Last updated: 07/17/2024 15:08:39

Study to evaluate the efficacy of the human papillomavirus vaccine in healthy adult women of 26 years of age and older

GSK study ID
104820
Clinicaltrials.gov ID
EudraCT ID
EU CT Number
Not applicable
Trial status
Study complete
Study complete
Overview
Eligibility
Locations
Study documents
Results summary
Plain language summaries
Additional information

Trial overview

Official title: A study to evaluate safety, immunogenicity and efficacy of GSK Biologicals HPV-16/18 L1/AS04 vaccine administered intramuscularly according to a three-dose schedule (0, 1, 6 month) in healthy adult female subjects aged 26 years and above
Trial description: This is a multicentre study in which women were planned to receive either the Human Papillomavirus Vaccine (HPV) vaccine or control. Under Protocol Amendment 3, study participation will last approximately 48 months and involves a total of eleven scheduled visits. Under Protocol Amendment 4, study participation will last up to 84 months and involves a maximum of seventeen scheduled visits.
Primary purpose:
Prevention
Trial design:
Parallel Assignment
Masking:
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Allocation:
Randomized
Primary outcomes:

Number of subjects with persistent infection (6-month definition) with human papillomavirus (HPV)-16 or HPV-18 and/or with histopathologically-confirmed Cervical Intraepithelial Neoplasia (CIN)1+ associated with HPV-16 and/or -18 cervical infection.

Timeframe: Up to Month 48

Number of subjects with persistent infection (6-month definition) with HPV-16 or HPV-18 and/or with histopathologically-CIN1+ associated with HPV-16 and/or -18 cervical infection detected using the HPV Type Assignment Algorithm (TAA).

Timeframe: Up to Month 48

Number of subjects with persistent infection (6-month definition) with human papillomavirus (HPV)-16 or HPV-18 and/or with histopathologically-confirmed Cervical Intraepithelial Neoplasia (CIN)1+ associated with HPV-16 and/or -18 cervical infection.

Timeframe: Up to Month 84

Number of subjects with persistent infection (6-month definition) with HPV-16 or HPV-18 and/or with histopathologically-CIN1+ associated with HPV-16 and/or -18 cervical infection detected using the HPV Type Assignment Algorithm (TAA).

Timeframe: Up to Month 84

Secondary outcomes:

Number of subjects with persistent infection (6-month definition) with human papillomavirus (HPV)-16 or HPV-18

Timeframe: Up to Month 48

Number of subjects with persistent infection (12-month definition) with human papillomavirus (HPV)-16 or HPV-18

Timeframe: Up to Month 48

Number of subjects with persistent infection (6-month Definition) with oncogenic HPV types individually or in combinations.

Timeframe: Up to Month 48

Number of subjects with persistent infection (12-month Definition) with oncogenic HPV types individually or in combinations.

Timeframe: Up to Month 48

Number of subjects with histopathologically-confirmed Cervical Intraepithelial Neoplasia (CIN)2+ associated with HPV-16 and/or -18 cervical infection detected within the lesional component of the cervical tissue specimen

Timeframe: Up to Month 48

Number of subjects with histopathologically-confirmed Cervical Intraepithelial Neoplasia (CIN)1+ associated with HPV-16 and/or -18 cervical infection detected within the lesional component of the cervical tissue specimen

Timeframe: Up to Month 48

Number of subjects with histopathologically-confirmed Cervical Intraepithelial Neoplasia (CIN)1+ associated with HPV-16 and/or -18 cervical infection detected within the lesional component of the cervical tissue specimen

Timeframe: Up to Month 48

Number of subjects with histopathologically-confirmed Cervical Intraepithelial Neoplasia (CIN)1+ irrespective of HPV cervical infection and irrespective of baseline HPV DNA status

Timeframe: Up to Month 48

Number of subjects with any cytological abnormalities associated with HPV-16 or HPV-18 cervical infection

Timeframe: Up to Month 48

Number of subjects with cytological abnormalities associated with oncogenic HPV types individually or in combinations

Timeframe: Up to Month 48

Number of subjects with histopathologically confirmed reduction of local cervical therapy

Timeframe: Up to Month 48

Number of subjects with first colposcopy

Timeframe: Up to Month 48

Number of subjects with persistent infection (6-month definition) with human papillomavirus (HPV)-16 or HPV-18 and/or with histopathologically-confirmed Cervical Intraepithelial Neoplasia (CIN)1+ associated with HPV-16 and/or -18 cervical infection

Timeframe: Up to Month 48

Number of subjects with persistent infection (6-month definition) with HPV-16 or HPV-18 and/or with histopathologically-confirmed CIN1+ associated with HPV-16 and/or -18 cervical infection detected using the HPV Type Assignment Algorithm (TAA).

Timeframe: Up to Month 48

Number of seroconverted subjects against HPV-16 in the immunogenicity subset.

Timeframe: At pre-vaccination and at Month 7, 12, 18, 24, 36, 48, 60, 72 and 84

Number of seroconverted subjects against HPV-18 in the immunogenicity subset.

Timeframe: At pre-vaccination and at Month 7, 12, 18, 24, 36, 48, 60, 72 and 84

Geometric mean concentrations (GMCs) against HPV-16 antibody in the immunogenicity subset.

Timeframe: At pre-vaccination and at Month 7, 12, 18, 24, 36, 48, 60, 72 and 84

Geometric mean concentrations (GMCs) against HPV-18 antibody in the immunogenicity subset.

Timeframe: At pre-vaccination and at Month 7, 12, 18, 24, 36, 48, 60, 72 and 84

Number of seroconverted subjects against HPV-16 and HPV-18 viral neutralization in a selected subset of subjects.

Timeframe: Prior to vaccination and at Months 7, 12, 18, 24, 48 and 84.

Geometric mean titers (GMTs) against HPV-16 and HPV-18 viral neutralization antibodies in a selected subset of subjects.

Timeframe: Prior to vaccination and at Months 7, 12, 18, 24, 48 and 84.

Number of subjects reporting any and Grade 3 solicited local symptoms.

Timeframe: Within 7 days (Days 0-6) after vaccination

Number of subjects reporting any, Grade 3 and related solicited general symptoms.

Timeframe: Within 7 days (Days 0-6) after vaccination

Number of subjects reporting any, Grade 3 and related unsolicited adverse events (AEs).

Timeframe: Within 30 days (Days 0 – 29) post-vaccination period.

Number of subjects reporting any and related serious adverse events (SAEs).

Timeframe: Up to Month 48 and up to Month 84

Number of subjects reporting related or fatal serious adverse event.

Timeframe: Up to Month 84

Number of subjects reporting any AE/SAE leading to premature discontinuation of the study.

Timeframe: Up to Month 84

Number of subjects reporting new onset of chronic disease (NOCDs).

Timeframe: Up to Month 48

Number of subjects reporting new onset of autoimmune disease (NOADs).

Timeframe: Up to Month 48

Number of subjects reporting medically significant conditions (MAEs).

Timeframe: Up to Month 48

Number of subjects with pregnancies and their outcomes.

Timeframe: Up to Month 48

Number of subjects with histopathologically-confirmed Cervical Intraepithelial Neoplasia (CIN)1+ associated with HPV-16 and/or -18 cervical infection detected using the type assignment algorithm (TAA)

Timeframe: Up to Month 48

Number of subjects with persistent infection (6-month definition) with human papillomavirus (HPV)-16 or HPV-18

Timeframe: Up to Month 84

Number of subjects with persistent infection (12-month definition) with human papillomavirus (HPV)-16 or HPV-18

Timeframe: Up to Month 84

Number of subjects with persistent infection (6-month Definition) with oncogenic HPV types individually or in combinations.

Timeframe: Up to Month 84

Number of subjects with persistent infection (12-month Definition) with oncogenic HPV types individually or in combinations.

Timeframe: Up to Month 84

Number of subjects with histopathologically-confirmed Cervical Intraepithelial Neoplasia (CIN)2+ associated with HPV-16 and/or -18 cervical infection detected within the lesional component of the cervical tissue specimen

Timeframe: Up to Month 84

Number of subjects with histopathologically-confirmed Cervical Intraepithelial Neoplasia (CIN)1+ associated with HPV-16 and/or -18 cervical infection detected within the lesional component of the cervical tissue specimen

Timeframe: Up to Month 84

Number of subjects with histopathologically-confirmed Cervical Intraepithelial Neoplasia (CIN)1+ associated with HPV-16 and/or -18 cervical infection detected within the lesional component of the cervical tissue specimen

Timeframe: Up to Month 84

Number of subjects with histopathologically-confirmed Cervical Intraepithelial Neoplasia (CIN)1+ irrespective of HPV cervical infection and irrespective of baseline HPV DNA status

Timeframe: Up to Month 84

Number of subjects with any cytological abnormalities associated with HPV-16 or HPV-18 cervical infection

Timeframe: Up to Month 84

Number of subjects with cytological abnormalities associated with oncogenic HPV types individually or in combinations

Timeframe: Up to Month 48

Number of subjects with histopathologically confirmed reduction of local cervical therapy

Timeframe: Up to Month 84

Number of subjects with first colposcopy

Timeframe: Up to Month 84

Number of subjects with persistent infection (6-month definition) with human papillomavirus (HPV)-16 or HPV-18 and/or with histopathologically-confirmed Cervical Intraepithelial Neoplasia (CIN)1+ associated with HPV-16 and/or -18 cervical infection

Timeframe: Up to Month 84

Number of subjects with persistent infection (6-month definition) with HPV-16 or HPV-18 and/or with histopathologically-confirmed CIN1+ associated with HPV-16 and/or -18 cervical infection detected using the HPV Type Assignment Algorithm (TAA).

Timeframe: Up to Month 84

Interventions:
  • Biological/vaccine: Cervarix
  • Biological/vaccine: Placebo control
  • Enrollment:
    5752
    Primary completion date:
    2014-29-01
    Observational study model:
    Not applicable
    Time perspective:
    Not applicable
    Clinical publications:
    Descamps D et al. (2009) Safety of human papillomavirus (HPV)-16/18 AS04-adjuvanted vaccine for cervical cancer prevention: A pooled analysis of 11 clinical trials. Hum Vaccin. 5(5):332-340.
    Skinner SR et al. (2014) Efficacy, safety, and immunogenicity of the human papillomavirus 16/18 AS04-adjuvanted vaccine in women older than 25 years: 4-year interim follow-up of the phase 3, double-blind, randomised controlled VIVIANE study. Lancet. 384(9961):2213-2227.
    Verstraeten T et al. (2008) Analysis of adverse events of potential autoimmune aetiology in a large integrated safety database of AS04 adjuvanted vaccines. Vaccine. 26(51):6630–6638.
    Wheeler CM et al. (2016) Efficacy, safety, and immunogenicity of the human papillomavirus 16/18 AS04-adjuvanted vaccine in women older than 25 years: 7-year follow-up of the phase 3, double-blind, randomised controlled VIVIANE study. Lancet Infect Dis. 16(10):1154-1168.
    Wheeler CM et al. (2017) The safety of Cervarix? - Authors' reply. Lancet Infect Dis. 17(1):20-21.
    Medical condition
    Infections, Papillomavirus
    Product
    SB580299
    Collaborators
    Not applicable
    Study date(s)
    February 2006 to January 2014
    Type
    Interventional
    Phase
    3

    Participation criteria

    Sex
    Female
    Age
    26+ years
    Accepts healthy volunteers
    Yes
    • Inclusion criteria:
    • A woman who the investigator believes that she can and will comply with the requirements of the protocol.

    Trial location(s)

    Location
    Status
    Contact us
    Contact us
    Location
    GSK Investigational Site
    Aberdeen, United Kingdom, AB25 7ZD
    Status
    Study Complete
    Location
    GSK Investigational Site
    Akron, Ohio, United States, 44311
    Status
    Study Complete
    Location
    GSK Investigational Site
    Albuquerque, New Mexico, United States, 87131
    Status
    Study Complete
    Location
    GSK Investigational Site
    Almada, Portugal, 2805-267 Almada
    Status
    Study Complete
    Location
    GSK Investigational Site
    Amsterdam, Netherlands, 1007 MB
    Status
    Study Complete
    Location
    GSK Investigational Site
    Augusta, Georgia, United States, 30912
    Status
    Study Complete
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    Study documents

    Clinical study report
    Available language(s): English
    Scientific result summary
    Available language(s): English

    If you wish to request for full study report, please contact - [email protected]

    Results overview

    Results posted on ClinicalTrials.gov

    Recruitment status
    Study complete
    Actual primary completion date
    2014-29-01
    Actual study completion date
    2014-29-01

    Plain language summaries

    Plain language summaries of clinical trial results for Phase 2-4 clinical trials that were initiated on or after January 2022 will be posted by GSK within one year following study completion.

    Additional information about the trial

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