Immunogenicity and Safety of Sci-B-Vac® to Engerix-B® in Adults
A Phase 3 Double-Blind Randomized Controlled Trial to Compare the Immunogenicity and Safety of a Three-dose Regimen of Sci-B-Vac® to a Three-dose Regimen of Engerix-B® in Adults (PROTECT)
2 other identifiers
interventional
1,607
4 countries
28
Brief Summary
This study is a double-blind randomized controlled trial designed to establish the non-inferiority of Sci-B-Vac® compared to Engerix-B® in adults ≥ 18 years old and the superiority of Sci-B-Vac® compared to Engerix-B® in ≥ 45 years old.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_3
Started Dec 2017
Shorter than P25 for phase_3
28 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
November 23, 2017
CompletedStudy Start
First participant enrolled
December 13, 2017
CompletedFirst Posted
Study publicly available on registry
January 8, 2018
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 8, 2019
CompletedStudy Completion
Last participant's last visit for all outcomes
April 8, 2019
CompletedResults Posted
Study results publicly available
July 7, 2020
CompletedJuly 17, 2020
July 1, 2020
1.3 years
November 23, 2017
June 15, 2020
July 6, 2020
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Seroprotection Rate (SPR) Defined as Percentage of Adults ≥ 18 Years Old Achieving Anti-HBs Levels of ≥10 mIU/mL in Serum at Study Day 196
To demonstrate that the SPR 4 weeks after completion of the three-dose regimen of Sci-B-Vac® is non-inferior to a three-dose regimen of Engerix-B® in adults ≥18 years old; i.e. the lower bound of the 95% two-sided confidence interval (CI) of the difference between the SPR in the Sci-B-Vac® arm minus the SPR in the Engerix-B® arm, achieved 4 weeks after the third vaccination, will be \> - 5%.
Day 196
Seroprotection Rate (SPR) Defined as Percentage of Adults ≥ 45 Years Old Achieving Anti-HBs Levels of ≥10 mIU/mL in Serum at Study Day 196
To demonstrate that the SPR 4 weeks after completion of the three-dose regimen of Sci-B-Vac® is superior to the SPR 4 weeks after completion of the three-dose regimen of Engerix-B® in older adults ≥ 45 years old i.e. the lower bound of the 95% two-sided CI of the difference between the SPR in the Sci-B-Vac® arm minus the SPR in the Engerix-B® arm, achieved 4 weeks after receiving the third vaccination, will be \> 5%.
Day 196
Secondary Outcomes (1)
Percentage of Subject-reporting Solicited Local and Systemic Adverse Events (AEs)
Day of vaccine administration and six subsequent days
Study Arms (2)
Sci-B-Vac® Hepatitis B Vaccination
EXPERIMENTALSci-B-Vac® (hepatitis B vaccine) Hepatitis B Vaccination, Solution, 10ug, IM injection at Days 0, 28, and 168.
Engerix-B® Hepatitis B Vaccination
ACTIVE COMPARATOREngerix-B® (hepatitis B vaccine) Hepatitis B Vaccination, Solution, 20ug, IM injection at Days 0, 28, and 168.
Interventions
Prophylactic Hepatitis B Vaccination
Eligibility Criteria
You may qualify if:
- Any gender.
- Age ≥ 18 years
You may not qualify if:
- If female, either is not of childbearing potential or is of childbearing potential and must agree to use an adequate birth control method during the screening period and until the end of her participation in the study
- Able and willing to give consent.
- Previous vaccination with any Hep B vaccine (licensed or experimental).
- Treatment by immunosuppressant within 30 days of enrollment including but not limited to corticosteroids at a dose that is higher than an oral or injected physiological dose, or a prednisolone-equivalent dose \> 20 mg /day (Inhaled and topical steroids are allowed).
- Known history of immunological function impairment
- Pregnancy or breastfeeding
- Immunization with attenuated vaccines (e.g. MMR) within 4 weeks prior to enrollment
- Immunization with inactivated vaccines (e.g. influenza) within 2 weeks prior to enrolment
- Has received blood products or immunoglobulin within 90 days of enrollment or is likely to require blood products during the study period
- Subject in another clinical trial with an investigational drug or a biologic within 30 days of enrollment
- Has received granulocyte-macrophage colony stimulating factor (G/GM-CSF) or erythropoietin (EPO) within 30 days of enrollment or likely to require GM-CSF or erythropoietin during the study period
- Any history of cancer requiring chemotherapy or radiation within 5 years of randomization or current disease.
- Any skin abnormality or tattoo that would limit post-vaccination injection site assessment
- History of allergic reactions or anaphylactic reaction to any vaccine component (Engerix-B® or Sci-B-Vac®)
- Unwilling, or unable in the opinion of the investigator, to comply with study requirements, including the use of an adequate birth control method
- +8 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (28)
Accel Research Sites
Birmingham, Alabama, 35216, United States
Anaheim Clinical Trials
Anaheim, California, 92801, United States
Avail Clinical Research
DeLand, Florida, 32720, United States
Suncoast Research Group
Miami, Florida, 33135, United States
Clinical Research Atlanta
Atlanta, Georgia, 30281, United States
Advanced Clinical Research
Boise, Idaho, 83642, United States
Clinical Research Center of Nevada
Las Vegas, Nevada, 89104, United States
Rapid Medical Research
Cleveland, Ohio, 44122, United States
Lynn Health Science Institute
Oklahoma City, Oklahoma, 73112, United States
Advanced Clinical Research
Salt Lake City, Utah, 84088, United States
Universitair Ziekenhuis Gent
Ghent, Oost-Vlaanderen, Belgium
BC Children's Hospital Research Institute
Vancouver, British Columbia, Canada
University of Manitoba
Winnipeg, Manitoba, Canada
Canadian Center for Vaccinology
Halifax, Nova Scotia, Canada
Medicore Research Inc
Greater Sudbury, Ontario, P3A 1W8, Canada
Ottawa Hospital
Ottawa, Ontario, Canada
McGill University Health Centre
Montreal, Quebec, Canada
CHU de Québec Université Laval
Québec, Quebec, Canada
Espoo Vaccine Research Clinic
Espoo, Finland
Helsinki South Vaccine Research Clinic
Helsinki, Finland
Järvenpää Vaccine Research Clinic
Jarvenpaa, Finland
Kokkola Vaccine Research Clinic
Kokkola, Finland
Oulu Vaccine Research Clinic
Oulu, Finland
Pori Vaccine Research Clinic
Pori, Finland
Seinäjoki Vaccine Research Clinic
Seinäjoki, Finland
Tampere Vaccine Research Clinic
Tampere, Finland
University of Tampere
Tampere, Finland
Turku Vaccine Research Clinic
Turku, Finland
Related Publications (3)
Berthoud TK, Ahmed T, Nadia W, Petrov I, Yang L, Colledge D, Hammond R, Soare C, Ontsouka B, Plaskin D, Anderson DE, Diaz-Mitoma F. A three antigen hepatitis B vaccine induces T cells to Pres1 and Pres2 which correlate with anti HBs antibody titers: An investigation into the immunological mechanisms contributing to high anti-HBs titers. Vaccine. 2025 Jan 1;43(Pt 2):126513. doi: 10.1016/j.vaccine.2024.126513. Epub 2024 Nov 12.
PMID: 39536477DERIVEDTalbird SE, Anderson SA, Nossov M, Beattie N, Rak AT, Diaz-Mitoma F. Cost-effectiveness of a 3-antigen versus single-antigen vaccine for the prevention of hepatitis B in adults in the United States. Vaccine. 2023 May 26;41(23):3506-3517. doi: 10.1016/j.vaccine.2023.04.022. Epub 2023 May 3.
PMID: 37147201DERIVEDVesikari T, Langley JM, Segall N, Ward BJ, Cooper C, Poliquin G, Smith B, Gantt S, McElhaney JE, Dionne M, van Damme P, Leroux-Roels I, Leroux-Roels G, Machluf N, Spaans JN, Yassin-Rajkumar B, Anderson DE, Popovic V, Diaz-Mitoma F; PROTECT Study Group. Immunogenicity and safety of a tri-antigenic versus a mono-antigenic hepatitis B vaccine in adults (PROTECT): a randomised, double-blind, phase 3 trial. Lancet Infect Dis. 2021 Sep;21(9):1271-1281. doi: 10.1016/S1473-3099(20)30780-5. Epub 2021 May 11.
PMID: 33989539DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Vlad Popovic
- Organization
- VBI Vaccines, Inc.
Study Officials
- STUDY DIRECTOR
Francisco Diaz-Mitoma, MD, PhD
VBI Vaccines
Publication Agreements
- PI is Sponsor Employee
- No
- Restrictive Agreement
- No
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- TRIPLE
- Who Masked
- PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
November 23, 2017
First Posted
January 8, 2018
Study Start
December 13, 2017
Primary Completion
April 8, 2019
Study Completion
April 8, 2019
Last Updated
July 17, 2020
Results First Posted
July 7, 2020
Record last verified: 2020-07