Cellular Immunity in Adult Hepatitis B-vaccinated Serologic Non-responders

NCT ID: NCT01451801

Last Updated: 2012-10-26

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE4

Total Enrollment

400 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-10-31

Study Completion Date

2013-07-31

Brief Summary

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Previous studies have shown that 5-10% of Hepatitis B Virus vaccine recipients produce none or to few antibodies after a standard immunization with 3 vaccines. These individuals are defined as non-responders. The investigators wish to investigate if mounting another kind of immune response, called the cellular immune (CMI) response, protects these non-responders.

Aim/Hypothesis

Primary aims:

1. To estimate the CMI response in serologic non-responders after receiving a standard course of HBV immunization

Secondary aims:
2. To establish the prevalence of serological non-responders after a standard course of HBV vaccination.
3. To assess the safety of the vaccine.
4. Evaluate predictors of serologic non-response in young, healthy individuals receiving a standard course of HBV immunization
5. To compare the immunological profile before and after a standard HBV vaccination regimen on non-responders and responders
6. Establish a rapid test for measuring CMI after being HBV vaccinated.

A total of 400 healthy volunteers receive a standard course of immunization with a combined hepatitis A and B vaccine (Twinrix®) at 0, 1, and 6 months. Blood is drawn at 0 and 8 months from all participants. The blood will be analysed to see if there is antibodies or/and if there is mounted a cellular immune response by measuring on parameters called cytokines.

Detailed Description

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Conditions

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Hepatitis B

Keywords

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Hepatitis B non responders cellular immune response cytokines predictors HBsAg

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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HBsAg

Group Type OTHER

Twinrix

Intervention Type BIOLOGICAL

A total of 400 healthy volunteers receive a standard course of immunization with a combined hepatitis A and B vaccine (Twinrix®) at 0, 1, and 6 months.

Twinrix ® Adult suspension for injection. 1 ml contains 720 ELISA units of hepatitis A virus antigen adsorbed to aluminum hydroxide and 20 micrograms hepatitis B surface antigen (HBsAg) adsorbed to aluminum phosphate in sterile water. Excipient: sodium chloride. Contains traces of neomycin.

Interventions

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Twinrix

A total of 400 healthy volunteers receive a standard course of immunization with a combined hepatitis A and B vaccine (Twinrix®) at 0, 1, and 6 months.

Twinrix ® Adult suspension for injection. 1 ml contains 720 ELISA units of hepatitis A virus antigen adsorbed to aluminum hydroxide and 20 micrograms hepatitis B surface antigen (HBsAg) adsorbed to aluminum phosphate in sterile water. Excipient: sodium chloride. Contains traces of neomycin.

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

* Signed participant information and consent
* Age over 18 years
* Women of childbearing potential must use effective contraceptives

Exclusion Criteria

* previous HBV infection
* previous HBV immunization
* pregnancy (or planned pregnancy within 6 months)
* allergy to contents in the vaccine (formaldehyde).
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Aarhus University Hospital

OTHER

Sponsor Role collaborator

Monash Medical Centre

OTHER

Sponsor Role collaborator

University of Aarhus

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Lars Østergaard, Head

Role: STUDY_CHAIR

Department of Infectious Diseases, Aarhus University Hospital

Søren Jensen-Fangel, MD

Role: STUDY_DIRECTOR

Department of Infectious Diseases, Aarhus University Hospital

Martin Tolstrup, MSc

Role: STUDY_DIRECTOR

Department of Infectious Diseases, Aarhus University Hospital

Maria B Pedersen, Bach.Med

Role: PRINCIPAL_INVESTIGATOR

Department of Infectious Diseases, Aarhus University Hospital

Locations

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Department of Infectious Diseases, Aarhus University Hospital

Aarhus N, , Denmark

Site Status

Countries

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Denmark

Other Identifiers

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SJF0001

Identifier Type: -

Identifier Source: org_study_id