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Withdrawn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
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
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
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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