Hepatitis BPhase 3NCT00291980
A Study to Compare the Immune Response and Safety Elicited by Henogen's Adjuvanted Hepatitis B Vaccine Compared to Aventis Pasteur MSD's Hepatitis B Vaccine in Pre-Dialysis and Dialysis Patients Who Responded to Previous Hepatitis B Vaccination But Lost Antibody.
A Phase 3 study testing HB-AS02V vaccine and HBVAXPRO vaccine in people with Hepatitis B, run by Henogen at 28 sites in 3 countries.
Trial summary
The immune response of uraemic patients to hepatitis B vaccination is impaired compared to healthy subjects. After vaccination, anti-HBs peak antibody concentrations are reduced. Read more about this study
- Who is it for?
- Ages 15 years and older
- Conditions the study is for
- Hepatitis B
- What is being tested?
- HB-AS02V vaccine and HBVAXPRO vaccine
- Type of treatment
- Vaccines
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 185 participants
- Where
- 28 sitesin 3 countries
- Study dates
- Mar 2006to Oct 2007
- Phase
- Phase 3
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 15 years and older
- All sexes
- No healthy volunteers
- Child, Adult, Older adult
Who may be able to join
- Subjects whom the investigator believes that they can and will comply with the requirements of the protocol (e.g., completion of the diary cards, return for follow-up visits) should be enrolled in the study.
- A male or female subject 15 years of age or older at the time of the study entry.
- Written informed consent obtained from the subject/ subject's parents or guardians.
- Pre-dialysis patients, peritoneal dialysis patients and patients on haemodialysis. Pre-dialysis patients is defined as a subject with a documented creatinine clearance of les or equal to 30 ml/min.
- Seronegative for anti-HBc antibodies and for HBsAg at screening.
- Documented previous hepatitis B vaccination with one full primary course of licensed vaccine (the cumulative dose for primary vaccination is at least 160 mg of hepatitis B vaccine) with or without subsequent boosters. The last dose should have been administered at least three months before the planned dose of study vaccine in this study.
- Documented response to previous hepatitis B vaccination (i.e. anti-HBs antibody concentrations ³ 10 mIU/ml after primary vaccination or after booster/s with licensed vaccine), but for whom there is a loss of anti-HBs antibody concentrations below 10 mIU/ml at the time of inclusion into the study. Patients who have antibody concentrations below 50 mIU/ml at the time of inclusion will also be recruited provided that this antibody concentration is less than half of the highest documented antibody response achieved after primary vaccination or booster/s. The interval between the blood sample corresponding to the documented response and the hepatitis B vaccine dose received prior to this blood sample should be at least 25 days
- If the subject is female, she must be of non-childbearing potential, i.e., either surgically sterilized or one year post-menopausal; or, if of childbearing potential, she must be abstinent or have used medically-approved contraceptive precautions for 30 days prior to vaccination, have a negative pregnancy test and must agree to continue such precautions for two months after completion of the vaccination series.
Who cannot join
- Subjects who have participated in the HN014/HBV-001 or HN017/HBV-003 study
- Use of any investigational or non-registered drug or vaccine within 30 days preceding the study vaccine administration, or planned use during the study period.
- Use of any registered vaccine within 7 days preceding the study vaccine administration.
- History of hepatitis B infection.
- Known exposure to hepatitis B virus within six months.
- Use of immunoglobulins within six months preceding the first study vaccination.
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- Immunosuppression caused by the administration of parenteral steroids or chemotherapy (oral steroids are allowed).
- Any confirmed or suspected human immunodeficiency virus (HIV) infection.
- A family history of congenital or hereditary immunodeficiency.
- History of allergic disease or reactions likely to be exacerbated by any component of the vaccines.
- Acute disease at the time of enrolment. (Acute disease is defined as the presence of a moderate or severe illness with or without fever. All vaccines can be administered to persons with a minor illness such as diarrhoea, mild upper respiratory infection with or without low-grade febrile illness, i.e., oral/ axillary temperature < 37.5°C (or 37 °C in Czech Republic).
- Oral/axillary temperature equal or superior to 37.5 °C (or 37 °C in Czech Republic).
- Pregnant or lactating female
Trial locations and contacts
28 sites in 3 countries.
28 sites in 3 countries
Belgium13 sites
O.L.Vrouwziekenhuis Aalst
Aalst, 9300
RHMS La Madeleine ATH
Ath, 7800
RHMS Clinique Louis Caty Baudour
Baudour, 7331
Cliniques universitaires Saint Luc
Brussels, 1200
CHU Brugmann (site V Horta) Service de néphrologie
Brussels, B-1020
ULB Hôpital Erasme Département de Néphrologie
Brussels
CHU Hôpital civil de
Charleroi, 6000
UZ AntwerpenDienst nefrologie
Edegem, B-2650
UZ Gent
Ghent, 9000
CHU Tivoli
La Louvière, 7100
UZ Gasthuisberg Leuven Nierziekten
Leuven, 3000
CHU Andre VESALE
Montigny-le-Tilleul, 6110
RHMS TournayService de néphrologie
Tournai, 7500
Czechia9 sites
Clinic of Gerontology and MetabolismDepartment of NephrologyUniversity HospitalSokolska
Hradec Králové, 581500 05
Hospital JihlavaVrchlického
Jihlava, 59586 33
Regional Hospital Liberec
Liberec, 46063
Dept. of NephrologyIII. Clinic of Internal DiseasesUniversity Hospital I.P.Pavlova
Olomouc, 6775 20
Infection Diseases and AIDS Treatment ClinicUniversity Hospital with Outpatient Clinic
Ostrava - Poruba, 1790708 52
Fresenius Medical Care - DS, s.r.o.: PardubiceDialysis Unit Kyjevska
Pardubice, 44532 03
Fresenius Medical Care - DS Prague 4
Prague, 142 00
Dept. of Internal Medicine StrahovSermirska 5
Prague, 169 00
Fresenius Medical Care - DS, s.r.o.: SokolovDialysis Unit Slovenska
Sokolov, 1863356 01
Hungary6 sites
University of Debrecen Medical and Science CenterI. Medical Clinic for Internal Diseases Nephrology Department
Debrecen, .H-4012
Markhot Ferenc County HospitalFresenius Dialysis Center Baktai
Eger, H-3300
Vaszary Kolos HospitalFresenius Dialysis Center
Esztergom, H-2500
Petz Aladár Teaching Hospital Vasvári
Győr, H-9023
Hatvan Hospital Health Care ProviderFresenius Dialysis Center Hatvan .
Hatvan, H-3000
Vas and Szombathely County Markusovszky Hospital
Szombathely, 9700
About this study
Official title: A Phase III, Multicentric, Multinational, Controlled, Randomised, Open Study Comparing the Immunogenicity, Reactogenicity and Safety of Henogen's New Adjuvanted Hepatitis B Vaccine, HB-AS02V, to That of Aventis Pasteur MSD's Hepatitis B Vaccine, HBVAXPRO® , Administered as a Booster Dose in Pre-Dialysis, Peritoneal Dialysis and Haemodialysis Subjects (³ 15 Years of Age) Who Previously Responded to Hepatitis B Primary Vaccination But Have Lost Antibody.
The immune response of uraemic patients to hepatitis B vaccination is impaired compared to healthy subjects. After vaccination, anti-HBs peak antibody concentrations are reduced. As the persistence of anti-HBs is closely related to the initial anti-HBs peak, a more immunogenic vaccine, allowing higher antibody concentrations, would be a benefit for this population.
Read the detailed description
Study participants will receive either Henogen's adjuvanted hepatitis B vaccine or Aventis Pasteur's hepatitis B vaccine. The study involves a total of 3 visits and blood samples will taken at each of these visits.
- Conditions
- Hepatitis B
- Being tested
- HB-AS02V vaccine, HBVAXPRO vaccine
- Keywords
- Dialysis, Pre-dialysis, Hepatitis B vaccine, Prophylaxis hepatitis B infection
- Medical subject headings
- Hepatitis B
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
HB-AS02V vaccineBiological
HB-AS02V (20µg HBsAg) will be administered at Month 0
HBVAXPRO vaccineBiological
HBVAXPRO vaccine (40µg HBsAg) will be administered at Month 0
| Study group | Role | What they receive |
|---|---|---|
| 1 | Experimental | HB-AS02V vaccine Receives: Biological: HB-AS02V vaccine |
| 2 | Active comparator | HBVAXPRO vaccine Receives: Biological: HBVAXPRO vaccine |
What is being measured
The primary outcome is the main question the study is designed to answer.
Anti-HBs antibody geometric mean concentrations.
Measured: Month 0 and Month 1
Secondary outcomes (7)
Seroprotection rates for all subjects
Measured: Months 0, 1
Seropositivity rates for all subjects
Measured: Month 0 and at Month 1
Percentage of subjects with anti-HBs antibody concentrations superior or equal to 100 mIU/ml for all subjects
Measured: Month 0 and at Month 1
Geometric Mean Concentration of anti-HBs antibodies for all subjects and for seropositive subjects
Measured: Month 0 and Month 1
Occurrence and intensity of solicited local signs and symptoms, relationship to vaccination of solicited general signs and symptoms during the 4-day follow-up after vaccination
Measured: Month 0
Occurrence, intensity and relationship to vaccination of unsolicited local and general signs and symptoms during the 31-day (Day 0 to Day 30) follow-up period after vaccination
Measured: Month 0
Occurrence, intensity and relationship to vaccination of all serious adverse events up to Month 1
Measured: Month 0 to 1
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted15 Feb 2006 (estimated)
- Study startMar 2006
- Primary completionOct 2007
- Study completionOct 2007
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Hepatitis BStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 185 participants (actual)
Sponsor and investigators
- Lead sponsor
- Henogen
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- GlaxoSmithKline
- Investigators
- Christian Tielemans, MD, PhD, Principal investigator, ULB Hôpital Erasme Département de Néphrologie
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00291980
- Sponsor's protocol ID
- HN018/HBV-004 (105754)
- Status last verified
- Aug 2008
- First submitted
- 14 Feb 2006
- Last updated
- 28 Aug 2008
- Results posted
- No
- Data monitoring committee
- No
Study at a glance
From the registry record, last updated by the sponsor on 28 Aug 2008. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase III, Multicentric, Multinational, Controlled, Randomised, Open Study Comparing the Immunogenicity, Reactogenicity and Safety of Henogen's New Adjuvanted Hepatitis B Vaccine, HB-AS02V, to That of Aventis Pasteur MSD's Hepatitis B Vaccine, HBVAXPRO® , Administered as a Booster Dose in Pre-Dialysis, Peritoneal Dialysis and Haemodialysis Subjects (³ 15 Years of Age) Who Previously Responded to Hepatitis B Primary Vaccination But Have Lost Antibody.
- ClinicalTrials.gov ID
- NCT00291980
- Acronym / sponsor ID
- HN018/HBV-004 (105754)
- Conditions
- Hepatitis B
- Keywords
- Dialysis, Pre-dialysis, Hepatitis B vaccine, Prophylaxis hepatitis B infection
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 185 participants (actual)
- Lead sponsor
- HenogenIndustry (pharma, biotech, devices)
- Collaborators
- GlaxoSmithKline
- Study start
- Mar 2006
- Primary completion
- Oct 2007 (actual)
- Study completion
- Oct 2007 (actual)
- First posted
- 15 Feb 2006 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The immune response of uraemic patients to hepatitis B vaccination is impaired compared to healthy subjects. After vaccination, anti-HBs peak antibody concentrations are reduced. As the persistence of anti-HBs is closely related to the initial anti-HBs peak, a more immunogenic vaccine, allowing higher antibody concentrations, would be a benefit for this population.
Detailed description
Study participants will receive either Henogen's adjuvanted hepatitis B vaccine or Aventis Pasteur's hepatitis B vaccine. The study involves a total of 3 visits and blood samples will taken at each of these visits.
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| 1 | Experimental | Biological: HB-AS02V vaccineHB-AS02V vaccine |
| 2 | Active comparator | Biological: HBVAXPRO vaccineHBVAXPRO vaccine |
Who may qualify
- Ages
- 15 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (8 listed)
- Subjects whom the investigator believes that they can and will comply with the requirements of the protocol (e.g., completion of the diary cards, return for follow-up visits) should be enrolled in the study.
- A male or female subject 15 years of age or older at the time of the study entry.
- Written informed consent obtained from the subject/ subject's parents or guardians.
- Pre-dialysis patients, peritoneal dialysis patients and patients on haemodialysis. Pre-dialysis patients is defined as a subject with a documented creatinine clearance of les or equal to 30 ml/min.
- Seronegative for anti-HBc antibodies and for HBsAg at screening.
Key exclusion criteria (13 listed)
- Subjects who have participated in the HN014/HBV-001 or HN017/HBV-003 study
- Use of any investigational or non-registered drug or vaccine within 30 days preceding the study vaccine administration, or planned use during the study period.
- Use of any registered vaccine within 7 days preceding the study vaccine administration.
- History of hepatitis B infection.
- Known exposure to hepatitis B virus within six months.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| HB-AS02V vaccineHB-AS02V (20µg HBsAg) will be administered at Month 0 | Biological | 1 |
| HBVAXPRO vaccineHBVAXPRO vaccine (40µg HBsAg) will be administered at Month 0 | Biological | 2 |
Primary outcome
Anti-HBs antibody geometric mean concentrations.
Time frame: Month 0 and Month 1
7 secondary outcomes
Seroprotection rates for all subjects
Time frame: Months 0, 1
Seropositivity rates for all subjects
Time frame: Month 0 and at Month 1
Percentage of subjects with anti-HBs antibody concentrations superior or equal to 100 mIU/ml for all subjects
Time frame: Month 0 and at Month 1
Geometric Mean Concentration of anti-HBs antibodies for all subjects and for seropositive subjects
Time frame: Month 0 and Month 1
Occurrence and intensity of solicited local signs and symptoms, relationship to vaccination of solicited general signs and symptoms during the 4-day follow-up after vaccination
Time frame: Month 0
Occurrence, intensity and relationship to vaccination of unsolicited local and general signs and symptoms during the 31-day (Day 0 to Day 30) follow-up period after vaccination
Time frame: Month 0
Occurrence, intensity and relationship to vaccination of all serious adverse events up to Month 1
Time frame: Month 0 to 1
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 28 Aug 2008.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Christian Tielemans, MD, PhD principal investigator
ULB Hôpital Erasme Département de Néphrologie
28 sites in 3 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing HB-AS02V vaccine and HBVAXPRO vaccine in people with Hepatitis B, run by Henogen at 28 sites in 3 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 8 inclusion and 13 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 28 Aug 2008. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 28 sites in Belgium, Czechia, Hungary. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Anti-HBs antibody geometric mean concentrations. (time frame: Month 0 and Month 1). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 28 Aug 2008.