Trial Outcomes & Findings for Evaluation of the Immune and Safety Response of GlaxoSmithKline (GSK) Biologicals' HPV Vaccine in Healthy Indian Women (NCT NCT00344032)

NCT ID: NCT00344032

Last Updated: 2018-07-20

Results Overview

Seroconversion is defined as the appearance of antibodies with titers greater than or equal to the predefined cut-off value in the serum of subjects seronegative before vaccination. Cut-off values assessed include 8 enzyme-linked immunosorbent assay units per milliliter (EL.U/mL) for anti-HPV-16 antibodies and 7 EL.U/mL for anti-HPV-18 antibodies.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

354 participants

Primary outcome timeframe

At Month 7

Results posted on

2018-07-20

Participant Flow

Participant milestones

Participant milestones
Measure
Cervarix
Subjects who received 3 doses of HPV-16/18 VLP/AS04 Vaccine (Cervarix TM) (at 0, 1, 6 months).
Placebo
Subjects who received 3 doses of Placebo (at 0, 1, 6 months).
Overall Study
STARTED
176
178
Overall Study
COMPLETED
162
168
Overall Study
NOT COMPLETED
14
10

Reasons for withdrawal

Reasons for withdrawal
Measure
Cervarix
Subjects who received 3 doses of HPV-16/18 VLP/AS04 Vaccine (Cervarix TM) (at 0, 1, 6 months).
Placebo
Subjects who received 3 doses of Placebo (at 0, 1, 6 months).
Overall Study
Adverse Event
0
1
Overall Study
Withdrawal by Subject
6
2
Overall Study
Lost to Follow-up
4
6
Overall Study
Physician Decision
4
1

Baseline Characteristics

Evaluation of the Immune and Safety Response of GlaxoSmithKline (GSK) Biologicals' HPV Vaccine in Healthy Indian Women

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Cervarix
n=176 Participants
Subjects who received 3 doses of HPV-16/18 VLP/AS04 Vaccine (Cervarix TM) (at 0, 1, 6 months).
Placebo
n=178 Participants
Subjects who received 3 doses of Placebo (at 0, 1, 6 months).
Total
n=354 Participants
Total of all reporting groups
Age, Continuous
28.5 Years
STANDARD_DEVIATION 4.70 • n=5 Participants
28.5 Years
STANDARD_DEVIATION 4.97 • n=7 Participants
28.5 Years
STANDARD_DEVIATION 4.83 • n=5 Participants
Sex: Female, Male
Female
176 Participants
n=5 Participants
178 Participants
n=7 Participants
354 Participants
n=5 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants

PRIMARY outcome

Timeframe: At Month 7

Population: Analysis was performed on initially seronegative subjects from the According-to-Protocol (ATP) cohort for analysis of immunogenicity.

Seroconversion is defined as the appearance of antibodies with titers greater than or equal to the predefined cut-off value in the serum of subjects seronegative before vaccination. Cut-off values assessed include 8 enzyme-linked immunosorbent assay units per milliliter (EL.U/mL) for anti-HPV-16 antibodies and 7 EL.U/mL for anti-HPV-18 antibodies.

Outcome measures

Outcome measures
Measure
Cervarix
n=124 Participants
Subjects who received 3 doses of HPV-16/18 VLP/AS04 Vaccine (Cervarix TM) (at 0, 1, 6 months).
Placebo
n=139 Participants
Subjects who received 3 doses of Placebo (at 0, 1, 6 months).
Number of Subjects Who Seroconverted for Anti-human Papilloma Virus 16 (Anti-HPV-16) and Anti-human Papilloma Virus 18 (Anti-HPV-18) Antibodies
Anti-HPV-16
124 Participants
16 Participants
Number of Subjects Who Seroconverted for Anti-human Papilloma Virus 16 (Anti-HPV-16) and Anti-human Papilloma Virus 18 (Anti-HPV-18) Antibodies
Anti-HPV-18
117 Participants
4 Participants

SECONDARY outcome

Timeframe: At Months 0 and 7

Population: Analysis was performed on the According-to-Protocol (ATP) cohort for analysis of immunogenicity.

Titers are given as Geometric Mean Titers (GMTs) expressed as Enzyme-linked Immunosorbent Assay Units Per Milliliter (EL.U/mL).

Outcome measures

Outcome measures
Measure
Cervarix
n=148 Participants
Subjects who received 3 doses of HPV-16/18 VLP/AS04 Vaccine (Cervarix TM) (at 0, 1, 6 months).
Placebo
n=158 Participants
Subjects who received 3 doses of Placebo (at 0, 1, 6 months).
Titers of Anti-human Papilloma Virus 16 (Anti-HPV-16) and Anti-human Papilloma Virus 18 (Anti-HPV-18) Antibodies
Anti-HPV-16 (Month 0)
5.4 EL.U/mL
Interval 4.7 to 6.1
4.9 EL.U/mL
Interval 4.4 to 5.5
Titers of Anti-human Papilloma Virus 16 (Anti-HPV-16) and Anti-human Papilloma Virus 18 (Anti-HPV-18) Antibodies
Anti-HPV-16 (Month 7)
9813.8 EL.U/mL
Interval 8605.4 to 11191.9
6.0 EL.U/mL
Interval 5.1 to 7.0
Titers of Anti-human Papilloma Virus 16 (Anti-HPV-16) and Anti-human Papilloma Virus 18 (Anti-HPV-18) Antibodies
Anti-HPV-18 (Month 0)
4.7 EL.U/mL
Interval 4.2 to 5.2
4.6 EL.U/mL
Interval 4.2 to 5.1
Titers of Anti-human Papilloma Virus 16 (Anti-HPV-16) and Anti-human Papilloma Virus 18 (Anti-HPV-18) Antibodies
Anti-HPV-18 (Month 7)
4030.1 EL.U/mL
Interval 3544.0 to 4582.8
4.9 EL.U/mL
Interval 4.3 to 5.5

SECONDARY outcome

Timeframe: During the 7 days (Days 0 - 6) after each vaccination

Population: Analysis was performed on the Total Vaccinated Cohort, on subjects with available data.

Solicited local symptoms assessed include pain, redness and swelling. Solicited general symptoms assessed include arthralgia, fatigue, fever, gastro-intestinal symptoms, headache, myalgia, rash and urticaria.

Outcome measures

Outcome measures
Measure
Cervarix
n=171 Participants
Subjects who received 3 doses of HPV-16/18 VLP/AS04 Vaccine (Cervarix TM) (at 0, 1, 6 months).
Placebo
n=174 Participants
Subjects who received 3 doses of Placebo (at 0, 1, 6 months).
Number of Subjects Reporting Solicited Symptoms
Headache
72 Participants
71 Participants
Number of Subjects Reporting Solicited Symptoms
Pain
137 Participants
105 Participants
Number of Subjects Reporting Solicited Symptoms
Redness
56 Participants
24 Participants
Number of Subjects Reporting Solicited Symptoms
Swelling
69 Participants
35 Participants
Number of Subjects Reporting Solicited Symptoms
Arthralgia
19 Participants
16 Participants
Number of Subjects Reporting Solicited Symptoms
Fatigue
84 Participants
83 Participants
Number of Subjects Reporting Solicited Symptoms
Fever (above 37.5 degree Celsius)
51 Participants
48 Participants
Number of Subjects Reporting Solicited Symptoms
Gastro-intestinal symptoms
25 Participants
28 Participants
Number of Subjects Reporting Solicited Symptoms
Myalgia
10 Participants
11 Participants
Number of Subjects Reporting Solicited Symptoms
Rash
5 Participants
8 Participants
Number of Subjects Reporting Solicited Symptoms
Urticaria
4 Participants
6 Participants

SECONDARY outcome

Timeframe: Within 30 days (Days 0 - 29) after each vaccination

Unsolicited adverse event = Any adverse event (AE) reported in addition to those solicited during the clinical study. Also any "solicited" symptom with onset outside the specified period of follow-up for solicited symptoms was reported as an unsolicited adverse event.

Outcome measures

Outcome measures
Measure
Cervarix
n=176 Participants
Subjects who received 3 doses of HPV-16/18 VLP/AS04 Vaccine (Cervarix TM) (at 0, 1, 6 months).
Placebo
n=178 Participants
Subjects who received 3 doses of Placebo (at 0, 1, 6 months).
Number of Subjects Reporting Unsolicited Adverse Events (AEs)
20 Participants
26 Participants

SECONDARY outcome

Timeframe: Throughout the study period (up to Month 7)

NOCDs assessed include e.g. autoimmune disorders, asthma, type I diabetes. Medically significant AEs assessed include AEs prompting emergency room or physician visits that are not related to common diseases or SAEs that are not related to common diseases.

Outcome measures

Outcome measures
Measure
Cervarix
n=176 Participants
Subjects who received 3 doses of HPV-16/18 VLP/AS04 Vaccine (Cervarix TM) (at 0, 1, 6 months).
Placebo
n=178 Participants
Subjects who received 3 doses of Placebo (at 0, 1, 6 months).
Number of Subjects Reporting Unsolicited Adverse Events as New Onset Chronic Diseases (NOCDs) and Other Medically Significant Adverse Events (AEs)
NOCDs
0 Participants
2 Participants
Number of Subjects Reporting Unsolicited Adverse Events as New Onset Chronic Diseases (NOCDs) and Other Medically Significant Adverse Events (AEs)
Medically Significant AEs
13 Participants
24 Participants

SECONDARY outcome

Timeframe: Throughout the study period (up to Month 7)

Serious adverse events assessed include medical occurrences that results in death, is life threatening, require hospitalization or prolongation of hospitalization, result in disability/incapacity or are a congenital anomaly/birth defect in the offspring of a study subject.

Outcome measures

Outcome measures
Measure
Cervarix
n=176 Participants
Subjects who received 3 doses of HPV-16/18 VLP/AS04 Vaccine (Cervarix TM) (at 0, 1, 6 months).
Placebo
n=178 Participants
Subjects who received 3 doses of Placebo (at 0, 1, 6 months).
Number of Subjects Reporting Serious Adverse Events
2 Participants
4 Participants

Adverse Events

Cervarix

Serious events: 2 serious events
Other events: 153 other events
Deaths: 0 deaths

Placebo

Serious events: 4 serious events
Other events: 132 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Cervarix
n=176 participants at risk
Subjects who received 3 doses of HPV-16/18 VLP/AS04 Vaccine (Cervarix TM) (at 0, 1, 6 months).
Placebo
n=178 participants at risk
Subjects who received 3 doses of Placebo (at 0, 1, 6 months).
Pregnancy, puerperium and perinatal conditions
Aborption spontaneous
0.00%
0/176
Events collected by systematic assessment are reported for subjects with a symptom diary card available. Events collected by non-systematic method are reported for the Total Vaccinated Cohort
0.56%
1/178
Events collected by systematic assessment are reported for subjects with a symptom diary card available. Events collected by non-systematic method are reported for the Total Vaccinated Cohort
Infections and infestations
Appendicitis
0.57%
1/176
Events collected by systematic assessment are reported for subjects with a symptom diary card available. Events collected by non-systematic method are reported for the Total Vaccinated Cohort
0.00%
0/178
Events collected by systematic assessment are reported for subjects with a symptom diary card available. Events collected by non-systematic method are reported for the Total Vaccinated Cohort
Congenital, familial and genetic disorders
Bronchogenic cyst
0.00%
0/176
Events collected by systematic assessment are reported for subjects with a symptom diary card available. Events collected by non-systematic method are reported for the Total Vaccinated Cohort
0.56%
1/178
Events collected by systematic assessment are reported for subjects with a symptom diary card available. Events collected by non-systematic method are reported for the Total Vaccinated Cohort
Eye disorders
Cataract
0.00%
0/176
Events collected by systematic assessment are reported for subjects with a symptom diary card available. Events collected by non-systematic method are reported for the Total Vaccinated Cohort
0.56%
1/178
Events collected by systematic assessment are reported for subjects with a symptom diary card available. Events collected by non-systematic method are reported for the Total Vaccinated Cohort
Infections and infestations
Lymph node tuberculosis
0.57%
1/176
Events collected by systematic assessment are reported for subjects with a symptom diary card available. Events collected by non-systematic method are reported for the Total Vaccinated Cohort
0.00%
0/178
Events collected by systematic assessment are reported for subjects with a symptom diary card available. Events collected by non-systematic method are reported for the Total Vaccinated Cohort
Respiratory, thoracic and mediastinal disorders
Pneumothorax
0.00%
0/176
Events collected by systematic assessment are reported for subjects with a symptom diary card available. Events collected by non-systematic method are reported for the Total Vaccinated Cohort
0.56%
1/178
Events collected by systematic assessment are reported for subjects with a symptom diary card available. Events collected by non-systematic method are reported for the Total Vaccinated Cohort

Other adverse events

Other adverse events
Measure
Cervarix
n=176 participants at risk
Subjects who received 3 doses of HPV-16/18 VLP/AS04 Vaccine (Cervarix TM) (at 0, 1, 6 months).
Placebo
n=178 participants at risk
Subjects who received 3 doses of Placebo (at 0, 1, 6 months).
General disorders
Pain
77.8%
137/176
Events collected by systematic assessment are reported for subjects with a symptom diary card available. Events collected by non-systematic method are reported for the Total Vaccinated Cohort
59.0%
105/178
Events collected by systematic assessment are reported for subjects with a symptom diary card available. Events collected by non-systematic method are reported for the Total Vaccinated Cohort
General disorders
Redness
31.8%
56/176
Events collected by systematic assessment are reported for subjects with a symptom diary card available. Events collected by non-systematic method are reported for the Total Vaccinated Cohort
13.5%
24/178
Events collected by systematic assessment are reported for subjects with a symptom diary card available. Events collected by non-systematic method are reported for the Total Vaccinated Cohort
General disorders
Swelling
39.2%
69/176
Events collected by systematic assessment are reported for subjects with a symptom diary card available. Events collected by non-systematic method are reported for the Total Vaccinated Cohort
19.7%
35/178
Events collected by systematic assessment are reported for subjects with a symptom diary card available. Events collected by non-systematic method are reported for the Total Vaccinated Cohort
General disorders
Arthralgia
10.8%
19/176
Events collected by systematic assessment are reported for subjects with a symptom diary card available. Events collected by non-systematic method are reported for the Total Vaccinated Cohort
9.0%
16/178
Events collected by systematic assessment are reported for subjects with a symptom diary card available. Events collected by non-systematic method are reported for the Total Vaccinated Cohort
General disorders
Fatigue
47.7%
84/176
Events collected by systematic assessment are reported for subjects with a symptom diary card available. Events collected by non-systematic method are reported for the Total Vaccinated Cohort
46.6%
83/178
Events collected by systematic assessment are reported for subjects with a symptom diary card available. Events collected by non-systematic method are reported for the Total Vaccinated Cohort
General disorders
Fever (above 37.5 degree Celsius)
29.0%
51/176
Events collected by systematic assessment are reported for subjects with a symptom diary card available. Events collected by non-systematic method are reported for the Total Vaccinated Cohort
27.0%
48/178
Events collected by systematic assessment are reported for subjects with a symptom diary card available. Events collected by non-systematic method are reported for the Total Vaccinated Cohort
General disorders
Gastro-intestinal symptoms
14.2%
25/176
Events collected by systematic assessment are reported for subjects with a symptom diary card available. Events collected by non-systematic method are reported for the Total Vaccinated Cohort
15.7%
28/178
Events collected by systematic assessment are reported for subjects with a symptom diary card available. Events collected by non-systematic method are reported for the Total Vaccinated Cohort
General disorders
Headache
40.9%
72/176
Events collected by systematic assessment are reported for subjects with a symptom diary card available. Events collected by non-systematic method are reported for the Total Vaccinated Cohort
39.9%
71/178
Events collected by systematic assessment are reported for subjects with a symptom diary card available. Events collected by non-systematic method are reported for the Total Vaccinated Cohort
General disorders
Myalgia
5.7%
10/176
Events collected by systematic assessment are reported for subjects with a symptom diary card available. Events collected by non-systematic method are reported for the Total Vaccinated Cohort
6.2%
11/178
Events collected by systematic assessment are reported for subjects with a symptom diary card available. Events collected by non-systematic method are reported for the Total Vaccinated Cohort

Additional Information

GSK Response Center

GlaxoSmithKline

Phone: 866-435-7343

Results disclosure agreements

  • Principal investigator is a sponsor employee GSK agreements may vary with individual investigators, but will not prohibit any investigator from publishing. GSK supports the publication of results from all centers of a multi-center trial but requests that reports based on single-site data not precede the primary publication of the entire clinical trial.
  • Publication restrictions are in place

Restriction type: OTHER