Immunogenicity persistence after four intramuscular triple-dose or standard-dose hepatitis B vaccine in patients receiving methadone maintenance treatment: A 1-year follow-up study in China

Patients receiving methadone maintenance treatment (MMT) elicited poor response and rapid anti-HBs loss after standard hepatitis B vaccination. An optimal hepatitis B vaccination was urgent. A randomized, parallel-controlled trial was conducted in patients receiving MMT from 2019 to 2020, and patien...

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Main Authors: Xinyuan Mo, Zhaoyue Men, Linying Gao, Yizhuo Gao, Tian Yao, Yuan Liu, Yuan Yuan, Tongchuan Xue, Fuzhen Wang, Suping Wang, Keke Wang, Xiaofeng Liang, Yongliang Feng
Format: Article
Language:English
Published: Taylor & Francis Group 2025-12-01
Series:Human Vaccines & Immunotherapeutics
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Online Access:https://www.tandfonline.com/doi/10.1080/21645515.2024.2447108
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author Xinyuan Mo
Zhaoyue Men
Linying Gao
Yizhuo Gao
Tian Yao
Yuan Liu
Yuan Yuan
Tongchuan Xue
Fuzhen Wang
Suping Wang
Keke Wang
Xiaofeng Liang
Yongliang Feng
author_facet Xinyuan Mo
Zhaoyue Men
Linying Gao
Yizhuo Gao
Tian Yao
Yuan Liu
Yuan Yuan
Tongchuan Xue
Fuzhen Wang
Suping Wang
Keke Wang
Xiaofeng Liang
Yongliang Feng
author_sort Xinyuan Mo
collection DOAJ
description Patients receiving methadone maintenance treatment (MMT) elicited poor response and rapid anti-HBs loss after standard hepatitis B vaccination. An optimal hepatitis B vaccination was urgent. A randomized, parallel-controlled trial was conducted in patients receiving MMT from 2019 to 2020, and patients were randomized to receive 3 or 4 doses of 20 or 60 µg of hepatitis B vaccine. Follow-up was extended to 2021, for assessment of 1-year persistence of immunogenicity at month 18. A total of 145 participants completed the 1-year follow-up. From month 7 to 18, the response rates of the IM60 × 4 group, IM20 × 4 group, and IM20 × 3 group decreased from 95.52% (64/67) to 84.09% (37/44), 94.67% (71/75) to 78.72% (37/47), and 89.19% (66/74) to 68.52% (37/54), respectively. No significant differences were observed in the persistence of vaccine-induced responses among the three groups (p = .204). All three hepatitis B vaccine regimens demonstrated comparable declines in anti-HBs levels, with a rapid decrease observed within 1-year of follow-up.Clinical trial registration ClinicalTrials.gov (NCT03962816).https://clinicaltrials.gov/ct2/show/NCT03962816
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publishDate 2025-12-01
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series Human Vaccines & Immunotherapeutics
spelling doaj-art-754ee66b82084d10ab14359757d0c2d02025-01-17T12:52:10ZengTaylor & Francis GroupHuman Vaccines & Immunotherapeutics2164-55152164-554X2025-12-0121110.1080/21645515.2024.2447108Immunogenicity persistence after four intramuscular triple-dose or standard-dose hepatitis B vaccine in patients receiving methadone maintenance treatment: A 1-year follow-up study in ChinaXinyuan Mo0Zhaoyue Men1Linying Gao2Yizhuo Gao3Tian Yao4Yuan Liu5Yuan Yuan6Tongchuan Xue7Fuzhen Wang8Suping Wang9Keke Wang10Xiaofeng Liang11Yongliang Feng12School of Public Health, Shanxi Medical University, Taiyuan, Shanxi, ChinaSchool of Public Health, Shanxi Medical University, Taiyuan, Shanxi, ChinaSchool of Public Health, Shanxi Medical University, Taiyuan, Shanxi, ChinaSchool of Public Health, Shanxi Medical University, Taiyuan, Shanxi, ChinaCenter of Clinical Epidemiology and Evidence Based Medicine, Shanxi Medical University, Taiyuan, Shanxi, ChinaMethadone Maintenance Treatment Clinic, Compulsory Isolation Drug Rehabilitation Center, Taiyuan, Shanxi, ChinaMethadone Maintenance Treatment Clinic, 109 hospital, Taiyuan, Shanxi, ChinaXinghualing District Methadone Maintenance Treatment Clinic, Taiyuan, Shanxi, ChinaChinese Center for Disease Control and Prevention, Beijing, ChinaSchool of Public Health, Shanxi Medical University, Taiyuan, Shanxi, ChinaFirst Hospital/First Clinical Medical College, Shanxi Medical University, Taiyuan, Shanxi, ChinaInstitute of Vaccine Industry, Institute of Disease Control and Prevention, Jinan University, Guangzhou, Guangdong, ChinaSchool of Public Health, Shanxi Medical University, Taiyuan, Shanxi, ChinaPatients receiving methadone maintenance treatment (MMT) elicited poor response and rapid anti-HBs loss after standard hepatitis B vaccination. An optimal hepatitis B vaccination was urgent. A randomized, parallel-controlled trial was conducted in patients receiving MMT from 2019 to 2020, and patients were randomized to receive 3 or 4 doses of 20 or 60 µg of hepatitis B vaccine. Follow-up was extended to 2021, for assessment of 1-year persistence of immunogenicity at month 18. A total of 145 participants completed the 1-year follow-up. From month 7 to 18, the response rates of the IM60 × 4 group, IM20 × 4 group, and IM20 × 3 group decreased from 95.52% (64/67) to 84.09% (37/44), 94.67% (71/75) to 78.72% (37/47), and 89.19% (66/74) to 68.52% (37/54), respectively. No significant differences were observed in the persistence of vaccine-induced responses among the three groups (p = .204). All three hepatitis B vaccine regimens demonstrated comparable declines in anti-HBs levels, with a rapid decrease observed within 1-year of follow-up.Clinical trial registration ClinicalTrials.gov (NCT03962816).https://clinicaltrials.gov/ct2/show/NCT03962816https://www.tandfonline.com/doi/10.1080/21645515.2024.2447108Persistence of immunogenicityhepatitis B vaccinationmethadone maintenance treatmentparallel-controlled trialrandomized controlled trial
spellingShingle Xinyuan Mo
Zhaoyue Men
Linying Gao
Yizhuo Gao
Tian Yao
Yuan Liu
Yuan Yuan
Tongchuan Xue
Fuzhen Wang
Suping Wang
Keke Wang
Xiaofeng Liang
Yongliang Feng
Immunogenicity persistence after four intramuscular triple-dose or standard-dose hepatitis B vaccine in patients receiving methadone maintenance treatment: A 1-year follow-up study in China
Human Vaccines & Immunotherapeutics
Persistence of immunogenicity
hepatitis B vaccination
methadone maintenance treatment
parallel-controlled trial
randomized controlled trial
title Immunogenicity persistence after four intramuscular triple-dose or standard-dose hepatitis B vaccine in patients receiving methadone maintenance treatment: A 1-year follow-up study in China
title_full Immunogenicity persistence after four intramuscular triple-dose or standard-dose hepatitis B vaccine in patients receiving methadone maintenance treatment: A 1-year follow-up study in China
title_fullStr Immunogenicity persistence after four intramuscular triple-dose or standard-dose hepatitis B vaccine in patients receiving methadone maintenance treatment: A 1-year follow-up study in China
title_full_unstemmed Immunogenicity persistence after four intramuscular triple-dose or standard-dose hepatitis B vaccine in patients receiving methadone maintenance treatment: A 1-year follow-up study in China
title_short Immunogenicity persistence after four intramuscular triple-dose or standard-dose hepatitis B vaccine in patients receiving methadone maintenance treatment: A 1-year follow-up study in China
title_sort immunogenicity persistence after four intramuscular triple dose or standard dose hepatitis b vaccine in patients receiving methadone maintenance treatment a 1 year follow up study in china
topic Persistence of immunogenicity
hepatitis B vaccination
methadone maintenance treatment
parallel-controlled trial
randomized controlled trial
url https://www.tandfonline.com/doi/10.1080/21645515.2024.2447108
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