Trial Outcomes & Findings for Immunogenicity of Hepatitis B Vaccination in HIV-infected Adults (NCT NCT03316807)

NCT ID: NCT03316807

Last Updated: 2022-03-11

Results Overview

The measurements of anti-HBs antibodies were determined quantitatively by CMIA(Chemiluminescent Microparticle Immunoassay ). The accepted protective serum anti-HBs level was ≥10 mIU/ml.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

182 participants

Primary outcome timeframe

Month 7

Results posted on

2022-03-11

Participant Flow

Participant milestones

Participant milestones
Measure
20 µg Dose Hepatitis B Vaccine
20 µg recombinant hepatitis B vaccine with three injections at months 0, 1, and 6 20 µg dose hepatitis B vaccine: three-dose, 20 µg per dose
60 µg Dose Hepatitis B Vaccine
60 µg recombinant hepatitis B vaccine with three injections at months 0, 1, and 6 60 µg dose hepatitis B vaccine: three-dose, 60 µg per dose
Overall Study
STARTED
91
91
Overall Study
COMPLETED
65
60
Overall Study
NOT COMPLETED
26
31

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Immunogenicity of Hepatitis B Vaccination in HIV-infected Adults

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
60 µg Dose Hepatitis B Vaccine
n=91 Participants
60 µg recombinant hepatitis B vaccine with three injections at months 0, 1, and 6 60 µg dose hepatitis B vaccine: three-dose, 60 µg per dose
20 µg Dose Hepatitis B Vaccine
n=91 Participants
20 µg recombinant hepatitis B vaccine with three injections at months 0, 1, and 6 20 µg dose hepatitis B vaccine: three-dose, 20 µg per dose
Total
n=182 Participants
Total of all reporting groups
Age, Continuous
40.5 years
STANDARD_DEVIATION 11.4 • n=5 Participants
38.2 years
STANDARD_DEVIATION 10.6 • n=7 Participants
39.3 years
STANDARD_DEVIATION 11.1 • n=5 Participants
Sex: Female, Male
Female
42 Participants
n=5 Participants
33 Participants
n=7 Participants
75 Participants
n=5 Participants
Sex: Female, Male
Male
49 Participants
n=5 Participants
58 Participants
n=7 Participants
107 Participants
n=5 Participants
Race/Ethnicity, Customized
Han ethnicity
32 Participants
n=5 Participants
24 Participants
n=7 Participants
56 Participants
n=5 Participants
Race/Ethnicity, Customized
Zhuang ethnicity
49 Participants
n=5 Participants
62 Participants
n=7 Participants
111 Participants
n=5 Participants
Race/Ethnicity, Customized
others
10 Participants
n=5 Participants
5 Participants
n=7 Participants
15 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Month 7

Population: 83 and 82 patients in the IM60(60μg recombinant hepatitis B vaccine) and IM20(20μg recombinant hepatitis B vaccine) groups completed the followed-up at months 7.

The measurements of anti-HBs antibodies were determined quantitatively by CMIA(Chemiluminescent Microparticle Immunoassay ). The accepted protective serum anti-HBs level was ≥10 mIU/ml.

Outcome measures

Outcome measures
Measure
60 µg Dose Hepatitis B Vaccine
n=83 Participants
60 µg recombinant hepatitis B vaccine with three injections at months 0, 1, and 6 60 µg dose hepatitis B vaccine: three-dose, 60 µg per dose
20 µg Dose Hepatitis B Vaccine
n=82 Participants
20 µg recombinant hepatitis B vaccine with three injections at months 0, 1, and 6 20 µg dose hepatitis B vaccine: three-dose, 20 µg per dose
Number and Percentage of Participants With Anti-HBs Seroconversion at Month 7
75 Participants
69 Participants

SECONDARY outcome

Timeframe: Month 7

The measurements of anti-HBs antibodies were determined quantitatively by CMIA(Chemiluminescent Microparticle Immunoassay ).

Outcome measures

Outcome measures
Measure
60 µg Dose Hepatitis B Vaccine
n=83 Participants
60 µg recombinant hepatitis B vaccine with three injections at months 0, 1, and 6 60 µg dose hepatitis B vaccine: three-dose, 60 µg per dose
20 µg Dose Hepatitis B Vaccine
n=82 Participants
20 µg recombinant hepatitis B vaccine with three injections at months 0, 1, and 6 20 µg dose hepatitis B vaccine: three-dose, 20 µg per dose
Anti-HBs Concentration at Month 7
623.3 mIU/mL
Interval 427.7 to 836.9
469.4 mIU/mL
Interval 326.8 to 611.9

SECONDARY outcome

Timeframe: Month 12

The measurements of anti-HBs antibodies were determined quantitatively by CMIA(Chemiluminescent Microparticle Immunoassay).The accepted protective serum anti-HBs level was ≥10 mIU/ml.

Outcome measures

Outcome measures
Measure
60 µg Dose Hepatitis B Vaccine
n=74 Participants
60 µg recombinant hepatitis B vaccine with three injections at months 0, 1, and 6 60 µg dose hepatitis B vaccine: three-dose, 60 µg per dose
20 µg Dose Hepatitis B Vaccine
n=68 Participants
20 µg recombinant hepatitis B vaccine with three injections at months 0, 1, and 6 20 µg dose hepatitis B vaccine: three-dose, 20 µg per dose
Number and Percentage of Participants With Anti-HBs Seroconversion at Month 12
55 Participants
50 Participants

SECONDARY outcome

Timeframe: Month 12

The measurements of anti-HBs antibodies were determined quantitatively by CMIA(Chemiluminescent Microparticle Immunoassay).

Outcome measures

Outcome measures
Measure
60 µg Dose Hepatitis B Vaccine
n=74 Participants
60 µg recombinant hepatitis B vaccine with three injections at months 0, 1, and 6 60 µg dose hepatitis B vaccine: three-dose, 60 µg per dose
20 µg Dose Hepatitis B Vaccine
n=68 Participants
20 µg recombinant hepatitis B vaccine with three injections at months 0, 1, and 6 20 µg dose hepatitis B vaccine: three-dose, 20 µg per dose
Anti-HBs Concentration at Month 12
290.4 mIU/ml
Interval 132.6 to 448.1
264.4 mIU/ml
Interval 95.3 to 433.4

SECONDARY outcome

Timeframe: Within 7 days after the vaccination

Occurrence of adverse reactions within 7 days after vaccination with the hepatitis B vaccine

Outcome measures

Outcome measures
Measure
60 µg Dose Hepatitis B Vaccine
n=88 Participants
60 µg recombinant hepatitis B vaccine with three injections at months 0, 1, and 6 60 µg dose hepatitis B vaccine: three-dose, 60 µg per dose
20 µg Dose Hepatitis B Vaccine
n=88 Participants
20 µg recombinant hepatitis B vaccine with three injections at months 0, 1, and 6 20 µg dose hepatitis B vaccine: three-dose, 20 µg per dose
Occurrence of Adverse Events After Vaccination
pain
5 Participants
5 Participants
Occurrence of Adverse Events After Vaccination
erythema
6 Participants
5 Participants
Occurrence of Adverse Events After Vaccination
edema
5 Participants
4 Participants
Occurrence of Adverse Events After Vaccination
induration
4 Participants
4 Participants

SECONDARY outcome

Timeframe: Within 28 days after vaccination

Population: Safety analysis was performed on all included participants.

Occurrence of adverse reactions within 28 days after vaccination with the hepatitis B vaccine

Outcome measures

Outcome measures
Measure
60 µg Dose Hepatitis B Vaccine
n=88 Participants
60 µg recombinant hepatitis B vaccine with three injections at months 0, 1, and 6 60 µg dose hepatitis B vaccine: three-dose, 60 µg per dose
20 µg Dose Hepatitis B Vaccine
n=88 Participants
20 µg recombinant hepatitis B vaccine with three injections at months 0, 1, and 6 20 µg dose hepatitis B vaccine: three-dose, 20 µg per dose
Occurrence of Adverse Events After Vaccination
fever
1 participants
1 participants
Occurrence of Adverse Events After Vaccination
headache
2 participants
1 participants

SECONDARY outcome

Timeframe: Month 0-42

Occurrence of Serious adverse events (SAE) within 42 month after vaccination with the hepatitis B

Outcome measures

Outcome measures
Measure
60 µg Dose Hepatitis B Vaccine
n=88 Participants
60 µg recombinant hepatitis B vaccine with three injections at months 0, 1, and 6 60 µg dose hepatitis B vaccine: three-dose, 60 µg per dose
20 µg Dose Hepatitis B Vaccine
n=88 Participants
20 µg recombinant hepatitis B vaccine with three injections at months 0, 1, and 6 20 µg dose hepatitis B vaccine: three-dose, 20 µg per dose
Serious Adverse Events (SAE) Occurred During 42 Month
0 Participants
0 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: Month 7

The measurements of anti-HBs antibodies were determined quantitatively by CMIA. and anti-HBs concentrations ≥100 mIU/ml were high-level response.

Outcome measures

Outcome measures
Measure
60 µg Dose Hepatitis B Vaccine
n=83 Participants
60 µg recombinant hepatitis B vaccine with three injections at months 0, 1, and 6 60 µg dose hepatitis B vaccine: three-dose, 60 µg per dose
20 µg Dose Hepatitis B Vaccine
n=82 Participants
20 µg recombinant hepatitis B vaccine with three injections at months 0, 1, and 6 20 µg dose hepatitis B vaccine: three-dose, 20 µg per dose
Number and Percentage of Participants With Anti-HBs High-level Response at Month 7
62 Participants
54 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: Month 12

The measurements of anti-HBs antibodies were determined quantitatively by CMIA. and anti-HBs concentrations ≥100 mIU/ml were high-level response.

Outcome measures

Outcome measures
Measure
60 µg Dose Hepatitis B Vaccine
n=74 Participants
60 µg recombinant hepatitis B vaccine with three injections at months 0, 1, and 6 60 µg dose hepatitis B vaccine: three-dose, 60 µg per dose
20 µg Dose Hepatitis B Vaccine
n=68 Participants
20 µg recombinant hepatitis B vaccine with three injections at months 0, 1, and 6 20 µg dose hepatitis B vaccine: three-dose, 20 µg per dose
Number and Percentage of Participants With Anti-HBs High-level Response at Month 12
34 Participants
26 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: Month 6 before the third injection

Population: 83 and 70 patients in the IM60 and IM20 groups completed the followed-up at month 6 before the third injection.

The measurements of anti-HBs antibodies were determined quantitatively by CMIA. The accepted protective serum anti-HBs level was ≥10 mIU/ml.

Outcome measures

Outcome measures
Measure
60 µg Dose Hepatitis B Vaccine
n=83 Participants
60 µg recombinant hepatitis B vaccine with three injections at months 0, 1, and 6 60 µg dose hepatitis B vaccine: three-dose, 60 µg per dose
20 µg Dose Hepatitis B Vaccine
n=80 Participants
20 µg recombinant hepatitis B vaccine with three injections at months 0, 1, and 6 20 µg dose hepatitis B vaccine: three-dose, 20 µg per dose
Number and Percentage of Participants With Anti-HBs Antibodies at Month 6 Before the Third Injection
65 Participants
61 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: Month 6 before the third injection

Anti-HBs concentration at month 6 before the third injection as measured by CMIA(Chemiluminescent Microparticle Immunoassay).

Outcome measures

Outcome measures
Measure
60 µg Dose Hepatitis B Vaccine
n=83 Participants
60 µg recombinant hepatitis B vaccine with three injections at months 0, 1, and 6 60 µg dose hepatitis B vaccine: three-dose, 60 µg per dose
20 µg Dose Hepatitis B Vaccine
n=80 Participants
20 µg recombinant hepatitis B vaccine with three injections at months 0, 1, and 6 20 µg dose hepatitis B vaccine: three-dose, 20 µg per dose
Anti-HBs Concentration at Month 6 Before the Third Injection
148.9 mIU/ml
Interval 78.1 to 219.7
130.6 mIU/ml
Interval 72.5 to 188.8

OTHER_PRE_SPECIFIED outcome

Timeframe: Month 6 before the third injection

The measurements of anti-HBs antibodies were determined quantitatively by CMIA. and anti-HBs concentrations ≥100 mIU/ml were high-level response.

Outcome measures

Outcome measures
Measure
60 µg Dose Hepatitis B Vaccine
n=83 Participants
60 µg recombinant hepatitis B vaccine with three injections at months 0, 1, and 6 60 µg dose hepatitis B vaccine: three-dose, 60 µg per dose
20 µg Dose Hepatitis B Vaccine
n=80 Participants
20 µg recombinant hepatitis B vaccine with three injections at months 0, 1, and 6 20 µg dose hepatitis B vaccine: three-dose, 20 µg per dose
Number and Percentage of Participants With Anti-HBs High-level Response at Month 6 Before the Third Injection
29 Participants
27 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: Month 42

The measurements of anti-HBs antibodies were determined quantitatively by CMIA(Chemiluminescent Microparticle Immunoassay ). The accepted protective serum anti-HBs level was ≥10 mIU/ml.

Outcome measures

Outcome measures
Measure
60 µg Dose Hepatitis B Vaccine
n=60 Participants
60 µg recombinant hepatitis B vaccine with three injections at months 0, 1, and 6 60 µg dose hepatitis B vaccine: three-dose, 60 µg per dose
20 µg Dose Hepatitis B Vaccine
n=65 Participants
20 µg recombinant hepatitis B vaccine with three injections at months 0, 1, and 6 20 µg dose hepatitis B vaccine: three-dose, 20 µg per dose
Number and Percentage of Participants With Anti-HBs Seroconversion at Month 42
31 Participants
29 Participants

Adverse Events

60 µg Dose Hepatitis B Vaccine

Serious events: 0 serious events
Other events: 8 other events
Deaths: 0 deaths

20 µg Dose Hepatitis B Vaccine

Serious events: 0 serious events
Other events: 6 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
60 µg Dose Hepatitis B Vaccine
n=88 participants at risk
60 µg recombinant hepatitis B vaccine with three injections at months 0, 1, and 6 60 µg dose hepatitis B vaccine: three-dose, 60 µg per dose
20 µg Dose Hepatitis B Vaccine
n=88 participants at risk
20 µg recombinant hepatitis B vaccine with three injections at months 0, 1, and 6 20 µg dose hepatitis B vaccine: three-dose, 20 µg per dose
Musculoskeletal and connective tissue disorders
Pain
5.7%
5/88
5.7%
5/88
Skin and subcutaneous tissue disorders
erythema
6.8%
6/88
5.7%
5/88
Skin and subcutaneous tissue disorders
edema
5.7%
5/88
4.5%
4/88
Skin and subcutaneous tissue disorders
induration
4.5%
4/88
4.5%
4/88

Additional Information

Suping Wang, PhD

Shanxi Medical University

Phone: #86-351-4135103

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place