search
Back to results

Immunity to Hepatitis B Vaccine (HVP01)

Primary Purpose

Hepatitis B, Immunization; Infection

Status
Completed
Phase
Phase 4
Locations
Canada
Study Type
Interventional
Intervention
Hepatitis B vaccine
Sponsored by
University of British Columbia
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional basic science trial for Hepatitis B

Eligibility Criteria

40 Years - 80 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Healthy adult, corresponding to one of the study age groups.
  • No history of hepatitis B disease.
  • No prior receipt of any hepatitis B-containing vaccine.
  • Undetectable level of anti-HBs and anti-HBc antibody and HBs antigen at study enrolment (indicating no evidence of prior hepatitis B vaccination or infection).
  • Generally good health (stable chronic conditions acceptable), living independently or with minimal assistance (Clinical Frailty score 1-5) and able to attend clinic appointments.
  • Willing and able to comply with the requirements of the protocol.
  • Has given informed consent for participation in the study.

Exclusion Criteria:

The participant may not enter the study if ANY of the following apply:

  • Individual who is on the delegation log for this study
  • History of being a household contact of a known hepatitis B-infected individual.
  • Planned administration of any vaccine not specified in the study protocol from 1 month pre- to the 1 month post-1st dose of vaccine.
  • Planned receipt of any investigational drug for the duration of the study.
  • Confirmed or suspected immunodeficiency.
  • A family history of congenital or hereditary immunodeficiency.
  • Receipt of more than 1 week of immunosuppressants or immune modifying drugs (e.g. oral prednisolone >0.5ml/kg/day or intravenous glucocorticoid steroid) in the 3 months prior to dose 1 of vaccine. Nasal, topical or inhaled steroids are allowed.
  • Currently taking any anti-platelet or anti-coagulant medications (does not include daily low-dose aspirin).
  • Bleeding disorder or thrombocytopenia, that contraindicates IM injection, blood collection and/or lymph node fine needle aspiration.
  • Administration of immunoglobulins within the prior 12 months and/or any other blood products within the prior 3 months or planned during the study period.
  • Current pregnancy or planning to become pregnant in the 6 months post-dose 1 vaccination.
  • History of allergy to any component of the vaccine.
  • Unstable medical condition, as indicated by a requirement for hospitalization or a substantial medication change to stabilize said condition within previous 3 months.
  • History of any neurologic disorders or seizures, including a history of Guillain-Barre syndrome.
  • Clinical Frailty score of 6-7 (moderately frail or severely frail).
  • Scheduled elective surgery or other procedures requiring general anaesthesia from 1 month pre- to the 1 month post-1st dose of vaccine.
  • Any other significant disease or disorder which, in the opinion of the Investigator, may either put the participants at risk because of participation in the study, or may influence the result of the study, or the participant's ability to participate in the study.
  • Temporary exclusion if acute symptomatic illness in the 7 days prior to planned first vaccine dose - vaccination will be delayed, but participant can remain in the study.

Sites / Locations

  • Vaccine Evaluation Center

Arms of the Study

Arm 1

Arm 2

Arm Type

Other

Other

Arm Label

Group 1

Group 2

Arm Description

Older adults, aged 61-80 years

Younger adults, aged 40-60 years

Outcomes

Primary Outcome Measures

Antibody response to the first dose of hepatitis B vaccine
Anti-HBs antibody level

Secondary Outcome Measures

Kinetics of the immune response to the first dose of hepatitis B vaccine with respect to cellular immune response
Immunophenotyping by flow cytometric analysis of immune cell populations, including antigen-specific T-cell and B-cell responses, and response of immune cells to various stimuli in vitro
Kinetics of the immune response to the first dose of hepatitis B vaccine with respect to transcriptomic response
Gene expression by RNA sequencing of whole blood and single immune cells
Kinetics of the immune response to the first dose of hepatitis B vaccine with respect to proteomic response
Proteomic analysis of plasma and white blood cells
Kinetics of the immune response to the first dose of hepatitis B vaccine with respect to metabalomic response
Metabolomic analysis of plasma
Kinetics of the immune response to the first dose of hepatitis B vaccine with respect to epigenetic response
Epigenetic changes in genome
Kinetics of the immune response to the first dose of hepatitis B vaccine with respect to lymph node response
Immune responses in local lymph node, and comparison with peripheral blood responses
Identify the DNA sequence of B- and T- cell receptors following vaccination
DNA sequencing of T- and B- cells

Full Information

First Posted
March 9, 2017
Last Updated
November 23, 2020
Sponsor
University of British Columbia
Collaborators
Vanderbilt University, J. Craig Venter Institute, The Scripps Research Institute, University of California, San Diego, Institut Pasteur, Human Vaccines Project
search

1. Study Identification

Unique Protocol Identification Number
NCT03083158
Brief Title
Immunity to Hepatitis B Vaccine
Acronym
HVP01
Official Title
Identification of Age-dependent Mechanism of Vaccine-induced Immunity to a Single Dose of Hepatitis B Vaccine Using a Systems Biology Approach - a Demonstration Project
Study Type
Interventional

2. Study Status

Record Verification Date
November 2020
Overall Recruitment Status
Completed
Study Start Date
March 6, 2017 (Actual)
Primary Completion Date
February 1, 2018 (Actual)
Study Completion Date
February 1, 2018 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
University of British Columbia
Collaborators
Vanderbilt University, J. Craig Venter Institute, The Scripps Research Institute, University of California, San Diego, Institut Pasteur, Human Vaccines Project

4. Oversight

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

5. Study Description

Brief Summary
Infection and cancer is a major cause of death and morbidity, and may be preventable through vaccination. It is not fully understood at the molecular level why some people respond better than others to vaccines until now the technology to assess this has not been available. This has impaired vaccine development. The overall goal of the Human Vaccines Project is to understand the 'rules' of how vaccines work. In this demonstration project the investigators will vaccinate healthy adults with hepatitis B vaccine to start to understand better how it works, ultimately helping with rational vaccine design in the future.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Basic Science
Study Phase
Phase 4
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
16 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Group 1
Arm Type
Other
Arm Description
Older adults, aged 61-80 years
Arm Title
Group 2
Arm Type
Other
Arm Description
Younger adults, aged 40-60 years
Intervention Type
Drug
Intervention Name(s)
Hepatitis B vaccine
Other Intervention Name(s)
ENGERIX®-B
Intervention Description
1.0 ml (20 micrograms) suspension of hepatitis B surface antigen for intramuscular injection
Primary Outcome Measure Information:
Title
Antibody response to the first dose of hepatitis B vaccine
Description
Anti-HBs antibody level
Time Frame
28 days post-vaccination following the first dose of vaccine
Secondary Outcome Measure Information:
Title
Kinetics of the immune response to the first dose of hepatitis B vaccine with respect to cellular immune response
Description
Immunophenotyping by flow cytometric analysis of immune cell populations, including antigen-specific T-cell and B-cell responses, and response of immune cells to various stimuli in vitro
Time Frame
Baseline (pre-vaccine) and on days 1, 3, 7 and 14 post-vaccination
Title
Kinetics of the immune response to the first dose of hepatitis B vaccine with respect to transcriptomic response
Description
Gene expression by RNA sequencing of whole blood and single immune cells
Time Frame
Baseline (pre-vaccine) and on days 1, 3, 7 and 14 post-vaccination
Title
Kinetics of the immune response to the first dose of hepatitis B vaccine with respect to proteomic response
Description
Proteomic analysis of plasma and white blood cells
Time Frame
Baseline (pre-vaccine) and on days 1, 3, 7 and 14 post-vaccination
Title
Kinetics of the immune response to the first dose of hepatitis B vaccine with respect to metabalomic response
Description
Metabolomic analysis of plasma
Time Frame
Baseline (pre-vaccine) and on days 1, 3, 7 and 14 post-vaccination
Title
Kinetics of the immune response to the first dose of hepatitis B vaccine with respect to epigenetic response
Description
Epigenetic changes in genome
Time Frame
Baseline (pre-vaccine) and on days 1, 3, 7 and 14 post-vaccination
Title
Kinetics of the immune response to the first dose of hepatitis B vaccine with respect to lymph node response
Description
Immune responses in local lymph node, and comparison with peripheral blood responses
Time Frame
Pre-vaccine and 14 days following first dose only
Title
Identify the DNA sequence of B- and T- cell receptors following vaccination
Description
DNA sequencing of T- and B- cells
Time Frame
Baseline (pre-vaccine) and on days 1, 3, 7 and 14 post-vaccination
Other Pre-specified Outcome Measures:
Title
To correlate the 'omics immune responses measured after the first dose with antibody level after the 1st and 3rd doses
Description
Correlation of immune endpoints (all secondary endpoints - outcomes 2 to 8) at days 1, 3, 7 and 14 post-first dose of vaccine and anti-HBs antibody level 28 days after the 1st and 3rd doses of vaccine
Time Frame
Days 1, 3, 7 and 14 post-first dose of vaccine and 28 days after the 1st and 3rd doses of vaccine
Title
The influence of the gut, skin, buccal and nasal microbiota on responses to a single dose of hepatitis B vaccine - microbiome measured by 16S rDNA sequencing and vaccine response measured by anti-HBS antibody
Description
Correlation of gut, skin, buccal and nasal microbiota (obtained pre-vaccination) with HBV vaccine response.
Time Frame
Day 14 pre-first dose of vaccine and day 28 post-first dose of vaccine
Title
The influence of a single dose of hepatitis B vaccine on the gut, skin, buccal and nasal microbiota - microbiome measured by 16S rDNA sequencing and vaccine response measured by anti-HBS antibody
Description
Analysis of changes in gut, skin, buccal and nasal microbiota obtained following vaccination
Time Frame
Day 14 post-first dose of vaccine
Title
The quality of the antibody response following hepatitis B vaccination, measured by antibody subclass and avidity
Description
Analysis of antibody subclass and avidity pre-vaccine and 1 month after the 1st dose, 5 months after the 2nd dose (6 months after 1st dose) and 1 month after the 3rd dose of vaccine
Time Frame
Pre-vaccine and 1 month after the 1st dose, 5 months after the 2nd dose (6 months after 1st dose) and 1 month after the 3rd dose of vaccine
Title
The genetic changes in B- and T-cells following doses of hepatitis B vaccine, measured by T cell and B cell receptpr sequencing
Description
DNA sequencing of B- and T- cells 28 days after the 1st dose, 7 days and 5 months after the 2nd dose (6 months after the 1st dose) and 7 days and 28 days after the 3rd dose of hepatitis B vaccine
Time Frame
28 days after the 1st dose, 7 days and 5 months after the 2nd dose (6 months after the 1st dose) and 7 days and 28 days after the 3rd dose of hepatitis B vaccine

10. Eligibility

Sex
All
Minimum Age & Unit of Time
40 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Healthy adult, corresponding to one of the study age groups. No history of hepatitis B disease. No prior receipt of any hepatitis B-containing vaccine. Undetectable level of anti-HBs and anti-HBc antibody and HBs antigen at study enrolment (indicating no evidence of prior hepatitis B vaccination or infection). Generally good health (stable chronic conditions acceptable), living independently or with minimal assistance (Clinical Frailty score 1-5) and able to attend clinic appointments. Willing and able to comply with the requirements of the protocol. Has given informed consent for participation in the study. Exclusion Criteria: The participant may not enter the study if ANY of the following apply: Individual who is on the delegation log for this study History of being a household contact of a known hepatitis B-infected individual. Planned administration of any vaccine not specified in the study protocol from 1 month pre- to the 1 month post-1st dose of vaccine. Planned receipt of any investigational drug for the duration of the study. Confirmed or suspected immunodeficiency. A family history of congenital or hereditary immunodeficiency. Receipt of more than 1 week of immunosuppressants or immune modifying drugs (e.g. oral prednisolone >0.5ml/kg/day or intravenous glucocorticoid steroid) in the 3 months prior to dose 1 of vaccine. Nasal, topical or inhaled steroids are allowed. Currently taking any anti-platelet or anti-coagulant medications (does not include daily low-dose aspirin). Bleeding disorder or thrombocytopenia, that contraindicates IM injection, blood collection and/or lymph node fine needle aspiration. Administration of immunoglobulins within the prior 12 months and/or any other blood products within the prior 3 months or planned during the study period. Current pregnancy or planning to become pregnant in the 6 months post-dose 1 vaccination. History of allergy to any component of the vaccine. Unstable medical condition, as indicated by a requirement for hospitalization or a substantial medication change to stabilize said condition within previous 3 months. History of any neurologic disorders or seizures, including a history of Guillain-Barre syndrome. Clinical Frailty score of 6-7 (moderately frail or severely frail). Scheduled elective surgery or other procedures requiring general anaesthesia from 1 month pre- to the 1 month post-1st dose of vaccine. Any other significant disease or disorder which, in the opinion of the Investigator, may either put the participants at risk because of participation in the study, or may influence the result of the study, or the participant's ability to participate in the study. Temporary exclusion if acute symptomatic illness in the 7 days prior to planned first vaccine dose - vaccination will be delayed, but participant can remain in the study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Manish Sadarangani
Organizational Affiliation
University of British Columbia
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Tobi Kollmann
Organizational Affiliation
University of British Columbia
Official's Role
Principal Investigator
Facility Information:
Facility Name
Vaccine Evaluation Center
City
Vancouver
State/Province
British Columbia
ZIP/Postal Code
V5Z 4H4
Country
Canada

12. IPD Sharing Statement

Plan to Share IPD
Undecided
Links:
URL
http://vaccineevaluationcenter.ca/
Description
Related Info

Learn more about this trial

Immunity to Hepatitis B Vaccine

We'll reach out to this number within 24 hrs