Skip to content

Long Term Follow-up Study at Years 2, 3, 4 and 5 Where 2 Dosing Schedules of the Combined Hepatitis A and B Vaccine Were Compared

Evaluate the Persistence of Immune Response of GSK Biologicals' Twinrix™ Vaccine, Administered According to a 0,6 Month Schedule and a 0,1,6 Month Schedule, in Healthy Children Aged Between 1-11 Years at the Time of First Vaccine Dose

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00197184
Enrollment
276
Registered
2005-09-20
Start date
2003-11-01
Completion date
2004-03-10
Last updated
2018-08-20

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Hepatitis A, Hepatitis B

Keywords

Combined hepatitis A and B vaccine, Twinrix™

Brief summary

To evaluate the persistence of anti-hepatitis A virus (HAV) and anti-hepatitis B surface antigen (HBs) antibodies up to 2, 3, 4 and 5 years after administration of the first dose of the study vaccine. The Protocol Posting has been updated in order to comply with the FDA Amendment Act, Sep 2007.

Detailed description

Open, randomised, self-contained, multicentric, multinational, long-term antibody persistence studies. Immune persistence was compared between subjects who received either two dose or three doses of GSK Biologicals combined hepatitis A and hepatitis B vaccine. The long-term follow-up studies involved taking blood samples at approximately 2, 3, 4 and 5 years after the primary vaccination of combined hepatitis A and B vaccine to assess antibody persistence. No additional subjects will be recruited during the long term follow-up period.

Interventions

Intramuscular injection in the left deltoid, 2 doses, Adult formulation in primary study.

Intramuscular injection in the left deltoid, 3 doses, junior formulation in primary study.

Sponsors

GlaxoSmithKline
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
3 Years to 13 Years
Healthy volunteers
Yes

Inclusion criteria

* Participation in primary study * Written informed consent obtained before each long term follow up visit.

Design outcomes

Primary

MeasureTime frameDescription
Anti-hepatitis A (HAV) Antibody ConcentrationsYear 2 (Month 24), Year 3 (Month 36), Year 4 (Month 48) and Year 5 (Month 60)Geometric mean concentration for anti-HAV antibodies expressed as Milli-International Units per milliliter (mIU/mL)
Anti-hepatitis B (HBs) Antibody ConcentrationsYear 2 (Month 24), Year 3 (Month 36), Year 4 (Month 48) and Year 5 (Month 60)Geometric mean concentration for anti-HBs antibodies expressed as Milli-International Units per milliliter (mIU/mL).
Anti-HAV Antibody Concentrations in Subjects Receiving the Additional Vaccine Dose.Before and one month after additional vaccinationAny subjects becoming seronegative for anti-HAV antibodies (i.e. titres \< 15 mIU/ml) at any long term time point, were to receive an additional vaccine dose administered between 6 to 12 months after Year 5 time point.
Anti-HBs Antibody Concentrations in Subjects Receiving the Additional Vaccine Dose.Before and One month after additional vaccinationSubjects losing seroprotective anti-HBs antibody titres (i.e. titres \< 10 mIU/ml) at any long term time point, received an Engerix challenge dose. The table presents the geometric mean concentrations for anti-HBs antibodies, expressed as Milli-International Units per milliliter (mIU/mL).

Secondary

MeasureTime frameDescription
Number of Subjects Reporting Serious Adverse Events (SAEs) Determined by the Investigator to Have a Causal Relationship to Primary Vaccination or Due to Lack of Vaccine Efficacy.From last study visit of the primary study up to Year 5 long term follow-upA serious adverse event (SAE) is any untoward medical occurrence that: results in death, is life-threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, is a congenital anomaly/birth defect in the offspring of a study subject, or may evolve into one of the outcomes listed above.
Number of Subjects Receiving an Additional Vaccine Dose and Reporting Any Serious Adverse EventsAt least one month after additional vaccinationA serious adverse event (SAE) is any untoward medical occurrence that: results in death, is life-threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, is a congenital anomaly/birth defect in the offspring of a study subject, or may evolve into one of the outcomes listed above.
Number of Subjects Receiving an Additional Vaccine Dose and Reporting Solicited Local Symptomsduring the 4-day follow-up period after additional vaccinationSolicited local symptoms assessed include pain, redness and swelling at the vaccine injection site. Any= regardless of intensity grade; Grade 3 Pain= spontaneously painful
Number of Subjects Receiving an Additional Vaccine Dose and Reporting Solicited General Symptoms.During the 4-day follow-up period after additional vaccinationSolicited general symptoms assessed include fatigue, fever, gastrointestinal symptoms and headache. Any= regardless of intensity grade or relationship to vaccination; grade 3= prevented normal activity; Related= considered by the investigator to be causally related to the vaccination
Number of Subjects Receiving an Additional Vaccine Dose and Reporting Unsolicited Adverse Events (AEs).During the 30-day follow-up period after additional vaccination.An Adverse Event is any untoward medical occurrence in a clinical investigation subject, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product.

Countries

Australia, Belgium, Spain

Participant flow

Participants by arm

ArmCount
Twinrix Adult
Subjects previously received 2 doses of combined hepatitis A / hepatitis B vaccine (adult formulation).
139
Twinrix Junior
Subjects previously received 3 doses of combined hepatitis A / hepatitis B vaccine (junior formulation).
137
Total276

Baseline characteristics

CharacteristicTwinrix AdultTwinrix JuniorTotal
Age, Continuous11.6 years
STANDARD_DEVIATION 2.97
11.2 years
STANDARD_DEVIATION 3.11
11.4 years
STANDARD_DEVIATION 3.04
Sex: Female, Male
Female
59 Participants64 Participants123 Participants
Sex: Female, Male
Male
80 Participants73 Participants153 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
7 / 110 / 5
serious
Total, serious adverse events
0 / 1390 / 137

Outcome results

Primary

Anti-HAV Antibody Concentrations in Subjects Receiving the Additional Vaccine Dose.

Any subjects becoming seronegative for anti-HAV antibodies (i.e. titres \< 15 mIU/ml) at any long term time point, were to receive an additional vaccine dose administered between 6 to 12 months after Year 5 time point.

Time frame: Before and one month after additional vaccination

Population: None of the subjects became seronegative for anti-HAV antibodies during the Year 2 to Year 5 long term follow-up. Hence none of the subjects received an additional Havrix dose.

Primary

Anti-HBs Antibody Concentrations in Subjects Receiving the Additional Vaccine Dose.

Subjects losing seroprotective anti-HBs antibody titres (i.e. titres \< 10 mIU/ml) at any long term time point, received an Engerix challenge dose. The table presents the geometric mean concentrations for anti-HBs antibodies, expressed as Milli-International Units per milliliter (mIU/mL).

Time frame: Before and One month after additional vaccination

Population: Analysis was performed on the Total vaccinated cohort for the challenge dose, including all subjects who received an additional vaccine dose between 6 to 12 months after year 5.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Twinrix AdultAnti-HBs Antibody Concentrations in Subjects Receiving the Additional Vaccine Dose.Before vaccination4.9 mIU/mL
Twinrix AdultAnti-HBs Antibody Concentrations in Subjects Receiving the Additional Vaccine Dose.Post vaccination521.3 mIU/mL
Twinrix JuniorAnti-HBs Antibody Concentrations in Subjects Receiving the Additional Vaccine Dose.Before vaccination2.4 mIU/mL
Twinrix JuniorAnti-HBs Antibody Concentrations in Subjects Receiving the Additional Vaccine Dose.Post vaccination509.7 mIU/mL
Primary

Anti-hepatitis A (HAV) Antibody Concentrations

Geometric mean concentration for anti-HAV antibodies expressed as Milli-International Units per milliliter (mIU/mL)

Time frame: Year 2 (Month 24), Year 3 (Month 36), Year 4 (Month 48) and Year 5 (Month 60)

Population: Analysis was performed on the Long Term According to Protocol cohort for analysis of immunogenicity (LT ATP immunogenicity cohort) which included all subjects that complied with the protocol and for whom data concerning immunogenicity endpoint measures were available for the particular time point measured.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Twinrix AdultAnti-hepatitis A (HAV) Antibody ConcentrationsAt year 21122.2 mIU/mL
Twinrix AdultAnti-hepatitis A (HAV) Antibody ConcentrationsAt year 3998.6 mIU/mL
Twinrix AdultAnti-hepatitis A (HAV) Antibody ConcentrationsAt year 4737.5 mIU/mL
Twinrix AdultAnti-hepatitis A (HAV) Antibody ConcentrationsAt year 5576.8 mIU/mL
Twinrix JuniorAnti-hepatitis A (HAV) Antibody ConcentrationsAt year 5698.4 mIU/mL
Twinrix JuniorAnti-hepatitis A (HAV) Antibody ConcentrationsAt year 21377.8 mIU/mL
Twinrix JuniorAnti-hepatitis A (HAV) Antibody ConcentrationsAt year 4915.9 mIU/mL
Twinrix JuniorAnti-hepatitis A (HAV) Antibody ConcentrationsAt year 31347.1 mIU/mL
Primary

Anti-hepatitis B (HBs) Antibody Concentrations

Geometric mean concentration for anti-HBs antibodies expressed as Milli-International Units per milliliter (mIU/mL).

Time frame: Year 2 (Month 24), Year 3 (Month 36), Year 4 (Month 48) and Year 5 (Month 60)

Population: Analysis was performed on the Long Term According to Protocol cohort for analysis of immunogenicity (LT ATP immunogenicity cohort) which included all subjects that complied with the protocol and for whom data concerning immunogenicity endpoint measures were available for the particular time point measured.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Twinrix AdultAnti-hepatitis B (HBs) Antibody ConcentrationsAt year 2479.9 mIU/mL
Twinrix AdultAnti-hepatitis B (HBs) Antibody ConcentrationsAt year 3325.1 mIU/mL
Twinrix AdultAnti-hepatitis B (HBs) Antibody ConcentrationsAt year 4270.2 mIU/mL
Twinrix AdultAnti-hepatitis B (HBs) Antibody ConcentrationsAt year 5150.2 mIU/mL
Twinrix JuniorAnti-hepatitis B (HBs) Antibody ConcentrationsAt year 5283.7 mIU/mL
Twinrix JuniorAnti-hepatitis B (HBs) Antibody ConcentrationsAt year 2830.6 mIU/mL
Twinrix JuniorAnti-hepatitis B (HBs) Antibody ConcentrationsAt year 4519.7 mIU/mL
Twinrix JuniorAnti-hepatitis B (HBs) Antibody ConcentrationsAt year 3695.1 mIU/mL
Secondary

Number of Subjects Receiving an Additional Vaccine Dose and Reporting Any Serious Adverse Events

A serious adverse event (SAE) is any untoward medical occurrence that: results in death, is life-threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, is a congenital anomaly/birth defect in the offspring of a study subject, or may evolve into one of the outcomes listed above.

Time frame: At least one month after additional vaccination

Population: Analysis was performed on the Total vaccinated cohort for the challenge dose, including all subjects who received an additional vaccine dose between 6 to 12 months after year 5.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Twinrix AdultNumber of Subjects Receiving an Additional Vaccine Dose and Reporting Any Serious Adverse Events0 Participants
Twinrix JuniorNumber of Subjects Receiving an Additional Vaccine Dose and Reporting Any Serious Adverse Events0 Participants
Secondary

Number of Subjects Receiving an Additional Vaccine Dose and Reporting Solicited General Symptoms.

Solicited general symptoms assessed include fatigue, fever, gastrointestinal symptoms and headache. Any= regardless of intensity grade or relationship to vaccination; grade 3= prevented normal activity; Related= considered by the investigator to be causally related to the vaccination

Time frame: During the 4-day follow-up period after additional vaccination

Population: Analysis was performed on the Total vaccinated cohort for the challenge dose, including all subjects who received an additional vaccine dose between 6 to 12 months after year 5.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Twinrix AdultNumber of Subjects Receiving an Additional Vaccine Dose and Reporting Solicited General Symptoms.Fatigue, any3 Participants
Twinrix AdultNumber of Subjects Receiving an Additional Vaccine Dose and Reporting Solicited General Symptoms.Fatigue, grade 30 Participants
Twinrix AdultNumber of Subjects Receiving an Additional Vaccine Dose and Reporting Solicited General Symptoms.Fatigue, related3 Participants
Twinrix AdultNumber of Subjects Receiving an Additional Vaccine Dose and Reporting Solicited General Symptoms.Fever (axillary), ≥37°C0 Participants
Twinrix AdultNumber of Subjects Receiving an Additional Vaccine Dose and Reporting Solicited General Symptoms.Fever (axillary), >39.5°C0 Participants
Twinrix AdultNumber of Subjects Receiving an Additional Vaccine Dose and Reporting Solicited General Symptoms.Fever (axillary), related0 Participants
Twinrix AdultNumber of Subjects Receiving an Additional Vaccine Dose and Reporting Solicited General Symptoms.Gastrointestinal, any2 Participants
Twinrix AdultNumber of Subjects Receiving an Additional Vaccine Dose and Reporting Solicited General Symptoms.Gastrointestinal, grade 30 Participants
Twinrix AdultNumber of Subjects Receiving an Additional Vaccine Dose and Reporting Solicited General Symptoms.Gastrointestinal, related2 Participants
Twinrix AdultNumber of Subjects Receiving an Additional Vaccine Dose and Reporting Solicited General Symptoms.Headache, any4 Participants
Twinrix AdultNumber of Subjects Receiving an Additional Vaccine Dose and Reporting Solicited General Symptoms.Headache, grade 30 Participants
Twinrix AdultNumber of Subjects Receiving an Additional Vaccine Dose and Reporting Solicited General Symptoms.Headache, related4 Participants
Twinrix JuniorNumber of Subjects Receiving an Additional Vaccine Dose and Reporting Solicited General Symptoms.Headache, grade 30 Participants
Twinrix JuniorNumber of Subjects Receiving an Additional Vaccine Dose and Reporting Solicited General Symptoms.Fatigue, any0 Participants
Twinrix JuniorNumber of Subjects Receiving an Additional Vaccine Dose and Reporting Solicited General Symptoms.Gastrointestinal, any0 Participants
Twinrix JuniorNumber of Subjects Receiving an Additional Vaccine Dose and Reporting Solicited General Symptoms.Fatigue, grade 30 Participants
Twinrix JuniorNumber of Subjects Receiving an Additional Vaccine Dose and Reporting Solicited General Symptoms.Headache, any0 Participants
Twinrix JuniorNumber of Subjects Receiving an Additional Vaccine Dose and Reporting Solicited General Symptoms.Fatigue, related0 Participants
Twinrix JuniorNumber of Subjects Receiving an Additional Vaccine Dose and Reporting Solicited General Symptoms.Gastrointestinal, grade 30 Participants
Twinrix JuniorNumber of Subjects Receiving an Additional Vaccine Dose and Reporting Solicited General Symptoms.Fever (axillary), ≥37°C0 Participants
Twinrix JuniorNumber of Subjects Receiving an Additional Vaccine Dose and Reporting Solicited General Symptoms.Headache, related0 Participants
Twinrix JuniorNumber of Subjects Receiving an Additional Vaccine Dose and Reporting Solicited General Symptoms.Fever (axillary), >39.5°C0 Participants
Twinrix JuniorNumber of Subjects Receiving an Additional Vaccine Dose and Reporting Solicited General Symptoms.Gastrointestinal, related0 Participants
Twinrix JuniorNumber of Subjects Receiving an Additional Vaccine Dose and Reporting Solicited General Symptoms.Fever (axillary), related0 Participants
Secondary

Number of Subjects Receiving an Additional Vaccine Dose and Reporting Solicited Local Symptoms

Solicited local symptoms assessed include pain, redness and swelling at the vaccine injection site. Any= regardless of intensity grade; Grade 3 Pain= spontaneously painful

Time frame: during the 4-day follow-up period after additional vaccination

Population: Analysis was performed on the Total vaccinated cohort for the challenge dose, including all subjects who received an additional vaccine dose between 6 to 12 months after year 5.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Twinrix AdultNumber of Subjects Receiving an Additional Vaccine Dose and Reporting Solicited Local SymptomsPain, any6 Participants
Twinrix AdultNumber of Subjects Receiving an Additional Vaccine Dose and Reporting Solicited Local SymptomsPain, grade 30 Participants
Twinrix AdultNumber of Subjects Receiving an Additional Vaccine Dose and Reporting Solicited Local SymptomsRedness, any1 Participants
Twinrix AdultNumber of Subjects Receiving an Additional Vaccine Dose and Reporting Solicited Local SymptomsRedness, >20mm0 Participants
Twinrix AdultNumber of Subjects Receiving an Additional Vaccine Dose and Reporting Solicited Local SymptomsSwelling, any0 Participants
Twinrix AdultNumber of Subjects Receiving an Additional Vaccine Dose and Reporting Solicited Local SymptomsSwelling, >20mm0 Participants
Twinrix JuniorNumber of Subjects Receiving an Additional Vaccine Dose and Reporting Solicited Local SymptomsSwelling, any0 Participants
Twinrix JuniorNumber of Subjects Receiving an Additional Vaccine Dose and Reporting Solicited Local SymptomsPain, any0 Participants
Twinrix JuniorNumber of Subjects Receiving an Additional Vaccine Dose and Reporting Solicited Local SymptomsRedness, >20mm0 Participants
Twinrix JuniorNumber of Subjects Receiving an Additional Vaccine Dose and Reporting Solicited Local SymptomsPain, grade 30 Participants
Twinrix JuniorNumber of Subjects Receiving an Additional Vaccine Dose and Reporting Solicited Local SymptomsSwelling, >20mm0 Participants
Twinrix JuniorNumber of Subjects Receiving an Additional Vaccine Dose and Reporting Solicited Local SymptomsRedness, any0 Participants
Secondary

Number of Subjects Receiving an Additional Vaccine Dose and Reporting Unsolicited Adverse Events (AEs).

An Adverse Event is any untoward medical occurrence in a clinical investigation subject, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product.

Time frame: During the 30-day follow-up period after additional vaccination.

Population: Analysis was performed on the Total vaccinated cohort for the challenge dose, including all subjects who received an additional vaccine dose between 6 to 12 months after year 5.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Twinrix AdultNumber of Subjects Receiving an Additional Vaccine Dose and Reporting Unsolicited Adverse Events (AEs).2 Participants
Twinrix JuniorNumber of Subjects Receiving an Additional Vaccine Dose and Reporting Unsolicited Adverse Events (AEs).0 Participants
Secondary

Number of Subjects Reporting Serious Adverse Events (SAEs) Determined by the Investigator to Have a Causal Relationship to Primary Vaccination or Due to Lack of Vaccine Efficacy.

A serious adverse event (SAE) is any untoward medical occurrence that: results in death, is life-threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, is a congenital anomaly/birth defect in the offspring of a study subject, or may evolve into one of the outcomes listed above.

Time frame: From last study visit of the primary study up to Year 5 long term follow-up

Population: The analysis was performed on the Long term Total vaccinated cohort wich included all subjects who returned at a specified follow-up study

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Twinrix AdultNumber of Subjects Reporting Serious Adverse Events (SAEs) Determined by the Investigator to Have a Causal Relationship to Primary Vaccination or Due to Lack of Vaccine Efficacy.0 Participants
Twinrix JuniorNumber of Subjects Reporting Serious Adverse Events (SAEs) Determined by the Investigator to Have a Causal Relationship to Primary Vaccination or Due to Lack of Vaccine Efficacy.0 Participants

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026