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Engerix-B

Phase 3

Hepatitis B | Monoclonal antibody | Infectious Disease |GSK plc|Last Updated: Aug 20, 2018

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindACTIVE_CONTROLLEDBiomarker
Total Trials7
Total Enrollment1,905
FDA Designations
No designations recorded
Clinical Trials (7)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT00697840Safety, Immunogenicity and Reactogenicity of Recombinant Hepatitis B Vaccine (Adjuvanted & New Formulation) and Engerix™-BPHASE3 COMPLETED 150Jun 1, 1995Jan 1, 1996Jun 16, 20081 Austria
NCT00697242Comparison of Immuno, Reacto and Safety of Recombinant Hepatitis B Vaccine With or Without MPL in Healthy Older AdultsPHASE3 COMPLETED 362Jan 1, 1994Nov 1, 1995Jun 13, 20084 Austria, Belgium +2
NCT00697970Evaluation of Immunogenicity and Reactogenicity of Various Formulations of Recombinant Hepatitis B VaccinePHASE3 COMPLETED 321Nov 1, 1993Apr 1, 1995Jun 16, 20081 Austria
NCT00805389Study to Compare the Efficacy of GSK Biologicals' Adjuvants in Combination With the Antigen of the Hepatitis B VaccinePHASE2 COMPLETED 713Dec 15, 2008Jul 14, 2011Aug 20, 201814 Belgium, Germany
NCT00697853Immunogenicity and Safety of GSK Biologicals' HBV-MPL Vaccine (2 Doses), and of Engerix™-B (3 Doses) in Healthy AdultsPHASE2 COMPLETED 200Nov 1, 1998 -Jun 16, 20081 Belgium
NCT00697125Immunogenicity & Reactogenicity of Various Formulations of Recombinant Hepatitis B Vaccine With Different AdjuvantsPHASE2 COMPLETED 60Jun 1, 1993Jul 1, 1994Jun 13, 20081 Belgium
NCT00697229Immunogenicity & Reactogenicity of HBV-MPL Vaccine and Engerix™-B in Healthy Adults Following 2 Different SchedulesPHASE2 COMPLETED 99Sep 1, 1992Dec 1, 1998Jun 13, 20081 Belgium
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Study Endpoints
Primary Endpoints
Anti-HBs antibody concentrations
At month 7
Occurrence and intensity of solicited local and general symptoms
4-day follow-up after vaccination
Occurrence of unsolicited adverse events
30-days after vaccination
Incidence of serious adverse events
Throughout the study period
Anti-hepatitis B surface antigen (HBs) antibody concentrations
At M2 and M7
Number of Hepatitis B (HB)-Specific Cluster of Differentiation 4 (CD4+) T Cells .
At Day 44

The number of HB-CD4+ T cells (per million cells) producing 2 or more markers amongst Cluster Differentiation 40 Ligand (CD40L), Interleukin (IL)-2, Interferon-gamma (IFN-g), Tumor Necrosis Factor-alpha (TNF-a), IL-13 and IL-17 was measured by Intracellular Cytokine Staining (ICS), using frozen Peripheral Blood Mononuclear Cells (PBMCs). Results for the Day 44 time point are the primary results among the outcome measure results presented.

Secondary Endpoints
Anti-pre-S1 antibody concentrations
Screening, Months 1, 2, 3, 6, 7, 8 and 12, depending on group allocation
Anti-HBs antibody concentrations
Screening, Months 1, 2, 3, 6, 7, 8 and 12
Occurrence and intensity of local and general solicited symptoms
4-day after vaccination
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Study Design & Arms
AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposePREVENTION
Treatment Arms
ArmTypeDescription
Group AEXPERIMENTAL -
Group BACTIVE_COMPARATOR -
Group CEXPERIMENTAL -
Group DACTIVE_COMPARATOR -
Group EEXPERIMENTAL -
Group FACTIVE_COMPARATOR -
GSK223192A 1 GroupEXPERIMENTALSubjects aged between, and including, 18 and 45 years at the time of first vaccination received 2 doses of GSK223192A vaccine, lot 1, at Days 0 and 30. 2 subsets of subjects within the group - subjects identified with either a pre-defined Human Leukocytes Antigen (HLA) Class I subtype (Subset 1) or a pre-defined HLA Class II subtype (Subset 2) - additionally received 1 booster dose of Hepatitis B surface antigens (HBsAg) at Day 360. The GSK223192A vaccine and HBsAg antigens were administered intramuscularly into the deltoid muscle of the non-dominant arm.
GSK223192A 2 GroupEXPERIMENTALSubjects aged between, and including, 18 and 45 years at the time of first vaccination received 2 doses of GSK223192A vaccine, lot 2, at Days 0 and 30. 2 subsets of subjects within the group - subjects identified with either a pre-defined Human Leukocytes Antigen (HLA) Class I subtype (Subset 1) or a pre-defined HLA Class II subtype (Subset 2) - additionally received 1 booster dose of Hepatitis B surface antigens (HBsAg) at Day 360. The GSK223192A vaccine and HBsAg antigens were administered intramuscularly into the deltoid muscle of the non-dominant arm.
GSK223192A 3 GroupEXPERIMENTALSubjects aged between, and including, 18 and 45 years at the time of first vaccination received 2 doses of GSK223192A vaccine, lot 3, at Days 0 and 30. 2 subsets of subjects within the group - subjects identified with either a pre-defined Human Leukocytes Antigen (HLA) Class I subtype (Subset 1) or a pre-defined HLA Class II subtype (Subset 2) - additionally received 1 booster dose of Hepatitis B surface antigens (HBsAg) at Day 360. The GSK223192A vaccine and HBsAg antigens were administered intramuscularly into the deltoid muscle of the non-dominant arm.
Fendrix GroupEXPERIMENTALSubjects aged between, and including, 18 and 45 years at the time of first vaccination received 2 doses of Fendrix™ vaccine at Days 0 and 30. 2 subsets of subjects within the group - subjects identified with either a pre-defined Human Leukocytes Antigen (HLA) Class I subtype (Subset 1) or a pre-defined HLA Class II subtype (Subset 2) - additionally received 1 booster dose of Hepatitis B surface antigens (HBsAg) at Day 360. The Fendrix™ vaccine and HBsAg antigens were administered intramuscularly into the deltoid muscle of the non-dominant arm.
Engerix-B GroupACTIVE_COMPARATORSubjects aged between, and including, 18 and 45 years at the time of first vaccination received 2 doses of Engerix-B™ vaccine at Days 0 and 30. 2 subsets of subjects within the group - subjects identified with either a pre-defined Human Leukocytes Antigen (HLA) Class I subtype (Subset 1) or a pre-defined HLA Class II subtype (Subset 2) - additionally received 1 booster dose of Hepatitis B surface antigens (HBsAg) at Day 360. The Engerix-B™ vaccine and HBsAg antigens were administered intramuscularly into the deltoid muscle of the non-dominant arm.
Group GEXPERIMENTALSubjects will receive Engerix™-B vaccine in the primary schedule 0, 6 months and will receive a booster dose of HBV-MPL vaccine at 70 months
Group HEXPERIMENTALSubjects will receive Engerix™-B vaccine in the primary schedule 0, 6 months and will receive a booster dose of Engerix™-B vaccine at 70 months
Interventions
NameTypeDescription
Engerix™-BBIOLOGICALIntramuscular injection, 2 doses
HBV-MPL 208129BIOLOGICALIntramuscular injection, 2 doses
Vaccine containing HBsAg absorbed on aluminium salts - experimental formulationBIOLOGICALIntramuscular injection, 2 doses; experimental formulation
Recombinant HBsAg with different concentrations of Aluminium Salts and/or MPLBIOLOGICALIntramuscular injection, 3 doses
HBsAg formulated with different concentrations of MPL and Aluminium SaltsBIOLOGICALIntramuscular injection, 3 doses
Engerix-B™BIOLOGICAL2 doses intramuscular injections
Fendrix™BIOLOGICAL2 doses intramuscular injections
GSK Biologicals' Hepatitis B vaccines (GSK223192A)BIOLOGICAL2 doses intramuscular injections 3 different formulations of (GSK223192A), each administered to 1 group
HBsAg (Booster injection)BIOLOGICALSingle dose intramuscular injection
HBV-MPL vaccine 208129BIOLOGICAL2-dose intramuscular injection
HBV-MPL vaccine (208129)BIOLOGICAL -
Hepatitis B vaccine, experimental formulationBIOLOGICALIntramuscular injection, 3 doses
HBV-MPL vaccineBIOLOGICALIntramuscular injection, 1 or 3 doses
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Eligibility Criteria
Age Range18 Years — 40 Years
SexALL
Healthy VolunteersYes
Study Sites1

Inclusion Criteria: * Between 18 and 40 years old. * Written informed consent will have been obtained from the subjects. * Good physical condition as established by physical examination and history taking at the time of entry. * Female participants will avoid becoming pregnant during the study peri...

Countries:AustriaBelgiumDenmarkIcelandGermany
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