Hepatitis
Conditions
Keywords
hepatitis A vaccine, male homosexual, HIV infection, male homosexuals who are seronegative for hepatitis A virus
Brief summary
Male homosexuals are at risk for hepatitis A virus (HAV) infection, and HAV vaccination has been recommended to prevent HAV infection in male homosexuals. HIV infection may impair serological responses to HAV vaccination in HIV-infected patients. The investigators hypothesize that 3 doses of HAV vaccine will improve serological responses to HAV vaccine in HIV-infected patients.
Detailed description
In this study, we aim to compare the serological responses to HAV vaccination between HIV-infected patients who receive 2 doses or 3 doses of HAV vaccine and HIV-uninfected persons who receive 2 doses of HAV vaccine. Persons who identify themselves as male homosexuals aged younger than 40 years and are seronegative for hepatitis A virus will be enrolled. HAV vaccination will be provided free-of-charge. HIV-uninfected persons will receive 2 doses of HAV vaccine that will be administered at baseline and 6 months after the first dose, while HIV-infected patients will be given 2 doses or 3 doses of HAV vaccine; for those who choose to receive 3 doses, a second dose will be given 1 month after the first dose. A longitudinal follow-up of serological responses will be conducted to assess the effectiveness of HAV vaccination; HAV IgG will be determined at 6 months after the first dose of HAV vaccination(before the administration of the second dose), 12 months and 18 months after the first dose of HAV vaccination .
Interventions
2 or 3 doses of hepatitis A vaccine to HIV-infected male homosexuals and 2 doses of hepatitis A vaccine to HIV-uninfected male homosexuals.
Sponsors
Study design
Eligibility
Inclusion criteria
* Age between 18\ 40-years-old * Homosexuals
Exclusion criteria
* Presence of symptoms or signs suggestive of active infection * Allergy to vaccination * Failure to provide written informed consent * Use of immunosuppressive or immunomodulating agents or chemotherapy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| the proportion of vaccinees who achieve anti-HAV antibody concentrations of 20 mIU/ml or greater at week 48 of vaccination | 48 weeks |
Secondary
| Measure | Time frame |
|---|---|
| the concentrations of anti-HAV antibody at week 48 of vaccination | 48 weeks |
Countries
Taiwan