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RecruitingNCT05976594Updated Aug 15, 2023

Long-term Effectiveness of a Recombinant Hepatitis E Vaccine

An observational study in Hepatitis E, sponsored by Xiamen University. Recruiting at 1 site in China. Open to participants aged 32 Years to 82 Years. Per ClinicalTrials.gov, last updated 2023-08-15.

Sponsored by Xiamen University · Observational

From the registry’s dates

  • Primary completion was expected by Jul 2025, 1 year 4 months ago, but the record still lists the study as recruiting.
Study type
Observational
Model
Case-control
Time perspective
Retrospective
Enrollment
2,900
Ages
32 Years to 82 Years
Sex
All
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Study summary

This test-negative study is designed to evaluate the long-term effectiveness of hepatitis E vaccine (Hecolin®) and to explore the prevalence of rat hepatitis E in Dongtai City.

Read the detailed description

In this negative test study, residual clinical serum will be collected from 13 hospitals in Dongtai, if it was from patients born between 1941-1991 from 11 towns in Dongtai, who tested positive for ALT levels higher than 2.5 times the upper limit of normal (ULN). Detection of HEV IgM, IgG, antigen, RNA will be performed to diagnose hepatitis E (HE) in each individual. In addition, HE vaccination history will be collect. All the information above will be used to evaluate the long-term effectiveness of HE vaccine. Based on the study design, virological and serological detection (IgM, IgG, antigen, and RNA) of hepatitis E virus species C (HEV-C) will be performed to analyze the prevalence of rat hepatitis E infection in Dongtai.

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Conditions studied

  • Hepatitis E

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Keywords

  • Hepatitis E
  • Test-Negative Design
  • Effectiveness
  • Vaccine
  • Rat hepatitis E virus infection
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In context

Hepatitis E

37 studies on the registry are indexed under Hepatitis E; 9 are open to participants now.

This study's planned enrollment of 2,900 is above the median of 436 across 11 observational studies indexed under Hepatitis E.

Browse Hepatitis E studies →

Lead sponsor

Xiamen University is the lead sponsor of 26 studies on the registry; 7 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
32 Years to 82 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patients from the designated township who met the criteria of "ALT ≥ 2.5 ULN" and born between 1941 and 1991 will be enrolled in the study.

Eligibility criteria

Inclusion Criteria:

  1. From 11 townships(Anfeng、Fuan、Tangyang、Hougang、Liangduo、Qingdong、Shiyan、Shenzao、Wulie、Xuhe、Xinjie)
  2. ≥ 2.5
  3. Born between 1941 and 1991
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.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

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Study design

Observational model
Case-control
Time perspective
Retrospective
Enrollment
2,900 participants (estimated)
Patient registry
No
Biospecimen retention
Samples without dna

Groups and cohorts

  • HE group

    Subjects who has been diagnosed as HE.

    Diagnostic Test: serology and virology detection of hepatitis E virus

  • Control group

    Subjects who didn't meet the diagnosis criteria of HE.

    Diagnostic Test: serology and virology detection of hepatitis E virus

Interventions

  • Diagnostic testserology and virology detection of hepatitis E virus

    Serum will be tested for HEV serology and virology, including HEV-IgM, HEV-IgG, HEV-antigen, and HEV-RNA for HEV species A (HEV-A) and HEV species C (HEV-C),and further HEV genotyping for those positive for HEV-RNA.

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What researchers measure

Primary outcomes

  1. Rate of hepatitis E infection

    In patients with ALT \> 2.5 ULN, HEV infection is diagnosed as positive when two of the following indicators are positive: (1) HEV-IgM; (2) Seroconversion or four-fold increase of HEV-IgG;(3) HEV-RNA; (4) HEV-antigen.

    Time frame: Two months after sampling

Secondary outcomes

  1. Rate of rat hepatitis E infection

    In patients with ALT \> 2.5 ULN, rat hepatitis E infection is diagnosed as positive when two of the following virologic or serological tests are positive: (1) IgM anti-HEV-C-; (2) IgG anti-HEV-C- seroconversion or four-fold increase;(3) HEV-C-RNA; (4) HEV-C-antigen.

    Time frame: Two months after sampling

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Study locations

1 of 1 sites recruiting
  • Dongtai Center for Disease Control and Prevention
    Dongtai, Jiangsu 224200, China
    Recruiting
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References and documents

Publications

  • Zhu FC, Zhang J, Zhang XF, Zhou C, Wang ZZ, Huang SJ, Wang H, Yang CL, Jiang HM, Cai JP, Wang YJ, Ai X, Hu YM, Tang Q, Yao X, Yan Q, Xian YL, Wu T, Li YM, Miao J, Ng MH, Shih JW, Xia NS. Efficacy and safety of a recombinant hepatitis E vaccine in healthy adults: a large-scale, randomised, double-blind placebo-controlled, phase 3 trial. Lancet. 2010 Sep 11;376(9744):895-902. doi: 10.1016/S0140-6736(10)61030-6. Epub 2010 Aug 20. PubMed 20728932 ↗
  • Zhang J, Zhang XF, Huang SJ, Wu T, Hu YM, Wang ZZ, Wang H, Jiang HM, Wang YJ, Yan Q, Guo M, Liu XH, Li JX, Yang CL, Tang Q, Jiang RJ, Pan HR, Li YM, Shih JW, Ng MH, Zhu FC, Xia NS. Long-term efficacy of a hepatitis E vaccine. N Engl J Med. 2015 Mar 5;372(10):914-22. doi: 10.1056/NEJMoa1406011. Erratum In: N Engl J Med. 2015 Apr 9;372(15):1478. doi: 10.1056/NEJMx150008. PubMed 25738667 ↗

Individual participant data

Plan to share: No — Data sharing requires investigator consent

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 15, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT05976594
Lead sponsor
Xiamen University
Collaborators
Dongtai Center for Disease Control and Prevention, Dongtai Hospital of Traditional Chinese Medicine, Dongtai People's Hospital
Responsible party
Jun Zhang (professor, Xiamen University) — Principal investigator
First posted
Aug 4, 2023
Start date
Aug 12, 2023 (estimated)
Primary completion
Jul 1, 2025 (estimated)
Completion
Jul 1, 2025 (estimated)
Last update
Aug 15, 2023

Study contacts

Zhang Jun, PhD
Contact
zhangj@xmu.edu.cn
0592-2184110
Zhang Jun, M.D.
study director · National Institute of Diagnostics and Vaccine Development in infectious disease, Xiamen University

Oversight

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

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