ClinicalTrials.gg
CompletedNCT03410953Updated Jul 8, 2021Results posted

Vaccination Adjuved Against Hepatitis B in SNS Workers Typed as no Responders to Conventional Vaccines

A Phase 4 interventional study of Fendrix suspension for injection Hepatitis B (rDNA) vaccine (adjuvanted, adsorbed). in Hepatitis B, Hepatitis and Hepatitis, Viral, Human, sponsored by Fundación Instituto de Estudios de Ciencias de la Salud de Castilla y León. Completed at 11 sites in Spain. Open to participants aged 18 Years to 64 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2021-07-08.

Sponsored by Fundación Instituto de Estudios de Ciencias de la Salud de Castilla y León · Phase 4, Interventional, and Prevention

Phase
Phase 4
Study type
Interventional
Enrollment
67
Allocation
Not applicable
Ages
18 Years to 64 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 47 studies in Hepatitis B with a site in Spain — 2 open to participants now, 6 under way, none of them phase 3. Hepatitis B · Spain.

Enrollment
30th of 35
67 · median 200
Started
2018
with 1 other
Phase 4
5 of 47
none open now
Registered
31st of 47
by date

Among the 47 studies in Hepatitis B with a site in Spain, this one is the 30th largest by enrollment of the 35 interventional ones that give a count, is one of 2 that started in 2018, is one of 5 in phase 4, and was the 31st registered.

Hepatitis B

1,045 studies on the registry are indexed under Hepatitis B; 139 are open to participants now.

This study's enrollment of 67 is below the median of 147 across 756 interventional studies indexed under Hepatitis B.

Browse Hepatitis B studies →

Open to participants now

2 of the 47 studies in Hepatitis B with a site in Spain are open now.

All 2 open studies →

A study can be open while its sites in Spain have not opened yet or have stopped. Only those recruiting at a site in Spain →

Who these studies take

Of the 79 Hepatitis B studies recruiting now, 40 (51%) set no upper age limit and 34 (43%) stop at 75 or younger; 13 take children under 18; 19 take healthy volunteers.

This study: 18 Years to 64 Years · all sexes · healthy volunteers too.

The full table on the hub →
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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 47 studies in Hepatitis B with a site in Spain, or all of them as a file.
02

Study summary

Health workers with biological risk in their tasks, who have been vaccinated as non-responders to conventional vaccination against Hepatitis B. To provide Health workers-staff with an additional protection tool against hepatitis B infection. To evaluate the efficacy of the adjuvanted vaccine in healthy nonresponders to conventional hepatitis B vaccine.

Read the detailed description

An interventional, phase 4, single group assignment, without masking (open label), preventive clinical trial was carried out in health workers with biological risk in their tasks, who have been filed as non-responders to conventional vaccination against Hepatitis B.

Methods: 67 health workers with biological risk in their tasks, who have been filed as non-responders to conventional vaccination against Hepatitis B, were enrolled in the Clinical Trial. All participants were from 18 years up to 64 years old. The criteria defining them as non-responders to the conventional hepatitis B vaccine is anti HBsAb titers \< 10 mUI/ml following the application of six doses of conventional vaccine at 20 lg doses (two complete guidelines). The objective of this study was to provide Health workersstaff with an additional protection tool against hepatitis B infection, and to evaluate the efficacy of the adjuvanted vaccine in healthy non-responders to conventional hepatitis B vaccine.

03

Conditions studied

  • Hepatitis B
  • Hepatitis
  • Hepatitis, Viral, Human
  • Hepatitis B Immunization
04

Who can participate

Ages eligible
18 Years to 64 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • NHS workers -including university students doing their internships in health centres dependent on the National Health System (inclusion of students is regulated and limited by specific instructions on labour prevention in each autonomous community).
  • Criteria defining them as NO responders to the conventional vaccine: anti HBsAb titers \<10 mIU / ml following the application of six doses of conventional vaccine at 20 μg doses (two complete guidelines).

Exclusion criteria

Exclusion Criteria:

  • Known allergy to the active substance or any of the other ingredients of the medicinal product (included in section 6 of the product data sheet).
  • Subjects that have ever had an allergic reaction to any vaccine against .
  • Subjects have a serious infection with fever.
  • Subjects for whom is not obtained.
  • Subjects that have not revoked the consent initially signed.
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Phase 4
Primary purpose
Prevention
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
67 participants (actual)

Study arms

  • Experimental
    Fendrix

    The primary immunisation consists of 4 separate 0.5 ml doses of FENDRIX administered at the following schedule: 1 month, 2 months and 6 months from the date of the first dose. Once initiated, the primary course of vaccination at 0, 1, 2 and 6 months should be completed with Fendrix, and not with other commercially available HBV vaccine

    Biological: Fendrix suspension for injection Hepatitis B (rDNA) vaccine (adjuvanted, adsorbed).

Interventions

  • BiologicalFendrix suspension for injection Hepatitis B (rDNA) vaccine (adjuvanted, adsorbed).

    The primary immunisation consists of 4 separate 0.5 ml doses administered at the following schedule: 1 month, 2 months and 6 months from the date of the first dose. Once initiated, the primary course of vaccination at 0, 1, 2 and 6 months should be completed with Fendrix, and not with other commercially available HBV vaccine

06

What researchers measure

Primary outcomes

  1. Number of Participants With Protective Levels of Antibodies After Treatment

    Measurement of antibody antiHBs: before the first dose and a month after the administration of each dose.

    Time frame: Between 40 and 60 days after the last dose given

07

Results

Posted Jul 8, 2021
Limitations and caveats
Number of possible participants from all hospitals were small. This resulted in the need to extend recruitment to additional centres in order to obtain an optimal study sample. We also encountered a lack of information concerning staff who do not respond to vaccination. We also encountered some isolated difficulties as regards organizing all trial visits and their dates for various reasons, including vacations and sick leave. It was resolved through study coordination.

Participant flow

Participant flow — Overall Study
MilestoneFendrix
Started67
Completed67
Not completed0

Outcome measures

PrimaryNumber of Participants With Protective Levels of Antibodies After Treatment

Measurement of antibody antiHBs: before the first dose and a month after the administration of each dose.

Time frame:
Between 40 and 60 days after the last dose given
Reported as:
Count of participants · Participants
Number of Participants With Protective Levels of Antibodies After Treatment
ParticipantsFendrix
Positive63
Negative4

Adverse events

Collected over 1 year, 6 months. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Fendrix0/67 (0%)0/67 (0%)29/67 (43.3%)
Most frequent other events
Most frequent other events
EventFendrix
Puncture Zone PainSkin and subcutaneous tissue disorders19/67
DiscomfortGeneral disorders4/67
FatigueGeneral disorders3/67
DiarrheaGeneral disorders2/67
Paresthesia in the puncture areaGeneral disorders2/67
CrampGeneral disorders1/67
DiverticulitisGeneral disorders1/67

Baseline characteristics

Subjects had to work in the SNS -including university students undertaking work placements in SNS health centres (subject to and limited by the specific regulations on health and safety in each autonomous region)- and be of working age.

Age, Categorical
Age, Categorical(Participants)Fendrix
<=18 years0
Between 18 and 65 years67
>=65 years0
Age, Continuous
Age, Continuous(years)Fendrix
Mean49.46 ± 11.77
Sex: Female, Male
Sex: Female, Male(Participants)Fendrix
Female47
Male20
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Fendrix
American Indian or Alaska Native0
Asian0
Native Hawaiian or Other Pacific Islander0
Black or African American0
White0
More than one race0
Unknown or Not Reported67
Region of Enrollment
Region of Enrollment(participants)Fendrix
Spain67
08

Study locations

11 sites
  • Hospital Universitario Puerta de Hierro
    Majadahonda, Madrid 28222, Spain
  • Complejo Asistencial Universitario de León
    León, 24080, Spain
  • Hospital Universitario Gregorio Marañón
    Madrid, 28007, Spain
  • Hospital Universitario Ramón y Cajal
    Madrid, 28034, Spain
  • Hospital Clínico San Carlos
    Madrid, 28040, Spain
  • Hospital Universitario Fundación Jiménez Díaz
    Madrid, 28040, Spain
  • Hospital Universitario 12 de Octubre
    Madrid, 28041, Spain
  • Complejo Asistencial Universitario de Palencia
    Palencia, 34005, Spain
  • Complejo Asistencial Universitario de Salamanca
    Salamanca, 37007, Spain
  • Hospital Clinico Universitario de Valladolid
    Valladolid, 47003, Spain
  • Complejo Asistencial de Zamora
    Zamora, 49022, Spain
09

References and documents

Publications

  • Bravo-Grande JL, Asuncion Blanco-Gonzalez M, de la Torre-Robles JM, Asmat-Inostrosa MP, Fernandez-Escribano M, Villalobos IM, Covadonga Caso-Pita M, Hervella-Ordonez M, Canibano Cimas LM, de la Fuente-Martin JM, Luisa Rodriguez de la Pinta M, Olivas JRB, Munoz-Ruiperez C, Alonso Lopez MA, Del Campo MT, Antonieta Ramirez Perez M, Sanchez-Arcilla I, Marzola-Payares M, Rescalvo-Santiago F, Paula-Ortiz M, Sanchez-Santos JM, Lopez-Perez R. Vaccination adjuvated against hepatitis B in Spanish National Healthcare System (SNS) workers typed as non-responders to conventional vaccines. Vaccine. 2021 Jan 15;39(3):554-563. doi: 10.1016/j.vaccine.2020.12.006. Epub 2020 Dec 15. PubMed 33334613 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Apr 2018 to primary completion in Oct 2019, 18 months.

Results were first posted in Jul 2021, 1 year 8 months after primary completion.

Of 47 non-industry phase 4 interventional studies under Hepatitis B, half reached primary completion within 42 months of starting (the median), counting those still running; a quarter within 17 and three quarters within 66. This study's 18 months is below that.

Counting every sponsor, half of 63 studies reached it within 35 months; a quarter within 12 and three quarters within 59.

How these figures are worked out, and which studies are left out of them.

Registered
Jan 19, 2018
First posted
Jan 25, 2018
StartActual
Apr 13, 2018
Primary completionActual
Oct 31, 2019
CompletionActual
Oct 31, 2019
Results first posted
Jul 8, 2021
Last update
Jul 8, 2021
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jul 8, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03410953
Lead sponsor
Fundación Instituto de Estudios de Ciencias de la Salud de Castilla y León
Collaborators
Instituto de Investigación Biomédica de Salamanca, Spanish Clinical Research Network - SCReN
Responsible party
Sponsor
First posted
Jan 25, 2018
Start date
Apr 13, 2018
Primary completion
Oct 31, 2019
Completion
Oct 31, 2019
Results posted
Jul 8, 2021
Last update
Jul 8, 2021

Study contacts

Jose L. Bravo-Grande, MD PhD
principal investigator · IBSAL-Instituto de Investigación Biomédica de Salamanca

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jul 2021. You cannot join it, but the record below documents what was studied.

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