About this trial
This is a pilot study to determine the safety and efficacy of a novel adjuvanted hepatitis B virus (HBV) vaccine formulated as a potential therapeutic vaccine against chronic HBV infection. An ongoing human clinical trial of this HBV vaccine in a prophylactic setting has confirmed this vaccine to be more effective at inducing seroconversion as measured by development of Hepatitis B surface antibody (HBsAb) in poor responder subjects than the standard alum-adjuvanted HBV vaccine, providing promise that this new vaccine may also be able to induce HBV viral control and/or seroconversion in chronically infected subjects
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Male or female
18 years of age or older
Current evidence of HBV chronic infection (with or without cirrhosis) as indicated by detection of HBsAg and/or Hepatitis B DNA (Subjects on current nucleoside therapy may have no detectable Hep B DNA)
If child bearing age, using contraception (barrier method, IUD or oral contraception)
Disqualifiers
Positive for antibody to hepatitis B core antigen (anti-HBc) IgM with negative results for the rest of the HBV markers, indicating acute infection,
Positive for anti-delta virus, or anti-hepatitis C virus or HIV
Childs Pugh Score for Cirrhosis Mortality of Child grade B or greater
Liver transaminases greater than 5 times the upper limit of normal
Trial design
Parallel
Treatments tested in this trial
Therapeutic hepatitis B vaccine
Biological/VaccineHBV vaccine based on unique combination of recombinant PreS hepatitis B surface antigen particles formulated with Advax-2 adjuvant
Commercial Hepatitis B vaccine
Biological/VaccineCommercially available prophylactic hepatitis B vaccine formulated with alum adjuvant
Treatment groups
Trial outcomes
Primary outcomes
Safety assessment: Frequency of vaccine-related adverse events relative to active comparator vaccine
Frequency of vaccine-related adverse events relative to active comparator vaccine
Viral load
Suppression of HBV viral load
Secondary outcomes
Seroconversion
Seroconversion to e antigen (if anti HBe negative at baseline) and seroconversion to surface antigen
T-cell response
Development of memory T-cell responses to HBV
B cell response
Development of memory B-cell responses to HBV
Sponsors and contacts
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Vaxine Pty Ltd
Lead sponsor
Australian Respiratory and Sleep Medicine Institute
Collaborator
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