Hepatitis A
Conditions
Keywords
Havrix™, Hepatitis A
Brief summary
The aim of this study is to evaluate the long-term persistence of hepatitis A antibodies at 11, 12, 13, 14, 15, 16, 17, 18, 19 and 20 years after subjects received their first dose of a 2 dose vaccination schedule of hepatitis A vaccine.
Detailed description
This is a long-term follow-up study at Years 11, 12, 13, 14, 15, 16, 17, 18, 19 and 20 after primary vaccination with GSK Biologicals' hepatitis A vaccine (two-dose schedule). To evaluate the long-term antibody persistence, volunteers will donate a blood sample at Years 11, 12, 13, 14,15, 16, 17, 18, 19 and 20 after the first vaccine dose of the primary vaccination course to determine their anti-hepatitis A (anti-HAV) antibody concentrations If a subject has become seronegative for anti-HAV antibodies during any of the long-term blood sampling time point (i.e. Years 11, 12, 13, 14, 15, 16, 17, 18, 19 and 20 years), he/ she will be offered an additional vaccine dose. A blood sample will be taken on the day of the additional vaccination, 14 days and one month after additional vaccination to evaluate the immune response following this vaccination. The Protocol Posting has been updated in order to comply with the FDA Amendment Act, Sep 2007 and to include an extended follow up period up to Year 20 after primary vaccination. The study has 10 phases (100576, 100577, 100578, 100579, 100580, 111028, 111029, 111030, 111031, 111032).
Interventions
2 doses at 6 months interval
Sponsors
Study design
Eligibility
Inclusion criteria
* Subjects who had received at least one dose of the study vaccine in the primary study * Written informed consent will have been obtained from the subjects before the blood sampling visit of each year.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Anti-hepatitis A Virus (Anti-HAV) Antibody Concentration | At Years 11, 12, 13, 14, 15, 16, 17, 18, 19 and 20 after the first vaccine dose of the 2-dose primary vaccination | Concentrations given as geometric mean concentration (GMC) expressed as milli-international unit per millilitre (mIU/mL). The laboratory assay was changed at Year 11, thus the blood samples were with both the old and the new assay for the sake of bridging. |
| Number of Seropositive Subjects for Anti-HAV Antibodies. | From Year 11 to Year 20 | Seropositivity for anti-HAV antibodies defined as antibody concentrations ≥ 15 mIU/mL for Year 11 to Year 20 time points. The laboratory assay was changed at Year 11, thus the blood samples were with both the old and the new assay for the sake of bridging. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of Subjects Reporting Any, Grade 3 and Related Solicited General Symptoms | During the 4-day (Day 0-3) follow-up period after additional vaccination | Solicited general symptoms assessed included fatigue, fever, gastrointestinal symptoms, and headache. |
| Number of Subjects Reporting Serious Adverse Events (SAE) Assessed by the Investigators as Related to Vaccination or to Study Procedures or Lack of Efficacy | Years 11, 12, 13, 14, 15, 16, 17, 18, 19 and 20 after the first vaccine dose of the 2-dose primary vaccination | An 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 Reporting Serious Adverse Events (SAE) | During the follow-up period after additional vaccination up to Year 20 | An 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 Reporting Any, Grade 3 and Related Unsolicited Adverse Events (AE) | During the 30-day follow-up period after additional vaccination (for subjects who received the additional vaccine dose between Year 11 and 15) | An AE 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. Grade AE = produced significant impairment of functioning or incapacitation and was a definite hazard to the subject's health. Related AE = assessed by the investigator as related to the study vaccination. |
| Number of Subjects Reporting Any and Grade 3 Solicited Local Symptoms | During the 4-day (Day 0-3) follow-up period after additional vaccination | Solicited local symptoms assessed include pain, redness and swelling. Grade 3 pain = symptom that prevented normal activities. Grade 3 redness and swelling = redness or swelling above 30 mm and persisting more than 24 hours. Any = incidence of a particular symptom regardless of intensity. |
Countries
Belgium
Participant flow
Recruitment details
Participant Flow and Baseline measures are given for the Month 192 (Year 16) time point in order to account for all subjects participating in this long-term follow-up study. Note that not all subjects returned and participated in each of the intermediate follow-up time points.
Pre-assignment details
The Long-Term (LT) Total Cohort included all subjects who returned for the follow-up and who belonged to the Total Cohort in the primary study.The Long Term According-to-Protocol (LT-ATP) cohort for immunogenicity included subjects who returned for the follow-up and who were included in the ATP cohort for immunogenicity of the primary study.
Participants by arm
| Arm | Count |
|---|---|
| Havrix Group Subjects who received 2 doses of Havrix™ (lot A, B or C) in the primary study.
As lot to lot consistency was assessed during the primary study, the 3 groups (lot A, B or C) were pooled into the Havrix Group for data analyses during the long term follow-up | 78 |
| Total | 78 |
Baseline characteristics
| Characteristic | Havrix Group |
|---|---|
| Age, Continuous | 42.3 years STANDARD_DEVIATION 7 |
| Sex: Female, Male Female | 56 Participants |
| Sex: Female, Male Male | 22 Participants |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | — / — |
| other Total, other adverse events | 2 / 2 |
| serious Total, serious adverse events | 0 / 78 |
Outcome results
Anti-hepatitis A Virus (Anti-HAV) Antibody Concentration
Concentrations given as geometric mean concentration (GMC) expressed as milli-international unit per millilitre (mIU/mL). The laboratory assay was changed at Year 11, thus the blood samples were with both the old and the new assay for the sake of bridging.
Time frame: At Years 11, 12, 13, 14, 15, 16, 17, 18, 19 and 20 after the first vaccine dose of the 2-dose primary vaccination
Population: Analysis was performed on the Long Term According-to-Protocol (LT-ATP) cohort for immunogenicity, on subjects with available data for the defined timepoint.
| Arm | Measure | Group | Value (GEOMETRIC_MEAN) |
|---|---|---|---|
| Havrix Group | Anti-hepatitis A Virus (Anti-HAV) Antibody Concentration | Year 11 Old Assay Method (N=43) | 593.6 mIU/mL |
| Havrix Group | Anti-hepatitis A Virus (Anti-HAV) Antibody Concentration | Year 11 New Assay Method (N=46) | 297.4 mIU/mL |
| Havrix Group | Anti-hepatitis A Virus (Anti-HAV) Antibody Concentration | Year 12 (N=42) | 363.2 mIU/mL |
| Havrix Group | Anti-hepatitis A Virus (Anti-HAV) Antibody Concentration | Year 13 (N=50) | 287.7 mIU/mL |
| Havrix Group | Anti-hepatitis A Virus (Anti-HAV) Antibody Concentration | Year 14 (N=46) | 270.4 mIU/mL |
| Havrix Group | Anti-hepatitis A Virus (Anti-HAV) Antibody Concentration | Year 15 (N=41) | 290.3 mIU/mL |
| Havrix Group | Anti-hepatitis A Virus (Anti-HAV) Antibody Concentration | Year 16 (N=53) | 242.3 mIU/mL |
| Havrix Group | Anti-hepatitis A Virus (Anti-HAV) Antibody Concentration | Year 17 (N=45) | 277.9 mIU/mL |
| Havrix Group | Anti-hepatitis A Virus (Anti-HAV) Antibody Concentration | Year 18 (N=37) | 301.7 mIU/mL |
| Havrix Group | Anti-hepatitis A Virus (Anti-HAV) Antibody Concentration | Year 19 (N=26) | 226.5 mIU/mL |
| Havrix Group | Anti-hepatitis A Virus (Anti-HAV) Antibody Concentration | Year 20 (N=34) | 311.8 mIU/mL |
Anti-hepatitis A Virus (Anti-HAV) Antibody Concentration
Concentrations given as GMC expressed as mIU/mL.
Time frame: Before the additional dose, 14 days and 30 days after the additional dose
Population: Analysis was performed on the Long Term Total cohort, only on subjects who received an additional vaccine dose during the current long-term follow-up study. If a subject became seronegative (\< 15 mIU/mL) at any of the long-term blood sampling timepoint, he/she was offered an additional vaccine dose.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Havrix Group | Anti-hepatitis A Virus (Anti-HAV) Antibody Concentration | Subject 1 (pre-additional dose) | 23 mIU/mL |
| Havrix Group | Anti-hepatitis A Virus (Anti-HAV) Antibody Concentration | Subject 1 (14 days post-additional dose) | 702 mIU/mL |
| Havrix Group | Anti-hepatitis A Virus (Anti-HAV) Antibody Concentration | Subject 1 (30 days post-additional dose) | 836 mIU/mL |
| Havrix Group | Anti-hepatitis A Virus (Anti-HAV) Antibody Concentration | Subject 2 (pre-additional dose) | 24 mIU/mL |
| Havrix Group | Anti-hepatitis A Virus (Anti-HAV) Antibody Concentration | Subject 2 (14 days post-additional dose) | 6107 mIU/mL |
| Havrix Group | Anti-hepatitis A Virus (Anti-HAV) Antibody Concentration | Subject 2 (30 days post-additional dose) | 5939 mIU/mL |
Number of Seropositive Subjects for Anti-HAV Antibodies.
Seropositivity for anti-HAV antibodies defined as antibody concentrations ≥ 15 mIU/mL for Year 11 to Year 20 time points. The laboratory assay was changed at Year 11, thus the blood samples were with both the old and the new assay for the sake of bridging.
Time frame: From Year 11 to Year 20
Population: Analysis was performed on the Long Term According-to-Protocol (LT-ATP) cohort for immunogenicity, on subjects with available data for the defined timepoint.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Havrix Group | Number of Seropositive Subjects for Anti-HAV Antibodies. | Year 11 Old Assay Method (N=43) | 43 Subjects |
| Havrix Group | Number of Seropositive Subjects for Anti-HAV Antibodies. | Year 11 New Assay Method (N=46) | 46 Subjects |
| Havrix Group | Number of Seropositive Subjects for Anti-HAV Antibodies. | Year 12 (N=42) | 42 Subjects |
| Havrix Group | Number of Seropositive Subjects for Anti-HAV Antibodies. | Year 13 (N=50) | 50 Subjects |
| Havrix Group | Number of Seropositive Subjects for Anti-HAV Antibodies. | Year 14 (N=46) | 46 Subjects |
| Havrix Group | Number of Seropositive Subjects for Anti-HAV Antibodies. | Year 15 (N=41) | 41 Subjects |
| Havrix Group | Number of Seropositive Subjects for Anti-HAV Antibodies. | Year 16 (N=53) | 53 Subjects |
| Havrix Group | Number of Seropositive Subjects for Anti-HAV Antibodies. | Year 17 (N=45) | 45 Subjects |
| Havrix Group | Number of Seropositive Subjects for Anti-HAV Antibodies. | Year 18 (N=37) | 37 Subjects |
| Havrix Group | Number of Seropositive Subjects for Anti-HAV Antibodies. | Year 19 (N=26) | 26 Subjects |
| Havrix Group | Number of Seropositive Subjects for Anti-HAV Antibodies. | Year 20 (N=34) | 34 Subjects |
Number of Subjects Reporting Any and Grade 3 Solicited Local Symptoms
Solicited local symptoms assessed include pain, redness and swelling. Grade 3 pain = symptom that prevented normal activities. Grade 3 redness and swelling = redness or swelling above 30 mm and persisting more than 24 hours. Any = incidence of a particular symptom regardless of intensity.
Time frame: During the 4-day (Day 0-3) follow-up period after additional vaccination
Population: Analysis was performed on the Long Term Total cohort, only on subjects who received an additional vaccine dose during the current long-term follow-up study. If a subject became seronegative (\< 15 mIU/mL) at any of the long-term blood sampling timepoint, he/she was offered an additional vaccine dose.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Havrix Group | Number of Subjects Reporting Any and Grade 3 Solicited Local Symptoms | Any Pain | 1 Subjects |
| Havrix Group | Number of Subjects Reporting Any and Grade 3 Solicited Local Symptoms | Any Redness | 0 Subjects |
| Havrix Group | Number of Subjects Reporting Any and Grade 3 Solicited Local Symptoms | Any Swelling | 0 Subjects |
| Havrix Group | Number of Subjects Reporting Any and Grade 3 Solicited Local Symptoms | Grade 3 Pain | 0 Subjects |
| Havrix Group | Number of Subjects Reporting Any and Grade 3 Solicited Local Symptoms | Grade 3 Redness > 30 mm | 0 Subjects |
| Havrix Group | Number of Subjects Reporting Any and Grade 3 Solicited Local Symptoms | Grade 3 Swelling > 30 mm | 0 Subjects |
Number of Subjects Reporting Any, Grade 3 and Related Solicited General Symptoms
Solicited general symptoms assessed included fatigue, fever, gastrointestinal symptoms, and headache.
Time frame: During the 4-day (Day 0-3) follow-up period after additional vaccination
Population: Analysis was performed on the Long Term Total cohort, only on subjects who received an additional vaccine dose during the current long-term follow-up study. If a subject became seronegative (\< 15 mIU/mL) at any of the long-term blood sampling timepoint, he/she was offered an additional vaccine dose.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Havrix Group | Number of Subjects Reporting Any, Grade 3 and Related Solicited General Symptoms | Any, Grade 3 and Related Fatigue | 0 Subjects |
| Havrix Group | Number of Subjects Reporting Any, Grade 3 and Related Solicited General Symptoms | Any, Grade 3 and Related Fever | 0 Subjects |
| Havrix Group | Number of Subjects Reporting Any, Grade 3 and Related Solicited General Symptoms | Any, Grade 3 and Related Gastrointestinal | 0 Subjects |
| Havrix Group | Number of Subjects Reporting Any, Grade 3 and Related Solicited General Symptoms | Any, Grade 3 and Related Headache | 0 Subjects |
Number of Subjects Reporting Any, Grade 3 and Related Unsolicited Adverse Events (AE)
An AE 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. Grade AE = produced significant impairment of functioning or incapacitation and was a definite hazard to the subject's health. Related AE = assessed by the investigator as related to the study vaccination.
Time frame: During the 30-day follow-up period after additional vaccination (for subjects who received the additional vaccine dose between Year 11 and 15)
Population: Analysis was performed on the Long Term Total cohort, only on subjects who received an additional vaccine dose during the current long-term follow-up study. If a subject became seronegative (\< 15 mIU/mL) at any of the long-term blood sampling timepoint, he/she was offered an additional vaccine dose.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Havrix Group | Number of Subjects Reporting Any, Grade 3 and Related Unsolicited Adverse Events (AE) | Any AE(s) | 1 Subjects |
| Havrix Group | Number of Subjects Reporting Any, Grade 3 and Related Unsolicited Adverse Events (AE) | Grade 3 AE(s) | 0 Subjects |
| Havrix Group | Number of Subjects Reporting Any, Grade 3 and Related Unsolicited Adverse Events (AE) | AE(s) Related | 0 Subjects |
Number of Subjects Reporting Serious Adverse Events (SAE)
An 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: During the follow-up period after additional vaccination up to Year 20
Population: Analysis was performed on the Long Term Total cohort, only on subjects who received an additional vaccine dose during the current long-term follow-up study. If a subject became seronegative (\< 15 mIU/mL) at any of the long-term blood sampling timepoint, he/she was offered an additional vaccine dose.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Havrix Group | Number of Subjects Reporting Serious Adverse Events (SAE) | 0 Subjects |
Number of Subjects Reporting Serious Adverse Events (SAE) Assessed by the Investigators as Related to Vaccination or to Study Procedures or Lack of Efficacy
An 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: Years 11, 12, 13, 14, 15, 16, 17, 18, 19 and 20 after the first vaccine dose of the 2-dose primary vaccination
Population: Analysis was performed on the Long Term Total cohort which included all subjects who returned to the follow-up study and who had received at least 1 dose of the vaccine in the primary study.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Havrix Group | Number of Subjects Reporting Serious Adverse Events (SAE) Assessed by the Investigators as Related to Vaccination or to Study Procedures or Lack of Efficacy | Year 11 (N=64) | 0 Subjects |
| Havrix Group | Number of Subjects Reporting Serious Adverse Events (SAE) Assessed by the Investigators as Related to Vaccination or to Study Procedures or Lack of Efficacy | Year 12 (N=60) | 0 Subjects |
| Havrix Group | Number of Subjects Reporting Serious Adverse Events (SAE) Assessed by the Investigators as Related to Vaccination or to Study Procedures or Lack of Efficacy | Year 13 (N=71) | 0 Subjects |
| Havrix Group | Number of Subjects Reporting Serious Adverse Events (SAE) Assessed by the Investigators as Related to Vaccination or to Study Procedures or Lack of Efficacy | Year 14 (N=66) | 0 Subjects |
| Havrix Group | Number of Subjects Reporting Serious Adverse Events (SAE) Assessed by the Investigators as Related to Vaccination or to Study Procedures or Lack of Efficacy | Year 15 (N=63) | 0 Subjects |
| Havrix Group | Number of Subjects Reporting Serious Adverse Events (SAE) Assessed by the Investigators as Related to Vaccination or to Study Procedures or Lack of Efficacy | Year 16 (N=78) | 0 Subjects |
| Havrix Group | Number of Subjects Reporting Serious Adverse Events (SAE) Assessed by the Investigators as Related to Vaccination or to Study Procedures or Lack of Efficacy | Year 17 (N=63) | 0 Subjects |
| Havrix Group | Number of Subjects Reporting Serious Adverse Events (SAE) Assessed by the Investigators as Related to Vaccination or to Study Procedures or Lack of Efficacy | Year 18 (N=52) | 0 Subjects |
| Havrix Group | Number of Subjects Reporting Serious Adverse Events (SAE) Assessed by the Investigators as Related to Vaccination or to Study Procedures or Lack of Efficacy | Year 19 (N=45) | 0 Subjects |
| Havrix Group | Number of Subjects Reporting Serious Adverse Events (SAE) Assessed by the Investigators as Related to Vaccination or to Study Procedures or Lack of Efficacy | Year 20 (N=50) | 0 Subjects |