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Clinical Trial of Recombinant Hepatitis B Vaccine (Hansenula Polymorpha, 10μg)

Primary Purpose

Hepatitis B

Status
Completed
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
One dose of investigational vaccine
One dose of control vaccine
Three doses of investigational vaccine
Three doses of control vaccine
Sponsored by
Sinovac Biotech Co., Ltd
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Hepatitis B

Eligibility Criteria

undefined - 49 Years (Child, Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Adults aged 18~49 years, or children aged 1~15 years, or neonates within 24 hours of birth;
  • Proven legal identity;
  • Participants or guardians of the participants should be capable of understanding the written consent form, and such form should be signed prior to enrollment ;

Exclusion Criteria (For Adults):

  • Breast feeding, pregnant, or expected to conceive in the next 60 days;
  • History of allergy to any vaccine or vaccine ingredient, or serious adverse reaction(s) to vaccination, such as urticaria, difficulty in breathing, angioneurotic edema, abdominal pain, etc;
  • Congenital malformation, developmental disorders, genetic defects;
  • Autoimmune disease or immunodeficiency/immunosuppressive;
  • Severe chronic diseases, severe cardiovascular disease, hypertension and diabetes that cannot be controlled by drugs, liver Kidney disease, malignant tumor;
  • Severe nervous system disease or mental illness;
  • Asplenia or functional asplenia;
  • Diagnosed coagulation function abnormal (e.g., coagulation factor deficiency, coagulation disorder, or platelet abnormalities) , or obvious bruising or coagulation disorders;
  • Any immunosuppressant, cytotoxic medicine, or inhaled corticosteroids (except corticosteroid spray for treatment of allergic rhinitis or corticosteroid treatment on surface for acute non-complicated dermatitis) within 6 month prior to study entry;
  • Long term history of alcoholism or drug abuse;
  • Administration of blood product within 3 months prior to the entry;
  • Administration of any other investigational drugs within 30 days prior to the entry;
  • Receipt of any attenuated live vaccine within 14 days prior to study entry;
  • Receipt of any subunit vaccine or inactivated vaccine within 7 days prior to study entry;
  • Any acute disease within 7 days prior to the study entry;
  • Axillaty temperature > 37.0 °C;
  • Any other factor that suggesting the volunteer is unsuitable for this study based on the opinions of investigators.

Exclusion Criteria (For Children):

  • History of extra vaccination of Hepatitis B vaccine or vaccine containing hepatitis B except for the primary vaccination in the immunization planning program;
  • History of allergy to any vaccine or vaccine ingredient, or serious adverse reaction(s) to vaccination, such as urticaria, difficulty in breathing, angioneurotic edema, abdominal pain, etc;
  • Congenital malformation, developmental disorders, genetic defects;
  • Autoimmune disease or immunodeficiency/immunosuppressive;
  • Severe chronic diseases, severe cardiovascular disease, hypertension and diabetes that cannot be controlled by drugs, liver Kidney disease, malignant tumor;
  • Severe nervous system disease or mental illness;
  • Asplenia or functional asplenia;
  • Diagnosed coagulation function abnormal (e.g., coagulation factor deficiency, coagulation disorder, or platelet abnormalities) , or obvious bruising or coagulation disorders;
  • Any immunosuppressant, cytotoxic medicine, or inhaled corticosteroids (except corticosteroid spray for treatment of allergic rhinitis or corticosteroid treatment on surface for acute non-complicated dermatitis) within 6 month prior to study entry; Long term history of alcoholism or drug abuse;
  • Administration of blood product within 3 months prior to the entry;
  • Administration of any other investigational drugs within 30 days prior to the entry;
  • Receipt of any attenuated live vaccine within 14 days prior to study entry;
  • Receipt of any subunit vaccine or inactivated vaccine within 7 days prior to study entry;
  • Any acute disease within 7 days prior to the study entry;
  • Axillaty temperature > 37.0 °C;
  • Any other factor that suggesting the volunteer is unsuitable for this study based on the opinions of investigators.

Exclusion Criteria (For Neonates):

  • Neonates gestational age <37 weeks or >42 weeks;
  • Birth weight <2500g for boy, <2300g for girl;
  • Apgar score at birth <8;
  • Positive for any of the mother's HBsAg, HBeAg, HBeAb, and HBcAb (check the laboratory report of the birth hospital);
  • Parents have family history of convulsions, epilepsy, encephalopathy, etc.;
  • Mother's immune function is low or history of organ transplantation or hemodialysis;
  • Mother has history of allergy to any vaccine or vaccine ingredient, or serious adverse reaction(s) to vaccination, such as urticaria, difficulty in breathing, angioneurotic edema, abdominal pain, etc;
  • Family history of coagulation function abnormal (e.g., coagulation factor deficiency, coagulation disorder, or platelet abnormalities) , or obvious bruising or coagulation disorders;
  • Immune system function damage, or parents have autoimmune diseases or immunodeficiency/immunosuppression;
  • Congenital malformation, developmental disorders, genetic defects;
  • Diognosed or suspected of active infection, cardiovascular disease, etc.;
  • Axillaty temperature > 37.0 °C;
  • Any other factor that suggesting the volunteer is unsuitable for this study based on the opinions of investigators.

Sites / Locations

  • Biyang County Center for Disease Control and Prevention

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm Type

Experimental

Experimental

Active Comparator

Experimental

Active Comparator

Arm Label

Adults-Experimental group

Children-Experimental group

Children-Control group

Neonates-Experimenatal group

Neonates-Control group

Arm Description

One dose of investigational vaccine

One dose of investigational vaccine

One dose of control vaccine

Three doses of investigational vaccine

Three doses of control vaccine

Outcomes

Primary Outcome Measures

The overall incidence of the adverse reactions after each dose vaccination
Safety index-After each dose, a 30-minute safety observation will be conducted immediately. The body temperature, solicited local and general adverse events (AE) on day 0-7 were reported. The solicited local symptoms include pain, induration, redness, swelling, rash, and pruritus. The solicited general adverse symptoms include allergy, fatigue, irritability, inappetence, vomiting, diarrhea, and fever. Unsolicited adverse events on day 0-30 were also reported, which include the unsolicited symptoms happened within 0-7 days, and any symptoms happened within the 8-28 days. Each AE case will be reviewed by the investigator to determine whether it was an adverse reaction (The vaccination-related AE). The incidence of adverse reactions=Number of subjects who have adverse reactions of any symptoms/number of all the subjects whose safety information are collected.

Secondary Outcome Measures

The incidence of the serious adverse events (SAEs)
Safety index-After each dose, the serious adverse events in the safety observation period will be reported. The SAE incidence=Number of subjects who have SAE of any symptoms/Number of subjects whose safety information are collected.
The seroconversion rate (SCR) of anti-HBs 1 months after the single dose injection in Children aged 1-15 years
Immunogenicity index-Subjects whose pre-immune anti-HBs concentration <10mIU/ml, and post-immune anti-HBs concentration ≥10mIU/ml, or those whose pre-immune anti-HBs concentration ≥10mIU/ml and the increase of post-immune anti-HBs level ≥4 folds are considered seroconverted.
The geometric mean concentration (GMC) of anti-HBs 1 months after the single dose injection in Children aged 1-15 years
Immunogenicity index
The SCR of anti-HBs 7 months after the first dose injection in neonates
Immunogenicity index-Subjects whose pre-immune anti-HBs concentration <10mIU/ml, and post-immune anti-HBs concentration ≥10mIU/ml, or those whose pre-immune anti-HBs concentration ≥10mIU/ml and the increase of post-immune anti-HBs level ≥4 folds are considered seroconverted.
The GMC of anti-HBs 7 months after the first dose injection in neonates
Immunogenicity index
The SCR of anti-HBs 2 months after the first dose injection in neonates
Immunogenicity index-Subjects whose pre-immune anti-HBs concentration <10mIU/ml, and post-immune anti-HBs concentration ≥10mIU/ml, or those whose pre-immune anti-HBs concentration ≥10mIU/ml and the increase of post-immune anti-HBs level ≥4 folds are considered seroconverted.
The GMC of anti-HBs 7 months after the first dose injection in neonates
Immunogenicity index

Full Information

First Posted
August 28, 2019
Last Updated
July 26, 2021
Sponsor
Sinovac Biotech Co., Ltd
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1. Study Identification

Unique Protocol Identification Number
NCT04075201
Brief Title
Clinical Trial of Recombinant Hepatitis B Vaccine (Hansenula Polymorpha, 10μg)
Official Title
A Phase ⅠClinical Trial of Recombinant Hepatitis B Vaccine (Hansenula Polymorpha, 10μg) With an Open-labelled Design in Adults and a Randomized, Double-blinded, Positive Controlled Design in Children and Neonates
Study Type
Interventional

2. Study Status

Record Verification Date
July 2021
Overall Recruitment Status
Completed
Study Start Date
July 7, 2019 (Actual)
Primary Completion Date
May 30, 2021 (Actual)
Study Completion Date
July 25, 2021 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Sinovac Biotech Co., Ltd

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No

5. Study Description

Brief Summary
The purpose of this study is to evaluate the safety and immunogenicity of the recombinant hepatitis B vaccine (Hansenula polymorpha, 10μg), with an open-labelled design in adults and randomized, double-blinded, and positive controlled design in children and neonates.
Detailed Description
This is a phase Ⅰ clinical trial of recombinant hepatitis B vaccine (Hansenula polymorpha,10μg) with an open-labelled design in adults and randomized, double-blinded, and positive controlled design in children and neonates. The control vaccine was the commercialized recombinant hepatitis B vaccine (Hansenula polymorpha,10μg) manufactured by Dalian Hissen Bio-pharm Lnc. Twenty four adults aged from 18 to 49 years will be vaccinated with one dose of investigational vaccine. Sixty children aged from 1 to 15 years will be randomly assigned in a 1:1 ratio to receive one dose of in investigational vaccine or control vaccine. Sixty neonates will be randomly assigned in a 1:1 ratio to receive three doses of investigational vaccine or control vaccine on the schedule of month 0,1,2. Safety profiles 30 days after each dose will be assessed based on all the participants, and immunogenicity will be assessed based on the enrolled chidren and neonates.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hepatitis B

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Model Description
Single group in the adults participants, and parallel groups in the children and neonates participants.
Masking
ParticipantInvestigatorOutcomes Assessor
Masking Description
Open-labelled in the adults participants, and double-blinded in the children ans neonates participants.
Allocation
Randomized
Enrollment
144 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Adults-Experimental group
Arm Type
Experimental
Arm Description
One dose of investigational vaccine
Arm Title
Children-Experimental group
Arm Type
Experimental
Arm Description
One dose of investigational vaccine
Arm Title
Children-Control group
Arm Type
Active Comparator
Arm Description
One dose of control vaccine
Arm Title
Neonates-Experimenatal group
Arm Type
Experimental
Arm Description
Three doses of investigational vaccine
Arm Title
Neonates-Control group
Arm Type
Active Comparator
Arm Description
Three doses of control vaccine
Intervention Type
Biological
Intervention Name(s)
One dose of investigational vaccine
Intervention Description
One dose of investigational hepatitis B vaccine (10μg/0.5ml) developed by Sinovac Research & Development Co., Ltd.
Intervention Type
Biological
Intervention Name(s)
One dose of control vaccine
Intervention Description
One dose of control hepatitis B vaccine (10μg/0.5ml) manufactured by Dalian Hissen Bio-pharmInc.
Intervention Type
Biological
Intervention Name(s)
Three doses of investigational vaccine
Intervention Description
Three doses of investigational hepatitis B vaccine (10μg/0.5ml) developed by Sinovac Research & Development Co., Ltd. on the schedule of month 0,1,2
Intervention Type
Biological
Intervention Name(s)
Three doses of control vaccine
Intervention Description
Three doses of control hepatitis B vaccine (10μg/0.5ml) manufactured by Dalian Hissen Bio-pharmInc.
Primary Outcome Measure Information:
Title
The overall incidence of the adverse reactions after each dose vaccination
Description
Safety index-After each dose, a 30-minute safety observation will be conducted immediately. The body temperature, solicited local and general adverse events (AE) on day 0-7 were reported. The solicited local symptoms include pain, induration, redness, swelling, rash, and pruritus. The solicited general adverse symptoms include allergy, fatigue, irritability, inappetence, vomiting, diarrhea, and fever. Unsolicited adverse events on day 0-30 were also reported, which include the unsolicited symptoms happened within 0-7 days, and any symptoms happened within the 8-28 days. Each AE case will be reviewed by the investigator to determine whether it was an adverse reaction (The vaccination-related AE). The incidence of adverse reactions=Number of subjects who have adverse reactions of any symptoms/number of all the subjects whose safety information are collected.
Time Frame
within 30 days after each dose
Secondary Outcome Measure Information:
Title
The incidence of the serious adverse events (SAEs)
Description
Safety index-After each dose, the serious adverse events in the safety observation period will be reported. The SAE incidence=Number of subjects who have SAE of any symptoms/Number of subjects whose safety information are collected.
Time Frame
For adults and children: 30 days; for neonates: 18 months
Title
The seroconversion rate (SCR) of anti-HBs 1 months after the single dose injection in Children aged 1-15 years
Description
Immunogenicity index-Subjects whose pre-immune anti-HBs concentration <10mIU/ml, and post-immune anti-HBs concentration ≥10mIU/ml, or those whose pre-immune anti-HBs concentration ≥10mIU/ml and the increase of post-immune anti-HBs level ≥4 folds are considered seroconverted.
Time Frame
30 days after the injection
Title
The geometric mean concentration (GMC) of anti-HBs 1 months after the single dose injection in Children aged 1-15 years
Description
Immunogenicity index
Time Frame
30 days after the injection
Title
The SCR of anti-HBs 7 months after the first dose injection in neonates
Description
Immunogenicity index-Subjects whose pre-immune anti-HBs concentration <10mIU/ml, and post-immune anti-HBs concentration ≥10mIU/ml, or those whose pre-immune anti-HBs concentration ≥10mIU/ml and the increase of post-immune anti-HBs level ≥4 folds are considered seroconverted.
Time Frame
210 days after the first dose injection
Title
The GMC of anti-HBs 7 months after the first dose injection in neonates
Description
Immunogenicity index
Time Frame
210 days after the first dose injection
Title
The SCR of anti-HBs 2 months after the first dose injection in neonates
Description
Immunogenicity index-Subjects whose pre-immune anti-HBs concentration <10mIU/ml, and post-immune anti-HBs concentration ≥10mIU/ml, or those whose pre-immune anti-HBs concentration ≥10mIU/ml and the increase of post-immune anti-HBs level ≥4 folds are considered seroconverted.
Time Frame
60 days after the first dose injection
Title
The GMC of anti-HBs 7 months after the first dose injection in neonates
Description
Immunogenicity index
Time Frame
60 days after the first dose injection

10. Eligibility

Sex
All
Maximum Age & Unit of Time
49 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Adults aged 18~49 years, or children aged 1~15 years, or neonates within 24 hours of birth; Proven legal identity; Participants or guardians of the participants should be capable of understanding the written consent form, and such form should be signed prior to enrollment ; Exclusion Criteria (For Adults): Breast feeding, pregnant, or expected to conceive in the next 60 days; History of allergy to any vaccine or vaccine ingredient, or serious adverse reaction(s) to vaccination, such as urticaria, difficulty in breathing, angioneurotic edema, abdominal pain, etc; Congenital malformation, developmental disorders, genetic defects; Autoimmune disease or immunodeficiency/immunosuppressive; Severe chronic diseases, severe cardiovascular disease, hypertension and diabetes that cannot be controlled by drugs, liver Kidney disease, malignant tumor; Severe nervous system disease or mental illness; Asplenia or functional asplenia; Diagnosed coagulation function abnormal (e.g., coagulation factor deficiency, coagulation disorder, or platelet abnormalities) , or obvious bruising or coagulation disorders; Any immunosuppressant, cytotoxic medicine, or inhaled corticosteroids (except corticosteroid spray for treatment of allergic rhinitis or corticosteroid treatment on surface for acute non-complicated dermatitis) within 6 month prior to study entry; Long term history of alcoholism or drug abuse; Administration of blood product within 3 months prior to the entry; Administration of any other investigational drugs within 30 days prior to the entry; Receipt of any attenuated live vaccine within 14 days prior to study entry; Receipt of any subunit vaccine or inactivated vaccine within 7 days prior to study entry; Any acute disease within 7 days prior to the study entry; Axillaty temperature > 37.0 °C; Any other factor that suggesting the volunteer is unsuitable for this study based on the opinions of investigators. Exclusion Criteria (For Children): History of extra vaccination of Hepatitis B vaccine or vaccine containing hepatitis B except for the primary vaccination in the immunization planning program; History of allergy to any vaccine or vaccine ingredient, or serious adverse reaction(s) to vaccination, such as urticaria, difficulty in breathing, angioneurotic edema, abdominal pain, etc; Congenital malformation, developmental disorders, genetic defects; Autoimmune disease or immunodeficiency/immunosuppressive; Severe chronic diseases, severe cardiovascular disease, hypertension and diabetes that cannot be controlled by drugs, liver Kidney disease, malignant tumor; Severe nervous system disease or mental illness; Asplenia or functional asplenia; Diagnosed coagulation function abnormal (e.g., coagulation factor deficiency, coagulation disorder, or platelet abnormalities) , or obvious bruising or coagulation disorders; Any immunosuppressant, cytotoxic medicine, or inhaled corticosteroids (except corticosteroid spray for treatment of allergic rhinitis or corticosteroid treatment on surface for acute non-complicated dermatitis) within 6 month prior to study entry; Long term history of alcoholism or drug abuse; Administration of blood product within 3 months prior to the entry; Administration of any other investigational drugs within 30 days prior to the entry; Receipt of any attenuated live vaccine within 14 days prior to study entry; Receipt of any subunit vaccine or inactivated vaccine within 7 days prior to study entry; Any acute disease within 7 days prior to the study entry; Axillaty temperature > 37.0 °C; Any other factor that suggesting the volunteer is unsuitable for this study based on the opinions of investigators. Exclusion Criteria (For Neonates): Neonates gestational age <37 weeks or >42 weeks; Birth weight <2500g for boy, <2300g for girl; Apgar score at birth <8; Positive for any of the mother's HBsAg, HBeAg, HBeAb, and HBcAb (check the laboratory report of the birth hospital); Parents have family history of convulsions, epilepsy, encephalopathy, etc.; Mother's immune function is low or history of organ transplantation or hemodialysis; Mother has history of allergy to any vaccine or vaccine ingredient, or serious adverse reaction(s) to vaccination, such as urticaria, difficulty in breathing, angioneurotic edema, abdominal pain, etc; Family history of coagulation function abnormal (e.g., coagulation factor deficiency, coagulation disorder, or platelet abnormalities) , or obvious bruising or coagulation disorders; Immune system function damage, or parents have autoimmune diseases or immunodeficiency/immunosuppression; Congenital malformation, developmental disorders, genetic defects; Diognosed or suspected of active infection, cardiovascular disease, etc.; Axillaty temperature > 37.0 °C; Any other factor that suggesting the volunteer is unsuitable for this study based on the opinions of investigators.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Shengli Xia, Doctor
Organizational Affiliation
Henan Provincial Center for Disease Control and Prevention
Official's Role
Principal Investigator
Facility Information:
Facility Name
Biyang County Center for Disease Control and Prevention
City
Zhumadian
State/Province
Henan
ZIP/Postal Code
463700
Country
China

12. IPD Sharing Statement

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Clinical Trial of Recombinant Hepatitis B Vaccine (Hansenula Polymorpha, 10μg)

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