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Long Term Follow-Up Study 16-20 Years After Hepatitis B Vaccination in Newborns of Mothers Who Were Seropositive for Hepatitis B Envelope Antigen (HBeAg) & Hepatitis B Surface Antigen (HBsAg)

Phase 4
Completed
Conditions
Hepatitis B
Interventions
Procedure: Blood sampling
Registration Number
NCT00240539
Lead Sponsor
GlaxoSmithKline
Brief Summary

This study is performed to evaluate the persistence of anti-hepatitis B surface antigen (HBs) antibodies up to 16, 17, 18, 19 and 20 years after administration of the first dose of the study vaccine, Engerix-B™. No new subjects will be recruited in this long-term follow-up study.

The Protocol Posting has been updated in order to comply with the FDA Amendment Act, Sep 2007.

Detailed Description

The primary study was to evaluate the immunogenicity and protective efficacy of hepatitis B vaccine administered according to a 0, 1, 2, 12 month schedule in newborns of anti-hepatitis B envelope antigen positive (HBeAg+) and anti-hepatitis B surface antigen positive (HBsAg+) mothers. Results from the primary study have shown that the vaccine was immunogenic and protected neonates of HBeAg positive mothers against hepatitis B chronic carriage. The present study is carried out to evaluate the anti-HBs persistence and the prevalence and incidence of other hepatitis B markers (HBsAg, anti-hepatitis B core antigen {anti-HBc}, HBeAg, Alanine aminotransferase/Aspartate aminotransferase {ALT/AST}), and the clinical significance of the HBsAg and anti-HBc positive cases observed during the long-term from year 16-20. No vaccine will be administered during the long term follow up period.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
36
Inclusion Criteria
  • Subjects who had participated in the primary study.
  • Written informed consent obtained from the subject.
Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
HBsAg(+) & HBeAg(-) 4-dose GroupBlood samplingNewborns of anti-hepatitis B surface antigen positive \[HBsAg(+)\] and hepatitis B envelope antigen negative \[HBeAg(-)\] mothers, who received 4 doses of Engerix™ in the primary study.
HBsAg(+) & HBeAg(+) 4-dose GroupBlood samplingNewborns of anti-hepatitis B surface antigen positive \[HBsAg(+)\] and hepatitis B envelope antigen positive \[HBeAg(+)\] mothers, who received 4 doses of Engerix™ in the primary study.
HBsAg(+) & HBeAg(+) 5-dose GroupBlood samplingNewborns of anti-hepatitis B surface antigen positive \[HBsAg(+)\] and hepatitis B envelope antigen positive \[HBeAg(+)\] mothers, who received 5 doses of Engerix™ in the primary study.
HBsAg(-) & HBeAg(-) 4-dose GroupBlood samplingNewborns of anti-hepatitis B surface antigen negative \[HBsAg(-)\] and hepatitis B envelope antigen negative \[HBeAg(-)\] mothers, who received 4 doses of Engerix™ in the primary study.
Primary Outcome Measures
NameTimeMethod
Number of Subjects Seropositive for Anti-hepatitis B Surface Antigen (Anti-HBs) AntibodiesAt Years 16, 17, 18, 19 and 20 after primary vaccination

Seropositive subjects are subjects with anti-HBs antibody concentration ≥ 3.3 mIU/mL.

Number of Subjects Who Tested Positive for Markers of Infection With Hepatitis B VirusAt Years 16, 17, 18,19 and 20 after primary vaccination

Tested markers were hepatitis B surface antigen (HBsAg), antibody to hepatitis B core antigen (anti-HBc), hepatitis B envelope antigen (HBeAg) and antibody to hepatitis B envelope antigen (anti-HBe).

Number of Subjects With Chronic and With Clinical HBV InfectionFrom year 16 through to year 20

* Chronic HBV infection: HBsAg+ and anti-HBc+ at more than 2 consecutive time points.

* Clinical HBV infection: Serologically confirmed, symptomatic HBV infection, and all HBV markers negative at consecutive time point.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

GSK Investigational Site

🇹🇭

Bangkok, Thailand

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