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Modified Process Hepatitis B Vaccine

Phase 4

Hepatitis B | Vaccine | Infectious Disease |Merck & Company, Inc.|Trials Updated: Sep 13, 2022

Modified Process Hepatitis B Vaccine development status

Highest phase Phase 4 run by GlaxoSmithKline (NCT00603252)
Phase scored for MRKPhase 3
Registered trials 3 across 2 sponsors since Jan 2008

Modified Process Hepatitis B Vaccine target and mechanism

ModalityVaccine

Also known as Modified Process Hepatitis B Vaccine (Experimental), HBVaxPro

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindCONTROLLED
Total Trials5
Total Enrollment3,884

FDA Designations

No designations recorded

Modified Process Hepatitis B Vaccine clinical trials

Modified Process Hepatitis B Vaccine · 5 trials · 2 indications

Phase 3 5
NCT04490499A Hepatitis B Vaccine Challenge Study After Previous Vaxelis® Vaccination (V419-013)Hepatitis B
COMPLETED207 Analytics
NCT01251276Hepatitis B Challenge Dose in Adults (V232-059-10)Hepatitis B
COMPLETED204 Analytics
NCT00440297Hepatitis B Vaccine Predialysis/Dialysis Study (V232-060)Hepatitis B Virus Infection
COMPLETED277 Analytics
NCT00414050A Study of 2 Doses of a Hepatitis B Vaccine (V232 RECOMBIVAX HB) in Healthy Infants (V232-057)Hepatitis B
COMPLETED1,718 Analytics
NCT00393523Hepatitis B Vaccine Booster Study (V232-058)(COMPLETED)Hepatitis B
COMPLETED1,478 Analytics
PHASE3COMPLETED
A Hepatitis B Vaccine Challenge Study After Previous Vaxelis® Vaccination (V419-013)
Hepatitis BUnlock trial analytics
PHASE3COMPLETED
Hepatitis B Challenge Dose in Adults (V232-059-10)
Hepatitis BUnlock trial analytics
PHASE3COMPLETED
Hepatitis B Vaccine Predialysis/Dialysis Study (V232-060)
Hepatitis B Virus InfectionUnlock trial analytics
PHASE3COMPLETED
A Study of 2 Doses of a Hepatitis B Vaccine (V232 RECOMBIVAX HB) in Healthy Infants (V232-057)
Hepatitis BUnlock trial analytics
PHASE3COMPLETED
Hepatitis B Vaccine Booster Study (V232-058)(COMPLETED)
Hepatitis BUnlock trial analytics

Study Endpoints

Primary Endpoints

Percentage of Participants With a Protective Hepatitis B Surface Antibody Level of ≥10 Milli International Units/mL (mIU/mL) at 30 Days Post-Challenge With HBVAXPRO™
Day 30

Participant serum samples were collected for analysis with an enhanced chemiluminescence (ECi) assay to determine the concentration of antibodies to hepatitis B surface antigen (HBsAg). Response rate was the percentage of participants with a protective hepatitis B surface antibody (anti-HBs) level of ≥ 10 mIU/mL at Day 30 post-challenge.

Percentage of Seroresponders Before and After the Challenge Vaccination
Predose (Day 1) and 1 month after challenge dose (Month 1)

A seroresponder was a participant with an anti-hepatitis B surface antibody titer \>=10 milli Merck U/mL. The percentage of seroresponders was assessed before and after the challenge dose.

The Number of Seroprotected Participants to the Modified Process Hepatitis B Vaccine and ENGERIX-B™ (Currently Licensed Vaccine) at Month 7
7 months (1 month after the third dose)

The number of participants as measured by the seroprotection rate (anti-hepatitis B surface antibodies greater than or equal to 10 mIU/mL). Anti-HBs (Antibodies against hepatitis B surface antigen) titers were measured from blood samples taken at Day 1 (prior to the first dose) and at Month 7 (1 month after the third dose).

The Number of Seroprotected Participants to the Modified Process Hepatitis B Vaccine and ENGERIX-B™ (Currently Licensed Vaccine) at Month 9
9 months (1 month after the fourth dose)

The number of participants as measured by the seroprotection rate (anti-hepatitis B surface antibodies greater than or equal to 10 mIU/mL). Anti-HBs (Antibodies against hepatitis B surface antigen) titers were measured from blood samples taken at Day 1 (prior to the first dose) and at Month 9 (1 month after the fourth dose).

The Total Number of Participants With One or More Injection-Site Adverse Experiences
Days 1-15 After Any Vaccination
The Total Number of Participants With a Maximum Temperature >= 100.0F / 37.8C
Days 1-5 After Any Vaccination
The Total Number of Participants With Serious Vaccine-Related Clinical Adverse Experiences
0-9 months (recorded from first dose until the participant completes or discontinues the study)

Participants with adverse experiences considered possibly, probably, or definitely related to study vaccines and considered serious (death, persistent disability, life threatening, hospitalization, birth defects, cancer, or overdose).

The Percentage of Seroresponders to the Modified Process Hepatitis B Vaccine (5 μg and 10 μg Dose), RECOMBIVAX HB™ Hepatitis B Vaccine (Currently Licensed Vaccine), and ENGERIX-B®
7 months of age (1 month after 3 doses)

The percentage of participants as measured by Seroresponse. Seroresponse was defined as anti-hepatitis B surface antibodies greater than or equal to 10 milli-International Units (mIU)/mL. Success on the primary immunogenicity hypothesis required demonstrating an adequate anti-HBs seroprotection rate response for either modified process hepatitis B 5 μg vaccine or RECOMBIVAX HB™. Specifically, the lower bound of the multiplicity adjusted 95% confidence interval (CI) on the seroprotection rate for either vaccine was required to be above 90.0%.

Antibody Response to Hepatitis B Surface Antigen in Subjects Who Received a 3-dose Primary Series of RECOMBIVAX HB in Infancy
4 weeks after vaccination with either modified process hepatitis B vaccine or ENGERIX-B

Number of subjects who received a 3-dose primary series of RECOMBIVAX HB™ in infancy and who demonstrated antibodies to hepatitis B surface antigen ≥10 mIU/mL at 4 weeks after receiving a booster dose of modified process hepatitis B vaccine or ENGERIX-B™.

Secondary Endpoints

Geometric Mean Concentration of Antibodies to Hepatitis B Surface Antigen
Day 1 and Day 30
Percentage of Participants With One or More Adverse Experiences
Up to Day 15 after challenge dose
Percentage of Participants Who Discontinued the Study Due to an Adverse Experience
Up to Month 7
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposePREVENTION

Treatment Arms

ArmTypeDescription
HBVAXPRO™EXPERIMENTALHealthy children vaccinated approximately 8-9 years previously with a 2- or 3-dose infant series and toddler dose of Vaxelis® who will receive a single dose of Hepatitis B vaccine challenge (HBVAXPRO™).
Modified Process Hepatitis B Vaccine in Base StudyEXPERIMENTALParticipants who received 3 doses of Modified Process Hepatitis B Vaccine in the Base Study were eligible to receive a single challenge dose of Modified Process Hepatitis B Vaccine on Day 1 of the Challenge Dose Study
ENGERIX-B™ Vaccine in Base StudyEXPERIMENTALParticipants who received 3 doses of ENGERIX-B™ vaccine in the Base Study were eligible to receive a single challenge dose of Modified Process Hepatitis B Vaccine on Day 1 of the Challenge Dose Study
Modified process hepatitis B vaccineEXPERIMENTALModified process hepatitis B vaccine 40 ug/1.0 mL injection in a 4 dose regimen at months 0, 1, 6, and 8. Duration of treatment is 9 months.
ENGERIX-B™2ACTIVE_COMPARATORENGERIX-B™ two 20 ug/1.0 mL injections in a 4 dose regimen at months 0, 1, 6, and 8. Duration of treatment is 9 months.
Modified Process Hepatitis B vaccine 5 μgEXPERIMENTALInfants received a primary series of 3 doses of experimental vaccine (5 μg per dose) at 2, 4 and 6 months of age.
RECOMBIVAX HB™ Hepatitis B VaccineACTIVE_COMPARATORInfants received a primary series of 3 doses of currently licensed vaccine (5 μg per dose) at 2, 4 and 6 months of age.
Modified Process Hepatitis B vaccine 10 μgEXPERIMENTALInfants received a primary series of 3 doses of experimental vaccine (10 μg per dose) at 2, 4 and 6 months of age.
ENGERIX-B®ACTIVE_COMPARATORInfants received a primary series of 3 doses of currently licensed vaccine (10 μg per dose) at 2, 4 and 6 months of age.
5 µg Modified Process Hepatitis B Vaccine Booster (Group 1)ACTIVE_COMPARATORParticipants had previously received a primary series of 3 doses of RECOMBIVAX HB™ (5 µg (micrograms) per dose) during the first year of life outside of the context of the study. During this study, participants received a 5µg/0.5 ml dose of Modified Process Hepatitis B Vaccine (Booster Dose).
10 µg ENGERIX-B™ Booster (Group 2)ACTIVE_COMPARATORParticipants had previously received a primary series of 3 doses of RECOMBIVAX HB™ (5 µg (micrograms) per dose) during the first year of life outside of the context of the study. During this study, participants received a dose of 10µg/per 0.5 ml ENGERIX-B™ (Booster Dose)
5 µg Modified Process Hepatitis B Vaccine Booster (Group 3)ACTIVE_COMPARATORParticipants had previously received a primary series of 3 doses of ENGERIX-B™ (10 µg (micrograms) per dose) during the first year of life outside of the context of the study. During this study, participants received a 5µg/0.5 ml dose of Modified Process Hepatitis B Vaccine, (Booster Dose).
10 µg ENGERIX-B™ Booster (Group 4)ACTIVE_COMPARATORParticipants had previously received a primary series of 3 doses of ENGERIX-B™ (10 µg (micrograms) per dose) during the first year of life outside of the context of the study. During this study, participants received a 10µg/0.5 ml dose of ENGERIX-B™ (Booster Dose).
5 µg Modified Process Hepatitis B Vaccine (Group 5)EXPERIMENTALParticipants did not receive a prior vaccination with a hepatitis B vaccine. During the study, participants received a 5µg/0.5 ml dose of Modified Process Hepatitis B Vaccine.

Interventions

NameTypeDescription
HBVAXPRO™BIOLOGICALSingle 0.5 mL intramuscular dose
Modified Process Hepatitis B VaccineBIOLOGICALModified Process Hepatitis B Vaccine given IM (intramuscular) as a single 1.0 mL (10 mcg) challenge dose on Day 1 of the Challenge Dose Study
Comparator: modified process hepatitis B vaccineBIOLOGICALModified process hepatitis B vaccine 40 ug/1.0 mL injection in a 4 dose regimen at months 0, 1, 6, and 8. Duration of treatment is 9 months.
Comparator: ENGERIX-B™BIOLOGICALENGERIX-B™ two 20 ug/1.0 mL injections in a 4 dose regimen at months 0, 1, 6, and 8. Duration of treatment is 9 months.
Modified Process Hepatitis B Vaccine (Experimental)BIOLOGICALModified Process Hepatitis B Vaccine given intramuscularly (IM) in 3 injections of 5 ug (micrograms)/0.5 mL each over 4 months (Modified Process Hepatitis B vaccine 5 μg arm). Modified Process Hepatitis B Vaccine given IM in 3 Injections of 10 ug (micrograms)/0.5 mL each over 4 months (Modified Process Hepatitis B vaccine 10 μg arm).
Hepatitis B Vaccine (Recombinant)BIOLOGICALRECOMBIVAX HB™ (currently licensed product) given IM in 3 Injections of 5 ug/0.5 mL each over 4 months.
Comparator: Comparator: ENGERIX-BBIOLOGICALSingle dose 10 µg/0.5ml ENGERIX-B
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Eligibility Criteria

Age Range8 Years to 10 Years
SexALL
Healthy VolunteersYes
Study Sites10

Inclusion Criteria: * Is healthy (based on a review of medical history and targeted physical examination) based on the clinical judgment of the investigator. * Has participated in Protocol V419-007 and received a 3 + 1 Vaxelis® schedule or participated in Protocol V419-008 and received a 2 + 1 Vaxe...

Countries:Finland
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Frequently asked questions about Modified Process Hepatitis B Vaccine

What is the modified process hepatitis B vaccine used for?

The modified process hepatitis B vaccine is used for the prevention of hepatitis B virus infection and hepatitis B. It is being developed by Merck & Company, Inc. (MRK) and is currently in Phase 3 clinical development as an investigational vaccine.

What does the modified process hepatitis B vaccine target?

The modified process hepatitis B vaccine targets the hepatitis B virus. It is designed to elicit an immune response against the virus to prevent hepatitis B infection. The vaccine is being studied in healthy volunteers and in patients with hepatitis B virus infection.

Who makes the modified process hepatitis B vaccine?

The modified process hepatitis B vaccine is being developed by Merck & Company, Inc., a pharmaceutical company traded on the New York Stock Exchange under the ticker symbol MRK. The vaccine is currently in Phase 3 clinical trials for the prevention of hepatitis B.

What phase is the modified process hepatitis B vaccine in?

The modified process hepatitis B vaccine is in Phase 3 clinical development. It is an investigational vaccine and has not been approved by regulatory authorities. Three Phase 3 trials have been completed, with a total enrollment of 1,682 participants.

What clinical trials is the modified process hepatitis B vaccine in?

The modified process hepatitis B vaccine has been studied in three completed Phase 3 trials: NCT00393523, a booster study in healthy volunteers aged 4 years and older; NCT00440297, a study in predialysis and dialysis patients aged 18 years and older; and NCT01251276, a challenge dose study in healthy adults aged 50 years and older.

Is the modified process hepatitis B vaccine the same as other hepatitis B vaccines?

The modified process hepatitis B vaccine is a distinct vaccine being developed by Merck & Company, Inc. It is not identified as being the same as other marketed hepatitis B vaccines. The vaccine is being evaluated in clinical trials for its safety and immunogenicity in different populations.