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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT01951677
Registration number
NCT01951677
Ethics application status
Date submitted
16/09/2013
Date registered
27/09/2013
Titles & IDs
Public title
Safety and Efficacy Study of Adjuvanted Prophylactic Hepatitis B Vaccine
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Scientific title
Phase 1 Randomized, Controlled, Double-blind Study to Compare the Safety and Effectiveness of Hepatitis B Vaccines in Individuals With Renal Impairment, Diabetes Mellitus or Age Greater Than 40 Years
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Secondary ID [1]
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HBV002
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Exposure to Hepatitis B Virus
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Condition category
Condition code
Infection
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Other infectious diseases
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Oral and Gastrointestinal
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Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - HBsAg
Treatment: Other - PreS HBsAg
Treatment: Other - Advax-1(TM)
Treatment: Other - Advax-2(TM)
Treatment: Other - Advax-3(TM)
Treatment: Other - Alum
Active comparator: HBsAg + alum adjuvant - HBsAg + standard alum adjuvant
Experimental: HBsAg + Advax-1(TM) - HBsAg + Advax-1
Experimental: HBsAg + Advax-2(TM) - HBsAg + Advax-2
Experimental: HBsAg + Advax-3(TM) - HBsAg + Advax-3
Active comparator: preS HBsAg + alum adjuvant - preS HBsAg + alum adjuvant
Experimental: preS HBsAg + Advax-1(TM) - preS HBsAg + Advax-1
Experimental: preS HBsAg + Advax-2(TM) - preS HBsAg + Advax-2
Experimental: preS HBsAg + Advax-3(TM) - preS HBsAg + Advax-3
Active comparator: high dose preS HBsAg + alum adjuvant - high dose preS HBsAg + alum adjuvant
Experimental: high dose preS HBsAg + Advax-1(TM) - high dose preS HBsAg + Advax-1
Experimental: high dose preS HBsAg + Advax-2(TM) - high dose preS HBsAg + Advax-2(TM)
Experimental: high dose preS HBsAg + Advax-3(TM) - high dose preS HBsAg + Advax-3
Treatment: Drugs: HBsAg
Standard hepatitis B vaccine antigen
Treatment: Other: PreS HBsAg
preS hepatitis B surface antigen
Treatment: Other: Advax-1(TM)
Adjuvant formulated with vaccine antigen
Treatment: Other: Advax-2(TM)
Adjuvant formulated with vaccine antigen
Treatment: Other: Advax-3(TM)
Adjuvant formulated with vaccine antigen
Treatment: Other: Alum
Adjuvant formulated with vaccine antigen
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Intervention code [1]
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Treatment: Drugs
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Intervention code [2]
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Treatment: Other
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Safety
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Assessment method [1]
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Safety as assessed by incidence of adverse events
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Timepoint [1]
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12 months
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Secondary outcome [1]
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Hepatitis B surface antibody geometric mean titer
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Assessment method [1]
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Geometric mean titer of HBsAg titers
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Timepoint [1]
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one-month post each immunization and 10 months post-final immunization
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Secondary outcome [2]
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T cell responses
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Assessment method [2]
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HBsAg-specific T cell responses as measured by cytokine enzyme-linked immunospot and carboxyfluorescein diacetate succinimidyl ester T-cell proliferation assay will be compared between groups
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Timepoint [2]
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7 days and one month post each immunization and 10 months post-final immunization
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Secondary outcome [3]
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Efficacy
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Assessment method [3]
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Seroconversion and seroprotection rates will be compared between groups using titers of antibodies to hepatitis B surface antigen at each major time point
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Timepoint [3]
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one month post each immunization and 10 months post final immunization
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Eligibility
Key inclusion criteria
* Age 18 years and above
* Male or female
* Able to provide written informed consent
* Willing and able to comply with the protocol for the duration of the study.
* Has one or more of
* Age 40 years or above
* Impaired renal function (creatinine >120 mmol/L or calculated glomerular filtration rate <60mls/min)
* Diagnosis of diabetes mellitus (any type)
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
* History of prior hepatitis B vaccination
* History of serious vaccine allergy if in the opinion of the Investigator this represents a contraindication to hepatitis B vaccination
* Women of childbearing potential unless using a reliable and appropriate contraceptive method, specifically oral contraceptive pill, intrauterine device or mechanical barrier device.
* Pregnant or lactating women.
* History of systemic autoimmune disease including Wegener's granulomatosis, systemic lupus erythematosus, Guillain-Barre, scleroderma or multiple sclerosis.
* Participation in another clinical trial with an investigational agent within 28 days of the scheduled date of first immunization.
* Any other serious medical, social or mental condition that, in the opinion of the investigator, would be detrimental to the subjects or the study.
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people assessing the outcomes
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 1
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/07/2013
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
1/05/2019
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Sample size
Target
240
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
SA
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Recruitment hospital [1]
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Flinders Medical Centre - Adelaide
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Recruitment postcode(s) [1]
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5042 - Adelaide
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Vaxine Pty Ltd
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Address
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Country
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Other collaborator category [1]
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Government body
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Name [1]
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Flinders Medical Centre
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
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Summary
Brief summary
There is a need for more effective and better-tolerated hepatitis B vaccines for low responder high-risk populations including patients with renal impairment and/or diabetes mellitus and those aged over 40 years. Several approaches are available to enhance the potency of hepatitis B virus vaccines including use of the more highly immunogenic antigens, replacing alum with potentially more effective adjuvants, and increasing the dose of vaccine antigen. A combination of these strategies is being tested in this study to identify the most promising candidate approaches to take forward into advanced clinical development
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Trial website
https://clinicaltrials.gov/study/NCT01951677
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Jeffrey Barbara, MBBS PhD
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Address
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Flinders Medical Centre
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
Currently no plan
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT01951677