Hepatitis B
Conditions
Keywords
vaccine, hepatitis b, infection, virus
Brief summary
This trial is an experimental, randomized, double blind, prospective intervention study Approximately 100 subjects will be enrolled in this trial, divided into 2 arms, as follow: For adult (18-40 years old)
Detailed description
Each study age group/arm will be divided into two groups of treatment. One group will receive investigational product and one other group will receive active comparator. This Study is sequential age de-escalation. To be conducted in heathy adults (18-40 years old) and followed by children (10-17 years old) ). Before the study started, the subjects will be assessed for anti HBs Antibody. For subjects with anti-HBs not protective (\< 10mIU/mL) before immunization, additional 2 doses will be required with 1 month interval.
Interventions
Recombinant Hepatitis B vaccine produced by Bio Farma
Registered Recombinant Hepatitis B vaccine produced by Bio Farma
Sponsors
Study design
Masking description
Double blind.
Intervention model description
This Study is sequential age de-escalation. To be conducted in heathy adults (18-40 years old) and followed by children (10-17 years old) )
Eligibility
Inclusion criteria
Adult 1. Healthy individu as determined by clinical judgment, including a medical history, physical exam, rontgen thorax and laboratory results, which confirms the absence of a current or past disease state considered significant by the investigator. 2. Subjects have been informed properly regarding the study and signed the informed consent form 3. Subjects will commit to comply with the instructions of the investigator and the schedule of the trial Children: 1. Healthy individu as determined by clinical judgment, including a medical history, physical exam and rontgen thorax which confirms the absence of a current or past disease state considered significant by the investigator. 2. Subjects/parents/guardian(s) have been informed properly regarding the study and signed the informed consent form and 3. Subject/parents/guardian(s) will commit to comply with the instructions of the investigator and the schedule of the trial.
Exclusion criteria
1. Subject concomitantly enrolled or scheduled to be enrolled in another trial 2. Any direct relatives relationship with the study team. 3. Evolving mild, moderate or severe illness, especially infectious diseases or fever (axillary temperature ³ 37.5°C) within the 48 hours preceding enrollment. 4. Known history of allergy to any component of the vaccines (based on anamnesis) 5. Known history of immunodeficiency disorder (HIV infection, leukemia, lymphoma, or malignancy) 6. History of uncontrolled coagulopathy or blood disorders contraindicating for phlebotomy. 7. Subject who has received in the previous 4 weeks a treatment likely to alter the immune response (intravenous immunoglobulins, blood-derived products, or corticosteroid therapy and other immunosuppresant). 8. Any abnormality or chronic disease which according to the investigator might interfere with the assessment of the trial objectives. 9. Pregnancy or planning a pregnancy within the next 3 months & lactation. (for Adults) 10. Subject already immunized with any vaccine within 4 weeks prior and expects to receive other vaccines within 4 weeks following immunization. 11. HbsAg positive 12. Subjects with known history of Hepatitis B infection. 13. Subjects who have received Hepatitis B vaccination which proven by vaccination records. 14. Subject planning to move from the study area before the end of study period.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of subjects with Immediate reaction | 3 months | Number of subjects with at least one immediate reaction (local reaction or systemic event) within 30 minutes after one dose or three doses of Hepatits B vaccination |
| percentage of subjects with Immediate reaction | 3 months | Percentage of subjects with at least one immediate reaction (local reaction or systemic event) within 30 minutes after one dose or three doses of Hepatits B vaccination |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of subjects with Serious Adverse Events from 1 day to 28 days after vaccination | 3 Months | Number of subjects with serious adverse event from inclusion until 28 day after each dose vaccination. |
| Percentage of subjects with serious Adverse Events from 1 day to 28 days after vaccination | 3 Months | Percentage of subjects with serious adverse event from inclusion until 28 day after each dose vaccination. |
| Number of Lab Deviation for adults subjects in 7 days of immunization | 7 Days After 1st Vaccination | Number of deviation from routine biochemical (SGOT, SGPT, Ureum, Creatinine) and Hematological (Hb, Hct, Dif, Leucocyte count, Total Leucocyte, total Eryhrocyte, total Thrombocyte) laboratory evaluation that probably related to the vaccination (adults subject). |
| Safety Comparison between each intervention group | 3 months | incidence of any adverse event, compared between two intervention arms |
| Number of subjects with Adverse Events from 1 day to 28 days after vaccination | 3 months | Number of subjects with at least one of these adverse events, solicited or not, within 24 h, 48h, 72h and 28 days after each dose vaccination |
| Protectivity of Hepatitis B vaccine (4 times increasing antibody) | 3 months | \- Number and percentage of subjects with more than 4 folds increasing antibody |
| Protectivity of Hepatitis B vaccine (Geometic Mean Titers) | 3 months | \- Geometric Mean Titers (GMT) following immunization |
| Anti-HBs description between groups | 3 months | Number of subjects with protective Anti-HBs value, compared between intervention groups after vaccination. |
| Protectivity of Hepatitis B vaccine (number of subject with protective anti HbsAg) | 3 months | Number of subjects with anti-HbsAg more than 10mIU/ml, 28 days after 1 dose or three doses of vaccination. |
| Percentage of subjects with Adverse Events from 1 day to 28 days after vaccination | 3 months | Percentage of subjects with at least one of these adverse events, solicited or not, within 24 h, 48h, 72h and 28 days after each dose vaccination |
Countries
Indonesia