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The primary purpose of this study is to determine whether HepavaxGene TF is non-inferior to the comparator vaccine both at impeding hepatitis B transmission from mothers positive for chronic hepatitis B (Stratum 1) to their children and also in terms of seroconversion rate in children of mothers negative for chronic hepatitis B (Stratum 2) one month after completion of the immunization schedule.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| HepavaxGene Stratum 1a | Experimental | Subjects of mothers with chronic hepatitis B (positive for both HBsAg and hepatitis B envelope antigen - HBeAg) |
|
| Comparator vaccine Stratum 1a | Active Comparator | Subjects of mothers with chronic hepatitis B (positive for both HBsAg and HBeAg) |
|
| HepavaxGene Stratum 1b | Experimental | Subjects of mothers with chronic hepatitis B (positive for HBsAg only) |
|
| Comparator vaccine Stratum 1b | Active Comparator | Subjects of mothers with chronic hepatitis B (positive for HBsAg only) |
|
| HepavaxGene Stratum 2 | Experimental | Subjects of mothers without chronic hepatitis B (negative for both HBsAg and HBeAg) |
|
| Comparator vaccine Stratum 2 |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| HepavaxGene (thiomersal free) | Biological | 10 µg/0.5 mL, intramuscular injection on Day 1, Month 1, Month 6 |
|
| Measure | Description | Time Frame |
|---|---|---|
| Seroconversion rate for subjects in Stratum 2 | Hepatitis B surface antibody (HBsAb) concentrations are measured from blood samples by standard enzyme linked immuno sorbent assay (ELISA) for subjects whose mothers are negative for chronic hepatitis B. Seroconversion rate is defined as HBsAb ≥10 mIU/mL. | Month 7 |
| Positivity for HBsAg for subjects in Stratum 1 | The presence of hepatitis B surface antigen (HBsAg), as determined by ELISA, for subjects whose mothers are positive for chronic hepatitis B | Month 2, Month 7 and Month 12 |
| Measure | Description | Time Frame |
|---|---|---|
| Seroconversion rate for subjects in Stratum 1 | Seroconversion rate is defined as HBsAb concentrations from ELISA ≥10 mIU/mL | Month 7 |
| Solicited adverse events | Local adverse events: pain, erythema, swelling at the injection site Systemic adverse events: irritability, sleepiness, change in eating/breast feeding habits, crying, fever [body temperature ≥38°C] |
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Three types of subject:
Neonates whose mothers are positive for both HBsAg and HBeAg
Neonates whose mothers are positive for only HBsAg
Neonates whose mothers are negative for both HBsAg and HBeAg
INCLUSION CRITERIA:
EXCLUSION CRITERIA:
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| Name | Affiliation | Role |
|---|---|---|
| Zhu Fencai, MD | Jiangsu Provincial Center for Disease Prevention and Control, China | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Center for Disease Control and Prevention Jiangsu Province | Nanjing | Jiangsu | China |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 27753794 | Derived | Zhu F, Deckx H, Roten R, Michiels B, Sarnecki M. Comparative Efficacy, Safety and Immunogenicity of Hepavax-Gene TF and Engerix-B Recombinant Hepatitis B Vaccines in Neonates in China. Pediatr Infect Dis J. 2017 Jan;36(1):94-101. doi: 10.1097/INF.0000000000001361. |
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| ID | Term |
|---|---|
| D006509 | Hepatitis B |
| ID | Term |
|---|---|
| D000086982 | Blood-Borne Infections |
| D003141 | Communicable Diseases |
| D007239 | Infections |
| D018347 | Hepadnaviridae Infections |
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| ID | Term |
|---|---|
| C075654 | Engerix-B |
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| Active Comparator |
Subjects of mothers without chronic hepatitis B (negative for both HBsAg and HBeAg) |
|
| Engerix B | Biological | 10 µg/0.5 mL, intramuscular injection on Day 1, Month 1, Month 6 |
|
| Days 1 to 4 |
| Seroconversion rate for subjects in Stratum 1 | Seroconversion rate is defined as HBsAb concentrations from ELISA ≥10 mIU/mL | Month 12 |
| Positivity for HBsAg for subjects in Stratum 2 | Months 2, 7 and 12 |
| D004266 |
| DNA Virus Infections |
| D014777 | Virus Diseases |
| D006525 | Hepatitis, Viral, Human |
| D006505 | Hepatitis |
| D008107 | Liver Diseases |
| D004066 | Digestive System Diseases |