Phase 2
Completed N=81
Development of Read-outs in Healthy, Hepatitis B Virus Naive Adults Vaccinated With the Hepatitis B Surface Antigen (HBsAg) in Combination With a GlaxoSmithKline (GSK) Biologicals' Adjuvant System
Source: ClinicalTrials.gov NCT01777295 ↗Enrolled (actual)
81
Serious AEs
1.3%
Results posted
Jan 2019
Primary outcomePrimary: Concentrations of Cytokines and Chemokines - Step 1 — 6000; 6250; 14; 14 pg/mL
Summary
This study aims to develop innovative immunological read-outs and new technologies in order to further characterise the early immune response and its kinetics as well as the adaptive immune responses to adjuvanted vaccines.
This study will also evaluate the reactogenicity in healthy, hepatitis B virus naive adults vaccinated with the hepatitis B surface antigen in combination with a GSK Biologicals' Adjuvant System.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Concentrations of Cytokines and Chemokines - Step 1 |
6000; 6250; 14; 14; 1.6; 1.6 | — |
| PRIMARY Cytokines and Chemokines Concentrations - Step 1 |
5900; 6450; 14; 14; 1.6; 1.6 | — |
| PRIMARY Concentrations of Cytokines and Chemokines in Step 1 |
5600; 6300; 14; 14; 1.6; 1.6 | — |
| PRIMARY Concentrations of Cytokines and Chemokines During Step 1 |
5200; 6050; 14; 14; 1.6; 1.6 | — |
| PRIMARY Concentrations of Cytokines/Chemokines - Step 1 |
5300; 6100; 14; 14; 1.6; 1.6 | — |
| PRIMARY Concentrations of Cytokines/Chemokines in Step 1 |
5200; 5600; 14; 14; 1.6; 1.6 | — |
| PRIMARY Concentrations of Cytokines/Chemokines During Step 1 |
4950; 4200; 14; 14; 1.6; 1.6 | — |
| PRIMARY Cytokines and Chemokines Concentrations in Step 1 |
5900; 6350; 14; 14; 1.6; 1.6 | — |
| PRIMARY Cytokines and Chemokines Concetrations During Step 1 |
5900; 6250; 14; 14; 1.6; 1.6 | — |
| PRIMARY Cytokines/Chemokines Concentrations in Step 1 |
6150; 6250; 14; 14; 1.6; 1.6 | — |
| PRIMARY Cytokines and Chemokines Concentrations During Step 1 |
5500; 6150; 14; 14; 1.6; 1.6 | — |
| PRIMARY Concentrations of Cytokines and Chemokines - Study Step 1 |
6100; 6150; 14; 14; 1.6; 1.6 | — |
| PRIMARY Concentrations of Cytokines and Chemokines in Step 1 of Study |
5500; 5900; 14; 14; 1.6; 1.6 | — |
| PRIMARY Concentrations of Cytokines and Chemokines During Step 1 of Study |
5400; 5900; 14; 14; 1.6; 1.6 | — |
| PRIMARY Cytokines and Chemokines Concentrations - Study Step 1 |
5900; 6400; 14; 14; 1.6; 1.6 | — |
| PRIMARY Cytokines and Chemokines Concentrations in Step 1 of Study |
5750; 4700; 14; 14; 1.8; 1.6 | — |
| PRIMARY Cytokines and Chemokines Concentrations During Step 1 of Study |
5950; 6000; 14; 14; 1.6; 1.6 | — |
| PRIMARY Cytokines/Chemokines Concentrations - Study Step 1 |
5800; 6300; 14; 14; 1.6; 1.6 | — |
| PRIMARY Cytokines/Chemokines Concentrations in Step 1 of Study |
6600; 6700; 14; 14; 1.6; 1.6 | — |
| PRIMARY Cytokines/Chemokines Concentrations During Step 1 of Study |
6200; 6500; 14; 14; 1.6; 1.6 | — |
| PRIMARY Plasma Concentrations of Cytokines and Chemokines - Step 1 |
6300; 5700; 14; 14; 1.6; 1.6 | — |
| PRIMARY Plasma Concentrations of Cytokines and Chemokines - Study Step 1 |
6550; 5700; 14; 14; 1.6; 1.6 | — |
| PRIMARY Plasma Concentrations of Cytokines and Chemokines in Step 1 of Study |
6000; 5850; 14; 14; 1.6; 1.6 | — |
| PRIMARY Plasma Concentrations of Cytokines and Chemokines During Step 1 of Study |
6200; 5500; 14; 14; 1.6; 1.6 | — |
| PRIMARY Plasma Concentrations of Cytokines/Chemokines During Step 1 of Study |
5800; 5800; 14; 14; 2.3; 1.6 | — |
| PRIMARY Plasma Concentrations of Cytokines/Chemokines - Step 1 of Study |
5400; 4500; 14; 14; 5.2; 1.6 | — |
| PRIMARY Plasma Concentrations of Cytokines/Chemokines in Step 1 of Study |
6800; 5800; 14; 14; 4.8; 1.6 | — |
| PRIMARY Concentrations of Plasma Cytokines and Chemokines - Step 1 |
7000; 6000; 14; 14; 1.6; 1.6 | — |
| PRIMARY Concentrations of Plasma Cytokines and Chemokines in Step 1 |
6400; 6300; 14; 14; 1.6; 1.6 | — |
| PRIMARY Concentrations of Plasma Cytokines and Chemokines During Step 1 |
6200; 6000; 14; 14; 1.6; 1.6 | — |
| PRIMARY Concentrations of Cytokines and Chemokines - Step 2 |
8100; 5400; 14; 14; 1.6; 1.6 | — |
| PRIMARY Cytokines and Chemokines Concentrations - Step 2 |
7900; 14; 1.6; 3.8; 206; 5.9 | — |
| PRIMARY Concentrations of Cytokines and Chemokines During Step 2 |
6200; 14; 1.6; 3.3; 166.5; 5.9 | — |
| PRIMARY Concentrations of Cytokines and Chemokines in Step 2 |
5400; 14; 1.6; 3.3; 172; 5.9 | — |
| PRIMARY Concentrations of Cytokines/Chemokines - Step 2 |
7450; 14; 6.2; 3.3; 234; 5.9 | — |
| PRIMARY Concentrations of Cytokines/Chemokines in Step 2 |
6550; 14; 1.6; 3.3; 232; 5.9 | — |
| PRIMARY Concentrations of Cytokines/Chemokines During Step 2 |
4900; 14; 1.6; 3.3; 159; 5.9 | — |
| PRIMARY Plasma Concentrations of Cytokines and Chemokines - Study Step 2 |
4600; 14; 1.6; 3.3; 144; 5.9 | — |
| PRIMARY Plasma Concentrations of Cytokines and Chemokines in Step 2 of Study |
4900; 14; 1.6; 3.3; 152; 5.9 | — |
| PRIMARY Plasma Concentrations of Cytokines and Chemokines During Step 2 of Study |
4600; 14; 1.6; 3.3; 163; 5.9 | — |
| SECONDARY Anti-Hepatitis B Surface (Anti-HBs) Antibody Concentrations in Serum - Step 1 |
3.1; 3.1; 3322.4; 35.8 | — |
| SECONDARY Number of Subjects With Any and Grade 3 Solicited Local Symptoms - Step 1 |
2; 3; 0; 1; 0; 0 | — |
| SECONDARY Number of Subjects With Any, Grade 3 and Related Solicited General Symptoms - Step 1 |
8; 12; 0; 1; 2; 2 | — |
| SECONDARY Number of Subjects With Solicited Symptoms, as Assessed by the Investigator/Study Nurse - Step 1 |
0; 0; 2; 2; 8; 0 | — |
| SECONDARY Number of Subjects With Any Unsolicited Adverse Events (AEs) - Step 1 |
12; 16; 14; 15 | — |
| SECONDARY Number of Subjects With Serious Adverse Events (SAEs) - Step 1 |
0; 0; 0; 1 | — |
| SECONDARY Number of Subjects With Any Potential Immune-mediated Disorders (pIMDs) - Step 1 |
0; 0; 0; 0 | — |
| SECONDARY Number of Subjects With Any New Medical Conditions Requiring Medical Attention (MAEs) - Step 1 |
0; 0; 0; 1 | — |
| SECONDARY Levels of Alanine Aminotransferase (ALT) in Blood Samples - Step 1 |
27.5; 27; 26.5; 26; 27; 26 | — |
| SECONDARY Levels of Aspartate Aminotransferase (AST) in Blood Samples - Step 1 |
21; 23; 20.5; 21; 20; 20 | — |
| SECONDARY Levels of Basophils in Blood Samples - Step 1 |
0.03; 0.02; 0.03; 0.03; 0.03; 0.02 | — |
| SECONDARY Levels of Total Bilirubin in Blood Samples - Step 1 |
0.5; 0.5; 0.4; 0.4; 0.4; 0.3 | — |
| SECONDARY Levels of Serum Creatinine in Blood Samples - Step 1 |
0.8; 0.79; 0.75; 0.72; 0.78; 0.73 | — |
| SECONDARY Levels of Creatinine Phosphokinase (CPK) in Blood Samples - Step 1 |
75; 80; 69.5; 75; 64.5; 77 | — |
| SECONDARY Levels of C-reactive Protein (CRP) in Blood Samples - Step 1 |
1.15; 1.7; 0.8; 1.6; 1.5; 1.4 | — |
| SECONDARY Levels of Eosinophils in Blood Samples - Step 1 |
0.2; 0.13; 0.19; 0.13; 0.21; 0.17 | — |
| SECONDARY Levels of Haemoglobin in Blood Samples - Step 1 |
13.35; 13.8; 13.45; 13.6; 13.25; 13.2 | — |
| SECONDARY Levels of Lactate Dehydrogenase (LDH) in Blood Samples - Step 1 |
401.5; 382; 414; 389; 412; 378 | — |
| SECONDARY Levels of Lymphocytes in Blood Samples - Step 1 |
1.84; 1.99; 1.89; 2.07; 1.97; 2.39 | — |
| SECONDARY Levels of Monocytes in Blood Samples - Step 1 |
0.55; 0.55; 0.67; 0.52; 0.79; 0.53 | — |
| SECONDARY Levels of Neutrophils in Blood Samples - Step 1 |
3.7; 3.36; 6.48; 4.12; 7.61; 3.39 | — |
| SECONDARY Platelet Count in Blood Samples - Step 1 |
228; 225; 229; 231; 235; 230 | — |
| SECONDARY Levels of Red Blood Cell (RBC) in Blood Samples - Step 1 |
4.51; 4.56; 4.45; 4.58; 4.42; 4.51 | — |
| SECONDARY Levels of Urea in Blood Samples - Step 1 |
27.5; 30; 27; 30; 27; 29 | — |
| SECONDARY Levels of White Blood Cells (WBC) - Step 1 |
6.25; 6.33; 9.73; 6.49; 10.45; 6.84 | — |
| SECONDARY Levels of Diastolic Blood Pressure - Step 1 |
81; 76.5; 75; 72; 75.5; 71.5 | — |
| SECONDARY Levels of Heart Rate - Step 1 |
75.5; 70; 75; 73; 69.5; 63.5 | — |
| SECONDARY Levels of Respiratory Rate - Step 1 |
14; 13; 13; 14.5; 13; 14 | — |
| SECONDARY Levels of Systolic Pressure - Step 1 |
123.5; 116; 117; 114; 117.5; 114 | — |
| SECONDARY Anti-Hepatitis B Surface (Anti-HBs) Antibody Concentrations in Serum - Step 2 Immuno |
3.1; 3.1; 8447.1; 1996.3 | — |
| SECONDARY Anti-Hepatitis B Surface (Anti-HBs) Antibody Concentrations in Serum - Step 2 Persistence |
3.1; 3.1; 8447.1; 2454.9 | — |
| SECONDARY Number of Subjects With Any and Grade 3 Solicited Local Symptoms - Step 2 |
10; 3; 0; 0; 3; 0 | — |
| SECONDARY Number of Subjects With Any and Grade 3 Solicited Local Symptoms - Pooling Step |
28; 10; 0; 0; 9; 1 | — |
| SECONDARY Number of Subjects With Any, Grade 3 and Related Solicited General Symptoms - Step 2 |
8; 3; 1; 0; 7; 2 | — |
| SECONDARY Number of Subjects With Any, Grade 3 and Related Solicited General Symptoms - Pooling Step |
11; 9; 2; 0; 9; 8 | — |
| SECONDARY Number of Subjects With Any Unsolicited Adverse Events (AEs) - Step 2 |
5; 4 | — |
| SECONDARY Number of Subjects With Any Unsolicited Adverse Events (AEs) - Pooling Step |
20; 19 | — |
| SECONDARY Number of Subjects With Serious Adverse Events (SAEs) - Step 2 |
0; 0 | — |
| SECONDARY Number of Subjects With Serious Adverse Events (SAEs) - Pooling Step |
0; 1 | — |
| SECONDARY Number of Subjects With Any Potential Immune-mediated Disorders (pIMDs) - Step 2 |
0; 0 | — |
| SECONDARY Number of Subjects With Any Potential Immune-mediated Disorders (pIMDs) - Pooling Step |
0; 0 | — |
| SECONDARY Number of Subjects With Any New Medical Conditions Requiring Medical Attention (MAEs) - Step 2 |
2; 0 | — |
| SECONDARY Number of Subjects With Any New Medical Conditions Requiring Medical Attention (MAEs) - Pooling Step |
2; 1 | — |
| SECONDARY Levels of Alanine Aminotransferase (ALT) in Blood Samples - Step 2 |
27.5; 31; 25.5; 27; 23; 30 | — |
| SECONDARY Levels of Aspartate Aminotransferase (AST) in Blood Samples - Step 2 |
22.5; 28; 22.5; 24; 20.5; 21.5 | — |
| SECONDARY Levels of Basophils in Blood Samples - Step 2 |
0.04; 0.03; 0.02; 0.04; 0.03; 0.05 | — |
| SECONDARY Levels of Serum C Reactive Protein (CRP) in Blood Samples - Step 2 |
5.55; 5.8; 24.2; 5; 6.8; 20.45 | — |
| SECONDARY Levels of Eosinophils in Blood Samples - Step 2 |
0.16; 0.18; 0.17; 0.25; 0.19; 0.2 | — |
| SECONDARY Levels of White Blood Cell (WBC) in Blood Samples - Step 2 |
6.93; 5.67; 6.41; 6.29; 6.37; 7.03 | — |
| SECONDARY Levels of Lymphocytes in Blood Samples - Step 2 |
2.13; 1.96; 2.14; 1.7; 2.12; 2.12 | — |
| SECONDARY Levels of Monocytes in Blood Samples - Step 2 |
0.64; 0.5; 0.54; 0.87; 0.47; 0.58 | — |
| SECONDARY Levels of Neutrophils in Blood Samples - Step 2 |
4.02; 3.11; 3.41; 3.42; 3.22; 4.18 | — |
| SECONDARY Platelet Count in Blood Samples - Step 2 |
269; 272; 272.5; 257; 315.5; 282 | — |
| SECONDARY Levels of Total Bilirubin in Blood Samples - Step 2 |
0.4; 0.5; 0.45; 0.5; 0.45; 0.55 | — |
| SECONDARY Levels of Diastolic Blood Pressure - Step 2 |
74; 70; 74.5; 71; 71.5; 71.5 | — |
| SECONDARY Levels of Heart Rate - Step 2 |
72; 70; 70; 68; 84; 73 | — |
| SECONDARY Levels of Respiratory Rate - Step 2 |
12; 12; 12.5; 12; 13; 12 | — |
| SECONDARY Levels of Systolic Pressure - Step 2 |
114; 112; 114; 116; 112; 111.5 | — |
| SECONDARY -Frequency of Hepatitis B Virus (HBs)-Specific Cluster of Differentiation (CD)4+ T-cells Expressing at Least 2 Immune Markers - Step 1 |
8; 1; 4494; 268 | — |
| SECONDARY Frequency of Hepatitis B Virus (HBs)-Specific Cluster of Differentiation (CD)4+ T-cells Expressing at Least 2 Immune Markers - Step 1 |
8; 1; 4494; 260; 1119; 34 | — |
| SECONDARY Frequency of Hepatitis B Virus (HBs)-Specific Cluster of Differentiation (CD)8+ T-cells Expressing at Least 2 Immune Markers - Step 1 |
1; 1; 38; 1; 1; 1 | — |
| SECONDARY Number of Subjects With Solicited Symptoms, as Assessed by the Investigator/Study Nurse - Step 2 |
8; 0; 0; 1; 5; 0 | — |
| SECONDARY Number of Subjects With Solicited Symptoms, as Assessed by the Investigator/Study Nurse - Pooling Step |
26; 12; 7; 2; 22 | — |
Eligibility Criteria
Inclusion Criteria
- Subjects who, in the opinion of the investigator, can and will comply with the requirements of the protocol
- A male or female between, and including, 18 and 45 years of age at the time of first study product administration
- Written informed consent obtained from the subject
- Healthy subjects, in the opinion of the investigator, as established by medical history, clinical examination, and clinical laboratory assessment with no active disease that could interfere with the study endpoints, before entering into the study
- Body Mass Index (BMI) between 18.5 and 30 kg/m2
- Female subjects of non-childbearing potential may be enrolled in the study
- Non-childbearing potential is defined as pre-menarche, current tubal ligation, hysterectomy, ovariectomy or post-menopause.
- Female subjects of childbearing potential may be enrolled in the study, if the subject:
- has practiced adequate contraception for 30 days prior to first study product administration and
- has a negative pregnancy test on the day of placebo administration/ vaccination, and
- has agreed to continue adequate contraception during the entire treatment period and for 2 months after completion of the study.
Exclusion Criteria
- Known history of HBV infection.
- Previous vaccination against hepatitis B.
- Positive for anti-hepatitis B surface (HBs) antibodies, anti-hepatitis B core (HBc) antibodies, HBsAg, HCV antibodies and/or HIV.
- Any previous administration of vaccine components.
- Use of any investigational or non-registered product (drug or vaccine) other than the study vaccines within 30 days preceding the first study product administration, or planned use during the study period.
- No significant dietary restrictions or life-threatening food allergies.
- Regular use of non steroidal anti-inflammatory drugs within 1 month prior to first study product administration.
- Chronic administration (defined as more than 14 days in total) of immunosuppressants or other immune-modifying drugs within 6 months prior to the first study product administration.. Inhaled and topical steroids are allowed.
- Planned administration / administration of a vaccine not foreseen by the study protocol in the period starting 30 days before the first study product administration and during the entire study period (both Steps), with the exception of the influenza vaccine (pandemic or seasonal) which can be administered > 21 days preceding or > 21 days following each placebo/vaccine administration.
- Administration of immunoglobulins and/or any blood products within the last 3 months preceding the first study product administration or planned administration during the study period.
- Any confirmed or suspected immunosuppressive or immunodeficient condition, including HIV based on screening evaluations and on medical history and physical examination.
- History of or current bleeding or coagulation disorder.
- Any known or clinical signs of anaemia or any clinical condition (including vascular disorder) that would preclude frequent blood drawings.
- Poor venous access as assessed at screening by the investigator.
- Blood loss, including blood donation, of more than 300 mL within 90 days before the first study product administration.
- History of or current autoimmune or other immune-mediated disease.
- Any haematological or biochemical level out of normal range before entering into the study, as follows:
- Haemoglobin level upper normal limit (UNL).
- Aspartate aminotransferase [AST] > UNL.
- Creatinine > UNL.
- c-reactive protein [CRP] > UNL.
- Creatine phosphokinase [CPK] > UNL without any plausible explanation for this abnormality (such as sport activity).
In case of haematological and/or biochemical value out of range for parameters mentioned here above, one re-testing of out of range value may be performed.
- Any acute or chronic, clinically significant disease, as determined by medical history, physical examination or laboratory screening tests.
- Known o
Data sourced from ClinicalTrials.gov (NCT01777295). 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.