Phase 2
Completed N=713
Study to Compare the Efficacy of GSK Biologicals' Adjuvants in Combination With the Antigen of the Hepatitis B Vaccine
Source: ClinicalTrials.gov NCT00805389 ↗Enrolled (actual)
713
Serious AEs
4.9%
Results posted
Jan 2013
Primary outcomePrimary: Number of Hepatitis B (HB)-Specific Cluster of Differentiation 4 (CD4+) T Cells . — 1345; 1257; 647; 391 HB-CD4+ T cells (per million cells)
Summary
The aim of this Observer-blind study is to compare different Adjuvant Systems with the same, well-known antigen (HBsAg) already used in the GSK marketed vaccines against Hepatitis B (Engerix-BTM and FendrixTM), in order to better understand the immune response induced by each of the Adjuvant System.
This Protocol Posting has been updated following Protocol amendment 6, October 2009. The section impacted is Eligibility Criteria
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Number of Hepatitis B (HB)-Specific Cluster of Differentiation 4 (CD4+) T Cells . |
1345; 1257; 647; 391; 299 | — |
| SECONDARY Number of Hepatitis B (HB)-Specific Cluster of Differentiation 4 (CD4+) T Cells |
228; 230; 234; 234; 235; 408 | — |
| SECONDARY Number of Hepatitis B (HB) - Specific Cluster of Differentiation 8 (CD8+) T Cells. |
176; 174; 172; 201; 184; 174 | — |
| SECONDARY Number of HB Specific CD4+ T Cells . |
230; 231; 248; 223; 240; 1090 | — |
| SECONDARY Number of HB - Specific CD8+ T Cells. |
175; 169; 176; 191; 184; 120 | — |
| SECONDARY Number of HB - Specific CD4+ T Cells. |
228; 233; 254; 234; 266; 1029 | — |
| SECONDARY Number of HB - Specific CD8+ T Cells |
11; 11; 11; 11; 11; 12 | — |
| SECONDARY Number of HB - Specific CD4+ T Cells |
68; 98; 25; 48; 31; 425 | — |
| SECONDARY Number of HB - Specific CD8+ T Cells |
11; 11; 11; 11; 11; 12 | — |
| SECONDARY Number of Hepatitis B (HB)-Specific Cluster of Differentiation 4 (CD4+) T Cells Expressing T Helper Cell Type 1 Response/T Helper Cell Type 2 Response (Th1/Th2) Cytokine Profile |
65; 62; 53; 70; 67; 64 | — |
| SECONDARY Number of HB Specific Cluster of Differentiation 4 (CD4+) T Cells Expressing Th1/Th2 Cytokine Profile |
66; 63; 53; 65; 64; 129 | — |
| SECONDARY Anti-Hepatitis B (Anti-HB) Antibody Concentrations in Serum, as Measured by Chemi Luminescence Immuno Assay (CLIA) |
3.1; 0; 3.3; 0; 0; 108.0 | — |
| SECONDARY Anti-HB Antibody Concentrations in Serum, as Measured by Chemi Luminescence Immuno Assay (CLIA) |
3.1; 3.1; 3.3; 3.1; 3.1; 3840.7 | — |
| SECONDARY Anti-HB Antibody Concentrations in Serum, as Measured by CLIA |
3.1; 3.1; 3.3; 3.1; 3.1; 51509.0 | — |
| SECONDARY Number of Hepatitis B (HB)-Specific Memory B Cells |
14; 1; 1; 1; 1; 296 | — |
| SECONDARY Number of HB-specific Memory B Cells |
1454; 1013; 1410; 24; 1; 1070 | — |
| SECONDARY Concentrations of the Interferon-gamma (IFN-g), Interleukin (IL)-1beta, IL-5, IL-6, IL-10, Tumor Necrosis Factor-alpha, IFN-g-inducible Protein-10 and Monocyte Chemotactic Protein-1 Cytokines in Serum |
3.704; 3.704; 3.704; 3.704; 3.704; 3.704 | — |
| SECONDARY Normalized Levels of White Blood Cells (WBC) and Creatine Phosphokinases (CPK) |
6840; 6090; 6650; 6523.81; 6480; 7729.231 | — |
| SECONDARY Normalized Levels of C-reactive Protein (CRP) |
0.248; 0.248; 0.248; 0.248; 0.248; 0.248 | — |
| SECONDARY Normalized Levels of WBC and of CPK |
6627.764; 6748.689; 6782.414; 7590; 6810; 6870.05 | — |
| SECONDARY Normalized Levels of CRP |
0.33; 0.486; 0.253; 0.296; 0.365; 0.248 | — |
| SECONDARY Levels of White Blood Cells, Neutrophils, Lymphocytes, Monocytes, Eosinophils and Basophils |
0.498; 0.509; 0.341; 0.43; 0.479; 0.702 | — |
| SECONDARY Levels of WBC, NEU, LYM, MON, EOS and BAS |
0.426; 0.413; 0.497; 0.672; 0.465; 0.492 | — |
| SECONDARY Normalized Levels of Red Blood Cells and Platelets |
4.45; 4.433; 4.464; 4.38; 4.456; 4.461 | — |
| SECONDARY Normalized Levels of Haemoglobin, Alanine Aminotransferase and Aspartate Aminotransferase |
13.4; 13.35; 13.4; 13.275; 13.35; 13.35 | — |
| SECONDARY Normalized Levels of Serum Creatinine, Urea and Lactate Dehydrogenase |
0.893; 0.841; 0.889; 0.86; 0.85; 0.9 | — |
| SECONDARY Number of Subjects With Normal and Abnormal Levels of White Blood Cells, Neutrophils, Lymphocytes, Monocytes, Eosinophils, Basophils, C-reactive Protein, and Creatine Phosphokinase. |
3; 2; 2; 3; 4; 0 | — |
| SECONDARY Number of Subjects With Normal and Abnormal Levels of WBC, NEU, LYM, MON, EOS, BAS, CRP, and CPK. |
1; 4; 1; 3; 1; 3 | — |
| SECONDARY Number of Subjects Presenting Normal and Abnormal Levels of White Blood Cells, Neutrophils, Lymphocytes, Monocytes, Eosinophils, Basophils, C-reactive Protein, and Creatine Phosphokinase. |
12; 13; 13; 11; 12; 126 | — |
| SECONDARY Number of Subjects Having Normal and Abnormal Levels of WBC, NEU, LYM, MON, EOS, BAS, CRP, and CPK. |
2; 1; 0; 0; 1; 1 | — |
| SECONDARY Number of Subjects With Normal and Abnormal Levels of Red Blood Cells, Platelets, Haemoglobin, Alanine Aminotransferase, Aspartate Aminotransferase, Serum Creatinine, Urea and Lactate Dehydrogenase |
15; 10; 9; 6; 12; 1 | — |
| SECONDARY Number of Subjects With Normal and Abnormal Levels of RBC, PLA, HGB, ALT, AST, S-CREA, Urea and LDH |
26; 17; 18; 23; 17; 112 | — |
| SECONDARY Number of Subjects Presenting Normal and Abnormal Levels of Red Blood Cells, Platelets, Haemoglobin, Alanine Aminotransferase, Aspartate Aminotransferase, Serum Creatinine, Urea and Lactate Dehydrogenase |
4; 2; 6; 3; 3; 3 | — |
| SECONDARY Number of Subjects Reporting Any, Grade 3 and Related Solicited Local Symptoms Following Primary Vaccination. |
134; 129; 123; 128; 70; 9 | — |
| SECONDARY Number of Subjects Reporting Any, Grade 3 and Related Solicited General Symptoms Following Primary Vaccination. |
91; 76; 67; 70; 62; 5 | — |
| SECONDARY Number of Subjects Reporting Any, Grade 3 and Related Solicited Local Symptoms Following Booster Vaccination. |
19; 19; 13; 16; 10; 0 | — |
| SECONDARY Number of Subjects Reporting Any, Grade 3 and Related Solicited General Symptoms Following Booster Vaccination. |
15; 14; 7; 15; 12; 0 | — |
| SECONDARY Number of Subjects Reporting Any, Grade 3 and/or Related Unsolicited Adverse Events (AEs) Following Primary Vaccination |
80; 73; 76; 67; 71; 17 | — |
| SECONDARY Number of Subjects Reporting Any, Grade 3 and/or Related Unsolicited Adverse Events (AEs) Following Booster Vaccination |
12; 8; 9; 14; 10; 2 | — |
| SECONDARY Number of Subjects Reporting Any and Related Adverse Events of Specific Interest (AESIs) |
0; 1; 0; 0; 0; 0 | — |
| SECONDARY Number of Subjects Reporting Any Serious Adverse Events (SAEs) and SAEs Related to Study Vaccination |
7; 4; 10; 7; 7; 0 | — |
| SECONDARY Levels of Messenger Ribonucleic Acid (mRNA) as Measured by Quantitative Polymerase Chain Reaction (qPCR) |
1.18; 1.09; 1.24; 1.18; 1.18; 1.33 | — |
| SECONDARY mRNA Levels as Measured by qPCR |
1.08; 1.02; 1.06; 1.06; 1.07; 0.83 | — |
| SECONDARY mRNA Levels as Measured by Quantitative Polymerase Chain Reaction (qPCR) |
0.96; 0.99; 0.95; 1.03; 1; 1.51 | — |
| SECONDARY Messenger Ribonucleic Acid (mRNA) Levels as Measured by Quantitative Polymerase Chain Reaction (qPCR) |
1.01; 0.97; 0.95; 0.9; 1.07; 1.04 | — |
| SECONDARY Levels of mRNA as Measured by qPCR |
1.04; 1.12; 1.02; 1.04; 0.96; 1.56 | — |
| SECONDARY Levels of Messenger Ribonucleic Acid (mRNA) as Measured by qPCR |
1.06; 1.01; 1.07; 1.06; 1.04; 1.25 | — |
| SECONDARY Levels of mRNA as Measured by Quantitative Polymerase Chain Reaction (qPCR) |
0.98; 0.94; 1.03; 0.93; 1.11; 0.66 | — |
Eligibility Criteria
Inclusion Criteria
All subjects must satisfy the following criteria at study entry :
- Subjects who the investigator believes that they can and will comply with the requirements of the protocol.
- A male or female between, and including, 18 and 45 years at the time of the first vaccination.
- Written informed consent obtained from the subject.
- Healthy subjects as established by medical history, clinical examination and clinical laboratory assessment before entering into the study.
- If the subject is female, she must be of non-childbearing potential, or if she is of childbearing potential, she must practice adequate contraception for 30 days prior to vaccination, have a negative pregnancy test and continue such precautions for 2 months after completion of the vaccination series.
Exclusion criteria
The following criteria should be checked at the time of study entry. If any apply, the subject must not be included in the study:
- Previous vaccination against Hepatitis B.
- Positive for anti-HBs antibodies, antiHBc antibodies, HBsAg, HCV antibodies and/or HIV.
- Any previous administration of specific adjuvant components.
- Use of any investigational or non-registered product (drug or vaccine) other than the study vaccine(s) within 30 days preceding the first dose of study vaccine, or planned use during the study period or participation to another pharmaceutical/vaccine study.
- Chronic administration (defined as more than 14 days) of immunosuppressants or other immune-modifying drugs within six months prior to the first vaccine dose.
- Planned administration/ administration of a vaccine not foreseen by the study protocol within 30 days of the first dose of vaccine with the exception of the influenza vaccine (pandemic or seasonal) which can be administered > 21 days preceding or > 21 days following each primary vaccine dose (Doses 1 and 2) AND > 7 days preceding or > 7 days following the booster dose.
- Administration of immunoglobulins and/or any blood products within the last 3 months.
- Any confirmed or suspected immunosuppressive or immunodeficient condition, including human immunodeficiency virus (HIV) infection.
- History of allergic disease or reactions likely to be exacerbated by any component of the vaccine(s).
- Current serious neurologic or mental disease.
- Any past or current malignancies and lymphoproliferative disorders.
- Acute or chronic, clinically significant pulmonary, cardiovascular, hepatic, renal functional abnormality, autoimmune disease or anemia, as determined by physical examination or laboratory screening tests at the discretion of the investigator.
- Acute disease at the time of enrolment.
- Pregnant or lactating female.
- History of chronic alcohol consumption and/or drug abuse.
- Other conditions that the principal investigator judges may interfere with study findings.
Data sourced from ClinicalTrials.gov (NCT00805389). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.