participants With Changes in Liver Function Index Before and One Month After the Third Dose
ALT, AST and TBIL were detected in both groups to determine the liver function of participants. The grade of ALT, AST and TBIL was determined according to the rules issued by CFDA. The fluctuations were classified into three categories: "no change" indicated no grade change; "processed" indicated a change from normal to abnormal or an increase in grade; and "improved" indicated a change from abnormal to normal or a decrease in grade or the change from abnormal to normal.
Number of Participants With Changes in Liver Function Index Before The First Dose and One Month After the Third Dose
ALT, AST and TBIL were detected in both groups to determine the liver function of participants. The grade of ALT, AST and TBIL was determined according to the rules issued by CFDA. The fluctuations were classified into three categories: "no change" indicated no grade change; "processed" indicated a change from normal to abnormal or an increase in grade; and "improved" indicated a change from abnormal to normal or a decrease in grade or the change from abnormal to normal.
Number of Participants Who Experienced Any Adverse Reactions/Events
Any adverse reactions/events contains solicited and unsolicited adverse reactions/events during the whole period of observation.
Number of Participants Who Experienced Solicited Adverse Reactions/Events
Number of participants who experienced local, system adverse reactions/events within 7 days after each vaccination.
Number of Participants Who Experienced Solicited Local Adverse Reactions/Events
Number of participants who experienced solicited local adverse reactions/events within 7 days after each vaccination.
Number of Participants Who Experienced Solicited System Adverse Reactions/Events
Number of participants who experienced solicited system adverse reactions/events within 7 days after each vaccination.
Number of Participants Who Experienced Unsolicited Adverse Reactions/Events
Number of participants who experienced unsolicited adverse reactions/events during the whole period of observation.
Full Information
NCT ID
NCT02964910
First Posted
November 9, 2016
Last Updated
July 23, 2019
Sponsor
Xiamen Innovax Biotech Co., Ltd
1. Study Identification
Unique Protocol Identification Number
NCT02964910
Brief Title
A Phase Ⅳ Clinical Trial of the Recombinant Hepatitis E Vaccine (Escherichia Coli)(the Chronic Hepatitis B Patients )
Official Title
An Open, Pared Trial of Recombinant Hepatitis E Vaccine (Escherichia Coli) Hecolin® in the Chronic Hepatitis B Patients on the Clinical Stability .( Aged 30 Years or Over)
Study Type
Interventional
2. Study Status
Record Verification Date
July 2019
Overall Recruitment Status
Completed
Study Start Date
August 2016 (Actual)
Primary Completion Date
August 2017 (Actual)
Study Completion Date
December 2017 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Xiamen Innovax Biotech Co., Ltd
4. Oversight
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
This phase IV clinical study was designed to evaluate the immunogenicity and safety of Hecolin® in the chronic Hepatitis B patients on the clinical stability.
Detailed Description
This phase IV clinical study was designed to evaluate the immunogenicity and safety of the recombinant Hepatitis E vaccine(Hecolin®), manufactured by Xiamen Innovax Biotech CO., LTD., in the chronic Hepatitis B patients on the clinical stability and aged over 30 years of age at enrollment. The study volunteers will receive the 3 doses of Hecolin® administered intramuscularly according to a 0-1-6 month schedule.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hepatitis E
Keywords
Hepatitis E
7. Study Design
Primary Purpose
Prevention
Study Phase
Phase 4
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
475 (Actual)
8. Arms, Groups, and Interventions
Arm Title
the chronic Hepatitis B patients
Arm Type
Experimental
Arm Description
Participants in this arm are aged over 30 years and would receive three doses of Recombinant Hepatitis E Vaccine (Escherichia Coli)(Hecolin®) at 0,1,6 month.
Arm Title
the healthy volunteer
Arm Type
Active Comparator
Arm Description
Participants in this arm are aged over 30 years and would receive three doses of Recombinant Hepatitis E Vaccine (Escherichia Coli)(Hecolin®) at 0,1,6 month.
Intervention Type
Biological
Intervention Name(s)
Recombinant Hepatitis E Vaccine (Escherichia Coli)
Other Intervention Name(s)
Hecolin®
Intervention Description
Participants would receive 3 doses of Recombinant Hepatitis E Vaccine (Escherichia Coli) intramuscularly at 0, 1, 6 month.
Primary Outcome Measure Information:
Title
Number of Participants Whose Anti-HEV Antibody Seroconverted at One Month After The Third Dose
Description
Measure the number of participants whose anti-HEV antibody seroconverted at month 7 to evaluate the immunogenicity of the Hepatitis E vaccine.
Time Frame
Month 7
Title
Geometric Mean Concentrations of Anti-HEV Antibody at One Month After The Third Dose
Description
Measure the level of anti-HEV antibody in serum samples at month 7 to evaluate the immunogenicity of the Hepatitis E vaccine.
Wu/ml:World Health Organization (WHO) units per ml. The WHO standard was used to calibrate the antibody quantitative reference.
Time Frame
Month 7
Secondary Outcome Measure Information:
Title
Number of Participants With Changes in Liver Function Index Before and One Month After the First Dose
Description
ALT, AST and TBIL were detected in both groups to determine the liver function of participants. The grade of ALT, AST and TBIL was determined according to the rules issued by CFDA. The fluctuations were classified into three categories: "no change" indicated no grade change; "processed" indicated a change from normal to abnormal or an increase in grade; and "improved" indicated a change from abnormal to normal or a decrease in grade or the change from abnormal to normal.
Time Frame
Day 0-Month 1
Title
Number of Participants With Changes in Liver Function Index Before and One Month After the Third Dose
Description
ALT, AST and TBIL were detected in both groups to determine the liver function of participants. The grade of ALT, AST and TBIL was determined according to the rules issued by CFDA. The fluctuations were classified into three categories: "no change" indicated no grade change; "processed" indicated a change from normal to abnormal or an increase in grade; and "improved" indicated a change from abnormal to normal or a decrease in grade or the change from abnormal to normal.
Time Frame
Month 6-Month 7
Title
Number of Participants With Changes in Liver Function Index Before The First Dose and One Month After the Third Dose
Description
ALT, AST and TBIL were detected in both groups to determine the liver function of participants. The grade of ALT, AST and TBIL was determined according to the rules issued by CFDA. The fluctuations were classified into three categories: "no change" indicated no grade change; "processed" indicated a change from normal to abnormal or an increase in grade; and "improved" indicated a change from abnormal to normal or a decrease in grade or the change from abnormal to normal.
Time Frame
Day0-Month 7
Title
Number of Participants Who Experienced Any Adverse Reactions/Events
Description
Any adverse reactions/events contains solicited and unsolicited adverse reactions/events during the whole period of observation.
Time Frame
Day 0-Month 7
Title
Number of Participants Who Experienced Solicited Adverse Reactions/Events
Description
Number of participants who experienced local, system adverse reactions/events within 7 days after each vaccination.
Time Frame
Day 0-Day 7
Title
Number of Participants Who Experienced Solicited Local Adverse Reactions/Events
Description
Number of participants who experienced solicited local adverse reactions/events within 7 days after each vaccination.
Time Frame
Day 0-Day 7
Title
Number of Participants Who Experienced Solicited System Adverse Reactions/Events
Description
Number of participants who experienced solicited system adverse reactions/events within 7 days after each vaccination.
Time Frame
Day 0-Day 7
Title
Number of Participants Who Experienced Unsolicited Adverse Reactions/Events
Description
Number of participants who experienced unsolicited adverse reactions/events during the whole period of observation.
Time Frame
Day 0-Month 7
10. Eligibility
Sex
All
Minimum Age & Unit of Time
30 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria(all volunteers):
Aged over 30 years old on the day of enrollment
Axillary temperature is below than 37.0 ℃.
No administration of HEV vaccine before the study
Judged as healthy and eligible for vaccination by the investigators through a selfreported medical history and some physical examinations.
Able to understand this study information and willing to comply with all study requirements.
Willing to participate in this study and sign informed consent form.
Negative serological markers for hepatitis E
Inclusion Criteria(experiment group):
ALT < 1.5×ULN
No spleen swelling,no cirrhosis and no hepatocellular carcinoma
Inclusion Criteria(control group):
1. HBsAg(-)
Exclusion Criteria:
With clinical evidence of malignant tumor
History of severe cardio-cerebrovascular disease
Administration of hepatotoxicity drugs before or during the study
Pregnancy,breast-feeding or plan to be pregnant in 7 months later
Participated in any other clinical trial during the study period.
Use of any investigational product or non-registered product (drug or vaccine)within 30 days preceding the first dose of the study vaccine or plan to use during the study period.
Received immunosuppressed, immunoregulation therapy or corticosteroid systemic therapy for more than 14 days in the 6 months before entry, except local treatment.
Administration of any immunoglobulin or blood products within 3 months preceding the first dose of the study vaccine,or plan to use during the study period.
Administration of any inactivated vaccines within 14 days preceding the first dose of the study or attenuated live vaccines within 21 days preceding the first dose of the study.
Had a fever (axillary temperature over 38°C) within 3 days or acute illness requiring systemic antibiotics or antiviral treatment within 5 days before vaccination.
Immunodeficiency (such as HIV carriers), primary disease of important organs, malignant tumor, or any immune disease (such as systemic lupus erythematosus, arthritis pauperum, splenectomy or functional asplenia or other disease which might affect immune response).
History of allergic disease or history of serious adverse events occurring after vaccination, i.e., allergy,urticaria, dyspnea, angioneurotic edema or abdominal pain.
Allergic history to any component of this vaccine.
Asthma that needed emergency treatment, hospitalization, oral or intravenous corticosteroid to keep stable in the past two years.
Combining another severe internal medicine disease(such as severe hypertension, cardiopathy,diabetes and hyperthyroidism)
Anomal coagulation function or coagulopathy diagnosed by doctor
Epilepsy(not including alcohol epilepsy within 3 years prior to abstinence and simple epilepsy that do without curing within 3 years prior to the study )
Anomal psychology or mind affecting the individual's ability to obey the study requie
Other medical, psychological, social or occupational factors that, according to the investigators' judgment,might affect the individual's ability to obey the protocol or sign the informed consent.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Aiqiang Xu
Organizational Affiliation
Shandong Provincial Center for Disease Control and Prevention
Official's Role
Principal Investigator
Facility Information:
Facility Name
Rushan Center for Disease Control and Prevention
City
Weihai
State/Province
Shandong
Country
China
12. IPD Sharing Statement
Plan to Share IPD
Yes
Learn more about this trial
A Phase Ⅳ Clinical Trial of the Recombinant Hepatitis E Vaccine (Escherichia Coli)(the Chronic Hepatitis B Patients )
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