Long-term antibody persistence after vaccination with a 2-dose Havrix™ (inactivated hepatitis A vaccine): 20 years of observed data, and long-term model-based predictions
Open accessAbstract
Antibody persistence in two cohorts of adults, who received inactivated hepatitis A (HAV) vaccine (1440El.U; Havrix; GSK Vaccines) according to a 0-6 or 0-12 month schedule in 1992-1993, has been measured annually. After 20 years, >97% of the subjects in both studies were seropositive for anti-HAV antibodies. Geometric mean concentrations in the according-to-protocol cohorts were 312 mIU/ml in 34/36 subjects vaccinated initially at 0-6 months (NCT00289757) and 317 mIU/ml in 85/86 subjects vaccinated at 0-12 months (NCT00291876). Over the whole follow-up period, seven subjects (2+5, respectively) lost circulating anti-HAV antibodies but mounted a strong response after HAV booster administration (1440El.U). Mathematical modelling, which was applied to assess true persistence at Year 20 (accounting for drop-outs and missing data), and to predict longer-term persistence confirmed previous estimates that seropositive anti-HAV levels would persist in ≥95% vaccinees at Year 30 and ≥90% at Year 40. ClinicalTrials.Gov number: NCT00289757/NCT00291876.
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Anti-HAV persistence of >20 years was demonstrated among immunocompetent adults vaccinated with a 2-dose hepatitis A schedule as adults.
“Anti-HAV persistence of >20 years was demonstrated among immunocompetent adults vaccinated with a 2-dose hepatitis A schedule as adults (1303,1305).”
From Sexually Transmitted Infections Treatment Guidelines, 2021 (2021) · cites this paper as [1303]
The Methods describe two-dose vaccination of healthy HAV-naïve adults, and the Results (section 3.1; page unavailable) document anti-HAV antibodies at Year 20. The paper does not demonstrate persistence beyond 20 years by observation: the Discussion (section 4; page unavailable) distinguishes its 20-year follow-up from model-based predictions for later years. (LLM, conf=0.89)
Experimental — accuracy not yet measuredKinetic models of antibody decrease among adults indicate that protective levels persist for >40 years.
“Kinetic models of antibody decrease among adults indicate that protective levels persist for >40 years (1302–1304).”
From Sexually Transmitted Infections Treatment Guidelines, 2021 (2021) · cites this paper as [1303]
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Borovsky, K. A., & Leung, D. H. (2025) · Elsevier eBooks · doi:10.1016/b978-0-323-82763-8.00168-0
Lopatukhina, М. А., Kyuregyan, K. K., & Михайлов, М. И. (2025) · Journal of microbiology epidemiology immunobiology · doi:10.36233/0372-9311-682
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Gupta, S. L., Meyer, A. R., Kay-Tsumagari, E., & Cheng, W. (2025) · Frontiers in Immunology · doi:10.3389/fimmu.2025.1639371
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Platero, L., Arcos-Rueda, M. D. M., Carrión, G., & Martín‐Carbonero, L. (2026) · Enfermedades Infecciosas y Microbiología Clínica · doi:10.1016/j.eimc.2026.503099
Acute hepatitis A in a person living with HIV previously vaccinated with immune response
Platero, L., Arcos-Rueda, M. D. M., Carrión, G., & Martín‐Carbonero, L. (2026) · Enfermedades infecciosas y microbiologia clinica (English ed ) · doi:10.1016/j.eimce.2026.503099
British Association of Sexual Health and HIV guidelines on the management of viral hepatitis 2026
Garvey, L., Bhagani, S. R., Kulasegaram, R., Butler, M., Hathorn, E., Randell, P. A., Smith, S., Whyte, R., Halford, R., Grant, A., et al. (2026) · International Journal of STD & AIDS · doi:10.1177/09564624261440830
Single-Center Retrospective Study of Hospitalized Hepatitis A Cases in Southern Bulgaria, 2015–2023
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Assessment of Population Immunity to Enteric Hepatitis Viruses in the Population of Belgrade
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Kundu, R., Ghosh, A., Toppo, A., & Patted, U. R. H. (2026) · Human Vaccines & Immunotherapeutics · doi:10.1080/21645515.2026.2722480
Longitudinal study to common vaccines
Slifka, M., & Antia, R. (2019) · ImmPort · doi:10.21430/m3f210a2ma
- Authors
- Theeten, H., Van Herck, K., Van Der Meeren, O., Crasta, P., Van Damme, P., & Hens, N.
- Affiliations
- University of Antwerp (BE)
- GlaxoSmithKline (Belgium) (BE)
- Venue
- Vaccine
- Publisher
- Elsevier BV
- Published
- 2015-10
- Volume
- 33
- Issue
- 42
- Pages
- 5723-5727
- ISSN
- 0264-410X (ISSN-L)
- OpenAlex
- W918737270
- Cited by
- 82
- References
- 16
- Citations by year
- 2026: 6 · 2025: 7 · 2024: 4 · 2023: 8 · 2022: 5 · 2021: 11 · 2020: 8 · 2019: 11 · 2018: 7 · 2017: 10 · 2016: 4 · 2015: 1
- FWCI
- 4.34
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Vaccine (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Ghent University Academic Bibliography (Ghent University) (submittedVersion, cc-by)
- Document Server@UHasselt (UHasselt) (submittedVersion, cc-by-nc-nd)
- Funders
- GlaxoSmithKline
- Topics
- Health Sciences › Medicine › Hepatology › Hepatitis Viruses Studies and Epidemiology
- Health Sciences › Medicine › Epidemiology › Hepatitis B Virus Studies
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Viral Infections and Immunology Research
- Keywords
- hepatitis A vaccine, inactivated hepatitis A vaccine, antibody persistence, anti-HAV antibodies, booster vaccination
- MeSH terms
- Adult, Double-Blind Method, Female, Follow-Up Studies, Hepatitis A, Humans, Immunization, Secondary, Male, Middle Aged, Vaccination, Vaccines, Inactivated, Linear Models, Hepatitis A Vaccines, Hepatitis A Antibodies
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