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The Hepatitis B Vaccine Booster Response Among the Youth Who Had Completed Neonatal Hepatitis B Vaccines
This study is currently recruiting participants.
Verified by National Taiwan University Hospital, November 2008
Sponsored by: National Taiwan University Hospital
Information provided by: National Taiwan University Hospital
ClinicalTrials.gov Identifier: NCT00792610
  Purpose

Several important controlled randomized clinical trials on hepatitis B immunoglobulin and vaccine in Taiwan demonstrated 80-90 percent protective effectiveness among infants from mothers who were either hepatitis B envelope antigen (HBeAg) or surface antigen (HBsAg) positive. A series of prevalence surveys on children born before and after the national vaccination program disclosed a steady decrease in seroprevalence of HBsAg in Taiwan with 78-87 percent effectiveness after the launch of the national vaccination program. Although hepatitis B vaccination has an excellent effectiveness against hepatitis B surface antigen, a gradual decline in anti-HBs titer among vaccinees by years after vaccination has been noted.

Whether seronegative cases for hepatitis B surface antigen, core antibody against hepatitis B, and surface antibody against hepatitis B need a booster of hepatitis B vaccine was still in debate. The aim of this study was to investigate the booster response and cellular immunity for the youth who had received complete doses of hepatitis B vaccines at their neonatal stage.


Condition Intervention
Hepatitis B
Biological: hepatitis B vaccine

MedlinePlus related topics: Hepatitis Hepatitis B
Drug Information available for: Hepatitis B Vaccines
U.S. FDA Resources
Study Type: Interventional
Study Design: Prevention, Open Label, Historical Control, Single Group Assignment, Efficacy Study
Official Title: The Hepatitis B Vaccine Booster Response Among the Youth Who Had Completed Neonatal Hepatitis B Vaccines

Further study details as provided by National Taiwan University Hospital:

Primary Outcome Measures:
  • hepatitis B surface antibody reactive rate [ Time Frame: 7 months ] [ Designated as safety issue: Yes ]

Estimated Enrollment: 150
Study Start Date: August 2007
Estimated Study Completion Date: January 2009
Estimated Primary Completion Date: July 2008 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Hepatitis B booster: Experimental
They receive 3 doses of hepatitis B vaccine (Engerix-B Injection, recombinant HBsAg, 20mcg/ml/vial, GSK) at 0, 1st, 6th month during follow-up. Their anti-HBs status were checked at baseline, one week, one month, sixth month, and seven months later after the first dose of hepatitis B vaccine.
Biological: hepatitis B vaccine
Recombinant HBsAg, 20mcg/ml/vial (GSK) one vial IM at Day 0, Month 1, month 6 during follow-up, respectively.

Detailed Description:

The main target population was the youth born after July 1984 who have received a hepatitis B virus markers checkup within 2 years including HBsAg, core antibody against hepatitis B (anti-HBc), and surface antibody against hepatitis B (anti-HBs) and the results are all negative for these 3 viral markers. Their neonatal hepatitis B vaccination records were linked through CDC databank Taiwan. Seronegative subjects for 3 viral markers signed informed consent and are included into this study. They receive 3 doses of hepatitis B vaccine (Engerix-B Injection, recombinant HBsAg, 20mcg/ml/vial, GSK) at 0, 1st, 6th month during follow-up. Their anti-HBs status were checked at baseline, one week, one month, sixth month, and seven months later after the first dose of hepatitis B vaccine. The adverse effect of the vaccine was also reported one week after each Engerix-B injection. The endpoint of measurement was anti-HBs (+) (%), and loss to follow up (%), respectively.

  Eligibility

Ages Eligible for Study:   18 Years to 23 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  1. aged 18-23 years
  2. the youth born after July 1984 who have received a hepatitis B virus markers checkup within 2 years including HBsAg, core antibody against hepatitis B(anti-HBc), and surface antibody against hepatitis B (anti-HBs) and the results are all negative for these 3 viral markers.
  3. Participants should agree to sign inform consent. For younger than 20 years old subjects, one of their parents also help the participante review and sign the inform consent.
  4. Participants are willing to receive 3 doses of Hepatitis B vaccines without payment.
  5. General condition is in good health judged by the doctor

Exclusion Criteria:

  1. Allergy to Hepatitis B vaccines
  2. pregnacy
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00792610

Contacts
Contact: Chyi-Feng Jan, MD, PHD 886-2-23123456 ext 66824 jcf036@ntu.edu.tw

Locations
Taiwan
National Taiwan University Hospital Recruiting
Taipei, Taiwan, 10051
Contact: Chyi-Feng Jan, Doctor     886-2-23123456 ext 66824     jcf036@ntu.edu.tw    
Principal Investigator: Chyi-Feng Jan, MD, PHD            
Sub-Investigator: Kuo-Chin Huang, MD, PHD            
Sub-Investigator: Li-Min Huang, MD, PHD            
Sponsors and Collaborators
National Taiwan University Hospital
Investigators
Study Chair: Chyi-Feng Jan, Doctor National Taiwan University Hospital
  More Information

Responsible Party: NATIONAL TAIWAN UNIVERSITY HOSPITAL ( JAN CHYI-FENG/MD, PHD. )
Study ID Numbers: 200701049M, NSC96-2314-B-0020115
Study First Received: November 16, 2008
Last Updated: November 17, 2008
ClinicalTrials.gov Identifier: NCT00792610  
Health Authority: Taiwan: Institutional Review Board

Keywords provided by National Taiwan University Hospital:
youth
hepatitis B
vaccination
booster
immunity response

Study placed in the following topic categories:
Virus Diseases
Hepatitis
Liver Diseases
Digestive System Diseases
Hepatitis B
Hepatitis, Viral, Human
DNA Virus Infections

Additional relevant MeSH terms:
Hepadnaviridae Infections

ClinicalTrials.gov processed this record on January 15, 2009