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Hepatitis BPhase 4NCT00240526

LT F-up Study 16-20 Yrs After Vaccine Dose of Hepatitis B With/Without HBIg in Newborns to HBeAg+ Mothers

A Phase 4 study testing Engerix™ -B and Hepatitis B immunoglobulin (HBIg) in people with Hepatitis B, run by GlaxoSmithKline at 1 site in Thailand.

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

To evaluate the persistence of anti-HBs antibodies up to 16, 17, 18, 19 and 20 years after administration of the first dose of the study vaccine. The Protocol Posting has been updated in order to comply with the FDA Amendment Act, Sep 2007. Read more about this study

Who is it for?
Ages 16 to 20 yearsHealthy volunteers can take part
Conditions the study is for
Hepatitis B
What is being tested?
Engerix™ -B and Hepatitis B immunoglobulin (HBIg)
Could I receive a placebo?
No, everyone receives an active treatment
How many people
79 participants
Where
1 siteThailand
Study dates
Oct 2003to Mar 2010
Phase
Phase 4
Are there results?
Yes, posted in the registrySummary in the doctors' view

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 16 to 20 years
  • All sexes
  • Healthy volunteers accepted
  • Child, Adult

Who may be able to join

  • Subjects who had received at least one dose of the study vaccine in the primary study
  • Written informed consent obtained from each subject before each blood sampling visit

Who cannot join

  • None

Trial locations and contacts

1 site in 1 country.

Thailand1 site
  • GSK Investigational Site

    Bangkok, 10330

Other trials in Thailand

About this study

Official title: Comparative Study of the Immunogenicity and Protective Efficacy of GlaxoSmithKline Biologicals' Rec-DNA Hepatitis B Vaccine With or Without Hepatitis B Immunoglobulins (HBIg) in Newborns of HBeAg+ Mothers.

To evaluate the persistence of anti-HBs antibodies up to 16, 17, 18, 19 and 20 years after administration of the first dose of the study vaccine. The Protocol Posting has been updated in order to comply with the FDA Amendment Act, Sep 2007.

No additional subjects will be recruited during this long-term follow-up study and no vaccine will be administered.

Read the detailed description

The primary study was to evaluate the reactogenicity, immunogenicity and protective efficacy of a hepatitis B vaccine in healthy neonates of HBeAg positive mothers if administered with or without a dose of HBIg at birth. The current study describes the long term follow up of these subjects between Y16 and 20 after primary vaccination.

Conditions
Hepatitis B
Being tested
Engerix™ -B, Hepatitis B immunoglobulin (HBIg)
Keywords
Hepatitis B immunoglobulin, Hepatitis B antibody persistence
Medical subject headings
Hepatitis B

What participants receive

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

  • Engerix™ -BBiological

    3 (Groups A and C) or 4 (Groups B and D) intramuscular injections during the primary study

  • Hepatitis B immunoglobulin (HBIg)Biological

    1 intramuscular injections at birth (primary study)

Study groups in NCT00240526
Study groupRoleWhat they receive
Engerix 4D + HBIg GroupExperimentalSubjects received Engerix™ (hepatitis B vaccine [HBV]) at Month 0, 1, 6 and 60 with hepatitis B immunoglobulins (HBIg) administered concomitantly at birth in the opposite arm.
Receives: Biological: Engerix™ -B; Biological: Hepatitis B immunoglobulin (HBIg)
Engerix 3D + HBIg GroupExperimentalSubjects received Engerix™ (hepatitis B vaccine [HBV]) at Month 0, 1, and 6 with hepatitis B immunoglobulins (HBIg) administered concomitantly at birth in the opposite arm.
Receives: Biological: Engerix™ -B; Biological: Hepatitis B immunoglobulin (HBIg)
Engerix 4DExperimentalSubjects received Engerix™ (hepatitis B vaccine [HBV]) at Month 0, 1, 6 and 60.
Receives: Biological: Engerix™ -B
Engerix 3D GroupExperimentalSubjects received Engerix™ (hepatitis B vaccine [HBV]) at Month 0, 1, and 6.
Receives: Biological: Engerix™ -B

What is being measured

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

  1. Anti-hepatitis B Surface Antigen (Anti-HBs) Antibody Concentration as Measured by Enzyme-Linked Immunosorbent Assay (ELISA).

    Concentrations given as GMC expressed as milli-international unit per millilitre (mIU/mL).

    Note: At Year 15 and 16, a commercial ELISA was used. From Year 17 to Year 20, anti-HBs antibody concentrations were tested with a validated in-house assay with cut-off 3.3mIU/mL.

    Measured: At Years 15, 16, 17, 18, 19 and 20

  2. Anti-hepatitis B Surface Antigen (Anti-HBs) Antibody Concentration as Measured by ChemiLuminescence ImmunoAssay (CLIA).

    Concentrations given as GMC expressed as milli-international unit per millilitre (mIU/mL).

    Note: There was a change of assay kit at Year 19 time-point, thus for the sake of bridging, blood samples corresponding to Year 19 were re-tested with new CLIA. At Year 19 and 20, anti-HBs antibody concentrations tested with the CLIA with cut-off 6.2 mIU/mL.

    Measured: At Years 19 and 20

  3. Number of Subjects With Anti-hepatitis B Surface Antigen (Anti-HBs) Antibody Concentrations Above Pre-defined Cut-off Values Enzyme-Linked Immunosorbent Assay (ELISA).

    Anti-hepatitis B surface antigen (anti-HBs) antibody cut-off values assessed include 1.0 and 10 mIU/mL.

    Measured: At Years 15, 16, 17, 18, 19 and 20

  4. Adjusted Number of Subjects With Anti-hepatitis B Surface Antigen (Anti-HBs) Antibody Concentrations Above Pre-defined Cut-off Values as Measured by ChemiLuminescence ImmunoAssay (CLIA)

    Anti-hepatitis B surface antigen (anti-HBs) antibody cut-off values assessed include 1.0 and 10 mIU/mL.

    Note: Missing CLIA anti-HBs concentrations, for subjects with ELISA results available, are estimated by multiple imputations and GMCs and number of subjects were adjusted for these imputations.

    Measured: At Years 19 and 20

  5. Number of Subjects With Positive Results for Serological Markers for Hepatitis B Infection

    Serological markers for hepatitis B infection assessed are hepatitis B surface antigen (HBsAg), antibodies to hepatitis B core antigen (anti-HBc), hepatitis B e antigen (HBeAg) and antibodies to hepatitis B e antigen (anti-HBe).

    Measured: At Years 15, 16, 17, 18, 19 and 20

  6. Number of Subjects With Different Hepatitis B Infection Statuses

    Categories hepatitis B (HB) infection:

    1. Chronic infection: HBsAg and anti-HBc pos (pos) in more than two consecutive samples
    2. False positive: single HB marker (HBsAg, HBeAg, anti-HBc) pos + all other markers negative (neg) in one sample. Consecutive time points all neg.
    3. Possible subclinical breakthrough infection: One or more HB markers pos in one or more consecutive samples.
    4. Isolated natural booster: >4-fold increase of anti-HBs concentrations if <100 mIU/mL at previous sample OR >2- fold increase of anti-HBs concentrations if >=100 mIU/mL at previous sample + other markers neg

    Measured: Over the entire follow up period (Final assessment of clinical significance was analyzed after the Year 20 time point)

Timeline

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

  1. First posted18 Oct 2005 (estimated)
  2. Study startOct 2003
  3. Primary completionMar 2010
  4. Study completionMar 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 4
Primary purpose
Prevention
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
79 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00240526
Sponsor's protocol ID
100450
Status last verified
Oct 2016
First submitted
13 Oct 2005
Last updated
7 Dec 2016
Individual data sharing
Yes: Patient-level data for this study will be made available through www.clinicalstudydatarequest.com following the timelines and process described on this site.

Publications

  • Poovorawan Y, Chongsrisawat V, Theamboonlers A, Leroux-Roels G, Crasta PD, Hardt K. Persistence and immune memory to hepatitis B vaccine 20 years after primary vaccination of Thai infants, born to HBsAg and HBeAg positive mothers. Hum Vaccin Immunother. 2012 Jul;8(7):896-904. doi: 10.4161/hv.19989. Epub 2012 Jul 1.

    PubMed 22777097

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing Engerix™ -B and Hepatitis B immunoglobulin (HBIg) in people with Hepatitis B, run by GlaxoSmithKline at 1 site in Thailand.

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 2 inclusion and 1 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 7 Dec 2016. 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 Thailand. 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 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 15 Jul 2010). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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-hepatitis B Surface Antigen (Anti-HBs) Antibody Concentration as Measured by Enzyme-Linked Immunosorbent Assay (ELISA). (time frame: At Years 15, 16, 17, 18, 19 and 20). The study lists 6 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 NCT00240526, 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 7 Dec 2016.

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