PMID- 29553862 OWN - NLM STAT- MEDLINE DCOM- 20190424 LR - 20240329 IS - 2164-554X (Electronic) IS - 2164-5515 (Print) IS - 2164-5515 (Linking) VI - 14 IP - 7 DP - 2018 Jul 3 TI - Immunogenicity, safety, and tolerability of a recombinant hepatitis B vaccine manufactured by a modified process in healthy young Japanese adults. PG - 1773-1778 LID - 10.1080/21645515.2018.1452578 [doi] AB - Hepatitis B vaccines are highly effective in preventing hepatitis B virus infection and have been included in the national immunization program of Japan since 2016. Heptavax(R)-II is one of two hepatitis B vaccine products licensed in Japan, and its manufacturing process is being modified to reduce variability of manufacturing and optimize immunogenicity. In this study (NCT01463683), the immunogenicity and safety of a modified-process hepatitis B vaccine (mpHBV) were compared to those of the licensed Heptavax(R)-II. Overall, 722 Japanese adults aged 20-to-35 years old were randomized in a 3:3:1 ratio to either the mpHBV subcutaneous (SC) injection group (mpHBV SC), the Heptavax(R)-II SC injection group (Heptavax(R)-II SC), or the mpHBV intramuscular (IM) injection group (mpHBV IM). All participants received a 3-dose series of either mpHBV or Heptavax(R)-II at Day 1, Month 1, and Month 6. Serum antibody to hepatitis B virus surface antigen (anti-HBs) was assayed on Day 1 prior to the first vaccination and Month 7 (1 month Postdose 3). Seroprotection rates in mpHBV SC were non-inferior to that in Heptavax(R)-II SC and anti-HBs geometric mean titers were numerically higher in mpHBV SC as compared to Heptavax(R)-II SC. The incidences of injection-site and systemic adverse events (AEs) observed in mpHBV SC were comparable to those in Heptavax(R)-II SC, except for erythema which was higher in mpHBV SC than in Heptavax(R)-II SC. Most injection-site and systemic AEs were mild-to-moderate in intensity and there were no reports of vaccine-related serious AEs in any group. IM administration of mpHBV was well-tolerated and more immunogenic compared to SC administration. In conclusion, mpHBV and Heptavax(R)-II were well-tolerated and elicited satisfactory immune responses for the prevention against hepatitis B virus-associated diseases. FAU - Kishino, Hiroyuki AU - Kishino H AD - a Japan Development, MSD K.K. , Tokyo , Japan. FAU - Takahashi, Kenichi AU - Takahashi K AD - a Japan Development, MSD K.K. , Tokyo , Japan. FAU - Sawata, Miyuki AU - Sawata M AD - a Japan Development, MSD K.K. , Tokyo , Japan. FAU - Tanaka, Yoshiyuki AU - Tanaka Y AD - a Japan Development, MSD K.K. , Tokyo , Japan. LA - eng SI - ClinicalTrials.gov/NCT01463683 PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20180412 PL - United States TA - Hum Vaccin Immunother JT - Human vaccines & immunotherapeutics JID - 101572652 RN - 0 (Hepatitis B Antibodies) RN - 0 (Hepatitis B Surface Antigens) RN - 0 (Hepatitis B Vaccines) SB - IM MH - Adult MH - Female MH - Hepatitis B/prevention & control MH - Hepatitis B Antibodies/blood MH - Hepatitis B Surface Antigens/immunology MH - Hepatitis B Vaccines/administration & dosage/*immunology MH - Humans MH - *Immunogenicity, Vaccine MH - Injections, Intramuscular MH - Injections, Subcutaneous MH - Japan MH - Male MH - Young Adult PMC - PMC6067840 OTO - NOTNLM OT - Japan OT - hepatitis B vaccine OT - immunogenicity OT - safety OT - subcutaneous administration EDAT- 2018/03/20 06:00 MHDA- 2019/04/25 06:00 PMCR- 2018/04/12 CRDT- 2018/03/20 06:00 PHST- 2018/03/20 06:00 [pubmed] PHST- 2019/04/25 06:00 [medline] PHST- 2018/03/20 06:00 [entrez] PHST- 2018/04/12 00:00 [pmc-release] AID - 1452578 [pii] AID - 10.1080/21645515.2018.1452578 [doi] PST - ppublish SO - Hum Vaccin Immunother. 2018 Jul 3;14(7):1773-1778. doi: 10.1080/21645515.2018.1452578. Epub 2018 Apr 12.