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Immunogenicity and Persistence of GlaxoSmithKline (GSK) Biologicals' Havrix® in Healthy Adult Subjects Vaccinated at Infancy Under the Hepatitis A Universal Mass Vaccination (UMV) Program in Israel

Primary Purpose

Hepatitis A

Status
Withdrawn
Phase
Phase 4
Locations
Study Type
Interventional
Intervention
Havrix®
Sponsored by
GlaxoSmithKline
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Hepatitis A focused on measuring Israel, Universal Mass Vaccination, Havrix®, Hepatitis A, Healthy adults, Long term persistence, Toddlers

Eligibility Criteria

18 Years - 19 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Subjects who, in the opinion of the investigator, can and will comply with the requirements of the protocol
  • Written informed consent obtained from the subject prior to performing any study specific procedure
  • A male or female subject aged 18 to 19 years at the time of enrolment (up to but excluding the 20th birthday)
  • Documented administration of 2 doses of Havrix® Junior in the second year of life
  • Healthy subjects as established by medical history and clinical examination before entering into the study
  • Female subjects of childbearing potential may be enrolled in the study, if the subject:

has practiced adequate contraception for 30 days prior to study vaccine administration, and has a negative pregnancy test on the day of vaccine administration, and has agreed to continue adequate contraception during the entire treatment period and for 2 months after completion of the study vaccine administration

Exclusion Criteria:

  • Use of any investigational or non-registered product other than the study vaccine during the period starting 30 days before the dose of study vaccine (Day 29 to Day1), or planned use during the study period
  • Any medical condition that in the judgment of the investigator would make intramuscular injection unsafe
  • Chronic administration (defined as more than 14 days in total) of immunosuppressants or other immune-modifying drugs during the period starting six months prior to the vaccine dose. For corticosteroids, this will mean prednisone ≥ 20 mg/day, or equivalent. Inhaled and topical steroids are allowed
  • Administration of long-acting immune-modifying drugs at any time during the study entry
  • Concurrently participating in another clinical study, at any time during the study period, in which the subject has been or will be exposed to an investigational or a non-investigational vaccine/product
  • Administration of any hepatitis A vaccine dose, with the exception of the two doses of routine toddler vaccination for the subjects
  • Any confirmed or suspected immunosuppressive or immunodeficient condition, based on medical history and physical examination
  • History of any reaction or hypersensitivity likely to be exacerbated by any component of the vaccine
  • Planned enrolment in the Israel Defense Forces within 30 days of study enrolment or activity that would prohibit the subject to return for Visit 2
  • Acute disease and/or fever at the time of enrolment Fever is defined as temperature ≥38.0°C / 100.4°F. The preferred location for measuring temperature in this study will be the oral cavity Subjects with a minor illness without fever may be enrolled at the discretion of the investigator
  • Pregnant or lactating female
  • Female planning to become pregnant or planning to discontinue contraceptive precautions

Sites / Locations

    Arms of the Study

    Arm 1

    Arm Type

    Experimental

    Arm Label

    HAV Group

    Arm Description

    Subjects who were vaccinated under UMV with 2 doses of Havrix® Junior at infancy and will receive a single challenge dose of Havrix Adult at Visit 1 (Day 1).

    Outcomes

    Primary Outcome Measures

    Evaluation of immunity to hepatitis A in terms of anti-HAV (Antibodies against Hepatitis A virus) seropositivity status.
    A seropositive subject is a subject whose antibody concentration is greater than or equal to the cut-off value of 15mIU/mL.
    Evaluation of immunity to hepatitis A in terms of anti-HAV antibody concentrations.
    Immunogenicity will be assessed in terms of Geometric Mean Concentration (GMC) of anti-HAV antibody concentrations.

    Secondary Outcome Measures

    Evaluation of immunity to hepatitis A in terms of anti-HAV anamnestic response to hepatitis A vaccine challenge dose.
    Anti-HAV anamnestic response to the challenge dose is defined as: At least a 4-fold increase in anti-HAV antibody concentrations in subjects seropositive at the pre-challenge time-point. Anti-HAV antibody concentrations at least 4 time the assay cut-off (i.e.60 mIU/mL) in subjects seronegative at the pre-challenge time-point.
    Evaluation of immunity to hepatitis A in terms of anti-HAV seropositivity status in response to hepatitis A vaccine challenge dose.
    A seropositive subject is a subject whose antibody concentration is greater than or equal to the cut-off value of 15mIU/mL .
    Evaluation of immunity to hepatitis A in terms of anti-HAV antibody concentrations in response to hepatitis A vaccine challenge dose.
    Immunogenicity will be assessed in terms of GMC of anti-HAV antibody concentrations.
    Occurrence of solicited local and general symptoms.
    The following local (injection-site) AEs will be solicited: Pain at injection site, Redness at injection site, Swelling at injection site. The following general AEs will be solicited: Fatigue, Fever*, Gastrointestinal symptoms**, Headache. *Fever is defined as temperature ≥38.0°C / 100.4°F. The preferred location for measuring temperature in this study will be the oral cavity. **Gastrointestinal symptoms include nausea, vomiting, diarrhea and/or abdominal pain. The AEs will be categorized depending on their intensity into the following grades: (mild) = An AE which is easily tolerated by the subject, causing minimal discomfort and not interfering with everyday activities. (moderate) = An AE which is sufficiently discomforting to interfere with normal everyday activities. (severe) = An AE which prevents normal, everyday activities.
    Occurrence of unsolicited symptoms, according to the Medical Dictionary for Regulatory Activities (MedDRA) classification.
    Unsolicited AE covers any AE reported in addition to those solicited during the clinical study and any solicited symptom with onset outside the specified period of follow-up for solicited symptoms.
    Occurrence of Serious Adverse Events (SAEs).
    SAEs to be assessed include medical occurrences that result in death, are life threatening, require hospitalization or prolongation of existing hospitalization, result in disability/incapacity or a congenital anomaly/birth defect in the offspring of a study subject.

    Full Information

    First Posted
    May 30, 2017
    Last Updated
    March 1, 2018
    Sponsor
    GlaxoSmithKline
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    1. Study Identification

    Unique Protocol Identification Number
    NCT03183492
    Brief Title
    Immunogenicity and Persistence of GlaxoSmithKline (GSK) Biologicals' Havrix® in Healthy Adult Subjects Vaccinated at Infancy Under the Hepatitis A Universal Mass Vaccination (UMV) Program in Israel
    Official Title
    Long-term Persistence of Hepatitis A Immunity in Healthy Adults Vaccinated as Part of a Hepatitis A Universal Mass Vaccination Program
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    March 2018
    Overall Recruitment Status
    Withdrawn
    Why Stopped
    Sponsor cancelled the study as real life impact data has already shown the value of HepA vaccination & as no critical need to gather additional data in Israel.
    Study Start Date
    May 7, 2018 (Anticipated)
    Primary Completion Date
    January 28, 2019 (Anticipated)
    Study Completion Date
    January 28, 2019 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    GlaxoSmithKline

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    Yes
    Studies a U.S. FDA-regulated Device Product
    No
    Product Manufactured in and Exported from the U.S.
    No

    5. Study Description

    Brief Summary
    This study will evaluate the persistence, immunogenicity and safety of Havrix® (hepatitis A vaccine) in adults primed in infancy. The enrolled subjects will be assessed for circulating antibodies against hepatitis A and will also receive a challenge dose of Havrix Adult vaccine. In the present study, the anamnestic response will be assessed 30 days after the challenge dose.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Hepatitis A
    Keywords
    Israel, Universal Mass Vaccination, Havrix®, Hepatitis A, Healthy adults, Long term persistence, Toddlers

    7. Study Design

    Primary Purpose
    Prevention
    Study Phase
    Phase 4
    Interventional Study Model
    Single Group Assignment
    Masking
    None (Open Label)
    Allocation
    N/A
    Enrollment
    0 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    HAV Group
    Arm Type
    Experimental
    Arm Description
    Subjects who were vaccinated under UMV with 2 doses of Havrix® Junior at infancy and will receive a single challenge dose of Havrix Adult at Visit 1 (Day 1).
    Intervention Type
    Biological
    Intervention Name(s)
    Havrix®
    Other Intervention Name(s)
    GSK Biologicals' inactivated hepatitis A vaccine
    Intervention Description
    One challenge dose of Havrix® administered intramuscularly (IM) in the deltoid region of the non-dominant arm.
    Primary Outcome Measure Information:
    Title
    Evaluation of immunity to hepatitis A in terms of anti-HAV (Antibodies against Hepatitis A virus) seropositivity status.
    Description
    A seropositive subject is a subject whose antibody concentration is greater than or equal to the cut-off value of 15mIU/mL.
    Time Frame
    At the pre-challenge time-point (Day 1)
    Title
    Evaluation of immunity to hepatitis A in terms of anti-HAV antibody concentrations.
    Description
    Immunogenicity will be assessed in terms of Geometric Mean Concentration (GMC) of anti-HAV antibody concentrations.
    Time Frame
    At the pre-challenge time-point (Day 1)
    Secondary Outcome Measure Information:
    Title
    Evaluation of immunity to hepatitis A in terms of anti-HAV anamnestic response to hepatitis A vaccine challenge dose.
    Description
    Anti-HAV anamnestic response to the challenge dose is defined as: At least a 4-fold increase in anti-HAV antibody concentrations in subjects seropositive at the pre-challenge time-point. Anti-HAV antibody concentrations at least 4 time the assay cut-off (i.e.60 mIU/mL) in subjects seronegative at the pre-challenge time-point.
    Time Frame
    30 days (Day 31) after challenge dose
    Title
    Evaluation of immunity to hepatitis A in terms of anti-HAV seropositivity status in response to hepatitis A vaccine challenge dose.
    Description
    A seropositive subject is a subject whose antibody concentration is greater than or equal to the cut-off value of 15mIU/mL .
    Time Frame
    30 days (Day 31) after challenge dose
    Title
    Evaluation of immunity to hepatitis A in terms of anti-HAV antibody concentrations in response to hepatitis A vaccine challenge dose.
    Description
    Immunogenicity will be assessed in terms of GMC of anti-HAV antibody concentrations.
    Time Frame
    30 days (Day 31) after challenge dose
    Title
    Occurrence of solicited local and general symptoms.
    Description
    The following local (injection-site) AEs will be solicited: Pain at injection site, Redness at injection site, Swelling at injection site. The following general AEs will be solicited: Fatigue, Fever*, Gastrointestinal symptoms**, Headache. *Fever is defined as temperature ≥38.0°C / 100.4°F. The preferred location for measuring temperature in this study will be the oral cavity. **Gastrointestinal symptoms include nausea, vomiting, diarrhea and/or abdominal pain. The AEs will be categorized depending on their intensity into the following grades: (mild) = An AE which is easily tolerated by the subject, causing minimal discomfort and not interfering with everyday activities. (moderate) = An AE which is sufficiently discomforting to interfere with normal everyday activities. (severe) = An AE which prevents normal, everyday activities.
    Time Frame
    During the 4-day (Days 1-4) follow-up period after the challenge dose
    Title
    Occurrence of unsolicited symptoms, according to the Medical Dictionary for Regulatory Activities (MedDRA) classification.
    Description
    Unsolicited AE covers any AE reported in addition to those solicited during the clinical study and any solicited symptom with onset outside the specified period of follow-up for solicited symptoms.
    Time Frame
    During the 31-day (Days 1-31) follow-up period after the challenge dose
    Title
    Occurrence of Serious Adverse Events (SAEs).
    Description
    SAEs to be assessed include medical occurrences that result in death, are life threatening, require hospitalization or prolongation of existing hospitalization, result in disability/incapacity or a congenital anomaly/birth defect in the offspring of a study subject.
    Time Frame
    After the challenge dose up to the study end (Days 1-31)

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    19 Years
    Accepts Healthy Volunteers
    Accepts Healthy Volunteers
    Eligibility Criteria
    Inclusion Criteria: Subjects who, in the opinion of the investigator, can and will comply with the requirements of the protocol Written informed consent obtained from the subject prior to performing any study specific procedure A male or female subject aged 18 to 19 years at the time of enrolment (up to but excluding the 20th birthday) Documented administration of 2 doses of Havrix® Junior in the second year of life Healthy subjects as established by medical history and clinical examination before entering into the study Female subjects of childbearing potential may be enrolled in the study, if the subject: has practiced adequate contraception for 30 days prior to study vaccine administration, and has a negative pregnancy test on the day of vaccine administration, and has agreed to continue adequate contraception during the entire treatment period and for 2 months after completion of the study vaccine administration Exclusion Criteria: Use of any investigational or non-registered product other than the study vaccine during the period starting 30 days before the dose of study vaccine (Day 29 to Day1), or planned use during the study period Any medical condition that in the judgment of the investigator would make intramuscular injection unsafe Chronic administration (defined as more than 14 days in total) of immunosuppressants or other immune-modifying drugs during the period starting six months prior to the vaccine dose. For corticosteroids, this will mean prednisone ≥ 20 mg/day, or equivalent. Inhaled and topical steroids are allowed Administration of long-acting immune-modifying drugs at any time during the study entry Concurrently participating in another clinical study, at any time during the study period, in which the subject has been or will be exposed to an investigational or a non-investigational vaccine/product Administration of any hepatitis A vaccine dose, with the exception of the two doses of routine toddler vaccination for the subjects Any confirmed or suspected immunosuppressive or immunodeficient condition, based on medical history and physical examination History of any reaction or hypersensitivity likely to be exacerbated by any component of the vaccine Planned enrolment in the Israel Defense Forces within 30 days of study enrolment or activity that would prohibit the subject to return for Visit 2 Acute disease and/or fever at the time of enrolment Fever is defined as temperature ≥38.0°C / 100.4°F. The preferred location for measuring temperature in this study will be the oral cavity Subjects with a minor illness without fever may be enrolled at the discretion of the investigator Pregnant or lactating female Female planning to become pregnant or planning to discontinue contraceptive precautions
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    GSK Clinical Trials
    Organizational Affiliation
    GlaxoSmithKline
    Official's Role
    Study Director

    12. IPD Sharing Statement

    Plan to Share IPD
    Yes
    IPD Sharing Plan Description
    Patient-level data for this study will be made available through www.clinicalstudydatarequest.com following the timelines and process described on this site.

    Learn more about this trial

    Immunogenicity and Persistence of GlaxoSmithKline (GSK) Biologicals' Havrix® in Healthy Adult Subjects Vaccinated at Infancy Under the Hepatitis A Universal Mass Vaccination (UMV) Program in Israel

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