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Phase 3 Completed N=638 Randomized Prevention

B-Enhancement of HBV Vaccination in Persons Living With HIV (BEe-HIVe): Evaluation of HEPLISAV-B

Source: ClinicalTrials.gov NCT04193189 ↗
Enrolled (actual)
638
Serious AEs
6.6%
Results posted
Jul 2025
Primary outcomePrimary: Percentage of Participants With Primary Seroprotection Response — 93.1; 99.4; 80.6; 100 percentage of participants
◆ Published Evidence
Established
40citations · ~40 / year
HepB-CpG vs HepB-Alum Vaccine in People With HIV and Prior Vaccine Nonresponse: The BEe-HIVe Randomized Clinical Trial.
JAMA · 2025 · Open access · High-confidence link

Summary

The purpose of this study was to evaluate response to and safety of the HBV vaccine HEPLISAV-B in two study populations of people living with HIV: prior HBV vaccine recipients who are deemed non-responders and individuals who are naïve to HBV vaccination.

Linked Publications (3)

  • HepB-CpG vs HepB-Alum Vaccine in People With HIV and Prior Vaccine Nonresponse: The BEe-HIVe Randomized Clinical Trial.
    JAMA · 2025 · 40 citations · Open access · High-confidence link
  • Immunogenicity and Safety of Hepatitis B Virus (HBV) Vaccine With a Toll-Like Receptor 9 Agonist Adjuvant in HBV Vaccine-Naïve People With Human Immunodeficiency Virus.
    Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2023 · 34 citations · Open access · High-confidence link
  • An efficient vaccine clinical trial: ACTG A5379 hepatitis B vaccine trial in persons with HIV.
    Vaccine · 2025 · 0 citations · Open access · High-confidence link

Outcome Measures

OutcomeResultp-value
PRIMARY
Percentage of Participants With Primary Seroprotection Response
93.1; 99.4; 80.6; 100
PRIMARY
Percentage of Participants With Adverse Events (AEs)
73.3; 77.7; 73.7; 87.8
SECONDARY
Percentage of Participants With Seroprotection Response
66.1; 66.7; 51.7; 30.1; 89.1; 90.8
SECONDARY
Count of Participants by Anti-HBs Titer Categories
47; 52; 80; 46; 13; 7
SECONDARY
Percentage of Participants With Grade ≥2 AEs Post-vaccination Adverse Events
33.7; 45.7; 43.5; 48.6

Eligibility Criteria

Inclusion Criteria, Groups A and B

  • HIV-1 infection
  • On current HIV-1 antiretroviral therapy (ART)
  • CD4+ T-cell count ≥100 cells/mm^3
  • HIV-1 RNA 168 days prior to study entry

Inclusion Criterion, Group B only

  • Serum Hepatitis B antibody non-reactive (negative) within 45 days prior to study entry

Exclusion Criteria, Groups A and B

  • Infection or prior exposure to HBV
  • Serum HBsAb level ≥10 mlU/mL or positive at screening or any other time prior to screening
  • Presence of any active or acute AIDS-defining opportunistic infections
  • Solid organ transplantation
  • History of ascites, encephalopathy, or variceal hemorrhage
  • Diagnosis of chronic kidney disease (CKD) stage G4
  • Cancer diagnosis within 5 years
  • Currently receiving chemotherapy
  • Chronic use and/or receipt of systemically administered immunosuppressive
  • Known allergy/sensitivity or any hypersensitivity to any HBV vaccine or yeast
  • Active, serious infection other than HIV-1
  • Receipt of any inactivated virus vaccine within 14 days
  • Receipt of any of the following within 45 days prior to study entry:
  • Live virus vaccine
  • Granulocyte colony-stimulating factor (G-CSF) or granulocyte-macrophage colony-stimulating factor (GM-CSF)
  • Any other investigational medicinal agent
  • Receipt of immunoglobulin or blood products within 90 days prior to study entry
  • Receipt of an injection of DNA plasmids or oligonucleotides within 60 days prior to study entry

Exclusion Criteria, Group A only

  • Hepatitis B virus vaccination ≤168 days prior to study entry
  • Receipt of HEPLISAV-B vaccine at any time prior to study entry

Exclusion Criterion, Group B only

  • Known HBV vaccination prior to study entry
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT04193189) and the linked publication. 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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