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Safety and Immunogenicity Following Recombinant Hepatitis B (Bio Farma) Vaccine in Adults & Children

Phase 1
Completed
Conditions
Hepatitis B
Interventions
Biological: Recombinant Hepatitis B (Bio Farma) Vaccine
Biological: Recombinant Hepatitis B (Bio Farma) Vaccine®
Registration Number
NCT04188223
Lead Sponsor
PT Bio Farma
Brief Summary

This trial is an experimental, randomized, double blind, prospective intervention study

Approximately 100 subjects will be enrolled in this trial, divided into 2 arms, as follow:

For adult (18-40 years old)

Detailed Description

Each study age group/arm will be divided into two groups of treatment. One group will receive investigational product and one other group will receive active comparator. This Study is sequential age de-escalation. To be conducted in heathy adults (18-40 years old) and followed by children (10-17 years old) ). Before the study started, the subjects will be assessed for anti HBs Antibody. For subjects with anti-HBs not protective (\< 10mIU/mL) before immunization, additional 2 doses will be required with 1 month interval.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
100
Inclusion Criteria

Adult

  1. Healthy individu as determined by clinical judgment, including a medical history, physical exam, rontgen thorax and laboratory results, which confirms the absence of a current or past disease state considered significant by the investigator.
  2. Subjects have been informed properly regarding the study and signed the informed consent form
  3. Subjects will commit to comply with the instructions of the investigator and the schedule of the trial

Children:

  1. Healthy individu as determined by clinical judgment, including a medical history, physical exam and rontgen thorax which confirms the absence of a current or past disease state considered significant by the investigator.
  2. Subjects/parents/guardian(s) have been informed properly regarding the study and signed the informed consent form and
  3. Subject/parents/guardian(s) will commit to comply with the instructions of the investigator and the schedule of the trial.
Exclusion Criteria
  1. Subject concomitantly enrolled or scheduled to be enrolled in another trial
  2. Any direct relatives relationship with the study team.
  3. Evolving mild, moderate or severe illness, especially infectious diseases or fever (axillary temperature ³ 37.5°C) within the 48 hours preceding enrollment.
  4. Known history of allergy to any component of the vaccines (based on anamnesis)
  5. Known history of immunodeficiency disorder (HIV infection, leukemia, lymphoma, or malignancy)
  6. History of uncontrolled coagulopathy or blood disorders contraindicating for phlebotomy.
  7. Subject who has received in the previous 4 weeks a treatment likely to alter the immune response (intravenous immunoglobulins, blood-derived products, or corticosteroid therapy and other immunosuppresant).
  8. Any abnormality or chronic disease which according to the investigator might interfere with the assessment of the trial objectives.
  9. Pregnancy or planning a pregnancy within the next 3 months & lactation. (for Adults)
  10. Subject already immunized with any vaccine within 4 weeks prior and expects to receive other vaccines within 4 weeks following immunization.
  11. HbsAg positive
  12. Subjects with known history of Hepatitis B infection.
  13. Subjects who have received Hepatitis B vaccination which proven by vaccination records.
  14. Subject planning to move from the study area before the end of study period.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SEQUENTIAL
Arm && Interventions
GroupInterventionDescription
Recombinant Hepatitis B (Bio Farma) VaccineRecombinant Hepatitis B (Bio Farma) VaccineRecombinant Hepatitis B vaccine is an inactivated HbsAg produced in yeast cells (Hansenula polymorpha) using recombinant DNA technology. It is a whitish liquid produced by culture genetically engineered yeast cell which carry the relevant gene of the HbsAg and purified and inactivated by several physicochemical steps such as ultracentrifugation, column chromatography and formaldehyde treatment.
Control Product: Recombinant Hepatitis B (Bio Farma) Vaccine®Recombinant Hepatitis B (Bio Farma) Vaccine®Registered Recombinant Hepatitis B vaccine is an inactivated HbsAg produced in yeast cells (Hansenula polymorpha) using recombinant DNA technology. It is a whitish liquid produced by culture genetically engineered yeast cell which carry the relevant gene of the HbsAg and purified and inactivated by several physicochemical steps such as ultracentrifugation, column chromatography and formaldehyde treatment.
Primary Outcome Measures
NameTimeMethod
Number of subjects with Immediate reaction3 months

Number of subjects with at least one immediate reaction (local reaction or systemic event) within 30 minutes after one dose or three doses of Hepatits B vaccination

percentage of subjects with Immediate reaction3 months

Percentage of subjects with at least one immediate reaction (local reaction or systemic event) within 30 minutes after one dose or three doses of Hepatits B vaccination

Secondary Outcome Measures
NameTimeMethod
Percentage of subjects with Adverse Events from 1 day to 28 days after vaccination3 months

Percentage of subjects with at least one of these adverse events, solicited or not, within 24 h, 48h, 72h and 28 days after each dose vaccination

Number of subjects with Adverse Events from 1 day to 28 days after vaccination3 months

Number of subjects with at least one of these adverse events, solicited or not, within 24 h, 48h, 72h and 28 days after each dose vaccination

Protectivity of Hepatitis B vaccine (number of subject with protective anti HbsAg)3 months

Number of subjects with anti-HbsAg more than 10mIU/ml, 28 days after 1 dose or three doses of vaccination.

Percentage of subjects with serious Adverse Events from 1 day to 28 days after vaccination3 Months

Percentage of subjects with serious adverse event from inclusion until 28 day after each dose vaccination.

Protectivity of Hepatitis B vaccine (Geometic Mean Titers)3 months

- Geometric Mean Titers (GMT) following immunization

Number of subjects with Serious Adverse Events from 1 day to 28 days after vaccination3 Months

Number of subjects with serious adverse event from inclusion until 28 day after each dose vaccination.

Number of Lab Deviation for adults subjects in 7 days of immunization7 Days After 1st Vaccination

Number of deviation from routine biochemical (SGOT, SGPT, Ureum, Creatinine) and Hematological (Hb, Hct, Dif, Leucocyte count, Total Leucocyte, total Eryhrocyte, total Thrombocyte) laboratory evaluation that probably related to the vaccination (adults subject).

Safety Comparison between each intervention group3 months

incidence of any adverse event, compared between two intervention arms

Protectivity of Hepatitis B vaccine (4 times increasing antibody)3 months

- Number and percentage of subjects with more than 4 folds increasing antibody

Anti-HBs description between groups3 months

Number of subjects with protective Anti-HBs value, compared between intervention groups after vaccination.

Trial Locations

Locations (1)

Hasan Sadikin Hospital

🇮🇩

Bandung, West Java, Indonesia

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