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OpenTrials
Completed

NCT Number: NCT03316807

Immunogenicity of Hepatitis B Vaccination in HIV-infected Adults

Uptake, adherence, and completion of vaccination among HIV-infected adults were low, and their immune function and immune response to hepatitis B vaccination were also suboptimal, indicating that the current practice of hepatitis B vaccination can't protect HIV-infected adults from HBV infection. And the persistence of immunity induced by hepatitis B vaccination remains a challenge.

This is a randomized, open-label trial, conducted among HIV-infected adults with drug rehabilitation. This study will compare the immunogenicity, immune persistence, and safety of three intramuscular 20µg and 60µg recombinant hepatitis B vaccines at months 0, 1, and 6 among HIV-infected adults.

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Key information

About this study

Participants are randomized in a ratio of 1:1 into 20 µg recombinant hepatitis B vaccine group or 60µg recombinant hepatitis B vaccine group. The 20 µg group will receive three intramuscular injections of the 20 µg recombinant hepatitis B vaccine, while the 60 µg group will receive three intramuscular injections of the 60 µg dose at months 0, 1 and 6, respectively. HBsAg and anti-HBs will be tested during the study period. Adverse reactions will be recorded after vaccination.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • HIV-infected
  • Aged between 18 and 70 years
  • Serologically negative for hepatitis B surface antigen (HBsAg) and hepatitis B surface antibody (anti-HBs) at enrollment
  • Willing to adhere to the study protocol

Exclusion criteria

  • Being pregnant
  • Acute cytolysis in the last three months before enrollment
  • Any vaccination before or during the month preceding enrollment
  • Any Intolerance or allergy to any component of the vaccine
  • Ongoing opportunistic infection
  • Hematological disorder
  • Cancer
  • Unexplained fever the week before enrollment
  • Immunosuppressive or immunomodulating treatment in the last six months
  • Liver disease

Treatment and study plan

60 µg dose hepatitis B vaccine

Biological

three-dose, 60 µg per dose

20 µg dose hepatitis B vaccine

Biological

three-dose, 20 µg per dose

Primary outcomes

  1. Number and Percentage of Participants With Anti-HBs Seroconversion at Month 7

    Time frame: Month 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.

Secondary outcomes

  1. Anti-HBs Concentration at Month 7

    Time frame: Month 7

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

  2. Number and Percentage of Participants With Anti-HBs Seroconversion at Month 12

    Time frame: 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.

  3. Anti-HBs Concentration at Month 12

    Time frame: Month 12

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

  4. Occurrence of Adverse Events After Vaccination

    Time frame: Within 7 days after the vaccination

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

  5. Occurrence of Adverse Events After Vaccination

    Time frame: Within 28 days after vaccination

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

  6. Serious Adverse Events (SAE) Occurred During 42 Month

    Time frame: Month 0-42

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

Other outcomes

  1. Number and Percentage of Participants With Anti-HBs High-level Response at Month 7

    Time frame: Month 7

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

  2. Number and Percentage of Participants With Anti-HBs High-level Response at Month 12

    Time frame: Month 12

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

  3. Number and Percentage of Participants With Anti-HBs Antibodies at Month 6 Before the Third Injection

    Time frame: 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.

  4. Anti-HBs Concentration at Month 6 Before the Third Injection

    Time frame: Month 6 before the third injection

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

  5. Number and Percentage of Participants With Anti-HBs High-level Response at Month 6 Before the Third Injection

    Time frame: 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.

  6. Number and Percentage of Participants With Anti-HBs Seroconversion at Month 42

    Time frame: 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.

Sponsors and collaborators

Lead sponsor

Suping Wang

Other

Collaborators

  • Centers for Disease Control and Prevention, China

Registry information

Official study title

Immunogenicity and Persistence of Intramuscular High Dose Recombinant Hepatitis B Vaccine in HIV-infected Adults in China

Acronym: HIV

Important dates

Study start
2014
Primary completion
2015
Study completion
2018
First posted
Oct 20, 2017
Registry last updated
Mar 11, 2022

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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