Hepatitis B, HIV Infection
Conditions
Brief summary
The aim of study is to describe the clinical, immunological, serological, virological and therapeutic characteristics of HIV+ patients harboring isolated anti-HBc profile and to assess the response to vaccination in these patients.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* HIV+ adults patients * negative HBsAg * negative a-HBs Ab * positive HBc Ab * without HBV - vaccination * CD4 cell above 200 /mm3 * HIV viral load below 50 copies/mL
Exclusion criteria
* positive HBs antigenemia in the past * transaminitis above fivefold upper normal limit * PT\<50% or Platelet \<50 000/mm3 * ongoing opportunistic infection * ongoing or recent systemic corticoid or immunomodulatory therapy, splenectomy, pregnancy, contra-indication to intramuscular injection, familial history of neurological disease.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Evaluation of immunological, virological and serological characteristics associated to anti-HBc isolated profile | at Day 0, inclusion visite |
| Average titers of anti-HBs Ab | at 4 weeks, 28 weeks and 18 months after the first vaccination HBV |
| Analysis of B-cell phenotype and maturation | at baseline and at week 28 |
Secondary
| Measure | Time frame |
|---|---|
| Number of patients with HBsAb titers as protective titer>10 IU/L | at 4 weeks,28 weeks and 18 month after the first dose HBV vaccin |
| Detection of IgG+ memory B cells specific for HBcAg or HBs Ag | at baseline and 28 weeks after the first dose HBV vaccin |
| - Detection of HBV preS2 and S-specific T cells | at day 0 and week 28 |
Countries
France