Hepatitis B Vaccination Through Syringe Exchange Programs: A Randomized, Controlled Trial of Vaccination Schedules (HVS)
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Purpose
The investigators seek to provide immunization for individuals who are at high risk of contracting hepatitis B virus (HBV) infection because of their illicit drug use. The investigators will be using the syringe exchange programs (SEPs) in Hartford and Bridgeport, CT and Chicago, IL to contact high risk individuals and refer them for vaccination. The primary purpose of the study is to compare the standard schedule of hepatitis B vaccination at 0, 1, and 6 months to an accelerated schedule of vaccination at 0, 1, and 2 months. The investigators hypothesize that the accelerated scheduling will result in improved completion rates without significant loss in vaccine efficacy.
| Condition | Intervention | Phase |
|---|---|---|
|
Hepatitis B |
Biological: Vaccination to prevent hepatitis B virus infection |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Prevention |
| Official Title: | Hepatitis B Vaccination Through Syringe Exchange Programs: A Randomized, Controlled Trial of Vaccination Schedules |
- Vaccine Efficacy [ Time Frame: 8 months from study enrollment ] [ Designated as safety issue: No ]
- Vaccine completion rate [ Time Frame: 8 months from study enrollment ] [ Designated as safety issue: No ]
- Association of exchange status with completion [ Time Frame: 8 months from study enrollment ] [ Designated as safety issue: No ]
| Enrollment: | 595 |
| Study Start Date: | May 2003 |
| Study Completion Date: | August 2006 |
| Primary Completion Date: | August 2006 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Active Comparator: Standard vaccination schedule
Standard dosing at 0, 1, and 6 months
|
Biological: Vaccination to prevent hepatitis B virus infection
Standard dosing with Twinrix; comparison of standard and acceleration dosing schedule
|
|
Active Comparator: Accelerated Schedule
Accelerated dosing at 0, 1, and 2 months
|
Biological: Vaccination to prevent hepatitis B virus infection
Standard dosing with Twinrix; comparison of standard and acceleration dosing schedule
|
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- Demonstrate evidence of recent injection drug use (injection stigmata),
- 18 years of age or older,
- Screened for and found susceptible to HBV
- Able to provide informed consent.
Exclusion Criteria:
- Evidence of intoxication that prevented provision of informed consent.
Contacts and Locations| United States, Connecticut | |
| Hispanic Health Council | |
| Hartford, Connecticut, United States, 06106 | |
| United States, Illinois | |
| DePaul University | |
| Chicago, Illinois, United States, 60614 | |
| United States, Ohio | |
| Case Western Reserve Universtiy | |
| Cleveland, Ohio, United States, 44106 | |
| Principal Investigator: | Robert Heimer, Ph.D. | Yale University |
More Information
Additional Information:
Publications:
| Responsible Party: | Robert Heimer, Yale University |
| ClinicalTrials.gov Identifier: | NCT01259453 History of Changes |
| Other Study ID Numbers: | 0005011791, 5R01DA014502 |
| Study First Received: | December 10, 2010 |
| Last Updated: | December 13, 2010 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by Yale University:
|
Hepatitis B vaccination Syringe exchange programs Injection drug users Hepatitis B prevention through vaccination |
Additional relevant MeSH terms:
|
Hepatitis Hepatitis A Hepatitis B Liver Diseases Digestive System Diseases Hepatitis, Viral, Human |
Virus Diseases Enterovirus Infections Picornaviridae Infections RNA Virus Infections Hepadnaviridae Infections DNA Virus Infections |
ClinicalTrials.gov processed this record on June 18, 2013