Hepatitis B Vaccination in HIV-infected Adults With Low CD4 Cell Counts
Comparison of Immunogenicity and Safety of 4 Standard Doses and 3 Standard Doses of Hepatitis B Vaccination in HIV-infected Adults Who Have CD4 < 200 Cells/mm3
1 other identifier
interventional
16
1 country
1
Brief Summary
This study aimed to evaluate the efficacy of different hepatitis B vaccination regimens in HIV-infected adults with low CD4 cell count in northern Thailand.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_4
Started Mar 2015
Shorter than P25 for phase_4
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
March 1, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 1, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
February 1, 2016
CompletedFirst Submitted
Initial submission to the registry
March 31, 2016
CompletedFirst Posted
Study publicly available on registry
April 8, 2016
CompletedApril 19, 2017
April 1, 2017
11 months
March 31, 2016
April 17, 2017
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Proportion of participants with protective immunity against HBV
comparison of proportion of participants who had protective immunity (anti-HBS titer \>=10 mIU/ml) against HBV between HIV group 2 v.s. HIV group 1
1 month after vaccination
Secondary Outcomes (2)
The geometric means of anti-HBs titers
1 month after vaccination
Proportion of participants with high level of immune response against HBV
1 month after vaccination
Study Arms (2)
HIV-Group 1
ACTIVE COMPARATORReceiving three intramuscular injections of 20 µg of recombinant hepatitis B vaccine \[(CIGB) La Habana, Cuba\] at months 0, 1, and 6
HIV-Group 2
EXPERIMENTALReceiving four intramuscular injections of 20 µg of recombinant hepatitis B vaccine \[(CIGB) La Habana, Cuba\] at months 0, 1, 2, and 6
Interventions
Different HBV vaccine regimen in each group
Eligibility Criteria
You may qualify if:
- HIV-infection
- ≥18 years old
- Received combination antiretroviral therapy for at least 1 year
- Had a CD4+ cell count \< 200 cells/mm3 for at least 1 year
- Undetectable plasma HIV-1 RNA for at least 1 year
- Negative for hepatitis B surface antigen (HBsAg), antibody to hepatitis B surface antigen (anti-HBs), and antibody to hepatitis B core antigen (anti-HBc),
- Had no history of previous HBV vaccine
- Negative for antibody to hepatitis C virus (anti-HCV)
- No active opportunistic infections (at the time of screening)
- Willing to sign an informed consent
- Able to return for follow-up.
You may not qualify if:
- Pregnancy or lactation
- History of hypersensitivity to any component of the vaccine
- Active malignancy receiving chemotherapy or radiation, or other immunocompromised conditions besides HIV (e.g., solid organ transplant), received immunosuppressive (e.g., corticosteroid ≥ 0.5 mg/kg/day) or immunomodulating treatment in the last six months before screening visit
- Renal insufficiency (creatinine clearance \<30 mL/min)
- Decompensated cirrhosis (Child-Pugh class C)
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Maharaj Nakorn Chiang Mai Hospital, Department of Medicine, Chiang Mai University
Muang, Chiang Mai, 50200, Thailand
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Romanee Chaiwarith, MD
Thailand Maharaj Nakorn Chiang Mai Hospital, Department of Medicine, Chiang Mai University Muang, Chiang Mai Thailand
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Associate Professor
Study Record Dates
First Submitted
March 31, 2016
First Posted
April 8, 2016
Study Start
March 1, 2015
Primary Completion
February 1, 2016
Study Completion
February 1, 2016
Last Updated
April 19, 2017
Record last verified: 2017-04
Data Sharing
- IPD Sharing
- Will not share