Hepatitis B Virus Infection, Transplant-Related Disorder, Vaccine Reaction
Conditions
Brief summary
The investigators aim to perform a randomized clinical trial to determine the optimal timing of hepatitis B vaccination after hematopoietic cell transplantation (HCT) through evaluating the immunity effect of two different vaccination schedules (initiated at 3 or 6 months after transplantation) in patients with different immune reconstitution status.
Interventions
Three doses of hepatitis B vaccine
Sponsors
Study design
Eligibility
Inclusion criteria
1. Patients must be ≥ 16 years old; 2. Patients receiving hematopoietic cell transplantation; 3. Patients achieving complete molecular remission; 4. Patients or their guardians have to sign an informed consent form before the start of the research procedure.
Exclusion criteria
1. Multiple transplantations; 2. Donors' HBV-DNA or HBsAg are positive; 3. Patients' HBV-DNA or HBsAg are positive before transplantation or \< 3 months after transplantation; 4. Patients who are unable to comply with the research treatments and monitoring requirements due to mental or other medical conditions; 5. Patients who are ineligible for the study due to other reasons which would cause unacceptable risks to the patients.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Titer of hepatitis B surface antibodies (HBsAb). | One month after the completion of 3 doses of hepatitis B vaccine. | The investigators will compare the titer of HBsAb one month after the completion of 3 doses of hepatitis B vaccine in transplants with different timing of hepatitis B vaccination, different donor type and different immune reconstitution status. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| HBV infection | Through study completion, an average of 1 year | HBV-DNA or HBsAg are positive |
Countries
China