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Virus DiseasePhase 3NCT01183611

The Safety and Immunogenicity of Recombinant Hepatitis B Vaccines in the Health Neonates

A Phase 3 study testing Experimental recombinant hepatitis B vaccine, HBIG, Active Comparator hepatitis B vaccine and Experimental recombinant hepatitis B vaccine in people with Virus Disease and DNA Virus Infections, run by Jiangsu Province Centers for Disease Control and Prevention at 1 site in China.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The primary safety objective of this study is to assess the safety of 10 mcg recombinant hepatitis B vaccine in the Chinese health neonates. The primary immunogenicity objective is to assess the antibody response following 3 doses immunization of the 10 mcg experimental dose and 10 or 5 mcg control dose, Participants… Read more about this study

Who is it for?
Ages Up to 24 hours
What is being tested?
Experimental recombinant hepatitis B vaccine, HBIG, Active Comparator hepatitis B vaccine and Experimental recombinant hepatitis B vaccine
Type of treatment
Vaccines
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
1,740 participants
Where
1 siteChina
Study dates
Apr 2007to Sep 2010
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 Up to 24 hours
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • A group (A1-A2)Subjects born to a mother positive for both HBsAg and hepatitis B e antigen.
  • Healthy male and female full-term (37-42 weeks gestation) neonates (birth to 1 day of age)
  • Subjects with a 5-minute Apgar score ≥ 7.
  • Subjects with temperature <37.1°C on axillary setting
  • Subjects with a birth weight ≥ 2.5 kg.
  • Normal neonatal jaundice.
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  • Written informed consent obtained from the parent(s) of the subject.
  • Subjects who the investigator believes that their parent(s) can and will comply with the requirements of the protocol.
  • B group(B1-B2) Subjects born to a mother positive for HBsAg, but negative for the hepatitis B e antigen.
  • Healthy male and female full-term (37-42 weeks gestation) neonates (birth to 1 day of age)
  • Subjects with a 5-minute Apgar score ≥ 7.
  • Subjects with temperature <37.1°C on axillary setting
  • Subjects with a birth weight ≥2.5 kg.
  • Normal neonatal jaundice.
  • Written informed consent obtained from the parent(s) of the subject.
  • Subjects who the investigator believes that their parent(s) can and will comply with the requirements of the protocol
  • C group(C1-C3)Subjects born to a mother negative for HBsAg, hepatitis Be Antigen, antibody to hepatitis B core antigen, antibody to hepatitis B e-antigen.
  • Healthy male and female full-term (37-42 weeks gestation) neonates (birth to 1 day of age)
  • Subjects with a 5-minute Apgar score ≥ 7.
  • Subjects with temperature <37.1°C on axillary setting
  • Subjects with a birth weight ≥ 2.5 kg.
  • Normal neonatal jaundice.
  • Written informed consent obtained from the parent(s) of the subject.
  • Subjects who the investigator believes that their parent(s) can and will comply with the requirements of the protocol.

Who cannot join

  • A group (A1-A2) Subjects born to a mother positive for both HBsAg and e Antigen.
  • Exclusion criteria for the first shot • Subjects born to a mother positive for antibody to HBsAg. • Family history of seizures or progressive neurological disease. • Family history of congenital or hereditary immunodeficiency. • History of any reaction or hypersensitivity likely to be exacerbated by any component of the vaccines.
  • Any confirmed or suspected immunosuppressive or immunodeficient condition, based on medical history and physical examination.
  • Subjects born to a mother had administrated of immunoglobulins and/or any blood products during the pregnancy.
  • Use of any investigational or non-registered product other than the study vaccines since birth, or planned use during the study period.
  • Born to a mother known or suspected to be positive for HIV.
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  • Family history of congenital or hereditary immunodeficiency.
  • Children in care.
  • Neonatal jaundice requiring systemic treatment.
  • Administration of immunoglobulins and/or any blood products since birth or planned administration during the study period.
  • Major congenital defects or serious chronic illness, including perinatal brain damage.
  • Any condition that in the opinion of the investigator, may interfere with the evaluation of study objectives Exclusion criteria for the second and third shots
  • Dysgenopathy
  • Any reaction or hypersensitivity to the hepatitis B vaccines.
  • Acute infections
  • History of any reaction or hypersensitivity likely to be exacerbated by any component of the vaccines.
  • Any condition that in the opinion of the investigator, may interfere with the evaluation of study objectives
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  • B group (B1-B2) Subjects born to a mother positive for HBsAg, but negative for the hepatitis B e antigen.
  • Exclusion criteria for the first shot • Subjects born to a mother positive for antibody to HBsAg or e antigen. • Family history of seizures or progressive neurological disease. • Family history of congenital or hereditary immunodeficiency.
  • History of any reaction or hypersensitivity likely to be exacerbated by any component of the vaccines.
  • Any confirmed or suspected immunosuppressive or immunodeficient condition, based on medical history and physical examination.
  • Subjects born to a mother had administrated of immunoglobulins and/or any blood products during the pregnancy.
  • Use of any investigational or non-registered product other than the study vaccines since birth, or planned use during the study period.
  • Born to a mother known or suspected to be positive for HIV.
  • Family history of congenital or hereditary immunodeficiency.
  • Children in care.
  • Neonatal jaundice requiring systemic treatment.
  • Administration of immunoglobulins and/or any blood products since birth or planned administration during the study period.
  • Major congenital defects or serious chronic illness, including perinatal brain damage.
  • Any condition that in the opinion of the investigator, may interfere with the evaluation of study objectives Exclusion criteria for the second and third shots
  • Dysgenopathy
  • Any reaction or hypersensitivity to the hepatitis B vaccines.
  • Acute infections
  • History of any reaction or hypersensitivity likely to be exacerbated by any component of the vaccines.
  • 3 C group (C1-C3) Subjects born to a mother negative for HBsAg, hepatitis Be Antigen, antibody to hepatitis B core antigen, antibody to hepatitis B e-antigen.
  • Subjects born to a mother positive for antibody to HBsAg, or e antigen, or antibody to B core antigen or antibody to hepatitis B e-antigen.
  • Family history of seizures or progressive neurological disease.
  • Family history of congenital or hereditary immunodeficiency.
  • History of any reaction or hypersensitivity likely to be exacerbated by any component of the vaccines.
  • Any confirmed or suspected immunosuppressive or immunodeficient condition, based on medical history and physical examination.
  • Subjects born to a mother had administrated of immunoglobulins and/or any blood products during the pregnancy.
  • Use of any investigational or non-registered product other than the study vaccines since birth, or planned use during the study period.
  • Born to a mother known or suspected to be positive for HIV.
  • Family history of congenital or hereditary immunodeficiency.
  • Children in care.
  • Neonatal jaundice requiring systemic treatment.
  • Administration of immunoglobulins and/or any blood products since birth or planned administration during the study period.
  • Major congenital defects or serious chronic illness, including perinatal brain damage.
  • Any condition that in the opinion of the investigator, may interfere with the evaluation of study objectives Exclusion criteria for the second and third shots
  • Dysgenopathy
  • Any reaction or hypersensitivity to the hepatitis B vaccines.
  • Acute infections
  • History of any reaction or hypersensitivity likely to be exacerbated by any component of the vaccines.
  • Any condition that in the opinion of the investigator, may interfere with the evaluation of study objectives

Trial locations and contacts

1 site in 1 country.

China1 site
  • Jiangsu Provincial Center for Diseases Control and Prevention

    Nanjing, Jiangsu, 210009

Other trials in China

About this study

Official title: The Safety and Immunogenicity of Recombinant Hepatitis B Vaccines in the Health Neonates Born to Mother With Positive for Both HBsAg and HBeAg, Positive for HBsAg But Negative for HBeAg, Negative for HBsAg, HBeAg, HBeAb and HBcAb

The primary safety objective of this study is to assess the safety of 10 mcg recombinant hepatitis B vaccine in the Chinese health neonates. The primary immunogenicity objective is to assess the antibody response following 3 doses immunization of the 10 mcg experimental dose and 10 or 5 mcg control dose, Participants will include up to 1740 healthy neonates. This is a randomized, double-blinded, Phase III study. This study is designed to investigate the safety, reactogenicity, and immunogenicity of 10ug recombinant hepatitis B vaccine (yeast). Subjects will be stratified by the mother with positive for both HBsAg and HBeAg, positive for the surface antigen but negative for HBeAg, negative for the HBsAg and HBeAg and HBeAb and HBcAb.

  • Stratified 1: There are 180 neonates born to the mother with positive for both HBsAg and HBeAg will be randomized into two groups according to the ratio of 2:1. 120 subjects will receive the 10 mcg experimental vaccine and 60 subjects will receive 10 mcg control vaccine respectively.
  • Stratified 2: There are 360 neonates born to the mother with positive for HBsAg but negative for HBeAg will be randomized into two groups according to the ratio of 2:1. 240 subjects will receive the 10 mcg experimental vaccine and 120 subjects will receive 10 mcg control vaccine respectively.
  • Stratified 3: There are 1200 neonates born to the mother with negative for the HBsAg and HBeAg and HBeAb and HBcAb will be randomized into 3 groups. 600 of them will receive the 10mcg experimental vaccine. 300 subjects will receive 10mcg control vaccine. And the other 300 subjects will receive 5mcg control vaccine.

The recombinant hepatitis B vaccine will be administered at m0, 1 and 6. Following each immunization, safety will be measured by assessment of adverse events through 30 days following each vaccination, serious adverse events and new-onset chronic medical conditions through 6 months post the final vaccination (Day 180 after last vaccination). For the immunogenicity testing will apply the chemiluminescence immunoassay on serum obtained on the day 0, 210 and 360 after born.

Read the detailed description

During the early 1980s, human plasma-derived hepatitis B vaccines were developed in China. The production of these vaccines has not been adequate to meet China's need. Since the introduction of recombinant vaccines which can be produced in large quantity, at low cost, the emphasis has been placed on a search for a recombinant hepatitis B vaccine. This vaccine is thought to be safe, immunogenic, particularly in infants born to carrier mothers. Since 1992, the 5mcg recombinant hepatitis B vaccine has been used as one of the vaccines in the expanded immunization programs (People's Republic of China). The 5ug recombinant hepatitis B vaccine (yeast) is efficacious in short time but not to persistent in neonates. The primary safety objective of this study is to assess the safety of 10 mcg recombinant hepatitis B vaccine in the chinese health neonates. The primary immunogenicity objective is to assess the antibody response following 3 doses immunization of the 10 mcg experimental dose and 10, 5 mcg control dose, Participants will include up to 1740 healthy neonates.

The primary safety objective of this study is to assess the safety of 10 mcg recombinant hepatitis B vaccine in the Chinese health neonates. The primary immunogenicity objective is to assess the antibody response following 3 doses immunization of the 10 mcg experimental dose and 10 or 5 mcg control dose, Participants will include up to 1740 healthy neonates. This is a randomized, double-blinded, Phase III study. This study is designed to investigate the safety, reactogenicity, and immunogenicity of 10ug recombinant hepatitis B vaccine (yeast). Subjects will be stratified by the mother with positive for both HBsAg and HBeAg, positive for the surface antigen but negative for HBeAg, negative for the HBsAg and HBeAg and HBeAb and HBcAb.

  • Stratified 1: There are 180 neonates born to the mother with positive for both HBsAg and HBeAg will be randomized into two groups according to the ratio of 2:1. 120 subjects will receive the 10 mcg experimental vaccine and 60 subjects will receive 10 mcg control vaccine respectively.
  • Stratified 2: There are 360 neonates born to the mother with positive for HBsAg but negative for HBeAg will be randomized into two groups according to the ratio of 2:1. 240 subjects will receive the 10 mcg experimental vaccine and 120 subjects will receive 10 mcg control vaccine respectively.
  • Stratified 3: There are 1200 neonates born to the mother with negative for the HBsAg and HBeAg and HBeAb and HBcAb will be randomized into 3 groups. 600 of them will receive the 10mcg experimental vaccine. 300 subjects will receive 10mcg control vaccine. And the other 300 subjects will receive 5mcg control vaccine.

All these neonates will have the vaccination within 24 hours after born. The recombinant hepatitis B vaccine will be administered at m0, 1 and 6. Following each immunization, safety will be measured by assessment of adverse events through 30 days following each vaccination, serious adverse events and new-onset chronic medical conditions through 6 months post the final vaccination (Day 180 after last vaccination). For the immunogenicity testing will apply the chemiluminescence immunoassay on serum obtained on the day 0, 210 and 360 after born.

Being tested
Experimental recombinant hepatitis B vaccine, HBIG, Active Comparator hepatitis B vaccine, Experimental recombinant hepatitis B vaccine, Active Comparator recombinant hepatitis B vaccine., Placebo Comparator recombinant hepatitis B vaccine
Keywords
safety, immunogenicity, HBV vaccine, perinatal transmission
Medical subject headings
Virus Diseases, DNA Virus Infections, Hepadnaviridae Infections

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Experimental recombinant hepatitis B vaccine, HBIGBiological

    Experimental 10mcg/0.5 ml recombinant hepatitis B vaccine and 200IU HBIG

  • Active Comparator hepatitis B vaccineBiological

    Active Comparator 10mcg/0.5 ml of recombinant hepatitis B vaccine,200IU HBIG

  • Experimental recombinant hepatitis B vaccineBiological

    Experimental 10mcg/0.5 ml of recombinant hepatitis B vaccine

  • Active Comparator recombinant hepatitis B vaccine.Biological

    Active Comparator 10mcg/0.5 ml of recombinant hepatitis B vaccine.

  • Placebo Comparator recombinant hepatitis B vaccineBiological

    Placebo Comparator 10mcg/0.5 ml of recombinant hepatitis B vaccine.

Study groups in NCT01183611
Study groupRoleWhat they receive
A1Experimentalhealth neonates born to mother with positive for both HBsAg and e antigen
Receives: Biological: Experimental recombinant hepatitis B vaccine, HBIG
A2Active comparatorhealth neonates born to mother with positive for both HBsAg and e antigen
Receives: Biological: Active Comparator hepatitis B vaccine
B1Experimentalhealth neonates born to a mother positive for HBsAg, negative for the hepatitis B e antigen
Receives: Biological: Experimental recombinant hepatitis B vaccine, HBIG
B2Active comparatorhealth neonates born to a mother positive for HBsAg, negative for the hepatitis B e antigen
Receives: Biological: Active Comparator hepatitis B vaccine
C1Experimentalhealth neonates born to mother with negative for the HBsAg and HBeAg and HBeAb and HBcAb
Receives: Biological: Experimental recombinant hepatitis B vaccine
C2Active comparatorhealth neonates born to mother with negative for the HBsAg and HBeAg and HBeAb and HBcAb
Receives: Biological: Active Comparator recombinant hepatitis B vaccine.
C3Placebo comparatorhealth neonates born to mother with negative for the HBsAg and HBeAg and HBeAb and HBcAb
Receives: Biological: Placebo Comparator recombinant hepatitis B vaccine

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. The immunogenicity of experimental recombinant HBV vaccines in healthy neonates on day 210

    Immunogenicity testing will be chemiluminescence immunoassay on serum obtained on day 210 after first dose

    Measured: on day 210 after the first dose

  2. The immunogenicity of experimental recombinant HBV vaccines in healthy neonates on day 360

    Immunogenicity testing will be chemiluminescence immunoassay on serum obtained on day 360 after first dose

    Measured: on day 360 after the first dose

Secondary outcomes (3)
  1. To evaluate the safety of recombinant HBV vaccines in the health neonates after first dose

    assessment of adverse events through 30 days following first dose

    Measured: within the first 30 days after first dose

  2. To evaluate the safety of recombinant HBV vaccines in the health neonates after second dose

    assessment of adverse events through 30 days following second dose

    Measured: within the first 30 days after second dose

  3. To evaluate the safety of recombinant HBV vaccines in the health neonates after third dose

    assessment of adverse events through 30 days following third dose

    Measured: within the first 30 days after third dose

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted17 Aug 2010 (estimated)
  2. Study startApr 2007
  3. Primary completionJun 2010
  4. Study completionSep 2010

Resources

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
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
1,740 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01183611
Sponsor's protocol ID
JSVCT008
Status last verified
Sep 2010
First submitted
10 May 2010
Last updated
17 Sep 2010
Results posted
No
Data monitoring committee
Yes

Publications

  • Zhu FC, Liang ZL, Meng FY, Zeng Y, Mao QY, Chu K, Song XF, Yao X, Li JX, Ji H, Zhang YJ, Li L, Pan HX, Xu K, Dai WM, Zhang WW, Deng F, Wang H, Wang JZ. Retrospective study of the incidence of HFMD and seroepidemiology of antibodies against EV71 and CoxA16 in prenatal women and their infants. PLoS One. 2012;7(5):e37206. doi: 10.1371/journal.pone.0037206. Epub 2012 May 25.

    PubMed 22662137

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Experimental recombinant hepatitis B vaccine, HBIG, Active Comparator hepatitis B vaccine and Experimental recombinant hepatitis B vaccine in people with Virus Disease and DNA Virus Infections, run by Jiangsu Province Centers for Disease Control and Prevention at 1 site in China.

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 24 inclusion and 55 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 17 Sep 2010. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in China. 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. Some participants in this study may receive a placebo. 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?

The immunogenicity of experimental recombinant HBV vaccines in healthy neonates on day 210 (time frame: on day 210 after the first dose). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01183611, which also lists 1 linked publication.

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 17 Sep 2010.

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