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Trial registered on ANZCTR
Registration number
ACTRN12609000616279
Ethics application status
Approved
Date submitted
17/07/2009
Date registered
23/07/2009
Date last updated
6/07/2012
Type of registration
Retrospectively registered
Titles & IDs
Public title
Intramuscular and intradermal hepatitis B vaccine administration: immunological response in hemodialysis patients
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Scientific title
In hemodialysis patients is intradermal vaccine administration as good or better than intramuscular vaccination for hepatitis B immunization?
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Hepatitis B vaccination
237313
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Hemodialysis
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Condition category
Condition code
Infection
239615
239615
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0
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Other infectious diseases
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Renal and Urogenital
239637
239637
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0
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Kidney disease
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Intradermal Hepatitis B vaccine, 3 times 4 micrograms doses at 0, 1 and 2 months.
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Intervention code [1]
236966
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Prevention
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Comparator / control treatment
Intramuscular Hepatitis B vaccine, 3 times 40 micrograms doses at 0, 1 and 2 months.
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Control group
Active
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Outcomes
Primary outcome [1]
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Antibody titers to hepatitis B surface antigen (anti-HBs)
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Assessment method [1]
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Timepoint [1]
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Timepoint: at baseline, 1, 2, 3, 4, 5 and 6 months after intervention commencement
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Secondary outcome [1]
244872
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Percentage of patients achieving immunizing titers of antibodies to hepatitis B antigen
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Assessment method [1]
244872
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Timepoint [1]
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At 6 months after intervention
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Eligibility
Key inclusion criteria
Incident chronic hemodialysis (HD) patients, with end-stage renal disease before completing the third month of HD treatment.
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Minimum age
20
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Presence of antibodies against aquired immunodeficiency virus, antibodies against hepatits C, previous hepatitis B vaccination, a reagent antibody titers to hepatitis B surface antigen (Anti-HBs > 10 UI/mL).
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Series of unidentified, identical and sealed envelopes with the information IM or ID, for intramuscular or intradermal vaccination
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomisation by using a raffle.
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 4
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
2/08/2003
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
198
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
1907
0
Brazil
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State/province [1]
1907
0
Rio Grande do Sul (RS)
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Funding & Sponsors
Funding source category [1]
237352
0
Self funded/Unfunded
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Name [1]
237352
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Address [1]
237352
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Country [1]
237352
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Primary sponsor type
Other
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Name
Nefrologia – Faculdade de Medicina/Instituto de Pesquisas Biomedicas/Hospital Sao Lucas from PUCRS
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Address
Dr Domingos d’Avila
Nefrologia – Hospital Sao Lucas – Terceiro andar.
Avenida Ipiranga 6690
Porto Alegre RS CEP 90610000
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Country
Brazil
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
236844
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Country [1]
236844
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Other collaborator category [1]
768
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Individual
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Name [1]
768
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Ana Elizabeth Prado Lima Figueiredo
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Address [1]
768
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Nefrologia - Hospital Sao Lucas - Terceiro andar.
Avenida Ipiranga 6690
Porto Alegre RS CEP 90610000
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Country [1]
768
0
Brazil
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Other collaborator category [2]
769
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Individual
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Name [2]
769
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Carlos Abaete de los Santos
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Address [2]
769
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Nefrologia - Hospital Sao Lucas - Terceiro andar.
Avenida Ipiranga 6690
Porto Alegre RS CEP 90610000
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Country [2]
769
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Brazil
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Other collaborator category [3]
770
0
Individual
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Name [3]
770
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Carlos Eduardo Poli de Figueiredo
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Address [3]
770
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Nefrologia - Hospital Sao Lucas - Terceiro andar.
Avenida Ipiranga 6690
Porto Alegre RS CEP 90610000
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Country [3]
770
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Brazil
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Other collaborator category [4]
771
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Individual
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Name [4]
771
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Regina Helena Medeiros
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Address [4]
771
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Nefrologia - Hospital Sao Lucas - Terceiro andar.
Avenida Ipiranga 6690
Porto Alegre RS CEP 90610000
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Country [4]
771
0
Brazil
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
239480
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Comite de Etica em Pesquisas - PUCRS
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Ethics committee address [1]
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Hospital Sao Lucas da PUCRS Avenida Ipiranga 6690 Porto Alegre RS CEP 90610000 Brazil
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Ethics committee country [1]
239480
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Brazil
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Date submitted for ethics approval [1]
239480
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Approval date [1]
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27/02/2003
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Ethics approval number [1]
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1/03/1472
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Summary
Brief summary
Hepatitis B is a viral infection that may progress to cirrhosis and liver carcinoma. Its prevalence has been estimated at 4.9% among hemodialysis patients. The vaccine applied intramuscularly (IM) to end-stage kidney disease patients, often elicits inadequate antibody titers. Additionally, intradermal (ID) vaccine inoculation into healthy individuals and hemodialysis patients seems to be effective. The study compared the responses to the two vaccine application approaches, in patients initiating hemodialysis. Hemodialysis patients were randomized to receive either 40 micrograms/dose IM vaccine or 4 micrograms/dose ID vaccine at zero, 1 and 2 months. Patients were followed for 6 months with evaluation of titers of antibodies against hepatitis B surface antigen (anti-HBs).
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Trial website
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Trial related presentations / publications
1. Medeiros RH, Figueiredo AE, Poli de Figueiredo CE, d’ Avila D, de los Santos CA (2009) Intramuscular or intradermal hepatitis B vaccine administration in hemodialysis patients? American Journal of Kidney Diseases 54(5):981-982. doi:10.1053/j.ajkd.2009.07.024
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Public notes
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Contacts
Principal investigator
Name
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Address
29923
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Country
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Phone
29923
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Fax
29923
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Email
29923
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Contact person for public queries
Name
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Domingos d'Avila
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Address
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Nefrologia – Hospital Sao Lucas - Terceiro andar.
Avenida Ipiranga 6690
Porto Alegre RS CEP 90610000
Brazil
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Country
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Brazil
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Phone
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+ 55 51 33367700
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Fax
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+ 55 51 33367700
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Email
13170
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[email protected]
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Contact person for scientific queries
Name
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Domingos d'Avila
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Address
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Nefrologia – Hospital Sao Lucas - Terceiro andar.
Avenida Ipiranga 6690
Porto Alegre RS CEP 90610000
Brazil
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Country
4098
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Brazil
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Phone
4098
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+ 55 51 33367700
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Fax
4098
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+ 55 51 33367700
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Email
4098
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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