Effect of Vaccination in Patients With Recurrent Respiratory Papillomatosis

NCT ID: NCT01375868

Last Updated: 2019-01-09

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

PHASE3

Total Enrollment

51 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-10-31

Study Completion Date

2018-12-31

Brief Summary

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Vaccines against human papillomaviruses are now commercially available. One of the commercial vaccine contains antigens of both LR HPV types which cause virtually all cases of RRP. Clinical trials have documented the safety and immunogenicity of this vaccine as well as its effectiveness in prevention of incident and persistent infection of the vaccinal types as well as a development of lesions caused by these types. After vaccination the antibodies level increases dramatically and the high levels of antibodies are present in the blood still after 6 years. Furthermore, the neutralization antibodies to the vaccinal antigens have been detected in the cervical mucus of vaccinated women. The preliminary data are now available showing the presence of HPV-specific antibodies in the oral cavity in women after vaccination. The level of antibodies has been dependent on time since vaccination.

Detailed Description

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In our previous studies we have documented that in patients with RRP the level of HPV-specific antibodies is low and increases only after numerous surgery procedures. Therefore the application of this vaccine to patients with RRP can stimulate increased level of antibodies in the blood as well as presence of virus-specific neutralization antibodies on the surface of upper aero digestive tract and neutralize viruses shed from new papillomas and in this way protect patient from spreading of the infection as well as to facilitate the decrease of load of infectious virus shed from the lesion. This can possibly lead to the inhibition of growth of the papillomatous lesion.

Conditions

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Squamous Papilloma of the Larynx

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Vaccine Silgard

vaccination with tetravalent antiviral vaccine, 3 doses

Group Type EXPERIMENTAL

Silgard

Intervention Type BIOLOGICAL

vaccination with tetravalent antiviral vaccine

Interventions

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Silgard

vaccination with tetravalent antiviral vaccine

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

Patients with RRP which sign the informed consent form with both parts of the study will be enrolled.

Exclusion Criteria

Patients who experience severe side effects of vaccination after the first or second dose will not be vaccinated with the third dose and they will be excluded from the study. Patients who will not receive all three doses within one year and 30 days will be also excluded.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Medical Healthcom Prague

UNKNOWN

Sponsor Role collaborator

Na Homolce Hospital

OTHER

Sponsor Role collaborator

Ruth Tachezy, PhD.

OTHER

Sponsor Role lead

Responsible Party

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Ruth Tachezy, PhD.

M.Sc., PhD.

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Ruth Tachezy, PhD.

Role: PRINCIPAL_INVESTIGATOR

Institute of Hematology and Blood Transfusion

Locations

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Institute of Hematology and Blood Transfusion

Prague, , Czechia

Site Status

Countries

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Czechia

References

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Tachezy R, Hamsikova E, Valvoda J, Van Ranst M, Betka J, Burk RD, Vonka V. Antibody response to a synthetic peptide derived from the human papillomavirus type 6/11 L2 protein in recurrent respiratory papillomatosis: correlation between Southern blot hybridization, polymerase chain reaction, and serology. J Med Virol. 1994 Jan;42(1):52-9. doi: 10.1002/jmv.1890420111.

Reference Type BACKGROUND
PMID: 8308521 (View on PubMed)

Smahelova J, Hamsikova E, Ludvikova V, Vydrova J, Traboulsi J, Vencalek O, Lukes P, Tachezy R. Outcomes After Human Papillomavirus Vaccination in Patients With Recurrent Respiratory Papillomatosis: A Nonrandomized Clinical Trial. JAMA Otolaryngol Head Neck Surg. 2022 Jul 1;148(7):654-661. doi: 10.1001/jamaoto.2022.1190.

Reference Type DERIVED
PMID: 35653138 (View on PubMed)

Other Identifiers

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2011-002667-14

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

UHKT-RLP/2011

Identifier Type: -

Identifier Source: org_study_id

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