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Phase 2 Completed N=713 Randomized Double-blind Prevention

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

OutcomeResultp-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.
View full record on ClinicalTrials.gov →

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.

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