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Immunogenicity and Safety of Sci-B-Vac® to Engerix-B® in Adults

Primary Purpose

Hepatitis B Vaccines

Status
Completed
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
Hepatitis B Vaccination
Sponsored by
VBI Vaccines Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Hepatitis B Vaccines focused on measuring Hepatitis B Vaccines

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Any gender.
  • Age ≥ 18 years
  • In stable health as determined by a physical examination and laboratory tests values. Common chronic conditions such as, but not limited to, type 2 diabetes, high blood pressure, Chronic Obstructive Pulmonary Disease (COPD) and asthma will be accepted if the condition is well controlled, as determined by the investigator, and not meeting the exclusion criteria. For subjects > 65 years old, Frailty Index ≤3
  • If female, either is not of childbearing potential or is of childbearing potential and must agree to use an adequate birth control method during the screening period and until the end of her participation in the study
  • Able and willing to give consent.

Exclusion Criteria:

  • Previous vaccination with any Hep B vaccine (licensed or experimental).
  • Treatment by immunosuppressant within 30 days of enrollment including but not limited to corticosteroids at a dose that is higher than an oral or injected physiological dose, or a prednisolone-equivalent dose > 20 mg /day (Inhaled and topical steroids are allowed).
  • Known history of immunological function impairment
  • Pregnancy or breastfeeding
  • Immunization with attenuated vaccines (e.g. MMR) within 4 weeks prior to enrollment
  • Immunization with inactivated vaccines (e.g. influenza) within 2 weeks prior to enrolment
  • Has received blood products or immunoglobulin within 90 days of enrollment or is likely to require blood products during the study period
  • Subject in another clinical trial with an investigational drug or a biologic within 30 days of enrollment
  • Has received granulocyte-macrophage colony stimulating factor (G/GM-CSF) or erythropoietin (EPO) within 30 days of enrollment or likely to require GM-CSF or erythropoietin during the study period
  • Any history of cancer requiring chemotherapy or radiation within 5 years of randomization or current disease.
  • Any skin abnormality or tattoo that would limit post-vaccination injection site assessment
  • History of allergic reactions or anaphylactic reaction to any vaccine component (Engerix-B® or Sci-B-Vac®)
  • Unwilling, or unable in the opinion of the investigator, to comply with study requirements, including the use of an adequate birth control method
  • Immediate family members of study center staff (parents, sibling, children)
  • Current or past hepatitis B infection or prior vaccination as evidenced by HBV markers at screening
  • Known hepatitis C infection or positive Hepatitis C serology at screening, unless treated and cured
  • Known human immunodeficiency virus (HIV) infection or positive HIV serology at screening
  • Renal impairment at screening
  • Uncontrolled diabetes mellitus
  • Uncontrolled hypertension
  • Any laboratory test abnormality that would be considered of Grade 1 severity and is considered as clinically significant by the investigator. Grade 3 severity or above is exclusionary, regardless of clinical assessment.
  • Diagnosis of advanced stage heart failure or Unstable Angina.

Sites / Locations

  • Accel Research Sites
  • Anaheim Clinical Trials
  • Avail Clinical Research
  • Suncoast Research Group
  • Clinical Research Atlanta
  • Advanced Clinical Research
  • Clinical Research Center of Nevada
  • Rapid Medical Research
  • Lynn Health Science Institute
  • Advanced Clinical Research
  • Universitair Ziekenhuis Gent
  • BC Children's Hospital Research Institute
  • University of Manitoba
  • Canadian Center for Vaccinology
  • Ottawa Hospital
  • Medicore Research Inc
  • McGill University Health Centre
  • CHU de Québec Université Laval
  • Espoo Vaccine Research Clinic
  • Helsinki South Vaccine Research Clinic
  • Järvenpää Vaccine Research Clinic
  • Kokkola Vaccine Research Clinic
  • Oulu Vaccine Research Clinic
  • Pori Vaccine Research Clinic
  • Seinäjoki Vaccine Research Clinic
  • Tampere Vaccine Research Clinic
  • University of Tampere
  • Turku Vaccine Research Clinic

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

Sci-B-Vac® Hepatitis B Vaccination

Engerix-B® Hepatitis B Vaccination

Arm Description

Sci-B-Vac® (hepatitis B vaccine) Hepatitis B Vaccination, Solution, 10ug, IM injection at Days 0, 28, and 168.

Engerix-B® (hepatitis B vaccine) Hepatitis B Vaccination, Solution, 20ug, IM injection at Days 0, 28, and 168.

Outcomes

Primary Outcome Measures

Seroprotection Rate (SPR) Defined as Percentage of Adults ≥ 18 Years Old Achieving Anti-HBs Levels of ≥10 mIU/mL in Serum at Study Day 196
To demonstrate that the SPR 4 weeks after completion of the three-dose regimen of Sci-B-Vac® is non-inferior to a three-dose regimen of Engerix-B® in adults ≥18 years old; i.e. the lower bound of the 95% two-sided confidence interval (CI) of the difference between the SPR in the Sci-B-Vac® arm minus the SPR in the Engerix-B® arm, achieved 4 weeks after the third vaccination, will be > - 5%.
Seroprotection Rate (SPR) Defined as Percentage of Adults ≥ 45 Years Old Achieving Anti-HBs Levels of ≥10 mIU/mL in Serum at Study Day 196
To demonstrate that the SPR 4 weeks after completion of the three-dose regimen of Sci-B-Vac® is superior to the SPR 4 weeks after completion of the three-dose regimen of Engerix-B® in older adults ≥ 45 years old i.e. the lower bound of the 95% two-sided CI of the difference between the SPR in the Sci-B-Vac® arm minus the SPR in the Engerix-B® arm, achieved 4 weeks after receiving the third vaccination, will be > 5%.

Secondary Outcome Measures

Percentage of Subject-reporting Solicited Local and Systemic Adverse Events (AEs)
Analysis of local and systemic solicited adverse events with an interval of onset of Day 1 to Day 7 after any vaccination with either Sci-B-Vac® or Engerix-B®, in adults ≥18 years old.

Full Information

First Posted
November 23, 2017
Last Updated
July 6, 2020
Sponsor
VBI Vaccines Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT03393754
Brief Title
Immunogenicity and Safety of Sci-B-Vac® to Engerix-B® in Adults
Official Title
A Phase 3 Double-Blind Randomized Controlled Trial to Compare the Immunogenicity and Safety of a Three-dose Regimen of Sci-B-Vac® to a Three-dose Regimen of Engerix-B® in Adults (PROTECT)
Study Type
Interventional

2. Study Status

Record Verification Date
July 2020
Overall Recruitment Status
Completed
Study Start Date
December 13, 2017 (Actual)
Primary Completion Date
April 8, 2019 (Actual)
Study Completion Date
April 8, 2019 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
VBI Vaccines Inc.

4. Oversight

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

5. Study Description

Brief Summary
This study is a double-blind randomized controlled trial designed to establish the non-inferiority of Sci-B-Vac® compared to Engerix-B® in adults ≥ 18 years old and the superiority of Sci-B-Vac® compared to Engerix-B® in ≥ 45 years old.
Detailed Description
This study is a double-blind randomized controlled trial designed to establish the non-inferiority of Sci-B-Vac® compared to Engerix-B® in adults ≥ 18 years old and the superiority of Sci-B-Vac® compared to Engerix-B® in adults ≥ 45 years old. Study subjects are randomized 1:1 to receive either a total of 3 injections of Sci-B-Vac® or 3 injections of Engerix-B® intra-muscularly (IM) on Days 0, 28, and 168.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
1607 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Sci-B-Vac® Hepatitis B Vaccination
Arm Type
Experimental
Arm Description
Sci-B-Vac® (hepatitis B vaccine) Hepatitis B Vaccination, Solution, 10ug, IM injection at Days 0, 28, and 168.
Arm Title
Engerix-B® Hepatitis B Vaccination
Arm Type
Active Comparator
Arm Description
Engerix-B® (hepatitis B vaccine) Hepatitis B Vaccination, Solution, 20ug, IM injection at Days 0, 28, and 168.
Intervention Type
Biological
Intervention Name(s)
Hepatitis B Vaccination
Intervention Description
Prophylactic Hepatitis B Vaccination
Primary Outcome Measure Information:
Title
Seroprotection Rate (SPR) Defined as Percentage of Adults ≥ 18 Years Old Achieving Anti-HBs Levels of ≥10 mIU/mL in Serum at Study Day 196
Description
To demonstrate that the SPR 4 weeks after completion of the three-dose regimen of Sci-B-Vac® is non-inferior to a three-dose regimen of Engerix-B® in adults ≥18 years old; i.e. the lower bound of the 95% two-sided confidence interval (CI) of the difference between the SPR in the Sci-B-Vac® arm minus the SPR in the Engerix-B® arm, achieved 4 weeks after the third vaccination, will be > - 5%.
Time Frame
Day 196
Title
Seroprotection Rate (SPR) Defined as Percentage of Adults ≥ 45 Years Old Achieving Anti-HBs Levels of ≥10 mIU/mL in Serum at Study Day 196
Description
To demonstrate that the SPR 4 weeks after completion of the three-dose regimen of Sci-B-Vac® is superior to the SPR 4 weeks after completion of the three-dose regimen of Engerix-B® in older adults ≥ 45 years old i.e. the lower bound of the 95% two-sided CI of the difference between the SPR in the Sci-B-Vac® arm minus the SPR in the Engerix-B® arm, achieved 4 weeks after receiving the third vaccination, will be > 5%.
Time Frame
Day 196
Secondary Outcome Measure Information:
Title
Percentage of Subject-reporting Solicited Local and Systemic Adverse Events (AEs)
Description
Analysis of local and systemic solicited adverse events with an interval of onset of Day 1 to Day 7 after any vaccination with either Sci-B-Vac® or Engerix-B®, in adults ≥18 years old.
Time Frame
Day of vaccine administration and six subsequent days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Any gender. Age ≥ 18 years In stable health as determined by a physical examination and laboratory tests values. Common chronic conditions such as, but not limited to, type 2 diabetes, high blood pressure, Chronic Obstructive Pulmonary Disease (COPD) and asthma will be accepted if the condition is well controlled, as determined by the investigator, and not meeting the exclusion criteria. For subjects > 65 years old, Frailty Index ≤3 If female, either is not of childbearing potential or is of childbearing potential and must agree to use an adequate birth control method during the screening period and until the end of her participation in the study Able and willing to give consent. Exclusion Criteria: Previous vaccination with any Hep B vaccine (licensed or experimental). Treatment by immunosuppressant within 30 days of enrollment including but not limited to corticosteroids at a dose that is higher than an oral or injected physiological dose, or a prednisolone-equivalent dose > 20 mg /day (Inhaled and topical steroids are allowed). Known history of immunological function impairment Pregnancy or breastfeeding Immunization with attenuated vaccines (e.g. MMR) within 4 weeks prior to enrollment Immunization with inactivated vaccines (e.g. influenza) within 2 weeks prior to enrolment Has received blood products or immunoglobulin within 90 days of enrollment or is likely to require blood products during the study period Subject in another clinical trial with an investigational drug or a biologic within 30 days of enrollment Has received granulocyte-macrophage colony stimulating factor (G/GM-CSF) or erythropoietin (EPO) within 30 days of enrollment or likely to require GM-CSF or erythropoietin during the study period Any history of cancer requiring chemotherapy or radiation within 5 years of randomization or current disease. Any skin abnormality or tattoo that would limit post-vaccination injection site assessment History of allergic reactions or anaphylactic reaction to any vaccine component (Engerix-B® or Sci-B-Vac®) Unwilling, or unable in the opinion of the investigator, to comply with study requirements, including the use of an adequate birth control method Immediate family members of study center staff (parents, sibling, children) Current or past hepatitis B infection or prior vaccination as evidenced by HBV markers at screening Known hepatitis C infection or positive Hepatitis C serology at screening, unless treated and cured Known human immunodeficiency virus (HIV) infection or positive HIV serology at screening Renal impairment at screening Uncontrolled diabetes mellitus Uncontrolled hypertension Any laboratory test abnormality that would be considered of Grade 1 severity and is considered as clinically significant by the investigator. Grade 3 severity or above is exclusionary, regardless of clinical assessment. Diagnosis of advanced stage heart failure or Unstable Angina.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Francisco Diaz-Mitoma, MD, PhD
Organizational Affiliation
VBI Vaccines
Official's Role
Study Director
Facility Information:
Facility Name
Accel Research Sites
City
Birmingham
State/Province
Alabama
ZIP/Postal Code
35216
Country
United States
Facility Name
Anaheim Clinical Trials
City
Anaheim
State/Province
California
ZIP/Postal Code
92801
Country
United States
Facility Name
Avail Clinical Research
City
DeLand
State/Province
Florida
ZIP/Postal Code
32720
Country
United States
Facility Name
Suncoast Research Group
City
Miami
State/Province
Florida
ZIP/Postal Code
33135
Country
United States
Facility Name
Clinical Research Atlanta
City
Atlanta
State/Province
Georgia
ZIP/Postal Code
30281
Country
United States
Facility Name
Advanced Clinical Research
City
Boise
State/Province
Idaho
ZIP/Postal Code
83642
Country
United States
Facility Name
Clinical Research Center of Nevada
City
Las Vegas
State/Province
Nevada
ZIP/Postal Code
89104
Country
United States
Facility Name
Rapid Medical Research
City
Cleveland
State/Province
Ohio
ZIP/Postal Code
44122
Country
United States
Facility Name
Lynn Health Science Institute
City
Oklahoma City
State/Province
Oklahoma
ZIP/Postal Code
73112
Country
United States
Facility Name
Advanced Clinical Research
City
Salt Lake City
State/Province
Utah
ZIP/Postal Code
84088
Country
United States
Facility Name
Universitair Ziekenhuis Gent
City
Gent
State/Province
Oost-Vlaanderen
Country
Belgium
Facility Name
BC Children's Hospital Research Institute
City
Vancouver
State/Province
British Columbia
Country
Canada
Facility Name
University of Manitoba
City
Winnipeg
State/Province
Manitoba
Country
Canada
Facility Name
Canadian Center for Vaccinology
City
Halifax
State/Province
Nova Scotia
Country
Canada
Facility Name
Ottawa Hospital
City
Ottawa
State/Province
Ontario
Country
Canada
Facility Name
Medicore Research Inc
City
Sudbury
State/Province
Ontario
ZIP/Postal Code
P3A 1W8
Country
Canada
Facility Name
McGill University Health Centre
City
Montreal
State/Province
Quebec
Country
Canada
Facility Name
CHU de Québec Université Laval
City
Quebec
Country
Canada
Facility Name
Espoo Vaccine Research Clinic
City
Espoo
Country
Finland
Facility Name
Helsinki South Vaccine Research Clinic
City
Helsinki
Country
Finland
Facility Name
Järvenpää Vaccine Research Clinic
City
Järvenpää
Country
Finland
Facility Name
Kokkola Vaccine Research Clinic
City
Kokkola
Country
Finland
Facility Name
Oulu Vaccine Research Clinic
City
Oulu
Country
Finland
Facility Name
Pori Vaccine Research Clinic
City
Pori
Country
Finland
Facility Name
Seinäjoki Vaccine Research Clinic
City
Seinäjoki
Country
Finland
Facility Name
Tampere Vaccine Research Clinic
City
Tampere
Country
Finland
Facility Name
University of Tampere
City
Tampere
Country
Finland
Facility Name
Turku Vaccine Research Clinic
City
Turku
Country
Finland

12. IPD Sharing Statement

Citations:
PubMed Identifier
33989539
Citation
Vesikari T, Langley JM, Segall N, Ward BJ, Cooper C, Poliquin G, Smith B, Gantt S, McElhaney JE, Dionne M, van Damme P, Leroux-Roels I, Leroux-Roels G, Machluf N, Spaans JN, Yassin-Rajkumar B, Anderson DE, Popovic V, Diaz-Mitoma F; PROTECT Study Group. Immunogenicity and safety of a tri-antigenic versus a mono-antigenic hepatitis B vaccine in adults (PROTECT): a randomised, double-blind, phase 3 trial. Lancet Infect Dis. 2021 Sep;21(9):1271-1281. doi: 10.1016/S1473-3099(20)30780-5. Epub 2021 May 11.
Results Reference
derived

Learn more about this trial

Immunogenicity and Safety of Sci-B-Vac® to Engerix-B® in Adults

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