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Adolescents' Response to Hepatitis B Vaccine Booster Dose

Phase 4
Conditions
Hepatitis B
Interventions
Biological: hepatitis B vaccine
Registration Number
NCT01341275
Lead Sponsor
Baylor College of Medicine
Brief Summary

The aims of this study are to determine:

1. the degree of immunity against hepatitis B,

2. factors associated with immunity against hepatitis B,

3. if the amount of antigen provided in a booster dose (used to measure the degree of immune memory) affects the body's response to the booster, and

4. if the age at which the vaccination was initiated during infancy affects duration of protection against hepatitis B among adolescents 16-19 years of age born in the United States who were immunized against hepatitis B as infants. These data will be important to evaluate the potential need for a possible booster dose of hepatitis B vaccine among adolescents.

Study subjects eligible for enrollment will:

* have blood drawn for baseline serologies

* receive the hepatitis B booster dose (randomly determined to be either a 10 ug or 20 ug dose)

* have blood drawn again 14 days later to determine if the booster dose has engendered an anamnestic response (a response attributed to prior immunity rather than a new response to the vaccine)

The primary hypothesis is that the majority of young people will exhibit immune memory for hepatitis B in response to a booster dose of vaccine.

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
400
Inclusion Criteria
  • 16-19 years of age
  • born in the United States
  • received the full hepatitis B vaccination series by 12 months of age
  • received the third dose of hepatitis B vaccine within 10 months of the first dose
Exclusion Criteria
  • a history of hepatitis B disease
  • being born to a mother with hepatitis B at the time of the participant's birth
  • having received hepatitis B immune globulin as an infant
  • immunosuppression including HIV or chronic/current steroid use (use > 10 days duration within the 3 months of enrollment)
  • renal insufficiency or dialysis
  • pregnancy (due to theoretical risk of different immune response among pregnant females)
  • ever receiving a booster (fourth) dose of hepatitis B vaccine
  • history of allergy to the hepatitis B vaccine
  • receipt of blood products or IgG within 3 months of enrollment
  • having received another vaccine within 2 weeks of enrollment

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
birth, higher dose boosterhepatitis B vaccineAdolescents who received their first dose of hepatitis B vaccine at or before day 7 of life who received a 20 ug dose of hepatitis B vaccine as a booster
4 weeks, lower dose boosterhepatitis B vaccineAdolescents who received their first dose of hepatitis B vaccine at or after 4 weeks of life who received a 10 ug dose of hepatitis B vaccine as a booster
4 weeks, higher dose boosterhepatitis B vaccineAdolescents who received their first dose of hepatitis B vaccine at or after 4 weeks of life who received a 20 ug dose of hepatitis B vaccine as a booster
birth, lower dose boosterhepatitis B vaccineAdolescents who received their first dose of hepatitis B vaccine at or before day 7 of life who received a 10 ug dose of hepatitis B vaccine as a booster
Primary Outcome Measures
NameTimeMethod
anti-HBSAg titers13-15 days after enrollment and booster dose
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (2)

Texas Children's Hospital

🇺🇸

Houston, Texas, United States

Texas Children's Pediatric Associates

🇺🇸

Houston, Texas, United States

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