Immunogenicity and Reactogenicity of Alternative Schedules of Gardasil

NCT ID: NCT00524745

Last Updated: 2017-04-14

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

903 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-10-31

Study Completion Date

2010-01-31

Brief Summary

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To demonstrate that Gardasil® vaccine, when given to girls 11-13 years of age according to 1 of 3 alternative 3-dose schedules (0, 3, 9 months; 0, 6, 12 months; or 0, 12, 24 months), results in anti-HPV type 16 and anti-HPV type 18 responses 28 days post-dose 3 that are similar to those obtained when the vaccine is given on the standard 3-dose schedule of 0, 2, 6 months.

Detailed Description

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OBJECTIVES:

Primary objective:

To test the hypothesis that Gardasil® vaccine, when administered to girls 11-13 years of age according to 1 of 3 alternative 3-dose schedules (0,3,9 months; 0,6,12 months; or 0,12,24 months), results in anti-HPV 16 and anti-HPV 18 responses 28 days post-dose 3 that are similar to those obtained when the vaccine is administered on the standard 3-dose schedule of 0,2,6 months.

Secondary objectives:

1. To test the hypothesis that Gardasil® vaccine, when administered to girls 11-13 years of age according to 1 of 3 alternative 3-dose schedules (0,3,9 months; 0,6,12 months; or 0,12,24 months), results in anti-HPV 6 and anti-HPV 11 responses 28 days post-dose 3 that are similar to those obtained when the vaccine is administered on the standard 3-dose schedule of 0,2,6 months.
2. To describe the safety profile of the administration of Gardasil® according to each of the four schedules by assessing:

(i) immediate reactogenicity (reactions within 30 minutes after each injection); (ii) solicited (local reactogenicity and fever) and unsolicited events occurring during the first 7 days following each vaccination; (iii) serious adverse events occurring up to one month following the last dose of vaccine; (iv) deaths or adverse events occurring at any time determined to be vaccination-related.

Conditions

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Dose Schedule Study

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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0,2,6 month vaccination schedule

Group Type ACTIVE_COMPARATOR

Biological: quadrivalent human papillomavirus (types 6, 11, 16, 18) recombinant vaccine

Intervention Type BIOLOGICAL

Three doses of quadrivalent HPV recombinant vaccine administered at different dosing intervals in each of four study arms.

0,3,9 month vaccination schedule

Group Type ACTIVE_COMPARATOR

Biological: quadrivalent human papillomavirus (types 6, 11, 16, 18) recombinant vaccine

Intervention Type BIOLOGICAL

Three doses of quadrivalent HPV recombinant vaccine administered at different dosing intervals in each of four study arms.

0,6,12 month vaccination schedule

Group Type ACTIVE_COMPARATOR

Biological: quadrivalent human papillomavirus (types 6, 11, 16, 18) recombinant vaccine

Intervention Type BIOLOGICAL

Three doses of quadrivalent HPV recombinant vaccine administered at different dosing intervals in each of four study arms.

0,12,24 month vaccination schedule

Group Type ACTIVE_COMPARATOR

Biological: quadrivalent human papillomavirus (types 6, 11, 16, 18) recombinant vaccine

Intervention Type BIOLOGICAL

Three doses of quadrivalent HPV recombinant vaccine administered at different dosing intervals in each of four study arms.

Interventions

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Biological: quadrivalent human papillomavirus (types 6, 11, 16, 18) recombinant vaccine

Three doses of quadrivalent HPV recombinant vaccine administered at different dosing intervals in each of four study arms.

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

1. 11-13 years of age.
2. Signed informed consent form (both parent's \& daughter's signature).
3. Good health status.
4. Able to comply with trial protocol.
5. Plans to stay at current school for duration of study.

Exclusion Criteria

1. Prior HPV vaccination
2. Pregnant or lactating or intends to become pregnant during study period.
3. Apparent moderate or severe acute illness.
4. Clinical history of bleeding disorder such as hemophilia, thrombocytopenia, or anticoagulant therapy.
5. Clinical history of impaired immune responsiveness, whether due to use of immunosuppressive therapy, a genetic defect, HIV infection, or other causes.
6. Hypersensitivity to the active substances or to any of the excipients of the HPV vaccine, or such reactions to other vaccines received in the past.
7. Investigational drug or investigational vaccine administered during the period from 30 days before to 30 days after any dose of HPV vaccine.
Minimum Eligible Age

11 Years

Maximum Eligible Age

13 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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National Institute of Hygiene and Epidemiology, Vietnam

OTHER

Sponsor Role collaborator

PATH

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Kathy Neuzil, MD, MPH

Role: PRINCIPAL_INVESTIGATOR

PATH

Locations

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National Institute of Hygiene and Epidemiology

Hanoi, , Vietnam

Site Status

Countries

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Vietnam

References

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Neuzil KM, Canh DG, Thiem VD, Janmohamed A, Huong VM, Tang Y, Diep NT, Tsu V, LaMontagne DS. Immunogenicity and reactogenicity of alternative schedules of HPV vaccine in Vietnam: a cluster randomized noninferiority trial. JAMA. 2011 Apr 13;305(14):1424-31. doi: 10.1001/jama.2011.407.

Reference Type RESULT
PMID: 21486975 (View on PubMed)

Widdice LE, Unger ER, Panicker G, Hoagland R, Callahan ST, Jackson LA, Berry AA, Kotloff K, Frey SE, Harrison CJ, Pahud BA, Edwards KM, Mulligan MJ, Sudman J, Bernstein DI. Antibody responses among adolescent females receiving two or three quadrivalent human papillomavirus vaccine doses at standard and prolonged intervals. Vaccine. 2018 Feb 1;36(6):881-889. doi: 10.1016/j.vaccine.2017.12.042. Epub 2018 Jan 3.

Reference Type DERIVED
PMID: 29306506 (View on PubMed)

Lamontagne DS, Thiem VD, Huong VM, Tang Y, Neuzil KM. Immunogenicity of quadrivalent HPV vaccine among girls 11 to 13 Years of age vaccinated using alternative dosing schedules: results 29 to 32 months after third dose. J Infect Dis. 2013 Oct 15;208(8):1325-34. doi: 10.1093/infdis/jit363. Epub 2013 Jul 30.

Reference Type DERIVED
PMID: 23901077 (View on PubMed)

Other Identifiers

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HPV01

Identifier Type: -

Identifier Source: org_study_id

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