Study of the Long Term Efficacy of Recombinant Hepatitis B Vaccine in Nile Delta of Egypt

NCT ID: NCT02797782

Last Updated: 2017-06-20

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

Total Enrollment

200 participants

Study Classification

OBSERVATIONAL

Study Start Date

2016-06-30

Study Completion Date

2019-03-31

Brief Summary

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More than two billion individuals have serological evidence of hepatitis B virus (HBV) infection worldwide. Of these, 240 million are chronic carriers and approximately 786,000 hepatitis B related deaths occur annually.

Currently available hepatitis B vaccines are extremely safe and have an efficacy of \>90 percent against all HBV serotypes and genotypes. Thus, HBV infection can potentially be eradicated through global vaccination. A positive immune response to the vaccine is defined as the development of hepatitis B surface antibody (anti-HBs) at a titer of \>10 mIU/mL.

Although anti-HBs titers decrease with time, the duration of protection is long. Protection has been estimated to persist for up to 22 years after the primary vaccination schedule. Protection from clinical disease, despite declining or even undetectable anti-HBs levels, is probably due to the priming of memory cells, which are capable of eliciting an anamnestic response when challenged. This is supported by the rapid increases in anti-HBs titers in previously vaccinated individuals who administered booster injections.

Detailed Description

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A significant proportion of the vaccinated population loses both the protective levels of anti-HBs and an anamnestic response. Recommendations for booster vaccination have been proposed in a European consensus statement. Countries like the Netherlands, Germany, Spain, France and Belgium recommend a booster dose depending on the post-vaccination anti-HBs titer. In the UK, a single booster dose is recommended five years after primary vaccination.

In Egypt, the routine infant immunization for hepatitis B virus started in 1992, and was given at 2nd, 4th and 6th months of age. In the present study the investigators will investigate the long term efficacy of hepatitis B vaccination in young adults 20 to 22 years after the primary vaccination in Nile Delta of Egypt.

Conditions

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Hepatitis B Vaccines

Study Design

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Observational Model Type

CASE_ONLY

Study Time Perspective

CROSS_SECTIONAL

Interventions

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Detection of anti HBs antibody titer

All samples will be analyzed for anti HBs antibody titer using ELISA kits.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Age 20-22 years
* Administration of HBV vaccine during routine infant immunization (2nd, 4th, 6th months after birth)

Exclusion Criteria

* Overt co-morbid condition
* Treatment with immune-modulatory or immune-suppressive drugs
Minimum Eligible Age

20 Years

Maximum Eligible Age

22 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Sherief Abd-Elsalam

OTHER

Sponsor Role lead

Responsible Party

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Sherief Abd-Elsalam

Consultant liver and GIT diseases- Tanta university hospital

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Asem Elfert, Prof

Role: PRINCIPAL_INVESTIGATOR

Hepatology and gastroenterology dept.-Tanta

Reham Elkhouly, Consultant

Role: STUDY_CHAIR

Division of Gastroenterology and Hepatology- Tanta

Rehab Badawi, Consultant

Role: STUDY_CHAIR

Hepatology and gastroenterology dept.-Tanta

Walaa Elkhalawany, Consultant

Role: STUDY_CHAIR

Hepatology and gastroenterology dept.-Tanta

Mona Watany, Consultant

Role: STUDY_CHAIR

clinical pathology dept.-Tanta

Sherief Abd-Elsalam, Consultant

Role: STUDY_CHAIR

Hepatology and gastroenterology dept.-Tanta

Locations

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Sherief Abd-Elsalam

Cairo, , Egypt

Site Status RECRUITING

Countries

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Egypt

Central Contacts

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Sherief Abd-Elsalam, Consultant

Role: CONTACT

00201095159522

Facility Contacts

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Sherief Abd-elsalam, lecturer

Role: primary

00201000040794

Other Identifiers

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HBV vaccine

Identifier Type: -

Identifier Source: org_study_id

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