Trial Outcomes & Findings for Challenge Dose of Hepatitis B Vaccine in Subjects Who Previously Received Engerix™-B Vaccine (NCT NCT00524576)

NCT ID: NCT00524576

Last Updated: 2018-09-07

Results Overview

Immune response defined as: * For initially seronegative subjects (anti-HBs antibody concentration \<3.3 milli-international unit per milliliter \[mIU/mL\] before vaccination) antibody concentration ≥ 10mIU/mL at post booster. * For initially seropositive subjects: antibody concentration at post booster ≥ 4-fold the pre-vaccination antibody concentration.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

144 participants

Primary outcome timeframe

30 days post-challenge dose

Results posted on

2018-09-07

Participant Flow

Participant milestones

Participant milestones
Measure
Engerix 2 Doses + Challenge Dose
Subjects received 2 doses of Engerix™-B (Month 0 and 6) in the primary study and a single dose of Engerix™-B during the booster study.
Engerix 3 Doses + Challenge Dose
Subjects received 3 doses of Engerix™-B (Month 0, 1 and 6) in the primary study and a single dose of Engerix™-B during the booster study.
Overall Study
STARTED
97
47
Overall Study
COMPLETED
97
47
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Challenge Dose of Hepatitis B Vaccine in Subjects Who Previously Received Engerix™-B Vaccine

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Engerix 2 Doses + Challenge Dose
n=97 Participants
Subjects received 2 doses of Engerix™-B (Month 0 and 6) in the primary study and a single dose of Engerix™-B during the booster study.
Engerix 3 Doses + Challenge Dose
n=47 Participants
Subjects received 3 doses of Engerix™-B (Month 0, 1 and 6) in the primary study and a single dose of Engerix™-B during the booster study.
Total
n=144 Participants
Total of all reporting groups
Age, Continuous
19.5 years
STANDARD_DEVIATION 1.22 • n=5 Participants
19.3 years
STANDARD_DEVIATION 1.46 • n=7 Participants
19.4 years
STANDARD_DEVIATION 1.30 • n=5 Participants
Sex: Female, Male
Female
50 Participants
n=5 Participants
23 Participants
n=7 Participants
73 Participants
n=5 Participants
Sex: Female, Male
Male
47 Participants
n=5 Participants
24 Participants
n=7 Participants
71 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 30 days post-challenge dose

Population: Analysis was performed on the According-to-Protocol (ATP) cohort for analysis of immunogenicity. Data from the Australian center were not included following data quality issues detected at the investigator site.

Immune response defined as: * For initially seronegative subjects (anti-HBs antibody concentration \<3.3 milli-international unit per milliliter \[mIU/mL\] before vaccination) antibody concentration ≥ 10mIU/mL at post booster. * For initially seropositive subjects: antibody concentration at post booster ≥ 4-fold the pre-vaccination antibody concentration.

Outcome measures

Outcome measures
Measure
Engerix 2 Doses + Challenge Dose
n=53 Participants
Subjects received 2 doses of Engerix™-B (Month 0 and 6) in the primary study and a single dose of Engerix™-B during the booster study.
Engerix 3 Doses + Challenge Dose
n=21 Participants
Subjects received 3 doses of Engerix™-B (Month 0, 1 and 6) in the primary study and a single dose of Engerix™-B during the booster study.
Number of Participants With Immunological Response to Challenge Dose in Terms of Anti-hepatitis B Surface Antigen (Anti-HBs) Antibody Concentration
53 participants
21 participants

SECONDARY outcome

Timeframe: 30 days post-challenge dose

Population: Analysis was performed on the According-to-Protocol (ATP) cohort for analysis of immunogenicity. Data from the Australian center were not included following data quality issues detected at the investigator site.

Anti-HBs antibody cut-off values assessed include 3.3, 10 and 100 mIU/mL.

Outcome measures

Outcome measures
Measure
Engerix 2 Doses + Challenge Dose
n=53 Participants
Subjects received 2 doses of Engerix™-B (Month 0 and 6) in the primary study and a single dose of Engerix™-B during the booster study.
Engerix 3 Doses + Challenge Dose
n=21 Participants
Subjects received 3 doses of Engerix™-B (Month 0, 1 and 6) in the primary study and a single dose of Engerix™-B during the booster study.
Number of Participants With Anti-HBs Antibody Concentrations Above the Cut-off Value
≥ 3.3 mIU/mL
53 participants
21 participants
Number of Participants With Anti-HBs Antibody Concentrations Above the Cut-off Value
≥ 10 mIU/mL
53 participants
21 participants
Number of Participants With Anti-HBs Antibody Concentrations Above the Cut-off Value
≥ 100 mIU/mL
50 participants
20 participants

SECONDARY outcome

Timeframe: 30 days post-challenge dose

Population: Analysis was performed on the According-to-Protocol (ATP) cohort for analysis of immunogenicity. Data from the Australian center were not included following data quality issues detected at the investigator site.

Concentrations given as geometric mean concentration (GMC) and expressed in mIU/mL.

Outcome measures

Outcome measures
Measure
Engerix 2 Doses + Challenge Dose
n=53 Participants
Subjects received 2 doses of Engerix™-B (Month 0 and 6) in the primary study and a single dose of Engerix™-B during the booster study.
Engerix 3 Doses + Challenge Dose
n=21 Participants
Subjects received 3 doses of Engerix™-B (Month 0, 1 and 6) in the primary study and a single dose of Engerix™-B during the booster study.
Concentration of Anti-HBs Antibodies
6214.1 mIU/mL
Interval 3213.1 to 12018.0
16564.3 mIU/mL
Interval 6394.9 to 42905.6

SECONDARY outcome

Timeframe: During the 4-day follow-up period (Day 0-3) after the challenge dose

Population: Analysis was performed on the Total Vaccinated Cohort. Data from the Australian center were not included following data quality issues detected at the investigator site.

Solicited local symptoms assessed include pain, redness and swelling.

Outcome measures

Outcome measures
Measure
Engerix 2 Doses + Challenge Dose
n=55 Participants
Subjects received 2 doses of Engerix™-B (Month 0 and 6) in the primary study and a single dose of Engerix™-B during the booster study.
Engerix 3 Doses + Challenge Dose
n=22 Participants
Subjects received 3 doses of Engerix™-B (Month 0, 1 and 6) in the primary study and a single dose of Engerix™-B during the booster study.
Number of Participants Reporting Solicited Local Symptoms
Pain
22 participants
4 participants
Number of Participants Reporting Solicited Local Symptoms
Redness
11 participants
1 participants
Number of Participants Reporting Solicited Local Symptoms
Swelling
9 participants
0 participants

SECONDARY outcome

Timeframe: During the 4-day follow-up period (Day 0-3) after the challenge dose

Population: Analysis was performed on the Total Vaccinated Cohort. Data from the Australian center were not included following data quality issues detected at the investigator site.

Solicited general symptoms assessed include fatigue, fever, gastrointestinal symptoms, and headache.

Outcome measures

Outcome measures
Measure
Engerix 2 Doses + Challenge Dose
n=55 Participants
Subjects received 2 doses of Engerix™-B (Month 0 and 6) in the primary study and a single dose of Engerix™-B during the booster study.
Engerix 3 Doses + Challenge Dose
n=22 Participants
Subjects received 3 doses of Engerix™-B (Month 0, 1 and 6) in the primary study and a single dose of Engerix™-B during the booster study.
Number of Participants Reporting Solicited General Symptoms
Fatigue
19 participants
7 participants
Number of Participants Reporting Solicited General Symptoms
Fever ≥ 37.5 degree Celsius
1 participants
0 participants
Number of Participants Reporting Solicited General Symptoms
Gastrointestinal disorder
7 participants
4 participants
Number of Participants Reporting Solicited General Symptoms
Headache
14 participants
4 participants

SECONDARY outcome

Timeframe: During the 31-day follow-up period (Day 0-30) after the challenge dose

Population: Analysis was performed on the Total Vaccinated Cohort. Data from the Australian center were not included following data quality issues detected at the investigator site.

An AE is any untoward medical occurrence in a clinical investigation subject, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product.

Outcome measures

Outcome measures
Measure
Engerix 2 Doses + Challenge Dose
n=55 Participants
Subjects received 2 doses of Engerix™-B (Month 0 and 6) in the primary study and a single dose of Engerix™-B during the booster study.
Engerix 3 Doses + Challenge Dose
n=22 Participants
Subjects received 3 doses of Engerix™-B (Month 0, 1 and 6) in the primary study and a single dose of Engerix™-B during the booster study.
Number of Participants Reporting Unsolicited Adverse Events (AE)
19 participants
5 participants

SECONDARY outcome

Timeframe: During the 31-day follow-up period (Day 0-30) after the challenge dose

Population: Analysis was performed on the Total Vaccinated Cohort. This table describes SAEs reported by all subjects except for those enrolled in the Australian center.

An SAE is any untoward medical occurrence that: results in death, is life-threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, is a congenital anomaly/birth defect in the offspring of a study subject, or may evolve into one of the outcomes listed above.

Outcome measures

Outcome measures
Measure
Engerix 2 Doses + Challenge Dose
n=55 Participants
Subjects received 2 doses of Engerix™-B (Month 0 and 6) in the primary study and a single dose of Engerix™-B during the booster study.
Engerix 3 Doses + Challenge Dose
n=22 Participants
Subjects received 3 doses of Engerix™-B (Month 0, 1 and 6) in the primary study and a single dose of Engerix™-B during the booster study.
Number of Participants Reporting Serious Adverse Events (SAE)
0 participants
0 participants

Adverse Events

Engerix 2 Doses + Challenge Dose

Serious events: 0 serious events
Other events: 39 other events
Deaths: 0 deaths

Engerix 3 Doses + Challenge Dose

Serious events: 0 serious events
Other events: 14 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Engerix 2 Doses + Challenge Dose
n=55 participants at risk
Subjects received 2 doses of Engerix™-B (Month 0 and 6) in the primary study and a single dose of Engerix™-B during the booster study.
Engerix 3 Doses + Challenge Dose
n=22 participants at risk
Subjects received 3 doses of Engerix™-B (Month 0, 1 and 6) in the primary study and a single dose of Engerix™-B during the booster study.
Nervous system disorders
Headache
30.9%
17/55 • Number of events 18 • Solicited local and general symptoms: during the 4-day follow-up period (Day 0-3) after the challenge dose. Unsolicited AEs and serious AEs (SAEs): during the 31-day follow-up period (Day 0-30) after the challenge dose.
Data from the Australian center were not included following data quality issues detected at the investigator site.
27.3%
6/22 • Number of events 6 • Solicited local and general symptoms: during the 4-day follow-up period (Day 0-3) after the challenge dose. Unsolicited AEs and serious AEs (SAEs): during the 31-day follow-up period (Day 0-30) after the challenge dose.
Data from the Australian center were not included following data quality issues detected at the investigator site.
General disorders
Pain
40.0%
22/55 • Number of events 22 • Solicited local and general symptoms: during the 4-day follow-up period (Day 0-3) after the challenge dose. Unsolicited AEs and serious AEs (SAEs): during the 31-day follow-up period (Day 0-30) after the challenge dose.
Data from the Australian center were not included following data quality issues detected at the investigator site.
18.2%
4/22 • Number of events 4 • Solicited local and general symptoms: during the 4-day follow-up period (Day 0-3) after the challenge dose. Unsolicited AEs and serious AEs (SAEs): during the 31-day follow-up period (Day 0-30) after the challenge dose.
Data from the Australian center were not included following data quality issues detected at the investigator site.
General disorders
Redness
20.0%
11/55 • Number of events 11 • Solicited local and general symptoms: during the 4-day follow-up period (Day 0-3) after the challenge dose. Unsolicited AEs and serious AEs (SAEs): during the 31-day follow-up period (Day 0-30) after the challenge dose.
Data from the Australian center were not included following data quality issues detected at the investigator site.
4.5%
1/22 • Number of events 1 • Solicited local and general symptoms: during the 4-day follow-up period (Day 0-3) after the challenge dose. Unsolicited AEs and serious AEs (SAEs): during the 31-day follow-up period (Day 0-30) after the challenge dose.
Data from the Australian center were not included following data quality issues detected at the investigator site.
General disorders
Swelling
16.4%
9/55 • Number of events 9 • Solicited local and general symptoms: during the 4-day follow-up period (Day 0-3) after the challenge dose. Unsolicited AEs and serious AEs (SAEs): during the 31-day follow-up period (Day 0-30) after the challenge dose.
Data from the Australian center were not included following data quality issues detected at the investigator site.
0.00%
0/22 • Solicited local and general symptoms: during the 4-day follow-up period (Day 0-3) after the challenge dose. Unsolicited AEs and serious AEs (SAEs): during the 31-day follow-up period (Day 0-30) after the challenge dose.
Data from the Australian center were not included following data quality issues detected at the investigator site.
General disorders
Fatigue
34.5%
19/55 • Number of events 19 • Solicited local and general symptoms: during the 4-day follow-up period (Day 0-3) after the challenge dose. Unsolicited AEs and serious AEs (SAEs): during the 31-day follow-up period (Day 0-30) after the challenge dose.
Data from the Australian center were not included following data quality issues detected at the investigator site.
31.8%
7/22 • Number of events 7 • Solicited local and general symptoms: during the 4-day follow-up period (Day 0-3) after the challenge dose. Unsolicited AEs and serious AEs (SAEs): during the 31-day follow-up period (Day 0-30) after the challenge dose.
Data from the Australian center were not included following data quality issues detected at the investigator site.
General disorders
Gastrointestinal disorder
12.7%
7/55 • Number of events 7 • Solicited local and general symptoms: during the 4-day follow-up period (Day 0-3) after the challenge dose. Unsolicited AEs and serious AEs (SAEs): during the 31-day follow-up period (Day 0-30) after the challenge dose.
Data from the Australian center were not included following data quality issues detected at the investigator site.
18.2%
4/22 • Number of events 4 • Solicited local and general symptoms: during the 4-day follow-up period (Day 0-3) after the challenge dose. Unsolicited AEs and serious AEs (SAEs): during the 31-day follow-up period (Day 0-30) after the challenge dose.
Data from the Australian center were not included following data quality issues detected at the investigator site.

Additional Information

GSK Response Center

GlaxoSmithKline

Phone: 866-435-7343

Results disclosure agreements

  • Principal investigator is a sponsor employee GSK agreements may vary with individual investigators, but will not prohibit any investigator from publishing. GSK supports the publication of results from all centers of a multi-center trial but requests that reports based on single-site data not precede the primary publication of the entire clinical trial.
  • Publication restrictions are in place

Restriction type: OTHER