Immunogenicity and Safety of a Quadrivalent Human Papillomavirus (HPV) Vaccine in Patients With SLE: a Controlled Study

NCT ID: NCT00911521

Last Updated: 2011-10-12

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-10-31

Study Completion Date

2011-06-30

Brief Summary

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The purpose of this trial is to study the effect of Human Papillomavirus (HPV) vaccination on the elevation of antibody titer to 4 serotypes of HPV in patients with systemic lupus erythematous and compare the antibody response with an equal number of age-matched healthy women.

Detailed Description

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Genital infection with human papillomavirus (HPV) is one of the most common sexually transmitted infections in Hong Kong. Most cases of HPV infection are asymptomatic. However, in some individuals, especially those patients who are immunocompromised, HPV infection is persistent and may result in genital warts, cervical smear abnormalities, cervical intraepithelial neoplasia (CIN) and rarely cervical cancer.

Systemic lupus erythematosus (SLE) is a disease that predominantly affects women of the childbearing age. Patients with SLE are at risk of persistent HPV infection. This is because of the immunosuppressive state induced by various treatments. The prevalence of abnormal Pap smears and cervical squamous intraepithelial neoplasia (CIN) in SLE patients is higher than that in age-matched healthy women. Thus, prevention of HPV infection is important in patients with SLE to reduce the incidence of CIN lesions and hence invasive cervical cancers in the long run.

The quadrivalent HPV vaccine, GARDASIL is effective in reducing the occurrence of high-grade CIN lesions and anogenital disease elated to HPV-16 and HPV-18 infection. Vaccination of young women aged 16 to 23 years resulted in seroconversion rates of more than 99% for all the HPV types (6,11,16,18) and was well tolerated. There has been very little information regarding the efficacy of the quadrivalent HPV vaccine in immunocompromised hosts. The objectives of the current study are to evaluate the immunogenicity and safety of the quadrivalent HPV vaccine in a group of patients with SLE in terms of antibody conversion. Comparison will be made with an equal number of age-matched healthy women.

Conditions

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Systemic Lupus Erythematosus

Study Design

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Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Vaccine arm

subjects receiving vaccination

Group Type ACTIVE_COMPARATOR

human papillomavirus vaccination (Gardasil)

Intervention Type DRUG

3 doses of the human papillomavirus vaccines to be given at baseline, month 2 and month 6

Interventions

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human papillomavirus vaccination (Gardasil)

3 doses of the human papillomavirus vaccines to be given at baseline, month 2 and month 6

Intervention Type DRUG

Other Intervention Names

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Gardasil

Eligibility Criteria

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Inclusion Criteria

SLE patients

* Female patients aged ≤ 35 years
* Fulfilling the American College of Rheumatology (ACR) criteria for the classification of SLE
* Having received a stable dose of prednisolone and/or other immunosuppressive agents within 3 months of study entry
* Able to give written informed consent

Controls

* Women aged ≤ 35 years, matched those of SLE patients recruited
* No known chronic medical diseases
* Not receiving any long-term medications including herbs

Exclusion Criteria

* History of allergy to HPV vaccines
Maximum Eligible Age

35 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Tuen Mun Hospital

OTHER_GOV

Sponsor Role lead

Responsible Party

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Chi Chiu Mok

Consultant

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Chi Chiu Mok, MD, FRCP

Role: PRINCIPAL_INVESTIGATOR

Tuen Mun Hospital, Hong Kong, China

Locations

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Department of Medicine, Tuen Mun Hospital

Hong Kong, , China

Site Status

Countries

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China

References

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Mok CC, Ho LY, To CH. Long-term immunogenicity of a quadrivalent human papillomavirus vaccine in systemic lupus erythematosus. Vaccine. 2018 May 31;36(23):3301-3307. doi: 10.1016/j.vaccine.2018.04.056. Epub 2018 Apr 24.

Reference Type DERIVED
PMID: 29699792 (View on PubMed)

Other Identifiers

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NTWC/CREC/704/09

Identifier Type: -

Identifier Source: org_study_id