Assessment of serological responses to Hepatitis B and Hib vaccines in infants receiving vitamin A (Ghana)

ISRCTN ISRCTN28820504
DOI https://doi.org/10.1186/ISRCTN28820504
Secondary identifying numbers WHO/RPC041
Submission date
04/08/2004
Registration date
22/09/2004
Last edited
10/11/2022
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Infections and Infestations
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Tracey Goodman
Scientific

World Health Organization
20, Avenue Appia
Geneva-27
CH-1211
Switzerland

Email goodmant@who.int

Study information

Study designRandomised controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Not specified
Study typePrevention
Scientific titleAssessment of serological responses to Hepatitis B and Hib vaccines in infants receiving vitamin A (Ghana)
Study objectivesHypothesis:
The simultaneous administration of vitamin A with the pentavalent vaccine may reduce or enhance the serological response to Hepatitis B and Haemophilus influenzae type b vaccines in infants.

Aim:
To evaluate the seroconversion rates of administering the pentavalent vaccine with vitamin A supplements using two different supplementation regimes. That is:
1. Supplementation of mothers with 400,000 IU vitamin A at 6 weeks in two divided doses and supplementation of children with 50,000 IU vitamin A at 6,10 and 14 weeks
2. Supplementation of mothers alone with 400,000 IU vitamin A at 6 weeks in two divided doses

Specific objectives:
1. To measure the antibody response to Hepatitis B vaccination and Haemophilus influenza type b vaccination in infants given 50,000 IU of vitamin A at 6,10 and 14 weeks and whose mothers were given 400,000 IU of vitamin A at 6 weeks post partum
2. To measure the antibody response to Hepatitis B vaccination and Haemophilus influenza type b vaccination in infants whose mothers only were given 400,000 IU of vitamin A at 6 weeks post partum
3. To assess the impact of vitamin A given to infants at the time of vaccination (6, 10, and 14 weeks) on the seroconversion rates of Hepatitis B and Haemophilus influenza b vaccines
Ethics approval(s)Ethics approval received from the World Health Organization (WHO) Secretariat Committee on Research Involving Human Subjects (SCRIHS) - conditional approval received on 12th December 2003, amendments approved on 6th April 2007.
Health condition(s) or problem(s) studiedImmunology/vaccines
InterventionTreatment group:
1. Mothers at 6 weeks: 200,000 IU Vitamin A x 2 (day 1 and day 2)
2. Infants at 6, 10 and 14 weeks: 50,000 IU Vitamin A and Diphtheria, Pertussis, Tetanus (DPT), Hepatitis B (HepB) and Haemophilus influenzae type b (Hib) vaccines

Control group:
1. Mothers 200,000 IU Vitamin A x 2 (day 1 and day 2)
2. Infants: DPT, HepB and Hib alone
Intervention typeSupplement
Primary outcome measureThe impact of the different doses of vitamin A on the pentavalent vaccines will be assessed by comparing the two groups in terms of their seroconversion rates for:
1. Hepatitis B
2. Haemophilus influenzae type b

The choice of four months for reevaluation is because this is the age at which it is presently recommended to determine the seroconversion rates. Accordingly, pre-samples will be taken at 6 weeks prior to DPT-HepB Hib immunisation and post samples will be taken at 1 month after the DPT-HepB Hib immunisation.
Secondary outcome measuresNo secondary outcome measures
Overall study start date01/01/2004
Completion date31/12/2006

Eligibility

Participant type(s)Patient
Age groupNot Specified
SexNot Specified
Target number of participants1042 mother-infant pairs.
Total final enrolment1077
Key inclusion criteria1. Live-born infants
2. Willingness of mothers to participate in the study
3. Must reside in the study area for at least 4 months after the birth
4. Consent to two blood samples before and after their child's vaccination
Key exclusion criteriaDoes not comply with above inclusion criteria
Date of first enrolment01/01/2004
Date of final enrolment31/12/2006

Locations

Countries of recruitment

  • Ghana
  • Switzerland

Study participating centre

World Health Organization
Geneva-27
CH-1211
Switzerland

Sponsor information

World Health Organization (WHO)/Department of Immunisation, Vaccines and Biologicals (IVB) (Switzerland)
Research organisation

20, Avenue Appia
Geneva-27
CH-1211
Switzerland

Website http://www.who.int
ROR logo "ROR" https://ror.org/01f80g185

Funders

Funder type

Research organisation

World Health Organization (WHO)/Department of Immunisation, Vaccines and Biologicals (IVB) (Switzerland)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing planNot provided at time of registration

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article 01/05/2007 Yes No

Editorial Notes

10/11/2022: The following changes were made to the trial record:
1. Publication reference added.
2. The total final enrolment was added.