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Safety and Immunogenicity of HEPLISAV™ a Hepatitis B Virus Vaccine in Adults on Hemodialysis

Primary Purpose

End Stage Renal Disease

Status
Completed
Phase
Phase 3
Locations
Germany
Study Type
Interventional
Intervention
HEPLISAV
Engerix-B
Fendrix
Sponsored by
Dynavax Technologies Corporation
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for End Stage Renal Disease focused on measuring end stage renal failure, renal failure, kidney failure, kidney failure, chronic, chronic kidney failure, hepatitis B virus (HBV) vaccine, hepatitis B vaccine, hepatitis B, hepatitis, HBV, prevention and control, dialysis

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • ≥ 18 years of age
  • Has loss of renal function and is receiving hemodialysis treatments
  • Is not seroprotected against hepatitis B (has anti-HBs < 10 mIU/mL)
  • In the opinion of the investigator, is clinically stable
  • Be serum negative for HBsAg, anti-hepatitis B core antigen (HBc), hepatitis C virus (HCV), and HIV
  • Is not scheduled to undergo a kidney transplant during the study period
  • If female, and of childbearing potential, subject must be: surgically sterile or neither pregnant nor breast-feeding, consistently using a highly effective method of birth control for at least one month prior to study entry, and agrees to use two forms of birth control consistently throughout the study.

Exclusion Criteria:

  • If female, is pregnant, breastfeeding, or planning a pregnancy;
  • Has a history of or is at high risk for recent exposure to HBV, HCV, or HIV;
  • Has known history of autoimmune disease;
  • Has history of sensitivity to any component of study vaccines;
  • Has a current condition other than renal disease or has substance or alcohol abuse that would interfere with compliance or with interpretation of the study results;
  • Is undergoing chemotherapy or expected to receive chemotherapy during the study period; has a diagnosis of cancer within the last 5 years other than squamous or basal cell carcinoma of the skin;
  • Has uncontrolled diabetes;
  • Has received a kidney transplant previously that is still functioning and requires anti-rejection medication;
  • Has received any blood products or immunoglobulin within 3 months prior to study entry, or likely to require infusion of blood products during the study period;
  • Has received the following prior to the study injection: 3 days: intravenous iron; 21 days: any inactivated virus or bacterial vaccine; 28 days: any live virus or bacterial vaccine; systemic corticosteroids (more than 3 consecutive days) or other immunomodulators or immune suppressive medication, with the exception of inhaled steroids; granulocyte colony stimulating factor (G-CSF) or granulocyte-macrophage colony stimulating factor (GM-CSF); any other investigational medicinal agent;
  • At any time: an injection of deoxyribonucleic acid (DNA) plasmids or oligonucleotides; investigational or intradermal hepatitis B vaccine.

Sites / Locations

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Active Comparator

Active Comparator

Arm Label

HEPLISAV

Engerix-B

Fendrix

Arm Description

0.5 mL HEPLISAV

2.0 mL Engerix-B

0.5 mL Fendrix

Outcomes

Primary Outcome Measures

Proportion of subjects with seroprotection rate (SPR), defined as the percentage of subjects with anti-HBsAg serum concentration of 10 milli-international unit (mIU)/mL or higher, measured at Week 4

Secondary Outcome Measures

Overall incidence of post-injection reactions and adverse events in each treatment group

Full Information

First Posted
September 2, 2010
Last Updated
March 18, 2019
Sponsor
Dynavax Technologies Corporation
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1. Study Identification

Unique Protocol Identification Number
NCT01195246
Brief Title
Safety and Immunogenicity of HEPLISAV™ a Hepatitis B Virus Vaccine in Adults on Hemodialysis
Official Title
An Open-Label, Randomized, Multi-Center Study Comparing the Safety and Immunogenicity of HEPLISAV™ to Engerix-B® and Fendrix® in Adults on Hemodialysis Who Have Previously Received Hepatitis B Vaccination and Are Not Seroprotected
Study Type
Interventional

2. Study Status

Record Verification Date
March 2019
Overall Recruitment Status
Completed
Study Start Date
December 2010 (undefined)
Primary Completion Date
February 2012 (Actual)
Study Completion Date
August 2012 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Dynavax Technologies Corporation

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to compare the immune response to HEPLISAV™ booster injection with the immune response to Engerix-B® and Fendrix® booster vaccinations among patients with end stage renal disease (ESRD) on hemodialysis.
Detailed Description
The immune response of HEPLISAV compared with Engerix-B and Fendrix and measured by seroprotection rate (SPR) at 4 weeks after the booster injection

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
End Stage Renal Disease
Keywords
end stage renal failure, renal failure, kidney failure, kidney failure, chronic, chronic kidney failure, hepatitis B virus (HBV) vaccine, hepatitis B vaccine, hepatitis B, hepatitis, HBV, prevention and control, dialysis

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigator
Allocation
Randomized
Enrollment
155 (Actual)

8. Arms, Groups, and Interventions

Arm Title
HEPLISAV
Arm Type
Experimental
Arm Description
0.5 mL HEPLISAV
Arm Title
Engerix-B
Arm Type
Active Comparator
Arm Description
2.0 mL Engerix-B
Arm Title
Fendrix
Arm Type
Active Comparator
Arm Description
0.5 mL Fendrix
Intervention Type
Biological
Intervention Name(s)
HEPLISAV
Other Intervention Name(s)
Hepatitis B Vaccine (Recombinant), Adjuvanted
Intervention Description
Intramuscular (IM) injection on Day1
Intervention Type
Biological
Intervention Name(s)
Engerix-B
Other Intervention Name(s)
Hepatitis B Vaccine (Recombinant)
Intervention Description
Intramuscular (IM) injection on Day 1
Intervention Type
Biological
Intervention Name(s)
Fendrix
Other Intervention Name(s)
Hepatitis B Vaccine (Recombinant)
Intervention Description
Intramuscular (IM) injection on Day 1
Primary Outcome Measure Information:
Title
Proportion of subjects with seroprotection rate (SPR), defined as the percentage of subjects with anti-HBsAg serum concentration of 10 milli-international unit (mIU)/mL or higher, measured at Week 4
Time Frame
week 4
Secondary Outcome Measure Information:
Title
Overall incidence of post-injection reactions and adverse events in each treatment group
Time Frame
week 12

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: ≥ 18 years of age Has loss of renal function and is receiving hemodialysis treatments Is not seroprotected against hepatitis B (has anti-HBs < 10 mIU/mL) In the opinion of the investigator, is clinically stable Be serum negative for HBsAg, anti-hepatitis B core antigen (HBc), hepatitis C virus (HCV), and HIV Is not scheduled to undergo a kidney transplant during the study period If female, and of childbearing potential, subject must be: surgically sterile or neither pregnant nor breast-feeding, consistently using a highly effective method of birth control for at least one month prior to study entry, and agrees to use two forms of birth control consistently throughout the study. Exclusion Criteria: If female, is pregnant, breastfeeding, or planning a pregnancy; Has a history of or is at high risk for recent exposure to HBV, HCV, or HIV; Has known history of autoimmune disease; Has history of sensitivity to any component of study vaccines; Has a current condition other than renal disease or has substance or alcohol abuse that would interfere with compliance or with interpretation of the study results; Is undergoing chemotherapy or expected to receive chemotherapy during the study period; has a diagnosis of cancer within the last 5 years other than squamous or basal cell carcinoma of the skin; Has uncontrolled diabetes; Has received a kidney transplant previously that is still functioning and requires anti-rejection medication; Has received any blood products or immunoglobulin within 3 months prior to study entry, or likely to require infusion of blood products during the study period; Has received the following prior to the study injection: 3 days: intravenous iron; 21 days: any inactivated virus or bacterial vaccine; 28 days: any live virus or bacterial vaccine; systemic corticosteroids (more than 3 consecutive days) or other immunomodulators or immune suppressive medication, with the exception of inhaled steroids; granulocyte colony stimulating factor (G-CSF) or granulocyte-macrophage colony stimulating factor (GM-CSF); any other investigational medicinal agent; At any time: an injection of deoxyribonucleic acid (DNA) plasmids or oligonucleotides; investigational or intradermal hepatitis B vaccine.
Facility Information:
City
Aschaffenburg
Country
Germany
City
Bamberg
Country
Germany
City
Berlin
Country
Germany
City
Dresden
Country
Germany
City
Dusseldorf
Country
Germany
City
Essen
Country
Germany
City
Halle
Country
Germany
City
Hamburg
Country
Germany
City
Hannover
Country
Germany
City
Koln
Country
Germany
City
Leipzig
Country
Germany
City
Madgeburg
Country
Germany
City
Mainz
Country
Germany
City
Mannheim-Kafertal
Country
Germany
City
Munchen
Country
Germany
City
Oberschleißheim
Country
Germany
City
Rostock
Country
Germany
City
Trier
Country
Germany
City
Velbert
Country
Germany

12. IPD Sharing Statement

Plan to Share IPD
Undecided
IPD Sharing Plan Description
a/o August 2016, decision is still pending.
Links:
URL
http://www.dynavax.com
Description
Related Info

Learn more about this trial

Safety and Immunogenicity of HEPLISAV™ a Hepatitis B Virus Vaccine in Adults on Hemodialysis

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