Indolent Lymphoproliferative Disorders
Conditions
Keywords
Low grade lymphoma, follicular lymphoma, indolent lymphoproliferative disorders, Vaccin GenHevac B Pasteur
Brief summary
The purpose of this study is to assess the seroconversion rate and the cellular immune response after vaccination against hepatitis B virus in patients with lymphoproliferative syndrome like chronic lymphocytic leukemia stade A and follicular lymphoma without of treatment criteria.
Detailed description
Rituximab is a human-mouse chimeric monoclonal antibody that targets the B-cell CD20. It is an indispensible drug for the treatment of B-cell lymphoproliferative syndrome which induced immunosuppression. So, the infectious complications increase. Reactivation of hepatitis B virus is one such complication that can lead in asymptomatic hepatitis to death. Prevention of hepatitis B reactivation is recommended like using nucleoside analog for patients with chronic hepatitis B or occult hepatitis and vaccination against virus for seronegative patients. The published data about efficacy of hepatitis b vaccination in onco-haematology are rare. therefore, we carried out a prospective study to assess efficacy of hepatitis B vaccination in patients with lymphoproliferative disorder.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Age ≥ 18 years. * Lymphoproliferative indolent type of stage A CLL or follicular lymphoma with low tumor burden * No indication of chemotherapy during the seven months of the vaccination protocol. HBV serology negative for HBsAg / Ab HBs / HBc Ab. * No history of vaccination against hepatitis B.
Exclusion criteria
* Indication of immediate chemotherapy. * At least one HBV positive serologic marker . * History of vaccination against HBV. * Known neurodegenerative disease. * Pregnancy. * Febrile infection untreated. * Known allergy to any vaccine component.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Describe the seroconversion rates at month 7 (M7) defined for a threshold of HBs Ab> 10 IU / L. | Month 7 |
Secondary
| Measure | Time frame |
|---|---|
| Describe the cellular immune response post vaccination at M2 and M7. | Month 2 and Month 7 |
| To study the influence of age on the rate of seroconversion. | Month 0, Month 2 and Month 7 |
| Describe vaccine-tolerance at M2 and M7. | Month 2 and Month 7 |
| - Describe the seroconversion rate in month 2 (M2) defined for a threshold of HBs Ab> 10 IU / L. | Month 2 |
| To study the influence of lymphocyte count on the rate of seroconversion. | Month 0, Month 2 and Month 7 |
| To study the influence of total immunoglobulin on the rate of seroconversion. | Month 0, Month 2 and Month 7 |
| To study the influence of immunoglobulin M on the rate of seroconversion. | Month 0, Month 2 and Month 7 |
| To study the influence of sex on the rate of seroconversion. | Month 0, Month 2 and Month 7 |
Countries
France