Trial Outcomes & Findings for Hepatitis B Challenge Dose in Adults (V232-059-10) (NCT NCT01251276)

NCT ID: NCT01251276

Last Updated: 2022-09-13

Results Overview

A seroresponder was a participant with an anti-hepatitis B surface antibody titer \>=10 milli Merck U/mL. The percentage of seroresponders was assessed before and after the challenge dose.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

204 participants

Primary outcome timeframe

Predose (Day 1) and 1 month after challenge dose (Month 1)

Results posted on

2022-09-13

Participant Flow

A total of 296 participants were eligible for the challenge-dose study and 204 were enrolled

Study participants received 3 doses of Modified Process Hepatitis B Vaccine or ENGERIX-B™ vaccine in the Base Study (V232-059, NCT00440531). Two years after completion of the Base Study vaccinations, participants were eligible to receive one challenge dose of Modified Process Hepatitis B Vaccine on Day 1 of the Challenge Dose Study.

Participant milestones

Participant milestones
Measure
Modified Process Hepatitis B Vaccine in Base Study
Participants who received 3 doses of Modified Process Hepatitis B Vaccine in the Base Study received a single challenge dose of Modified Process Hepatitis B Vaccine on Day 1 of the Challenge Dose Study
ENGERIX-B™ Vaccine in Base Study
Participants who received 3 doses of ENGERIX-B™ vaccine in the Base Study received a single challenge dose of Modified Process Hepatitis B Vaccine on Day 1 of the Challenge Dose Study
Overall Study
STARTED
96
108
Overall Study
Vaccinated
96
108
Overall Study
COMPLETED
95
107
Overall Study
NOT COMPLETED
1
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Modified Process Hepatitis B Vaccine in Base Study
Participants who received 3 doses of Modified Process Hepatitis B Vaccine in the Base Study received a single challenge dose of Modified Process Hepatitis B Vaccine on Day 1 of the Challenge Dose Study
ENGERIX-B™ Vaccine in Base Study
Participants who received 3 doses of ENGERIX-B™ vaccine in the Base Study received a single challenge dose of Modified Process Hepatitis B Vaccine on Day 1 of the Challenge Dose Study
Overall Study
Protocol Violation
1
0
Overall Study
Lost to Follow-up
0
1

Baseline Characteristics

Hepatitis B Challenge Dose in Adults (V232-059-10)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Modified Process Hepatitis B Vaccine in Base Study
n=96 Participants
Participants who received 3 doses of Modified Process Hepatitis B Vaccine in the Base Study received a single challenge dose of Modified Process Hepatitis B Vaccine on Day 1 of the Challenge Dose Study
ENGERIX-B™ Vaccine in Base Study
n=108 Participants
Participants who received 3 doses of ENGERIX-B™ vaccine in the Base Study received a single challenge dose of Modified Process Hepatitis B Vaccine on Day 1 of the Challenge Dose Study
Total
n=204 Participants
Total of all reporting groups
Age, Continuous
63.8 Years
STANDARD_DEVIATION 7.3 • n=5 Participants
63.6 Years
STANDARD_DEVIATION 6.7 • n=7 Participants
63.7 Years
STANDARD_DEVIATION 7.0 • n=5 Participants
Sex: Female, Male
Female
48 Participants
n=5 Participants
63 Participants
n=7 Participants
111 Participants
n=5 Participants
Sex: Female, Male
Male
48 Participants
n=5 Participants
45 Participants
n=7 Participants
93 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Predose (Day 1) and 1 month after challenge dose (Month 1)

Population: Vaccinated participants with immunogenicity results, excluding those with protocol violations that might interfere with the immunogenicity evaluation

A seroresponder was a participant with an anti-hepatitis B surface antibody titer \>=10 milli Merck U/mL. The percentage of seroresponders was assessed before and after the challenge dose.

Outcome measures

Outcome measures
Measure
Modified Process Hepatitis B Vaccine in Base Study
n=88 Participants
Participants who received 3 doses of Modified Process Hepatitis B Vaccine in the Base Study received a single challenge dose of Modified Process Hepatitis B Vaccine on Day 1 of the Challenge Dose Study
ENGERIX-B™ Vaccine in Base Study
n=103 Participants
Participants who received 3 doses of ENGERIX-B™ vaccine in the Base Study received a single challenge dose of Modified Process Hepatitis B Vaccine on Day 1 of the Challenge Dose Study
Percentage of Seroresponders Before and After the Challenge Vaccination
Predose (Day 1); n=88, 102
45.5 Percentage of participants
Interval 34.8 to 56.4
58.8 Percentage of participants
Interval 48.6 to 68.5
Percentage of Seroresponders Before and After the Challenge Vaccination
Postdose (Month 1); n=88, 103
85.2 Percentage of participants
Interval 76.1 to 91.9
88.3 Percentage of participants
Interval 80.5 to 93.8

SECONDARY outcome

Timeframe: Up to Day 15 after challenge dose

Population: Participants who received a challenge dose and had safety follow-up

An adverse experience is defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the sponsor's product, whether or not considered related to the use of the product. Any worsening of a preexisting condition which is temporally associated with the use of the sponsor's product, is also an adverse experience. The percentage of participants with one or more adverse experiences was assessed.

Outcome measures

Outcome measures
Measure
Modified Process Hepatitis B Vaccine in Base Study
n=96 Participants
Participants who received 3 doses of Modified Process Hepatitis B Vaccine in the Base Study received a single challenge dose of Modified Process Hepatitis B Vaccine on Day 1 of the Challenge Dose Study
ENGERIX-B™ Vaccine in Base Study
n=107 Participants
Participants who received 3 doses of ENGERIX-B™ vaccine in the Base Study received a single challenge dose of Modified Process Hepatitis B Vaccine on Day 1 of the Challenge Dose Study
Percentage of Participants With One or More Adverse Experiences
39.6 Percentage of participants
45.8 Percentage of participants

SECONDARY outcome

Timeframe: Up to Month 7

Population: Participants who received a challenge dose and had safety follow-up

The percentage of participants who discontinued the study due to an adverse experience was assessed.

Outcome measures

Outcome measures
Measure
Modified Process Hepatitis B Vaccine in Base Study
n=96 Participants
Participants who received 3 doses of Modified Process Hepatitis B Vaccine in the Base Study received a single challenge dose of Modified Process Hepatitis B Vaccine on Day 1 of the Challenge Dose Study
ENGERIX-B™ Vaccine in Base Study
n=107 Participants
Participants who received 3 doses of ENGERIX-B™ vaccine in the Base Study received a single challenge dose of Modified Process Hepatitis B Vaccine on Day 1 of the Challenge Dose Study
Percentage of Participants Who Discontinued the Study Due to an Adverse Experience
0 Percentage of participants
0 Percentage of participants

SECONDARY outcome

Timeframe: Up to Day 15 after challenge dose

Population: Participants who received a challenge dose and had safety follow-up

The percentage of participants with one or more injection-site adverse experiences was assessed.

Outcome measures

Outcome measures
Measure
Modified Process Hepatitis B Vaccine in Base Study
n=96 Participants
Participants who received 3 doses of Modified Process Hepatitis B Vaccine in the Base Study received a single challenge dose of Modified Process Hepatitis B Vaccine on Day 1 of the Challenge Dose Study
ENGERIX-B™ Vaccine in Base Study
n=107 Participants
Participants who received 3 doses of ENGERIX-B™ vaccine in the Base Study received a single challenge dose of Modified Process Hepatitis B Vaccine on Day 1 of the Challenge Dose Study
Percentage of Participants With One or More Injection-site Adverse Experiences
35.4 Percentage of participants
29.9 Percentage of participants

SECONDARY outcome

Timeframe: Up to Day 15 after challenge dose

Population: Participants who received a challenge dose and had safety follow-up

The percentage of participants with one or more systemic adverse experiences was assessed.

Outcome measures

Outcome measures
Measure
Modified Process Hepatitis B Vaccine in Base Study
n=96 Participants
Participants who received 3 doses of Modified Process Hepatitis B Vaccine in the Base Study received a single challenge dose of Modified Process Hepatitis B Vaccine on Day 1 of the Challenge Dose Study
ENGERIX-B™ Vaccine in Base Study
n=107 Participants
Participants who received 3 doses of ENGERIX-B™ vaccine in the Base Study received a single challenge dose of Modified Process Hepatitis B Vaccine on Day 1 of the Challenge Dose Study
Percentage of Participants With One or More Systemic Adverse Experiences
16.7 Percentage of participants
28.0 Percentage of participants

SECONDARY outcome

Timeframe: Up to Month 1 after challenge dose

Population: Participants who received a challenge dose and had safety follow-up

A serious adverse experience is an adverse experience that results in death, is life threatening, results in persistent or significant disability or incapacity, results in or prolongs a hospitalization, is a congenital anomaly or birth defect, is a cancer, or may jeopardize the participant and may require medical or surgical intervention. The percentage of participants with one or more serious adverse experiences was assessed.

Outcome measures

Outcome measures
Measure
Modified Process Hepatitis B Vaccine in Base Study
n=96 Participants
Participants who received 3 doses of Modified Process Hepatitis B Vaccine in the Base Study received a single challenge dose of Modified Process Hepatitis B Vaccine on Day 1 of the Challenge Dose Study
ENGERIX-B™ Vaccine in Base Study
n=107 Participants
Participants who received 3 doses of ENGERIX-B™ vaccine in the Base Study received a single challenge dose of Modified Process Hepatitis B Vaccine on Day 1 of the Challenge Dose Study
Percentage of Participants With One or More Serious Adverse Experiences
0 Percentage of participants
0.9 Percentage of participants

Adverse Events

Modified Process Hepatitis B Vaccine in Base Study

Serious events: 0 serious events
Other events: 34 other events
Deaths: 0 deaths

ENGERIX-B™ Vaccine in Base Study

Serious events: 1 serious events
Other events: 30 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Modified Process Hepatitis B Vaccine in Base Study
n=96 participants at risk
Participants who received 3 doses of Modified Process Hepatitis B Vaccine in the Base Study received a single challenge dose of Modified Process Hepatitis B Vaccine on Day 1 of the Challenge Dose Study
ENGERIX-B™ Vaccine in Base Study
n=107 participants at risk
Participants who received 3 doses of ENGERIX-B™ vaccine in the Base Study received a single challenge dose of Modified Process Hepatitis B Vaccine on Day 1 of the Challenge Dose Study
Psychiatric disorders
Bipolar disorder
0.00%
0/96 • All adverse events: up to Day 15 after the challenge dose; serious adverse events: up to 1 month after the challenge dose
The Safety Analysis Set included participants who received the challenge dose vaccination and had safety follow-up
0.93%
1/107 • Number of events 1 • All adverse events: up to Day 15 after the challenge dose; serious adverse events: up to 1 month after the challenge dose
The Safety Analysis Set included participants who received the challenge dose vaccination and had safety follow-up

Other adverse events

Other adverse events
Measure
Modified Process Hepatitis B Vaccine in Base Study
n=96 participants at risk
Participants who received 3 doses of Modified Process Hepatitis B Vaccine in the Base Study received a single challenge dose of Modified Process Hepatitis B Vaccine on Day 1 of the Challenge Dose Study
ENGERIX-B™ Vaccine in Base Study
n=107 participants at risk
Participants who received 3 doses of ENGERIX-B™ vaccine in the Base Study received a single challenge dose of Modified Process Hepatitis B Vaccine on Day 1 of the Challenge Dose Study
General disorders
Injection-site erythema
7.3%
7/96 • Number of events 7 • All adverse events: up to Day 15 after the challenge dose; serious adverse events: up to 1 month after the challenge dose
The Safety Analysis Set included participants who received the challenge dose vaccination and had safety follow-up
4.7%
5/107 • Number of events 5 • All adverse events: up to Day 15 after the challenge dose; serious adverse events: up to 1 month after the challenge dose
The Safety Analysis Set included participants who received the challenge dose vaccination and had safety follow-up
General disorders
Injection-site pain
32.3%
31/96 • Number of events 31 • All adverse events: up to Day 15 after the challenge dose; serious adverse events: up to 1 month after the challenge dose
The Safety Analysis Set included participants who received the challenge dose vaccination and had safety follow-up
25.2%
27/107 • Number of events 27 • All adverse events: up to Day 15 after the challenge dose; serious adverse events: up to 1 month after the challenge dose
The Safety Analysis Set included participants who received the challenge dose vaccination and had safety follow-up
General disorders
Injection-site swelling
7.3%
7/96 • Number of events 7 • All adverse events: up to Day 15 after the challenge dose; serious adverse events: up to 1 month after the challenge dose
The Safety Analysis Set included participants who received the challenge dose vaccination and had safety follow-up
3.7%
4/107 • Number of events 4 • All adverse events: up to Day 15 after the challenge dose; serious adverse events: up to 1 month after the challenge dose
The Safety Analysis Set included participants who received the challenge dose vaccination and had safety follow-up

Additional Information

Senior Vice President, Global Clinical Development

Merck Sharp & Dohme LLC

Phone: 1-800-672-6372

Results disclosure agreements

  • Principal investigator is a sponsor employee The sponsor must have the opportunity to review all proposed abstracts, manuscripts, or presentations regarding this study sixty (60) days prior to submission for publication/presentation. Any information identified by the sponsor as confidential must be deleted prior to submission.
  • Publication restrictions are in place

Restriction type: OTHER