Protocol No: ECCT/20/09/02 Date of Protocol: 11-10-2019

Study Title:

 B-ENHANCEMENT OF HBV VACCINATIONIN PERSONS LIVING WITH HIV (BEe-HIVe) EVALUATION OF HEPLISAV-B,A5379

No Change

No Change

Study Objectives:

1.1.1To compare the week 12 SPR of a two-dose regimen of HEPLISAV-B (Group A, Arm 1) versus the week 28 SPR of a standard three-dose regimen of ENGERIX- B (Group A, Arm 3) in hepatitis B virus (HBV) vaccine-experienced participants living with HIV (Group A).

1.1.2To compare the week 28 SPR of a three-dose regimen of HEPLISAV-B (Group A, Arm 2) versus a standard three-dose regimen of ENGERIX-B (Group A, Arm3) in HBV vaccine-experienced participants living with HIV (Group A).

1.1.3To determine the week 28 SPR of a three-dose regimen of HEPLISAV-B in HBV vaccine-naïve participants living with HIV (Group B).

1.1.4To describe adverse events (AEs) reported in each study arm (Groups A and B, separately) over the duration of the study.

Laymans Summary:

The best way to protect people from getting Hepatitis B virus (a virus that destroy the liver) is by injecting them with a vaccine that prevents against this virus. It is advisable to inject the vaccine to all people living with HIV. Unlike people who are not infected with HIV, those that are infected with HIV respond poorly to the vaccine that is currently approved for use. Despite using different methods to try to make the currently approved vaccine to work better among people living with HIV, it has not been possible. This study will be looking at a new vaccine called HEPLISAV-B® vaccine by Dynavax Technologies Corporation. This HEPLISAV-B® vaccine has been shown to be better than the currently approved Hepatitis Vaccine (ENGERIX-B) when used in people living with HIV. This HEPLISAV-B® vaccine is given as an injection to the muscle in two doses; the first as a start, then again after one month from the first injection. The study will involve adults living with HIV with a history of having been vaccinated but did not respond to hepatitis B vaccination (Group A HBV vaccine-experienced) and adults living with HIV with no known prior history of HBV vaccination (Group B HBV vaccine-naïve). Participants in Group A will be randomized 1:1:1 to receive HEPLISAV-B (Arms 1 [two doses] and 2 [three doses]) or ENGERIX-B (Arm 3 [three doses]). Participants in Group B will receive HEPLISAV-B. To carry out this study, the Kericho site will enroll up to 50 participants and the participants will be recruited from the hospitals that treat people that are infected with HIV in the region. The participants will be enrolled into one of the three groups in the study. The study will compare to see if the new vaccine is better in preventing people living with HIV from getting Hepatitis B virus that the one currently approved for use. The participants will be followed for 72 weeks from the time they have been enrolled into the study.

 


 

 

4 No Change
8 No Change
Abstract of Study:

While vaccination is the cornerstone of prevention strategies for HBV, the response to current standard vaccination is suboptimal in those living with HIV. Hepatitis B vaccination response to standard regimens is suboptimal in persons living with HIV. A variety of modalities to improve response (primary or secondary series) have been utilized but none have gained universal acceptance. Recently, a new vaccine for HBV prevention was approved by the United States (US) Food and Drug Administration (FDA). The HEPLISAV-B® vaccine (Dynavax Technologies Corporation) is a 0.5 mL aqueous mixture of the HBsAg (20 mcg) combined with 3 mg of CpG1018, an adjuvant Toll-like receptor 9 (TLR9) agonist. It is given as an intramuscular (IM) injection at 0 and 1 months. In pivotal trials this regimen was superior to a three-dose vaccine series of ENGERIX-B, which has been licensed and used for many years in the US and worldwide. The proposed study will compare the efficacy and safety of HEPLISAV-B and ENGERIX- B in a population of HBV vaccine non-responders living with HIV. In Kenya, ENGERIX-B vaccine is the currently approved and registered Hepatitis B vaccine, while HEPLISAV-B is not yet registered. This is a is a phase III/IV, prospective, open-label, interventional, two group study being conducted at both US and non-US sites, with one group (Group A) consisting of a randomized, controlled trial with three study arms and the other group (Group B) consisting of a single arm. The study will involve adults living with HIV with a history of nonresponse to hepatitis B (HBV) vaccination (Group A HBV vaccine-experienced) and adults living with HIV with no known prior history of HBV vaccination (Group B HBV vaccine-naïve). Participants in Group A will be randomized 1:1:1 to receive HEPLISAV-B (Arms 1 [two doses] and 2 [three doses]) or ENGERIX-B (Arm 3 [three doses]). Participants in Group B will receive HEPLISAV-B. The study will compare the week 12 seroprotection of a two-dose regimen of HEPLISAV-B (Group A, Arm 1) versus the week 28  seroprotection of a standard three-dose regimen of ENGERIX- B (Group A, Arm 3) in hepatitis B virus (HBV) vaccine-experienced participants living with HIV (Group A).


 

4

No Change

8

No Change