HBV Vaccine in Renal Failure Patients
NCT02621112 · Status: COMPLETED · Phase: PHASE2/PHASE3 · Type: INTERVENTIONAL · Enrollment: 94
Last updated 2019-10-22
Summary
Hepatitis B virus infection remains an important clinical issue among patients on renal replacement therapy. Seroconversion rate as defined by an anti-HBs Ab titer \> 10 IU/L after intramuscular hepatitis B vaccination (HBVv) remains poor in this cohort. Factors associated with inadequate anti-HBs response include older age, diabetes mellitus, obesity and low hepatitis B vaccine dose. Various small-scale studies including multiple high dose intramuscular vaccination or multiple small dose intradermal vaccination were attempted with variable response. Recent study on dose sparing seasonal influenza vaccine delivered via a novel intradermal microneedle has demonstrated good immunogenic responses similar to full-dose intramuscular vaccination. Imiquimod, a synthetic TLR7 agonist useful for the treatment of DNA virus infection, has been shown to improve vaccine immunogenicity. The investigators therefore propose a prospective, randomized study to compare the safety and immunogenicity of intradermal hepatitis B vaccination with this novel device with intramuscular in patients on renal replacement therapy.
Conditions
- Renal Failure
Interventions
- BIOLOGICAL
-
Intradermal HBVv with imiquimod
Intradermal hepatitis B vaccine with imiquimod pretreatment
- BIOLOGICAL
-
Intradermal HBVv with aqueous cream
Intradermal hepatitis B vaccine with aqueous cream pretreatment
- BIOLOGICAL
-
Intramuscular HBVv with aqueous cream
Intramuscular hepatitis B vaccine with aqueous cream pretreatment
Sponsors & Collaborators
-
The University of Hong Kong
lead OTHER
Principal Investigators
-
Ivan FN Hung, MD FRCP · The University of Hong Kong
Study Design
- Allocation
- RANDOMIZED
- Purpose
- PREVENTION
- Masking
- TRIPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 21 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2016-01-31
- Primary Completion
- 2018-12-31
- Completion
- 2019-03-31
Countries
- Hong Kong
Study Locations
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