The Immunogenicity and Safety of Inactivated and Live Attenuated Hepatitis A Vaccines (HAV)

Institute of Medical Biology, Chinese Academy of Medical Sciences

Status and phase: Completed; Phase 4

Conditions: Hepatitis A

Treatments: Biological: Attenuated HAV Vaccine, L-A-1 Strain; Biological: Attenuated HAV Vaccine, H2 Strain; Biological: Inactivated HAV Vaccine, Lu8 Strain; Biological: Inactivated HAV Vaccine, TZ84 Strain

Study type: Interventional

Funder types: Other; NETWORK

Identifiers

NCT01949857

qiangmingsun123456!

Details and patient eligibility

About

The purpose of this Phase 4 trial is to assess the safety, immunogenicity, three-year immune persistence of inactivated hepatitis A vaccine (HAV) and live attenuated HAV vaccine.

Full description

Hepatitis A refers to liver inflammation caused by infection with the hepatitis A virus. HAV is is one of the most common hepatitis viruses that can cause hepatitis in China. The data from the phase 1, 2 and 3 trials suggested that both inactivated hepatitis A vaccine and live attenuated hepatitis A vaccine had a clinically acceptable safety and good immunogenicity for healthy Chinese people.

Enrollment: 35,000 patients

Sex: All

Ages: 18 months to 65 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Only subjects fulfilling all of the following criteria will be eligible for the study:

  • People aged from 18 months to 65 years old.
  • The subjects or subjects' guardians are able to understand and sign the informed consent
  • The subjects or subjects' guardians allow to comply with the requirements of the protocol
  • Subjects with temperature <=37.0°C on axillary setting
  • The subjects have signed informed consent already

Exclusion criteria

• Subjects will not be eligible for the study if any of the following criteria is met:

  • Subject who has a medical history of serious disease including Tumor, autoimmune disease, progressive atherosclerosis diseases or complications of diabetes, chronic obstructive pulmonary disease (copd), kidney disease, congestive heart failure etc.
  • Have a history of neurological symptoms or signs
  • Have medical history or family history relating to allergies, seizures, epilepsy, brain and spirit etc.
  • Suffering from serious chronic diseases
  • Suffering from known or suspected of diseases including respiratory diseases, acute infection , mothers have HIV infection, cardiovascular disease, severe hypertension, skin diseases, malignant tumor
  • Allergic to any ingredient in research, history of allergies to any vaccination (always), especially for people allergic to high protein food like eggs and milk
  • Any prior known or suspected damage or abnormal immune function. As for patients who are treated with immune inhibitors or immune enhancer medicine, accept with immunoglobin, blood products and plasma extraction within 3 months
  • Any prior diseases including human immunodeficiency virus infection or related
  • Bleeding constitution or prolong bleeding time situation
  • Accept hepatitis A vaccination within a month
  • Received vaccines, other immune globulin, any research drug injections in the past 4 weeks
  • People who had any acute illness, needed systemic antibiotics or antiviral treatment in the past 7 days
  • Caught a fever with axillary temperature 38°C or higher in past 3 days
  • Take part in another clinical researchers
  • Any medical, psychiatric, social condition, occupational reason or other responsibility that, in the judgment of the investigator, is a contraindication to protocol participation or impairs a volunteer's ability to give informed consent
  • Pregnancy test result is positive

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Triple Blind

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35,000 participants in 4 patient groups

Attenuated HAV Vaccine, H2 Strain

Experimental group

Description:

6.50 lgCCID50/ml in babies aged 18-35 months\\6.50 lgCCID50/ml in children aged 3-15 years \\6.50 lgCCID50/ml in adults aged 16 up to 65 years old

Treatment:

Biological: Attenuated HAV Vaccine, H2 Strain

Attenuated HAV Vaccine, L-A-1 Strain

Experimental group

Description:

6.50 lgCCID50/Vial in babies aged 18-35 months\\6.50 lgCCID50/Vial in children aged 3-15 years \\6.50 lgCCID50/Vial in adults aged 16 up to 65 years old, only one dose (1Vial/dose).

Treatment:

Biological: Attenuated HAV Vaccine, L-A-1 Strain

Inactivated HAV Vaccine, Lu8 Strain

Experimental group

Description:

320EU/Vial in babies aged 18-35 months\\320EU/Vial in children aged 3-15 years \\640EU/Vial in adults aged 16 up to 65 years old\\boost at month 6\\two-dose

Treatment:

Biological: Inactivated HAV Vaccine, Lu8 Strain

Inactivated HAV Vaccine, TZ84 Strain

Experimental group

Description:

250U/Vial in babies aged 18-35 months\\250U/Vial in children aged 3-15 years \\500U/Vial in adults aged 16 up to 65 years old\\boost at month 6\\two-dose

Treatment:

Biological: Inactivated HAV Vaccine, TZ84 Strain