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Immunogenicity of Hepatitis B Vaccination Among Drug Users

Phase 4
Completed
Conditions
Hepatitis B Vaccination
Interventions
Biological: 20 µg dose hepatitis B vaccine
Biological: 60 µg dose hepatitis B vaccine
Registration Number
NCT02959775
Lead Sponsor
Shanxi Medical University
Brief Summary

Uptake, adherence, and completion of vaccination among drug users were low, and their immune function and immune response to hepatitis B vaccination were also suboptimal, indicating that the current practice of hepatitis B vaccination can't protect drug users from HBV infection.

This is a randomized, open-label, blank-controlled trial, conducted among drug users with drug rehabilitation. This study will compare the immunogenicity and safety of three intramuscular 20µg and 60µg recombinant hepatitis B vaccines at months 0, 1, and 6 among drug users

Detailed Description

Comparison of 2 vaccination strategy against Hepatitis B in Drug Users

Intervention:

Arm 1 : Receive three intramuscular injections of 60 µg recombinant hepatitis B vaccine at months 0, 1 and 6;

Arm 2 : Receive three intramuscular injections of 20 µg recombinant hepatitis B vaccine at months 0, 1 and 6;

Arm 3 : Receive no vaccination during the study period.

Recruitment & Eligibility

Status
COMPLETED
Sex
Male
Target Recruitment
480
Inclusion Criteria
  • Aged between 18 and 70 years at the enrolment
  • current illicit drug users before drug rehabilitation
  • negative for hepatitis B surface antigen (HBsAg) and hepatitis B surface antibody (anti-HBs) at enrollment
  • having spent acute physiological detoxification phase
Exclusion Criteria
  • any intolerance or allergy to any component of the vaccine
  • ongoing opportunistic infection
  • liver disease
  • hemopathy
  • cancer
  • unexplained fever in the last week before the recruiting

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
20 µg dose hepatitis B vaccine20 µg dose hepatitis B vaccineReceive three intramuscular injections of 20 µg recombinant hepatitis B vaccine at months 0, 1 and 6
60 µg dose hepatitis B vaccine60 µg dose hepatitis B vaccineReceive three intramuscular injections of 60 µg recombinant hepatitis B vaccine at months 0, 1 and 6
Primary Outcome Measures
NameTimeMethod
Number and Rate of Participants With Anti-HBs Seroconversion at Month 7Month 7

The measurements of anti-HBs antibodies were determined quantitatively by CMIA(Chemiluminescent Microparticle Immunoassay). The accepted protective serum anti-HBs level was ≥10 mIU/ml.

Secondary Outcome Measures
NameTimeMethod
Number and Rate of Participants With Anti-HBs Seroconversion at Month 12Month 12

The measurements of anti-HBs antibodies were determined quantitatively by CMIA(Chemiluminescent Microparticle Immunoassay).

The accepted protective serum anti-HBs level was ≥10 mIU/ml.

Anti-HBs Concentration at Month 7Month 7

The measurements of anti-HBs antibodies were determined quantitatively by CMIA(Chemiluminescent Microparticle Immunoassay).

Occurrence of Adverse Events After VaccinationWithin 28 days after the vaccination, at Month 0, 1, and 6

Occurrence of adverse reactions within 28 days after vaccination with the hepatitis B

Anti-HBs Concentration at Month 12Month 12

The measurements of anti-HBs antibodies were determined quantitatively by CMIA(Chemiluminescent Microparticle Immunoassay).

Serious Adverse Events (SAE) Occurred During Month 12Month 0-12
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