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Long-Term Immune Persistence of GlaxoSmithKline Biologicals' Inactivated Hepatitis A Vaccine, Injected According to 0, 6-month Schedule

Double-blind, Randomized Study to Evaluate the Immunogenicity and Reactogenicity of Three Different Lots of GlaxoSmithKline Biologicals' Inactivated Hepatitis A Vaccine Containing 1440 EL.U of Antigen Per mL and Injected According to a 0, 6 Month Schedule in Healthy Adult Subjects

Status
Completed
Phases
Phase 4
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00289757
Enrollment
78
Registered
2006-02-10
Start date
2004-01-01
Completion date
2013-03-01
Last updated
2018-07-23

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

Conditions

Hepatitis A

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

BIOLOGICALHavrix™

2 doses at 6 months interval

Sponsors

GlaxoSmithKline
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
29 Years to 60 Years
Healthy volunteers
Yes

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

MeasureTime frameDescription
Anti-hepatitis A Virus (Anti-HAV) Antibody ConcentrationAt Years 11, 12, 13, 14, 15, 16, 17, 18, 19 and 20 after the first vaccine dose of the 2-dose primary vaccinationConcentrations 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 20Seropositivity 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

MeasureTime frameDescription
Number of Subjects Reporting Any, Grade 3 and Related Solicited General SymptomsDuring the 4-day (Day 0-3) follow-up period after additional vaccinationSolicited 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 EfficacyYears 11, 12, 13, 14, 15, 16, 17, 18, 19 and 20 after the first vaccine dose of the 2-dose primary vaccinationAn 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 20An 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 SymptomsDuring the 4-day (Day 0-3) follow-up period after additional vaccinationSolicited 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

ArmCount
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
Total78

Baseline characteristics

CharacteristicHavrix Group
Age, Continuous42.3 years
STANDARD_DEVIATION 7
Sex: Female, Male
Female
56 Participants
Sex: Female, Male
Male
22 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
— / —
other
Total, other adverse events
2 / 2
serious
Total, serious adverse events
0 / 78

Outcome results

Primary

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.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Havrix GroupAnti-hepatitis A Virus (Anti-HAV) Antibody ConcentrationYear 11 Old Assay Method (N=43)593.6 mIU/mL
Havrix GroupAnti-hepatitis A Virus (Anti-HAV) Antibody ConcentrationYear 11 New Assay Method (N=46)297.4 mIU/mL
Havrix GroupAnti-hepatitis A Virus (Anti-HAV) Antibody ConcentrationYear 12 (N=42)363.2 mIU/mL
Havrix GroupAnti-hepatitis A Virus (Anti-HAV) Antibody ConcentrationYear 13 (N=50)287.7 mIU/mL
Havrix GroupAnti-hepatitis A Virus (Anti-HAV) Antibody ConcentrationYear 14 (N=46)270.4 mIU/mL
Havrix GroupAnti-hepatitis A Virus (Anti-HAV) Antibody ConcentrationYear 15 (N=41)290.3 mIU/mL
Havrix GroupAnti-hepatitis A Virus (Anti-HAV) Antibody ConcentrationYear 16 (N=53)242.3 mIU/mL
Havrix GroupAnti-hepatitis A Virus (Anti-HAV) Antibody ConcentrationYear 17 (N=45)277.9 mIU/mL
Havrix GroupAnti-hepatitis A Virus (Anti-HAV) Antibody ConcentrationYear 18 (N=37)301.7 mIU/mL
Havrix GroupAnti-hepatitis A Virus (Anti-HAV) Antibody ConcentrationYear 19 (N=26)226.5 mIU/mL
Havrix GroupAnti-hepatitis A Virus (Anti-HAV) Antibody ConcentrationYear 20 (N=34)311.8 mIU/mL
Primary

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.

ArmMeasureGroupValue (NUMBER)
Havrix GroupAnti-hepatitis A Virus (Anti-HAV) Antibody ConcentrationSubject 1 (pre-additional dose)23 mIU/mL
Havrix GroupAnti-hepatitis A Virus (Anti-HAV) Antibody ConcentrationSubject 1 (14 days post-additional dose)702 mIU/mL
Havrix GroupAnti-hepatitis A Virus (Anti-HAV) Antibody ConcentrationSubject 1 (30 days post-additional dose)836 mIU/mL
Havrix GroupAnti-hepatitis A Virus (Anti-HAV) Antibody ConcentrationSubject 2 (pre-additional dose)24 mIU/mL
Havrix GroupAnti-hepatitis A Virus (Anti-HAV) Antibody ConcentrationSubject 2 (14 days post-additional dose)6107 mIU/mL
Havrix GroupAnti-hepatitis A Virus (Anti-HAV) Antibody ConcentrationSubject 2 (30 days post-additional dose)5939 mIU/mL
Primary

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.

ArmMeasureGroupValue (NUMBER)
Havrix GroupNumber of Seropositive Subjects for Anti-HAV Antibodies.Year 11 Old Assay Method (N=43)43 Subjects
Havrix GroupNumber of Seropositive Subjects for Anti-HAV Antibodies.Year 11 New Assay Method (N=46)46 Subjects
Havrix GroupNumber of Seropositive Subjects for Anti-HAV Antibodies.Year 12 (N=42)42 Subjects
Havrix GroupNumber of Seropositive Subjects for Anti-HAV Antibodies.Year 13 (N=50)50 Subjects
Havrix GroupNumber of Seropositive Subjects for Anti-HAV Antibodies.Year 14 (N=46)46 Subjects
Havrix GroupNumber of Seropositive Subjects for Anti-HAV Antibodies.Year 15 (N=41)41 Subjects
Havrix GroupNumber of Seropositive Subjects for Anti-HAV Antibodies.Year 16 (N=53)53 Subjects
Havrix GroupNumber of Seropositive Subjects for Anti-HAV Antibodies.Year 17 (N=45)45 Subjects
Havrix GroupNumber of Seropositive Subjects for Anti-HAV Antibodies.Year 18 (N=37)37 Subjects
Havrix GroupNumber of Seropositive Subjects for Anti-HAV Antibodies.Year 19 (N=26)26 Subjects
Havrix GroupNumber of Seropositive Subjects for Anti-HAV Antibodies.Year 20 (N=34)34 Subjects
Secondary

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.

ArmMeasureGroupValue (NUMBER)
Havrix GroupNumber of Subjects Reporting Any and Grade 3 Solicited Local SymptomsAny Pain1 Subjects
Havrix GroupNumber of Subjects Reporting Any and Grade 3 Solicited Local SymptomsAny Redness0 Subjects
Havrix GroupNumber of Subjects Reporting Any and Grade 3 Solicited Local SymptomsAny Swelling0 Subjects
Havrix GroupNumber of Subjects Reporting Any and Grade 3 Solicited Local SymptomsGrade 3 Pain0 Subjects
Havrix GroupNumber of Subjects Reporting Any and Grade 3 Solicited Local SymptomsGrade 3 Redness > 30 mm0 Subjects
Havrix GroupNumber of Subjects Reporting Any and Grade 3 Solicited Local SymptomsGrade 3 Swelling > 30 mm0 Subjects
Secondary

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.

ArmMeasureGroupValue (NUMBER)
Havrix GroupNumber of Subjects Reporting Any, Grade 3 and Related Solicited General SymptomsAny, Grade 3 and Related Fatigue0 Subjects
Havrix GroupNumber of Subjects Reporting Any, Grade 3 and Related Solicited General SymptomsAny, Grade 3 and Related Fever0 Subjects
Havrix GroupNumber of Subjects Reporting Any, Grade 3 and Related Solicited General SymptomsAny, Grade 3 and Related Gastrointestinal0 Subjects
Havrix GroupNumber of Subjects Reporting Any, Grade 3 and Related Solicited General SymptomsAny, Grade 3 and Related Headache0 Subjects
Secondary

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.

ArmMeasureGroupValue (NUMBER)
Havrix GroupNumber of Subjects Reporting Any, Grade 3 and Related Unsolicited Adverse Events (AE)Any AE(s)1 Subjects
Havrix GroupNumber of Subjects Reporting Any, Grade 3 and Related Unsolicited Adverse Events (AE)Grade 3 AE(s)0 Subjects
Havrix GroupNumber of Subjects Reporting Any, Grade 3 and Related Unsolicited Adverse Events (AE)AE(s) Related0 Subjects
Secondary

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.

ArmMeasureValue (NUMBER)
Havrix GroupNumber of Subjects Reporting Serious Adverse Events (SAE)0 Subjects
Secondary

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.

ArmMeasureGroupValue (NUMBER)
Havrix GroupNumber of Subjects Reporting Serious Adverse Events (SAE) Assessed by the Investigators as Related to Vaccination or to Study Procedures or Lack of EfficacyYear 11 (N=64)0 Subjects
Havrix GroupNumber of Subjects Reporting Serious Adverse Events (SAE) Assessed by the Investigators as Related to Vaccination or to Study Procedures or Lack of EfficacyYear 12 (N=60)0 Subjects
Havrix GroupNumber of Subjects Reporting Serious Adverse Events (SAE) Assessed by the Investigators as Related to Vaccination or to Study Procedures or Lack of EfficacyYear 13 (N=71)0 Subjects
Havrix GroupNumber of Subjects Reporting Serious Adverse Events (SAE) Assessed by the Investigators as Related to Vaccination or to Study Procedures or Lack of EfficacyYear 14 (N=66)0 Subjects
Havrix GroupNumber of Subjects Reporting Serious Adverse Events (SAE) Assessed by the Investigators as Related to Vaccination or to Study Procedures or Lack of EfficacyYear 15 (N=63)0 Subjects
Havrix GroupNumber of Subjects Reporting Serious Adverse Events (SAE) Assessed by the Investigators as Related to Vaccination or to Study Procedures or Lack of EfficacyYear 16 (N=78)0 Subjects
Havrix GroupNumber of Subjects Reporting Serious Adverse Events (SAE) Assessed by the Investigators as Related to Vaccination or to Study Procedures or Lack of EfficacyYear 17 (N=63)0 Subjects
Havrix GroupNumber of Subjects Reporting Serious Adverse Events (SAE) Assessed by the Investigators as Related to Vaccination or to Study Procedures or Lack of EfficacyYear 18 (N=52)0 Subjects
Havrix GroupNumber of Subjects Reporting Serious Adverse Events (SAE) Assessed by the Investigators as Related to Vaccination or to Study Procedures or Lack of EfficacyYear 19 (N=45)0 Subjects
Havrix GroupNumber of Subjects Reporting Serious Adverse Events (SAE) Assessed by the Investigators as Related to Vaccination or to Study Procedures or Lack of EfficacyYear 20 (N=50)0 Subjects

Source: ClinicalTrials.gov · Data processed: Mar 28, 2026