Immunologic Response of Hepatitis B Vaccine

NCT ID: NCT03219203

Last Updated: 2017-07-17

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

80 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-07-01

Study Completion Date

2018-10-01

Brief Summary

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This study aims to evaluate the immunologic response to the two hepatitis B virus (HBV) vaccination booster strategies in previously vaccinated HIV-infected adults at Maharaj Nakorn Chiang Mai Hospital.

Detailed Description

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This study intended to evaluate the immunologic response to the two hepatitis B virus (HBV) vaccination strategies in previously vaccinated HIV-infected adults at Maharaj Nakorn Chiang Mai Hospital.

As a part of HBV prevention program, HBV vaccine has been included in Thailand expanded program on immunization (EPI) since 1992. HBV vaccine has been shown to be safe, effective, and has a prolonged protective immunity to HBV infection. Despite the immunity from HBV vaccination could wane overtime, the previous data in general population revealed that HBV vaccine booster could raise the immune in very well. However, the data about booster effects for HBV vaccine among HIV-infected population who previously received a vaccination during their childhood is lagging. Based on previous data of vaccination response in HIV-infected population, the investigators estimate that the protective antibody will rise up to 60% with HBV vaccine one dose booster versus 90% with 3-dose series. Eighty participants, HIV-infected person who were born after HBV vaccine were born after HBV has been included in Thai EPI without evidence of HBV infection nor protective immunity, will be enrolled to this study (with estimation of 5% loss follow up rate). The participants will be randomized in 1:1. The immune response and vaccine safety will be evaluated at 1,7 and 12 months after the first dose HBV vaccine.

Conditions

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Hepatitis B

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Arm A: Single dose hepatitis B vaccine

Single dose of hepatitis B vaccine group will receive a 20 µg recombinant HBV vaccine intramuscular at entry

Group Type EXPERIMENTAL

Hepatitis B vaccine

Intervention Type BIOLOGICAL

Hepatitis B vaccine (20 µg/ml) 1 ml intramuscular injection in single (at 0 month) or 3-dose series (at 0, 1, 6 months)

Arm B: 3-dose series of hepatitis B vaccine

3-dose series of hepatitis B vaccine group will receive a 20 µg recombinant HBV vaccine intramuscular at month 0, 1, and 6

Group Type ACTIVE_COMPARATOR

Hepatitis B vaccine

Intervention Type BIOLOGICAL

Hepatitis B vaccine (20 µg/ml) 1 ml intramuscular injection in single (at 0 month) or 3-dose series (at 0, 1, 6 months)

Interventions

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Hepatitis B vaccine

Hepatitis B vaccine (20 µg/ml) 1 ml intramuscular injection in single (at 0 month) or 3-dose series (at 0, 1, 6 months)

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

* Document of HIV infection
* Thai nationality
* Age ≥18 years old
* Born after 1 January 1992
* Has been taking antiretroviral drugs for HIV treatment
* CD4 ≥200 cell/mm3 and VL \<50 copies/mL for at least 6 months before enrollment
* Negative for any HBV and HCV serological markers
* Willing to sign informed consent
* Able to follow up

Exclusion Criteria

* Active opportunistic infection
* Pregnancy or breast feeding
* History of previous hepatitis B vaccine booster
* History of hypersensitivity to any component of vaccine
* Malignancy which received chemotherapy or radiation
* Immunocompromised condition such as solid-organ transplantation, chemotherapy in the last 6 months
* On Immunosuppressive treatment, immunomodulating treatment or general corticotherapy (equal or above 0.5 mg per kg per day )
* Renal failure (creatinine clearance \<30 mL/min)
* Transaminitis in the past 3 months (≥ 5 UNL)
* Decompensated cirrhosis (child-Pugh class C)
* Unable or not willing to return for follow up
Minimum Eligible Age

18 Years

Maximum Eligible Age

25 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Chiang Mai University

OTHER

Sponsor Role lead

Responsible Party

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Romanee Chaiwarith

Associate Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Romanee Chaiwarith, MD

Role: PRINCIPAL_INVESTIGATOR

Chiang Mai University

Locations

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Maharaj Nakorn Chiang Mai Hospital, Department of medicine, Chiang Mai University

Muang, Chiang Mai, Chiang Mai, Thailand

Site Status RECRUITING

Countries

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Thailand

Central Contacts

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Romanee Chaiwarith, MD

Role: CONTACT

+66-5393-6457

Quanhathai Kaewpoowat, MD

Role: CONTACT

+66-5393-6457

Facility Contacts

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Romanee Chaiwarith, MD

Role: primary

+66-5393-6457

Quanhathai Kaewpoowat, MD

Role: backup

+66-5393-6457

Other Identifiers

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4564

Identifier Type: -

Identifier Source: org_study_id

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