Hepatitis B Clinical Trial
Official title:
Open Randomised Clinical Study of the Long Term Immunogenicity of Engerix-B in 10 Year Old Children and of the Effect of Booster Injections Given 5, 10 or 15 Years After Primary Vaccination
Hepatitis B immunization has been offered to all grade 4 students (age 9-10) in the province
of Quebec, using Engerix-B at a dose of 10 mkg. The peak incidence of hepatitis B occurs
between age 15 and 35; the proportion of vaccinated children who will still be protected at
this age is currently unknown. This study is designed to determine:
- persistence of immunity until age 25
- persistence of immunological memory as demonstrated by an anamnestic response following
a booster dose
- the effect of a booster dose on immunogenicity at either 5, 10 or 15 years after the
primary vaccination course (at age (15, 20 or 25).
Three doses of Engerix-B vaccine (10 mkg) were administered according to 0, 1, 6 month
schedule to 1126 9-10 year-old children.
The primary objective of the study is to evaluate the persistence of antibodies to Engerix-B
in all subjects at age 25 and to compare the levels obtained in those given a booster
injection at age 15 or 20 with those receiving no booster injection.
Secondary objectives
- To determine the antibody levels obtained following primary vaccination and the
proportion of children who seroconvert
- To determine the antibody levels of one third of subjects at age 15, 5 years after
primary vaccination (Group A)
- To determine the effect on antibody levels of a booster injection at age 15 years given
to one third of the subjects (Group A)
- To determine the antibody levels of subjects in groups A and B at age 20, 5 years after
booster (Group A), 10 years after primary vaccination (Group B)
- To determine the effect on antibody levels of a booster injection at age 20 years given
to one third of the subjects (Group B)
- To determine the effect on antibody levels of a booster injection at age 25 years given
to one third of the subjects (Group C)
- To determine the antibody levels of subjects in Group A and Group B one year after
their 5 or 10 year booster
- To evaluate safety
;
Allocation: Non-Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Prevention
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