Evaluation of Immunogenicity and Safety of Two 2-dose Human Papillomavirus (HPV) Vaccine Schedules in 9-14 Year Old Girls

This study is ongoing, but not recruiting participants.
Sponsor:
Information provided by (Responsible Party):
GlaxoSmithKline
ClinicalTrials.gov Identifier:
NCT01381575
First received: June 17, 2011
Last updated: February 14, 2013
Last verified: January 2013
  Purpose

This study has been designed to evaluate the immunogenicity and safety of GSK Biologicals' HPV-16/18 vaccine when administered according to alternative 2-dose schedules (0,6 months and 0,12 months) in healthy 9-14 year old females as compared to the standard 3-dose schedule (0,1,6 months) in 15-25 year old females.


Condition Intervention Phase
Cervical Cancer
HPV Type 16/18 Infections
Biological: GSK Biologicals' HPV vaccine 580299
Phase 3

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Prevention
Official Title: Immunogenicity and Safety Study of GlaxoSmithKline Biologicals' HPV-16/18 L1 AS04 Vaccine When Administered According to Alternative 2-dose Schedules in 9 - 14 Year Old Females

Resource links provided by NLM:


Further study details as provided by GlaxoSmithKline:

Primary Outcome Measures:
  • Anti-HPV-16/18 seroconversion rates in terms of number of seroconverted subjects in the group (0,6) and the group (0,1,6) [ Time Frame: 1 month after the last dose of study vaccine (Month 7) ] [ Designated as safety issue: No ]
  • Anti-HPV-16/18 antibody titres in the group (0,6) and the group (0,1,6) [ Time Frame: 1 month after the last dose of study vaccine (Month 7) ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Anti-HPV-16/18 seroconversion rates in terms of number of seroconverted subjects in all subjects [ Time Frame: At Day 0 and Months 7, 12, 18, 24 and 36 (for subjects having received their last vaccine dose at Month 6), or at Day 0 and Months 13, 18, 24 and 36 (for subjects having received their last vaccine dose at Month 12) ] [ Designated as safety issue: No ]
  • Anti-HPV-16/18 antibody titres (by Pseudovirion-Based Neutralisation Assay {PBNA}) in a subset of subjects [ Time Frame: At Day 0 and Months 7, 12, 18, 24 and 36 (for subjects having received their last vaccine dose at Month 6), or at Day 0 and Months 13, 18, 24 and 36 (for subjects having received their last vaccine dose at Month 12) ] [ Designated as safety issue: No ]
  • Cell-mediated immunogenicity with respect to the components of the study vaccine in terms anti-HPV-16/18 specific T and B cell-mediated immune response [ Time Frame: At Day 0, Months 7, 12, 24 and 36 (for subjects having received their last vaccine dose at Month 6), or at Day 0, Months 13, 18 and 36 (for subjects having received their last vaccine dose at Month 12) ] [ Designated as safety issue: No ]
  • Occurrence of solicited local symptoms in all groups [ Time Frame: During the 7-day period (day 0-6) following each vaccination ] [ Designated as safety issue: No ]
  • Occurrence of solicited general symptoms in all groups [ Time Frame: During the 7-day period (day 0-6) following each vaccination ] [ Designated as safety issue: No ]
  • Occurrence of unsolicited symptoms in all groups [ Time Frame: During the 30-day period (day 0-29) following each vaccination ] [ Designated as safety issue: No ]
  • Occurrence of potential Immune-Mediated Diseases (pIMDs) in all groups. [ Time Frame: From first vaccination to 6 months after the last vaccine dose (i.e. up to Month 12 for subjects having received their last vaccine dose at Month 6 or up to Month 18 for subjects having received their last vaccine dose at Month 12) ] [ Designated as safety issue: No ]
  • Occurrence of Medically Significant Conditions (MSCs) in all groups [ Time Frame: Throughout the study period (from Day 0 up to Month 36) ] [ Designated as safety issue: No ]
  • Occurrence of Serious Adverse Events (SAEs) in all groups [ Time Frame: Throughout the study period (from Day 0 up to Month 36) ] [ Designated as safety issue: No ]
  • Occurrence of SAEs related to the investigational product, to study participation, to GSK concomitant products or any fatal SAE in all groups [ Time Frame: Throughout the study period (from Day 0 up to Month 36) ] [ Designated as safety issue: No ]
  • Occurrence of pregnancies in all groups [ Time Frame: Throughout the study period (from Day 0 up to Month 36) ] [ Designated as safety issue: No ]
  • The percentage of subjects completing the vaccination schedule in all groups [ Time Frame: At Month 6 in the groups (0,6) and (0,1,6) and at Month 12 in the group (0,12) ] [ Designated as safety issue: No ]
  • Anti-HPV-16/18 antibody titres (by ELISA) in all subjects [ Time Frame: At Day 0 and Months 7, 12, 18, 24 and 36 (for subjects having received their last vaccine dose at Month 6), or at Day 0 and Months 13, 18, 24 and 36 (for subjects having received their last vaccine dose at Month 12) ] [ Designated as safety issue: No ]
  • Occurrence of pregnancy outcomes in terms of number of subjects with a specific outcome [ Time Frame: Throughout the study period (from Day 0 up to Month 36) ] [ Designated as safety issue: No ]

Estimated Enrollment: 1428
Study Start Date: June 2011
Estimated Study Completion Date: December 2014
Estimated Primary Completion Date: December 2014 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Group (0,6)
HPV vaccination according to 0,6 months schedule
Biological: GSK Biologicals' HPV vaccine 580299
Subjects will receive 2 or 3 doses of HPV vaccine administered intramuscularly
Other Name: Cervarix™
Experimental: Group (0,12)
HPV vaccination according to 0,12 months schedule
Biological: GSK Biologicals' HPV vaccine 580299
Subjects will receive 2 or 3 doses of HPV vaccine administered intramuscularly
Other Name: Cervarix™
Active Comparator: Group (0,1,6)
HPV vaccination according to standard 0,1,6 months schedule
Biological: GSK Biologicals' HPV vaccine 580299
Subjects will receive 2 or 3 doses of HPV vaccine administered intramuscularly
Other Name: Cervarix™

  Eligibility

Ages Eligible for Study:   9 Years to 25 Years
Genders Eligible for Study:   Female
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Subjects who the investigator believes can and will comply with the requirements of the protocol or/ and subjects who the investigator believes their parent(s)/Legally Acceptable Representative(s) [LAR(s)] can and will comply with the requirements of the protocol
  • A female between, and including, 9 and 25 years of age at the time of the first vaccination
  • Written informed consent obtained from the subject/from the parent(s)/LAR(s) of the subject prior to enrolment in the study. In addition, subjects below the legal age of consent should sign and personally date a written informed assent form
  • Healthy subjects
  • Female subjects of non-childbearing potential may be enrolled in the study
  • Female subjects of childbearing potential may be enrolled in the study, if the subject:

    • has practiced adequate contraception for 30 days prior to vaccination, and
    • has a negative pregnancy test on the day of vaccination, and
    • has agreed to continue adequate contraception during the entire vaccination period and up to two months after the last study vaccine dose

Exclusion Criteria:

  • Pregnant or breastfeeding
  • A female planning to become pregnant, likely to become pregnant or planning to discontinue contraceptive precautions during the entire vaccination period and up to two months after the last study vaccine dose
  • Previous vaccination against HPV or planned administration of another HPV vaccine during the study
  • Child in care. A child in care is a child who has been placed under the control or protection of an agency, organisation, institution or entity by the courts, the government or a government body, acting in accordance with powers conferred on them by law or regulation. The definition of a child in care does not include a child who is adopted or has an appointed legal guardian.
  • Use of any investigational or non-registered product other than the study vaccine within 30 days preceding the first dose of study vaccine, or planned use during the study period
  • Chronic administration of immunosuppressants or other immune-modifying drugs within six months prior to the first vaccine dose. History of allergic disease, suspected allergy or reactions likely to be exacerbated by any component of the study vaccines
  • Cancer or autoimmune disease under treatment
  • Planned administration/administration of a vaccine/product not foreseen by the study protocol within 30 days before each dose of vaccine. Administration of routine meningococcal, hepatitis B, hepatitis A, inactivated influenza, diphtheria/tetanus and/or diphtheria/tetanus-containing vaccine up to 8 days before each dose of study vaccine is allowed. Enrolment will be deferred until the subject is outside of specified window
  • Concurrently participating in another clinical study, at any time during the study period, in which the subject has been or will be exposed to an investigational or a non-investigational product
  • Previous administration of MPL or AS04 adjuvant.
  • Administration of immunoglobulins and/or any blood products within the 3 months preceding the first dose of study vaccine or planned administration during the study period
  • Any confirmed or suspected immunosuppressive or immunodeficient condition
  • Family history of congenital or hereditary immunodeficiency
  • Major congenital defects or serious chronic illness
  • Acute or chronic, clinically significant pulmonary, cardiovascular, hepatic or renal functional abnormality, as determined by physical examination or laboratory screening tests, which in the opinion of the investigator precludes administration of the study vaccine
  • Acute disease and/or fever at the time of enrolment
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01381575

Locations
Canada, British Columbia
GSK Investigational Site
Coquitlam, British Columbia, Canada, V3K 3P4
Canada, Nova Scotia
GSK Investigational Site
Halifax, Nova Scotia, Canada, B3K 6R8
Canada, Ontario
GSK Investigational Site
Sudbury, Ontario, Canada, P3E 1H5
GSK Investigational Site
Toronto, Ontario, Canada, M9W 4L6
GSK Investigational Site
Woodstock, Ontario, Canada, N4S 5P5
Canada, Quebec
GSK Investigational Site
Sherbrooke, Quebec, Canada, J1H 4J6
Germany
GSK Investigational Site
Freiburg, Baden-Wuerttemberg, Germany, 79106
GSK Investigational Site
Kehl, Baden-Wuerttemberg, Germany, 77694
GSK Investigational Site
Berchtesgaden, Bayern, Germany, 83471
GSK Investigational Site
Wuerzburg, Bayern, Germany, 97070
GSK Investigational Site
Hannover, Niedersachsen, Germany, 30625
GSK Investigational Site
Hannover, Niedersachsen, Germany, 30657
GSK Investigational Site
Wolfenbuettel, Niedersachsen, Germany, 38302
GSK Investigational Site
Wolfsburg, Niedersachsen, Germany, 38440
GSK Investigational Site
Kleve-Materborn, Nordrhein-Westfalen, Germany, 47533
GSK Investigational Site
Mainz, Rheinland-Pfalz, Germany, 55116
GSK Investigational Site
Mainz, Rheinland-Pfalz, Germany, 55131
GSK Investigational Site
Trier, Rheinland-Pfalz, Germany, 54290
GSK Investigational Site
Flensburg, Schleswig-Holstein, Germany, 24937
GSK Investigational Site
Weimar, Thueringen, Germany, 99425
GSK Investigational Site
Berlin, Germany, 13055
GSK Investigational Site
Hamburg, Germany, 22159
Italy
GSK Investigational Site
Genova, Liguria, Italy, 16132
GSK Investigational Site
Milano, Lombardia, Italy, 20122
GSK Investigational Site
Cuneo, Piemonte, Italy, 12100
GSK Investigational Site
Cagliari, Sardegna, Italy, 09127
GSK Investigational Site
Ragusa, Sicilia, Italy, 97100
GSK Investigational Site
Padova, Veneto, Italy, 35128
Taiwan
GSK Investigational Site
Taipei, Taiwan, 100
GSK Investigational Site
Taipei, Taiwan
GSK Investigational Site
Taoyuan, Taiwan, 333
Thailand
GSK Investigational Site
Bangkok, Thailand, 10330
GSK Investigational Site
Chiangmai, Thailand, 50200
Sponsors and Collaborators
GlaxoSmithKline
Investigators
Study Director: GSK Clinical Trials GlaxoSmithKline
  More Information

No publications provided

Responsible Party: GlaxoSmithKline
ClinicalTrials.gov Identifier: NCT01381575     History of Changes
Other Study ID Numbers: 114700
Study First Received: June 17, 2011
Last Updated: February 14, 2013
Health Authority: Thailand: Institutional Review Board, Faculty of Medicine, Chulalongkorn University
Taiwan: Food and Drug Administration, Department of Health, Executive Yuan
Canada: Health Canada, Health Products and Food Branch, Biologics and Genetic Therapies Directorate
Thailand: Research Ethics committee, Faculty of Medicine, Chiang Mai University
Italy: A.I.F.A.: Agenzia Italiana del Farmaco (Italian Agency for Medicines)
Germany: Paul Ehrlich Institute

Keywords provided by GlaxoSmithKline:
HPV infection
Human Papillomavirus
Cervical cancer
HPV-16
HPV-18
vaccine

Additional relevant MeSH terms:
Uterine Cervical Neoplasms
Uterine Neoplasms
Genital Neoplasms, Female
Urogenital Neoplasms
Neoplasms by Site
Neoplasms
Uterine Cervical Diseases
Uterine Diseases
Genital Diseases, Female

ClinicalTrials.gov processed this record on May 19, 2013