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New Methods to Measure the Immune Response to Hepatitis B Vaccine

2021年1月13日 更新者:University of Oxford

Hepatitis B Immunisation: A Two-part Study Investigating Antigen Specific B Cell Receptors

Hepatitis B vaccine is a safe and effective vaccine used widely throughout the world. Because of this it is a useful vaccine in which to develop new methods for studying immune responses. Measuring the immune response to vaccines helps us to understand how they work and whether they are likely to protect any individual against infection. For most vaccines we measure the immune system's production of antibody after a vaccine has been given. The investigators want to develop new methods that give a far more detailed picture of the antibody response to vaccines than has previously been possible. These methods will investigate the genetic instructions used by each antibody producing cell to make antibody. These methods have the potential to give new insights into the way vaccines work, which could be applied to studying vaccines and vaccine schedules in the future.

研究概览

地位

完全的

条件

研究类型

介入性

注册 (实际的)

21

阶段

  • 第四阶段

联系人和位置

本节提供了进行研究的人员的详细联系信息,以及有关进行该研究的地点的信息。

学习地点

    • Oxfordshire
      • Oxford、Oxfordshire、英国、OX3 7LE
        • Centre for Clinical Vaccinology & Tropical Medicine (CCVTM)

参与标准

研究人员寻找符合特定描述的人,称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。

资格标准

适合学习的年龄

18年 至 60年 (成人)

接受健康志愿者

是的

有资格学习的性别

全部

描述

Inclusion Criteria:

All participants for both parts 1 and 2 must meet the following conditions in order to be enrolled:

  • Participant is willing and able to give informed consent for participation in the study
  • Healthy Male or Female, aged 18 - 60 years
  • No allergies to the vaccine or its excipients

Participants enrolling in Part 1 must also meet the following conditions:

  • Participant has previously received a primary immunisation course of HepB vaccine (3 primary doses). The 4th booster dose recommended after 12 months is not a requirement. There are a variety of possible recommended schedules, and any may have been used as long as the final vaccine (or booster vaccine) was given at least 12 months prior to the participant enrolling in the study.
  • Participant is willing to allow their General Practitioner to be notified, if appropriate, of participation in the study

Participants enrolling in Part 2 must also meet the following conditions Participant receiving HBvaxPro® (the usual vaccine given within the Occupational Health Department).

Exclusion Criteria:

The participant may not enter either study if ANY of the following apply:

  • Have any known or suspected impairment or alteration of immune function, resulting from, for example:

    • Congenital or acquired immunodeficiency (including IgA deficiency)
    • Human Immunodeficiency Virus infection or symptoms/signs suggestive of an HIV-associated condition
    • Autoimmune disease
    • Receipt of immunosuppressive therapy such as anti-cancer chemotherapy or radiation therapy within the preceding 12 months or long-term systemic corticosteroid therapy.
    • Chronic illness that could interfere with immunological function or donation of the required volumes of blood (e.g. cardiac or renal disease, diabetes, or auto-immune disorders).
  • Receipt of a HepB booster vaccine within the past 12 months.
  • Prior history of anaphylactic reaction to a previous dose of a Hepatitis B containing vaccine or known hypersensitivity to any vaccine component;
  • Receipt of blood, blood products, or plasma derivatives within the past 3 months.
  • Total blood donation greater than 50 ml within the past 3 months.
  • Thrombocytopenia or any bleeding disorder.
  • Pregnancy as confirmed by a positive pregnancy test, or currently breastfeeding.
  • Receipt of a live vaccine within 4 weeks prior to vaccination or a killed vaccine within 7 days prior to vaccination.
  • Plan to receive any vaccine other than the study vaccine within 4 weeks following vaccination.
  • Enrolled in another study, which, in the opinion of the investigator, could compromise the integrity of either study being conducted.
  • A member of staff on the delegation log
  • According to the TOPS database, have recently taken part in a significant number of other studies, which, in the opinion of the investigator, warrant exclusion from further studies.
  • Participant is a known non-responder to the HepB vaccine
  • Have any condition, which, in the opinion of the investigator, might interfere with the evaluation of the study objectives.
  • Unable to understand English, or what will be required from them during the study.

学习计划

本节提供研究计划的详细信息,包括研究的设计方式和研究的衡量标准。

研究是如何设计的?

设计细节

  • 主要用途:基础科学
  • 分配:不适用
  • 介入模型:单组作业
  • 屏蔽:无(打开标签)

研究衡量的是什么?

主要结果指标

结果测量
措施说明
大体时间
Part 2- To assess B cell VH/L gene segment usage by HepB specific B cells during and following administration of a three dose course of HepB vaccine given at 0,1, 2 or 0, 1, 6 months.
大体时间:0 and 7 days after the second immunisation, and 0, 7 and 40 days after the third immunisation
HepB specific cells will be isolated using magnetic-activated cell sorting, and fluorescence-activated cell sorting. VH/L gene segments will be amplified by PCR, and DNA prepared for sequencing. Bioinformatic approaches will then be used to create frequency tables of the different V, D and J exons that comprise these gene segments.
0 and 7 days after the second immunisation, and 0, 7 and 40 days after the third immunisation
Part 1- To validate B cell assays and assess the kinetics of HepB specific B cell subsets following administration of a booster dose of HepB vaccine given to previously immunised healthy adults.
大体时间:0, 7, 14, 21 and 28 days after immunisation
HepB specific B cell subsets will be identified using both ELISPOT and flow cytometry.
0, 7, 14, 21 and 28 days after immunisation

次要结果测量

结果测量
措施说明
大体时间
Part 1 • To measure HepB surface antigen-specific antibody concentration following administration of a booster dose of HepB vaccine given to previously immunised healthy adults
大体时间:0 and 28 days after immunisation
Antibody concentrations will be determined from blood plasma using an ELISA
0 and 28 days after immunisation
Part 1 • To assess B-cell receptor VH/L gene sequences used in HepB specific and non-antigen specific B-cells prior to and following administration of a booster dose of HepB vaccine given to previously immunised healthy adults
大体时间:0, 7, 14, 21 and 28 days after immunisation
VH/L gene segments will be amplified by PCR, and DNA prepared for sequencing. Bioinformatic approaches will then be used to create frequency tables of the different V, D and J exons that comprise these gene segments.
0, 7, 14, 21 and 28 days after immunisation
Part 1 • Comparison of B cell receptor VH/L gene segment usage as determined by two different next-generation sequencing methods (RNA-sequencing and 454).
大体时间:0, 7, 14, 21 and 28 days after immunisation, as required
Different sequencing protocols introduce different types of error and bias into the resulting sequence datasets. VH/L gene segments will sequenced using two different techniques. Bioinformatic approaches and descriptive analysis will then be used to compare the effects of the two different protocols. Frequency tables of the different V, D and J exons that comprise these gene segments will be generated, for comparison.
0, 7, 14, 21 and 28 days after immunisation, as required
Part 1 • Collection of mRNA for subsequent gene expression analysis
大体时间:0, 7, 14, 21 and 28 days after immunisation
0, 7, 14, 21 and 28 days after immunisation
Part 2 • To measure HepB specific plasma and memory B cell frequencies during and following administration of a three dose course of HepB vaccine given at 0, 1, 2 or 0, 1, 6 months.
大体时间:0 and 7 days after the second immunisation, and 0, 7 and 40 days after the third immunisation
HepB specific B cell subsets will be identified using both ELISPOT and flow cytometry.
0 and 7 days after the second immunisation, and 0, 7 and 40 days after the third immunisation
Part 2 • To measure HepB surface antigen-specific antibody concentration during and following administration of a three dose course of HepB vaccine given at 0,1, 2 or 0, 1, 6 months.
大体时间:0 days after the second immunisation, and 0 and 40 days after the third immunisation
Antibody concentrations will be determined from blood plasma using an ELISA
0 days after the second immunisation, and 0 and 40 days after the third immunisation

合作者和调查者

在这里您可以找到参与这项研究的人员和组织。

调查人员

  • 首席研究员:Dominic Kelly、Oxford Vaccine Group

研究记录日期

这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查,以确保它们在发布到公共网站之前符合特定的质量控制标准。

研究主要日期

学习开始

2013年3月1日

初级完成 (实际的)

2014年4月1日

研究完成 (实际的)

2016年5月1日

研究注册日期

首次提交

2013年3月18日

首先提交符合 QC 标准的

2013年3月26日

首次发布 (估计)

2013年4月1日

研究记录更新

最后更新发布 (实际的)

2021年1月14日

上次提交的符合 QC 标准的更新

2021年1月13日

最后验证

2016年6月1日

更多信息

此信息直接从 clinicaltrials.gov 网站检索,没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求,请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改,我们的网站上也会自动更新.

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