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This study will evaluate the immunogenicity and safety of Engerixâ„¢-B (hepatitis B vaccine) when administered as a primary vaccination course at 0, 1 and 6 months in adults with or without type 2 diabetes mellitus.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Diabetes Group | Experimental | Subjects diagnosed with type 2 diabetes within the five year period before study start who received 3 doses of Engerixâ„¢-B vaccine (HBV) at 0, 1 and 6 months. The vaccine was administered intramuscularly (IM) into the deltoid region of the non-dominant arm. |
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| Control Group | Active Comparator | Subjects with no diagnosis or documented history of diabetes who received 3 doses of Engerixâ„¢-B (HBV) vaccine at 0, 1 and 6 months. The vaccine was administered intramuscularly into the deltoid region of the non-dominant arm. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Engerixâ„¢-B vaccine | Biological | 3 doses administered intramuscularly (IM) in the deltoid region of the non-dominant arm. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of Subjects Seroprotected for Anti- Hepatitis B Surface Antigen (Anti-HBs) Antibodies | A seroprotected subject was defined as a vaccinated subject with an anti-HBs antibody concentration greater than or equal to (≥) 10 milli-international units per milliliter (mIU/mL). | At one month after the third dose of primary vaccination (Month 7) |
| Measure | Description | Time Frame |
|---|---|---|
| Anti-HBs Antibody Concentration | Concentrations were given as geometric mean concentration (GMC) and expressed as mIU/mL | At one month after the third dose of primary vaccination (Month 7) |
| Number of Subjects Reporting Any Solicited Local Symptoms |
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Inclusion Criteria:
All subjects must satisfy ALL the following criteria at study entry:
Subjects who, in the opinion of the investigator, can and will comply with the requirements of the protocol.
A male or female subject aged 20 years and above at the time of screening.
Written informed consent obtained from the subject at screening.
Subjects diagnosed with type 2 diabetes documented within the past five years, according to the criteria specified by the American Diabetes Association or currently taking any form of anti-diabetic intervention documented by the investigator; or control subjects with no diagnosis or documented history of diabetes, and HbA1c less than 6.5%, as determined by laboratory screening tests.
Normal renal function defined as estimated glomerular filtration rate (GFR) ≥ 50 mL/min, estimated through the Modification of Diet in Renal Disease (MDRD) or the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) equation, as determined by laboratory screening tests.
Seronegative for hepatitis B surface antigen (HBsAg), anti-HBs antibodies and antibodies to hepatitis B core antigen (anti HBc), as determined by laboratory screening tests.
Female subjects of non-childbearing potential may be enrolled in the study.
Female subjects of childbearing potential may be enrolled in the study, if the subject:
Exclusion Criteria:
The following criteria should be checked at the time of study entry. If ANY exclusion criterion applies, the subject must not be included in the study:
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| Name | Affiliation | Role |
|---|---|---|
| GSK Clinical Trials | GlaxoSmithKline | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| GSK Investigational Site | Huntsville | Alabama | 35802 | United States | ||
| GSK Investigational Site |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 27123743 | Derived | Van Der Meeren O, Peterson JT, Dionne M, Beasley R, Ebeling PR, Ferguson M, Nissen MD, Rheault P, Simpson RW, De Ridder M, Crasta PD, Miller JM, Trofa AF. Prospective clinical trial of hepatitis B vaccination in adults with and without type-2 diabetes mellitus. Hum Vaccin Immunother. 2016 Aug 2;12(8):2197-2203. doi: 10.1080/21645515.2016.1164362. Epub 2016 Apr 28. |
| Label | URL |
|---|---|
| Researchers can use this site to request access to anonymised patient level data and/or supporting documents from clinical studies to conduct further research. | View source |
| ID | Type | URL | Comment |
|---|---|---|---|
| 115918 | Statistical Analysis Plan | View IPD |
Patient-level data for this study will be made available through www.clinicalstudydatarequest.com following the timelines and process described on this site.
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There was re-allocation of 7 subjects conducted due to certain discrepancies between subjects' attributes identified from two different sources and as a result of which, there was an increase in the number of subjects from the 667 subjects targeted initially.
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| ID | Title | Description |
|---|---|---|
| FG000 | Diabetes Group | Subjects diagnosed with type 2 diabetes within the five year period before study start who received 3 doses of Engerixâ„¢-B vaccine (HBV) at 0, 1 and 6 months. The vaccine was administered intramuscularly (IM) into the deltoid region of the non-dominant arm. |
| FG001 | Control Group |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
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Solicited local symptoms assessed were pain, redness and swelling. Any was defined as occurrence of the specified solicited local symptom regardless of its intensity grade.
| During the 4-day (Days 0-3) post-vaccination period |
| Number of Subjects Reporting Any Solicited General Symptoms | Solicited general symptoms assessed were fatigue, gastrointestinal symptoms, headache and fever. Any was defined as any solicited general symptom reported irrespective of intensity and relationship to vaccination. Any fever = oral temperature greater than or equal to (≥) 37.5 degrees Celsius (°C) | During the 4-day (Days 0-3) post-vaccination period |
| Number of Subjects Reporting Any Unsolicited Adverse Events (AEs) | An unsolicited AE was defined as an untoward medical occurrence in a patient or clinical investigation subject, temporally associated with use of a medicinal product, whether or not considered related to the medicinal product and reported in addition to those solicited during the clinical study and any solicited symptom with onset outside the specified period of follow-up for solicited symptoms. Any was defined as occurrence of any unsolicited symptom regardless of intensity grade or relation to vaccination. | During the 31-day (Days 0-30) post-vaccination period |
| Number of Subjects Reporting Any Serious Adverse Events (SAEs) | A serious adverse event was defined as any untoward medical occurrence that: resulted in death, was life threatening, required hospitalization or prolongation of hospitalization, resulted in disability/incapacity or was a congenital anomaly/birth defect in the offspring of a study subject. Any was defined as occurrence of any symptom regardless of intensity grade or relation to vaccination. | During the entire study period (Month 0 - Month 7) |
| Stockbridge |
| Georgia |
| 30281 |
| United States |
| GSK Investigational Site | Boise | Idaho | 83642 | United States |
| GSK Investigational Site | Mishawaka | Indiana | 46545 | United States |
| GSK Investigational Site | Wichita | Kansas | 67207 | United States |
| GSK Investigational Site | Endwell | New York | 13760 | United States |
| GSK Investigational Site | Cleveland | Ohio | 44122 | United States |
| GSK Investigational Site | Nashville | Tennessee | 37203 | United States |
| GSK Investigational Site | Salt Lake City | Utah | 84109 | United States |
| GSK Investigational Site | Wenatchee | Washington | 98801 | United States |
| GSK Investigational Site | Herston | Queensland | 4029 | Australia |
| GSK Investigational Site | Box Hill | Victoria | 3128 | Australia |
| GSK Investigational Site | St Albans | Victoria | 3021 | Australia |
| GSK Investigational Site | Truro | Nova Scotia | B2N 1L2 | Canada |
| GSK Investigational Site | Greater Sudbury | Ontario | P3E 1H5 | Canada |
| GSK Investigational Site | Kitchener | Ontario | N2G 1E8 | Canada |
| GSK Investigational Site | Québec | Quebec | G1E 7G9 | Canada |
| GSK Investigational Site | Ste-Foy | Quebec | G1W 4R4 | Canada |
| GSK Investigational Site | Hamilton | 3240 | New Zealand |
| GSK Investigational Site | Rotorua | 3010 | New Zealand |
| GSK Investigational Site | Takapuna Auckland | New Zealand |
| GSK Investigational Site | Wellington | 6021 | New Zealand |
For additional information about this study please refer to the GSK Clinical Study Register |
| 115918 | Dataset Specification | View IPD | For additional information about this study please refer to the GSK Clinical Study Register |
| 115918 | Clinical Study Report | View IPD | For additional information about this study please refer to the GSK Clinical Study Register |
| 115918 | Study Protocol | View IPD | For additional information about this study please refer to the GSK Clinical Study Register |
| 115918 | Individual Participant Data Set | View IPD | For additional information about this study please refer to the GSK Clinical Study Register |
| 115918 | Informed Consent Form | View IPD | For additional information about this study please refer to the GSK Clinical Study Register |
Subjects with no diagnosis or documented history of diabetes who received 3 doses of Engerixâ„¢-B (HBV) vaccine at 0, 1 and 6 months. The vaccine was administered intramuscularly into the deltoid region of the non-dominant arm. |
| COMPLETED |
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| NOT COMPLETED |
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| ID | Title | Description |
|---|---|---|
| BG000 | Diabetes Group | Subjects diagnosed with type 2 diabetes within the five year period before study start who received 3 doses of Engerixâ„¢-B vaccine (HBV) at 0, 1 and 6 months. The vaccine was administered intramuscularly (IM) into the deltoid region of the non-dominant arm. |
| BG001 | Control Group | Subjects with no diagnosis or documented history of diabetes who received 3 doses of Engerixâ„¢-B (HBV) vaccine at 0, 1 and 6 months. The vaccine was administered intramuscularly into the deltoid region of the non-dominant arm. |
| BG002 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | Years |
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| Sex: Female, Male | Count of Participants | Participants |
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| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Number of Subjects Seroprotected for Anti- Hepatitis B Surface Antigen (Anti-HBs) Antibodies | A seroprotected subject was defined as a vaccinated subject with an anti-HBs antibody concentration greater than or equal to (≥) 10 milli-international units per milliliter (mIU/mL). | The analysis was performed on the According-to-Protocol (ATP) cohort for immunogenicity, which included all evaluable subjects who received all 3 doses of the EngerixTM-B vaccine, for whom post-vaccination immunogenicity results were available and for those in the Control Group, a suitable match was available in the Diabetic Group. | Posted | Count of Participants | Participants | At one month after the third dose of primary vaccination (Month 7) |
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| Secondary | Anti-HBs Antibody Concentration | Concentrations were given as geometric mean concentration (GMC) and expressed as mIU/mL | The analysis was performed on the According-to-Protocol (ATP) cohort for immunogenicity, which included all evaluable subjects who received all 3 doses of the EngerixTM-B vaccine, for whom post-vaccination immunogenicity results were available and for those in the Control Group, a suitable match was available in the Diabetic Group. | Posted | Geometric Mean | 95% Confidence Interval | mIU/mL | At one month after the third dose of primary vaccination (Month 7) |
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| Secondary | Number of Subjects Reporting Any Solicited Local Symptoms | Solicited local symptoms assessed were pain, redness and swelling. Any was defined as occurrence of the specified solicited local symptom regardless of its intensity grade. | The analysis was performed on Total Vaccinated cohort, which included all subjects who received at least one study vaccine administration and had symptom sheet completed. | Posted | Count of Participants | Participants | During the 4-day (Days 0-3) post-vaccination period |
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| Secondary | Number of Subjects Reporting Any Solicited General Symptoms | Solicited general symptoms assessed were fatigue, gastrointestinal symptoms, headache and fever. Any was defined as any solicited general symptom reported irrespective of intensity and relationship to vaccination. Any fever = oral temperature greater than or equal to (≥) 37.5 degrees Celsius (°C) | The analysis was performed on Total Vaccinated cohort, which included all subjects who received at least one study vaccine administration and had symptom sheet completed. | Posted | Count of Participants | Participants | During the 4-day (Days 0-3) post-vaccination period |
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| Secondary | Number of Subjects Reporting Any Unsolicited Adverse Events (AEs) | An unsolicited AE was defined as an untoward medical occurrence in a patient or clinical investigation subject, temporally associated with use of a medicinal product, whether or not considered related to the medicinal product and reported in addition to those solicited during the clinical study and any solicited symptom with onset outside the specified period of follow-up for solicited symptoms. Any was defined as occurrence of any unsolicited symptom regardless of intensity grade or relation to vaccination. | The analysis was performed on the Total Vaccinated cohort, which included all subjects who received at least one study vaccine administration. | Posted | Count of Participants | Participants | During the 31-day (Days 0-30) post-vaccination period |
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| Secondary | Number of Subjects Reporting Any Serious Adverse Events (SAEs) | A serious adverse event was defined as any untoward medical occurrence that: resulted in death, was life threatening, required hospitalization or prolongation of hospitalization, resulted in disability/incapacity or was a congenital anomaly/birth defect in the offspring of a study subject. Any was defined as occurrence of any symptom regardless of intensity grade or relation to vaccination. | The analysis was performed on the Total Vaccinated cohort, which included all subjects who received at least one study vaccine administration. | Posted | Count of Participants | Participants | During the entire study period (Month 0 - Month 7) |
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Serious Adverse Events: From Month 0 to Month 7; Solicited local and general symptoms: During the 4-day (Days 0-3) post-vaccination period.
For the systematically assessed other (non-serious) adverse events, the number of participants at risk included those from Total Vaccinated Cohort who had the symptom sheet completed.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Diabetes Group | Subjects diagnosed with type 2 diabetes within the five year period before study start who received 3 doses of Engerixâ„¢-B vaccine (HBV) at 0, 1 and 6 months. The vaccine was administered intramuscularly (IM) into the deltoid region of the non-dominant arm. | 16 | 416 | 247 | 416 | ||
| EG001 | Control Group | Subjects with no diagnosis or documented history of diabetes who received 3 doses of Engerixâ„¢-B (HBV) vaccine at 0, 1 and 6 months. The vaccine was administered intramuscularly into the deltoid region of the non-dominant arm. | 4 | 258 | 168 | 258 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Dehydration | Metabolism and nutrition disorders | MedDRA | Non-systematic Assessment |
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| Anaphylactic reaction | Immune system disorders | MedDRA | Non-systematic Assessment |
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| Angina unstable | Cardiac disorders | MedDRA | Non-systematic Assessment |
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| Appendicitis | Infections and infestations | MedDRA | Non-systematic Assessment |
| |
| Brain neoplasm malignant | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA | Non-systematic Assessment |
| |
| Cellulitis | Infections and infestations | MedDRA | Non-systematic Assessment |
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| Cholelithiasis | Hepatobiliary disorders | MedDRA | Non-systematic Assessment |
| |
| Concussion | Injury, poisoning and procedural complications | MedDRA | Non-systematic Assessment |
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| Gastroenteritis | Infections and infestations | MedDRA | Non-systematic Assessment |
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| Glioblastoma multiforme | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA | Non-systematic Assessment |
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| Hypomagnesaemia | Metabolism and nutrition disorders | MedDRA | Non-systematic Assessment |
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| Hyponatraemia | Metabolism and nutrition disorders | MedDRA | Non-systematic Assessment |
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| Incisional hernia, obstructive | Injury, poisoning and procedural complications | MedDRA | Non-systematic Assessment |
| |
| Infected skin ulcer | Infections and infestations | MedDRA | Non-systematic Assessment |
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| Intervertebral disc protrusion | Musculoskeletal and connective tissue disorders | MedDRA | Non-systematic Assessment |
| |
| Intestinal obstruction | Gastrointestinal disorders | MedDRA | Non-systematic Assessment |
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| Leukocytosis | Blood and lymphatic system disorders | MedDRA | Non-systematic Assessment |
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| Mediastinitis | Infections and infestations | MedDRA | Non-systematic Assessment |
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| Mitral valve disease | Cardiac disorders | MedDRA | Non-systematic Assessment |
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| Myocardial infarction | Cardiac disorders | MedDRA | Non-systematic Assessment |
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| Non-Hodgkin's lymphoma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA | Non-systematic Assessment |
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| Oedema peripheral | General disorders | MedDRA | Non-systematic Assessment |
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| Papillary thyroid cancer | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA | Non-systematic Assessment |
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| Pelvic inflammatory disease | Infections and infestations | MedDRA | Non-systematic Assessment |
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| Pleural effusion | Respiratory, thoracic and mediastinal disorders | MedDRA | Non-systematic Assessment |
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| Pneumothorax | Respiratory, thoracic and mediastinal disorders | MedDRA | Non-systematic Assessment |
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| Radius fracture | Injury, poisoning and procedural complications | MedDRA | Non-systematic Assessment |
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| Renal failure | Renal and urinary disorders | MedDRA | Non-systematic Assessment |
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| Renal failure acute | Renal and urinary disorders | MedDRA | Non-systematic Assessment |
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| Rib fracture | Injury, poisoning and procedural complications | MedDRA | Non-systematic Assessment |
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| Scapula fracture | Injury, poisoning and procedural complications | MedDRA | Non-systematic Assessment |
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| Syncope | Nervous system disorders | MedDRA | Non-systematic Assessment |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Pain | General disorders | MedDRA | Systematic Assessment |
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| Redness | General disorders | MedDRA | Systematic Assessment |
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| Swelling | General disorders | MedDRA | Systematic Assessment |
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| Fatigue | General disorders | MedDRA | Systematic Assessment |
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| Gastrointestinal symptoms | General disorders | MedDRA | Systematic Assessment |
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| Headache | General disorders | MedDRA | Systematic Assessment |
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GSK agreements may vary with individual investigators, but will not prohibit any investigator from publishing. GSK supports the publication of results from all centers of a multi-center trial but requests that reports based on single-site data not precede the primary publication of the entire clinical trial.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| GSK Response Center | GlaxoSmithKline | 866-435-7343 |
| ID | Term |
|---|---|
| D006509 | Hepatitis B |
| D003924 | Diabetes Mellitus, Type 2 |
| ID | Term |
|---|---|
| D000086982 | Blood-Borne Infections |
| D003141 | Communicable Diseases |
| D007239 | Infections |
| D018347 | Hepadnaviridae Infections |
| D004266 | DNA Virus Infections |
| D014777 | Virus Diseases |
| D006525 | Hepatitis, Viral, Human |
| D006505 | Hepatitis |
| D008107 | Liver Diseases |
| D004066 | Digestive System Diseases |
| D003920 | Diabetes Mellitus |
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D004700 | Endocrine System Diseases |
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