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CTRI Number  CTRI/2023/02/049637 [Registered on: 10/02/2023] Trial Registered Prospectively
Last Modified On: 12/04/2024
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Vaccine 
Study Design  Randomized, Parallel Group, Placebo Controlled Trial 
Public Title of Study   A clinical study to evaluate immune response and safety of Hepatitis E Vaccine in healthy subjects 
Scientific Title of Study   A prospective, randomized, two-arm, parallel, placebo-controlled, multicentre, superiority, phase II clinical trial to evaluate the immunogenicity and safety of Recombinant Hepatitis E Vaccine (Adsorbed) of M/s. Zydus Lifesciences Limited in healthy subjects 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
22-06, Version no. 01, Date: 07/10/2022  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Ravindra Mittal 
Designation  Medical Advisor & Head - Regulatory Affairs 
Affiliation  Zydus Lifesciences Limited  
Address  Zydus Lifesciences Limited (Formerly known as Cadila Healthcare Limited), Zydus Corporate Park, Scheme No. 63, Survey No. 536, Khoraj (Gandhinagar), Nr. Vaishnodevi Circle, S.G. Highway

Ahmadabad
GUJARAT
382481
India 
Phone    
Fax    
Email  r.mittal@zyduslife.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Ravindra Mittal 
Designation  Medical Advisor & Head - Regulatory Affairs 
Affiliation  Zydus Lifesciences Limited  
Address  Zydus Lifesciences Limited (Formerly known as Cadila Healthcare Limited), Zydus Corporate Park, Scheme No. 63, Survey No. 536, Khoraj (Gandhinagar), Nr. Vaishnodevi Circle, S.G. Highway


GUJARAT
382481
India 
Phone    
Fax    
Email  r.mittal@zyduslife.com  
 
Details of Contact Person
Public Query
 
Name  Dr Pavankumar Daultani 
Designation  DGM – Medical & Regulatory Affairs 
Affiliation  Zydus Lifesciences Limited  
Address  Zydus Lifesciences Limited (Formerly known as Cadila Healthcare Limited), Zydus Corporate Park, Scheme No. 63, Survey No. 536, Khoraj (Gandhinagar), Nr. Vaishnodevi Circle, S.G. Highway

Ahmadabad
GUJARAT
382481
India 
Phone    
Fax    
Email  pavankumar.daultani@zyduslife.com  
 
Source of Monetary or Material Support  
Zydus Lifesciences Limited (Formerly known as Cadila Healthcare Limited), Zydus Corporate Park, Scheme No. 63, Survey No. 536, Khoraj (Gandhinagar), Nr. Vaishnodevi Circle, S.G. Highway, Ahmedabad – 382481, Gujarat, India 
 
Primary Sponsor  
Name  Zydus Lifesciences Limited 
Address  Zydus Lifesciences Limited (Formerly known as Cadila Healthcare Limited), Zydus Corporate Park, Scheme No. 63, Survey No. 536, Khoraj (Gandhinagar), Nr. Vaishnodevi Circle, S.G. Highway, Ahmedabad – 382481, Gujarat, India  
Type of Sponsor  Pharmaceutical industry-Indian 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study
Modification(s)  
No of Sites = 6  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Chintan Patel  Aatman Hospital  Clinical Research Room, Ground Floor, Aatman Hospital, 5, Anveshan Row House, Opp. Bopal Garn BRTS, Bopal-Ghuma Road, Bopal, Ahmedabad - 380058, Gujarat
Ahmadabad
GUJARAT 
9825182251

chintanpatel7691@gmail.com 
Dr SK Mahiuddin Ahammed  Institute of Post Graduate Medical Education and Research and Seth Sukhlal Karnani Memorial Hospital  Department of Hepatology, School of Digestive & Liver Diseases, Institute of Post Graduate Medical Education and Research (IPGMER) and Seth Sukhlal Karnani Memorial (SSKM) Hospital, 244, A.J.C. Bose Road, Kolkata – 700020, West Bengal D
Kolkata
WEST BENGAL 
9051157404

skmahiuddinahammed@gmail.com 
Dr Pazhanivel Mohan  Jawaharlal Institute of Postgraduate Medical Education and Research  4th Floor,Department of Gastroenterology, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Dhanvantari Nagar, Puducherry - 605006
Pondicherry
PONDICHERRY 
9840612324

dr.pazhani@gmail.com 
Dr Prabhat Kumar Sharma  Maharaja Agrasen Superspeciality Hospital  Basement 01, Maharaja Agrasen Superspeciality Hospital, Central Spine, Agrasen Aspatal Marg, Sector No. 7, Vidhyadhar Nagar, Jaipur - 302039, Rajasthan
Jaipur
RAJASTHAN 
9983995050

pksharma.clinical@gmail.com 
Dr Amit Goel  Sanjay Gandhi Postgraduate Institute of Medical Sciences  4th Floor, Department of Gastroenterology, Sanjay Gandhi Postgraduate Institute of Medical Sciences (SGPGIMS), Raebareli Road, Lucknow - 226014, Uttar Pradesh
Lucknow
UTTAR PRADESH 
8765974037

agoel.ag@gmail.com 
Dr Abhishek M Karmalkar  Vedant Multispeciality Hospital  Ground Floor, Vedant Multispeciality Hospital, GP 83, Opp. Rotary Club, Sambhaji nagar, MIDC, Chinchwad, Pune – 411019, Maharashtra
Pune
MAHARASHTRA 
9970004295

drkarmalkar.vedant@gmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 6  
Name of Committee  Approval Status 
Institutional Ethics Committee Intervention Studies, JIPMER, Puducherry  Submittted/Under Review 
Institutional Ethics Committee, Aatman Hospital, Ahmedabad, Gujarat  Approved 
Institutional Ethics Committee, Maharaja Agrasen Superspecialty Hospital, Jaipur, Rajasthan  Approved 
Institutional Ethics Committee, SGPGIMS, Lucknow, UP  Approved 
Institutional Ethics Committee, Vedant Multispeciality Hospital, Pune, Maharashtra  Approved 
IPGMER Research Oversight Committee, IPGMER, Kolkata, WB  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Healthy subjects 
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Placebo-Hepatitis B Vaccine (rDNA) of M/s. Serum Institute of India Pvt. Ltd.  Subjects will be administered hepatitis B vaccine (rDNA) of M/s. Serum Institute of India Pvt. Ltd. (placebo) as per their allocated study group. The dose of hepatitis B vaccine will be based on the age of the subject; subject aged ≥20 years at enrollment will be administered 1.0 ml dose containing 20 mcg of Hepatitis B surface antigen while the subject of 16 to 19 years of age will be administered 0.5 ml dose containing 10 mcg of hepatitis B surface antigen. The study vaccines will be administered as intramuscular (IM) injection in the upper arm taking aseptic precautions. 
Intervention  Recombinant Hepatitis E Vaccine (Adsorbed) of M/s. Zydus Lifesciences Ltd  Subjects will be administered recombinant hepatitis E vaccine (adsorbed) of M/s. Zydus Lifesciences Ltd. (test) as per their allocated study group. The study vaccine will be administered thrice in this study at day 0 (visit 1), day 30 (visit 3) and day 180 (visit 6). Each dose of recombinant hepatitis E vaccine (adsorbed) of 0.5 ml contains ≥30 mcg of hepatitis E antigen. The study vaccines will be administered as intramuscular (IM) injection in the upper arm taking aseptic precautions.  
 
Inclusion Criteria  
Age From  16.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  1. Healthy subjects of either gender between 16 to 65 years of age (both inclusive) at the time of enrollment
2. Subjects should be in a good health as determined by the medical history and physical examination based on clinical judgment of the investigator
3. No previous history of vaccination with any licensed or investigational Hepatitis E Vaccine
4. Informed consent from the adult subjects or from the parents of adolescent subjects (<18 years). Additionally, assent from adolescent subjects
5. Adult subjects or parents of adolescent subjects literate enough to fill the diary card
6. Adult subjects or adolescent subjects and parents likely to be available for follow-up for entire duration of the study 
 
ExclusionCriteria 
Details  1. History of hypersensitivity reaction or serious adverse event to any component of the vaccine
2. History of laboratory confirmed or suspected hepatitis / jaundice in the past
3. Fever of any origin or infectious disorder of 3 days or more within past one month
4. History of vaccination against Hepatitis B within past 10 years
5. Subjects with febrile illness (body temperature ≥37.5°C) at the time of enrollment
6. History of any vaccination within past one month
7. Clinically significant systemic disorder such as cardiovascular, respiratory, neurologic, gastrointestinal, hepatic, renal, endocrine, hematological or immunological disorder
8. Any confirmed or suspected immunosuppressive or immunodeficiency disorder (based on medical history); or subjects who have used any immunosuppressive or immunostimulant therapy in past 1 month
9. Known case of thrombocytopenia or any coagulation disorder, or subjects on anticoagulation therapy
10. Subjects administered blood, blood containing products or immunoglobulins within the last 3 months or planned administration during the study
11. Pregnant and lactating women & female subjects not using acceptable contraceptive measures (double barrier methods, oral or injectable hormonal contraceptives or surgical sterilization)
12. Subject participated in another clinical study in the past 3 months or subject intends to participate in another clinical study during the study period
13. Subject with history of alcohol or drug abuse in the past one year
14. Any other reason for which the investigator feels that subject should not participate 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Centralized 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
Proportion of subjects with seroconversion for anti-HEV IgG antibodies   At Day 210 (End of the study) 
 
Secondary Outcome  
Outcome  TimePoints 
Proportion of subjects with seroconversion for anti-HEV IgG antibodies  At Day 30 and Day 60 
Geometric mean titre of anti-HEV IgG antibodies   At Day 0, Day 30, Day 60 and Day 210 
Local and systemic adverse events reported   Throughout the study duration 
Serious adverse events reported   Throughout the study duration  
 
Target Sample Size   Total Sample Size="304"
Sample Size from India="304" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 2 
Date of First Enrollment (India)   15/02/2023 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="7"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Closed to Recruitment of Participants 
Publication Details   None yet 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  
This will be a randomized, two-arm, single-blind, parallel, placebo-controlled, multicentre clinical study planned to evaluate the immunogenicity and safety of the hepatitis E vaccine administered to healthy subjects of 16 to 65 years of age. Hepatitis B vaccine of M/s. Serum Institute of India Pvt. Ltd. which is marketed in the country for past several decades and recommended for administration through the same 3-dose schedule will be used as placebo in this  study. The randomized subjects will be enrolled in either study group as per their randomization number and will be followed up in a parallel manner till the completion of the study. 
Immunogenicity will be evaluated at day 0 (pre-vaccination), day 30, day 60, day 180 and day 210. Safety will be evaluated by recording the adverse events occurring during the course of the study.
 
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