Human Papilloma Virus (HPV) Vaccine Efficacy Trial Against Cervical Pre-cancer in Young Adults With GlaxoSmithKline (GSK) Biologicals HPV-16/18

NCT ID: NCT00122681

Last Updated: 2018-08-20

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

18729 participants

Study Classification

INTERVENTIONAL

Study Start Date

2004-05-06

Study Completion Date

2009-11-26

Brief Summary

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Human Papilloma virus (HPV) are viruses that cause a common infection of the skin and genitals in men and women. Several types of HPV infection are transmitted by sexual activity and, in women, can infect the cervix (part of the uterus or womb). This infection often goes away by itself, but if it does not go away (this is called persistent infection), it can lead in women over a long period of time to cancer of the cervix. If a woman is not infected by HPV, it is very unlikely that she will get cervical cancer. This study will evaluate the efficacy of GSK Biologicals HPV 16/18 VLP/AS04 vaccine to prevent infection associated cervical pre-cancer and vaccine with HPV 16 or 18 and the vaccine safety, over 48 months, in young adolescents and women of 15/25 years of age at study start. Approximately 18.000 study subjects will either receive the HPV vaccine or a control vaccine (hepatitis A vaccine) administered intramuscularly according to a 0-1-6 month schedule.

The Protocol Posting has been updated in order to comply with the FDA Amendment Act, Sep 2007.

Detailed Description

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NOTE: Some 178 centers participate in this study. Given that the recruitment is completed, the researchers have listed one center per country in this website. If required, further details of centers available on request.

Conditions

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Infections, Papillomavirus

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Cervarix Group

Subjects received 3 doses of Cervarix™ (GSK Biologicals' human papillomavirus \[HPV\] vaccine) at Months 0, 1 and 6.

Group Type EXPERIMENTAL

Cervarix™

Intervention Type BIOLOGICAL

Intramuscular injection, 3 doses

Havrix Group

Subjects received 3 doses of GSK Biologicals' hepatitis A vaccine \[HAV\] (Havrix™-based investigational formulation) at Months 0, 1 and 6.

Group Type ACTIVE_COMPARATOR

Havrix™-based investigational formulation

Intervention Type BIOLOGICAL

Intramuscular injection, 3 doses

Interventions

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Cervarix™

Intramuscular injection, 3 doses

Intervention Type BIOLOGICAL

Havrix™-based investigational formulation

Intramuscular injection, 3 doses

Intervention Type BIOLOGICAL

Other Intervention Names

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GSK Biologicals HPV 16/18 VLP/AS04 vaccine

Eligibility Criteria

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Inclusion Criteria

* A woman whom the investigator believes that she and/or her parents/legally acceptable representative can and will comply with the requirements of the protocol (e.g., completion of the diary cards, return for follow-up visits).
* A woman between, and including, 15 and 25 years of age at the time of the first vaccination.
* Written informed consent must be obtained from the subject prior to enrollment (for subjects below the legal age of consent, written informed consent must be obtained from a parent or legal guardian of the subject and, in addition, the subject should sign and personally date a written informed assent).
* Subject must be free of obvious health problems as established by medical history and clinical examination before entering into the study.
* Subject must have a negative urine pregnancy test.
* Subject must be of non-childbearing potential or, if of childbearing potential, she must be abstinent or must be using adequate contraceptive precautions for 30 days prior to the first vaccination and must agree to continue such precautions for two months after completion of the vaccination series.
* Has had no more than 6 lifetime sexual partners prior to enrollment. This criterion may not be applicable in subjects less than 18 years of age, according to local regulatory/ethical requirements.
* Subject must have intact cervix.

Exclusion Criteria

* Pregnant or breastfeeding. Women must be at least 3 months post-pregnancy and not breastfeeding to enter the study.
* A woman planning to become pregnant or planning to discontinue contraceptive precautions during approximately the first nine months of the study (Months 0-8).
* Previous administration of components of the investigational vaccine.
* Use of any investigational or non-registered product (drug or vaccine) other than the study vaccine(s) 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.
* Planned administration/administration of a vaccine not foreseen by the study protocol within 30 days before and 30 days after (i.e. days 0-29) each dose of vaccine. Administration of some routine vaccines up to 8 days before each dose of study vaccine is allowed. Enrolment will be deferred until the subject is outside of specified window.
* Previous vaccination against human papillomavirus (HPV).
* History of vaccination against Hepatitis A or a known clinical history of Hepatitis A disease.
* History of having had colposcopy or has planned a colposcopy to evaluate an abnormal cervical cytology (Pap smear) test.
* Any medically diagnosed or suspected immunodeficient condition based on medical history and physical examination.
* History of allergic disease, suspected allergy or reactions likely to be exacerbated by any component of the study vaccines.
* Hypersensitivity to latex.
* Known acute or chronic, clinically significant pulmonary, cardiovascular, neurologic, hepatic or renal functional abnormality, as determined by previous physical examination or laboratory tests.
* History of chronic condition(s) requiring treatment.
* Received immunoglobulins and/or blood product within 90 days preceding enrollment. Enrollment will be deferred until the subject is outside of specified window.
* Acute disease at the time of enrolment.
* Heavy bleeding (menstruation or other) or heavy vaginal discharge in which a pelvic exam cannot be performed. Enrollment will be deferred until condition is resolved according to investigator's medical judgement.
Minimum Eligible Age

15 Years

Maximum Eligible Age

25 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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GlaxoSmithKline

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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GSK Clinical Trials

Role: STUDY_DIRECTOR

GlaxoSmithKline

Locations

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GSK Investigational Site

Birmingham, Alabama, United States

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Fountain Valley, California, United States

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San Diego, California, United States

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San Francisco, California, United States

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Boulder, Colorado, United States

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Boulder, Colorado, United States

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Denver, Colorado, United States

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Louisville, Colorado, United States

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Clearwater, Florida, United States

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Coral Gables, Florida, United States

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Miami, Florida, United States

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West Palm Beach, Florida, United States

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Augusta, Georgia, United States

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Honolulu, Hawaii, United States

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Iowa City, Iowa, United States

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Arkansas City, Kansas, United States

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Wichita, Kansas, United States

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Wichita, Kansas, United States

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Bardstown, Kentucky, United States

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Louisville, Kentucky, United States

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Minneapolis, Minnesota, United States

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Omaha, Nebraska, United States

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Lebanon, New Hampshire, United States

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Morristown, New Jersey, United States

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Albuquerque, New Mexico, United States

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New York, New York, United States

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Poughkeepsie, New York, United States

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Chapel Hill, North Carolina, United States

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New Bern, North Carolina, United States

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Cleveland, Ohio, United States

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Tulsa, Oklahoma, United States

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Portland, Oregon, United States

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Carnegie, Pennsylvania, United States

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Erie, Pennsylvania, United States

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Erie, Pennsylvania, United States

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Erie, Pennsylvania, United States

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Erie, Pennsylvania, United States

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Philadelphia, Pennsylvania, United States

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Philadelphia, Pennsylvania, United States

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Pittsburgh, Pennsylvania, United States

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Austin, Texas, United States

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Houston, Texas, United States

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Houston, Texas, United States

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Webster, Texas, United States

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Salt Lake City, Utah, United States

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Charlottesville, Virginia, United States

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Spokane, Washington, United States

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Spokane, Washington, United States

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Vancouver, Washington, United States

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Wenatchee, Washington, United States

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Sydney, New South Wales, Australia

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Adelaide, South Australia, Australia

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Hobart, Tasmania, Australia

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Carlton, Melbourne, Victoria, Australia

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Melbourne, Victoria, Australia

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Perth, Western Australia, Australia

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Brussels, , Belgium

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Edegem, , Belgium

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Leuven, , Belgium

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Curitiba, Paraná, Brazil

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Porto Alegre, Rio Grande do Sul, Brazil

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Campinas, São Paulo, Brazil

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Edmonton, Alberta, Canada

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Langley, British Columbia, Canada

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Winnipeg, Manitoba, Canada

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St. John's, Newfoundland and Labrador, Canada

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Truro, Nova Scotia, Canada

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Oshawa, Ontario, Canada

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Ottawa, Ontario, Canada

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Toronto, Ontario, Canada

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Waterloo, Ontario, Canada

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Beauport, Quebec, Canada

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Montreal, Quebec, Canada

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Espoo, , Finland

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Helsinki, , Finland

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Helsinki, , Finland

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Järvenpää, , Finland

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Jyväskylä, , Finland

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Kerava, , Finland

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Kotka, , Finland

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Kouvola, , Finland

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Kuopio, , Finland

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Lahti, , Finland

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Lappeenranta, , Finland

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Mikkeli, , Finland

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Oulu, , Finland

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Pori, , Finland

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Rauma, , Finland

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Seinäjoki, , Finland

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Tampere, , Finland

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Turku, , Finland

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Vaasa, , Finland

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Karlsruhe, Baden-Wurttemberg, Germany

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Ravensburg, Baden-Wurttemberg, Germany

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Rheinstetten, Baden-Wurttemberg, Germany

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Munich, Bavaria, Germany

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Munich, Bavaria, Germany

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Würzburg, Bavaria, Germany

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Dietzenbach, Hesse, Germany

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Frankfurt am Main, Hesse, Germany

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Frankfurt am Main, Hesse, Germany

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Hanover, Lower Saxony, Germany

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Mainz, Rhineland-Palatinate, Germany

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Leipzig, Saxony, Germany

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Nordhausen, Thuringia, Germany

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Berlin, , Germany

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Berlin, , Germany

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Hamburg, , Germany

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Hamburg, , Germany

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Hamburg, , Germany

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Hamburg, , Germany

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Modena, Emilia-Romagna, Italy

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Milan, Lombardy, Italy

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Cuenavaca, Morelos, Mexico

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Cavite, , Philippines

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Laguna, , Philippines

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Las Piñas, , Philippines

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Los Banos, Laguna, , Philippines

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Makati City, , Philippines

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Manila, , Philippines

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Barcelona, , Spain

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Barcelona, , Spain

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L'Hospitalet de Llobregat, , Spain

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Madrid, , Spain

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Marid, , Spain

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Móstoles, , Spain

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Taipei, , Taiwan

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Taipei, , Taiwan

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Taipei, , Taiwan

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Bangkok, , Thailand

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Bangkok, , Thailand

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Bangkok, , Thailand

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Aberdeen, , United Kingdom

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London, , United Kingdom

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London, , United Kingdom

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Manchester, , United Kingdom

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Manchester, , United Kingdom

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Waterloo, Liverpool, , United Kingdom

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Countries

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United States Australia Belgium Brazil Canada Finland Germany Italy Mexico Philippines Spain Taiwan Thailand United Kingdom

References

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Castellsague X, Naud P, Chow SN, Wheeler CM, Germar MJ, Lehtinen M, Paavonen J, Jaisamrarn U, Garland SM, Salmeron J, Apter D, Kitchener H, Teixeira JC, Skinner SR, Limson G, Szarewski A, Romanowski B, Aoki FY, Schwarz TF, Poppe WA, Bosch FX, de Carvalho NS, Peters K, Tjalma WA, Safaeian M, Raillard A, Descamps D, Struyf F, Dubin G, Rosillon D, Baril L. Risk of newly detected infections and cervical abnormalities in women seropositive for naturally acquired human papillomavirus type 16/18 antibodies: analysis of the control arm of PATRICIA. J Infect Dis. 2014 Aug 15;210(4):517-34. doi: 10.1093/infdis/jiu139. Epub 2014 Mar 8.

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Jaisamrarn U, Castellsague X, Garland SM, Naud P, Palmroth J, Del Rosario-Raymundo MR, Wheeler CM, Salmeron J, Chow SN, Apter D, Teixeira JC, Skinner SR, Hedrick J, Szarewski A, Romanowski B, Aoki FY, Schwarz TF, Poppe WA, Bosch FX, de Carvalho NS, Germar MJ, Peters K, Paavonen J, Bozonnat MC, Descamps D, Struyf F, Dubin GO, Rosillon D, Baril L; HPV PATRICIA Study Group. Natural history of progression of HPV infection to cervical lesion or clearance: analysis of the control arm of the large, randomised PATRICIA study. PLoS One. 2013 Nov 19;8(11):e79260. doi: 10.1371/journal.pone.0079260. eCollection 2013.

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PMID: 20197322 (View on PubMed)

Paavonen J, Naud P, Salmeron J, Wheeler CM, Chow SN, Apter D, Kitchener H, Castellsague X, Teixeira JC, Skinner SR, Hedrick J, Jaisamrarn U, Limson G, Garland S, Szarewski A, Romanowski B, Aoki FY, Schwarz TF, Poppe WA, Bosch FX, Jenkins D, Hardt K, Zahaf T, Descamps D, Struyf F, Lehtinen M, Dubin G; HPV PATRICIA Study Group. Efficacy of human papillomavirus (HPV)-16/18 AS04-adjuvanted vaccine against cervical infection and precancer caused by oncogenic HPV types (PATRICIA): final analysis of a double-blind, randomised study in young women. Lancet. 2009 Jul 25;374(9686):301-14. doi: 10.1016/S0140-6736(09)61248-4. Epub 2009 Jul 6.

Reference Type DERIVED
PMID: 19586656 (View on PubMed)

Paavonen J, Jenkins D, Bosch FX, Naud P, Salmeron J, Wheeler CM, Chow SN, Apter DL, Kitchener HC, Castellsague X, de Carvalho NS, Skinner SR, Harper DM, Hedrick JA, Jaisamrarn U, Limson GA, Dionne M, Quint W, Spiessens B, Peeters P, Struyf F, Wieting SL, Lehtinen MO, Dubin G; HPV PATRICIA study group. Efficacy of a prophylactic adjuvanted bivalent L1 virus-like-particle vaccine against infection with human papillomavirus types 16 and 18 in young women: an interim analysis of a phase III double-blind, randomised controlled trial. Lancet. 2007 Jun 30;369(9580):2161-2170. doi: 10.1016/S0140-6736(07)60946-5.

Reference Type DERIVED
PMID: 17602732 (View on PubMed)

Study Documents

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Document Type: Dataset Specification

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Document Type: Study Protocol

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Document Type: Clinical Study Report

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Document Type: Informed Consent Form

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Document Type: Statistical Analysis Plan

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Document Type: Individual Participant Data Set

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Document Type: Annotated Case Report Form

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Other Identifiers

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580299/008

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