Phase II Study of HPV Therapeutic Vaccine in HPV Infected Women With Normal Cytology or ASCUS/LSIL

NCT ID: NCT01957878

Last Updated: 2016-12-02

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

PHASE2

Total Enrollment

239 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-12-31

Study Completion Date

2016-10-31

Brief Summary

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Human Papillomavirus (HPV) 16 and HPV 18 (the two virus genotypes targeted by the ProCervix vaccine) are the most common HPV genotypes associated with at least 70% of squamous cell carcinomas and 82% of adenocarcinomas of the cervix The strategy of therapeutic vaccination with ProCervix is to activate and enhance the patient's cellular immune response to HPV . The therapeutic vaccine will be used for women infected by HPV 16, HPV 18, or both. The vaccine targets these HPV infected women with normal or mild cervical cellular dyskaryosis as detectable infections with oncogenic potential.

This will be a double-blind, randomised, placebo-controlled, parallel group study assessing the efficacy of ProCervix or placebo (concomitantly administered with imiquimod cream).

ProCervix will be delivered with a topical agent, imiquimod, applied to the injection sites as a vaccine adjuvant.

The population proposed for this study represents an otherwise healthy female population who are infected with HPV 16 and/or HPV 18. The safety and tolerability of this therapeutic vaccine has been shown in the ongoing Phase I study, and the proposed population may in theory derive benefit from this vaccine.

Detailed Description

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Conditions

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Genital Infection Viral HUMAN PAPILLOMA VIRUS

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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HPV therapeutic vaccine

ProCervix consists of two recombinant adenylate cyclase (CyaA) proteins, CyaA-HPV 16E7 (C16-1) and CyaA-HPV 18E7 (C18-1) in a 50/50 ratio (C16C18-2 Ag mixture). ProCervix is adjuvanted by Aldara™, a cream containing 5% of imiquimod

Group Type EXPERIMENTAL

ProCervix

Intervention Type BIOLOGICAL

ProCervix consists of two recombinant adenylate cyclase (CyaA) proteins, CyaA-HPV 16E7 (C16-1) and CyaA-HPV 18E7 (C18-1) in a 50/50 ratio (C16C18-2 Ag mixture). ProCervix is adjuvanted by Aldara™, a cream containing 5% of imiquimod

Placebo matching ProCervix

Placebo matching ProCervix and adjuvanted by Aldara™, a cream containing 5% of imiquimod

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type BIOLOGICAL

Placebo matching ProCervix and adjuvanted by Aldara™, a cream containing 5% of imiquimod

Interventions

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ProCervix

ProCervix consists of two recombinant adenylate cyclase (CyaA) proteins, CyaA-HPV 16E7 (C16-1) and CyaA-HPV 18E7 (C18-1) in a 50/50 ratio (C16C18-2 Ag mixture). ProCervix is adjuvanted by Aldara™, a cream containing 5% of imiquimod

Intervention Type BIOLOGICAL

Placebo

Placebo matching ProCervix and adjuvanted by Aldara™, a cream containing 5% of imiquimod

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

* A subject will be eligible for inclusion in this study if the following criteria apply:

1. Subject is female between the ages of 25 and 50 years (inclusive).
2. Subject is pre-menopausal .
3. Subject must have cervical HPV 16 and/or 18 infection confirmed by RT-PCR
4. Subject has a cervical cytological evaluation with a normal, ASCUS or LSIL result at baseline.
5. Subject has employed highly effective contraception the month prior to the first vaccination and will agree to employ highly effective contraception for at least 12 months after the first vaccination. .
6. Subject is in general good health based on medical history and physical examination.
7. Subject is able to communicate effectively with study personnel and is considered reliable, willing, and cooperative in terms of compliance with the protocol requirements.
8. Subject voluntarily gives written informed consent to participate in the study.

Exclusion Criteria

1. Subject has a current acute or chronic disease, other than infection with HPV, which would be expected to interfere with the planned evaluations of response
2. Subject has vaginal atrophy with or without topical hormonal therapies or systemic selective estrogen receptor modulators (SERMs).
3. Subject has prior exposure to HPV prophylactic vaccine or subject has participated in the past in another vaccination clinical trial related to infection with HPV
4. Current high grade lesions or history of untreated high grade cervical lesion (either CIN2 or CIN3).
5. Subject has current or a history of cancer of the cervix.
6. Subject has clinically significant (CS) gynaecological abnormalities that could interfere with study evaluation, in the judgment of the Investigator (e.g. prolapse, myoma, fibroid, hysterectomy).
7. Subject has a laboratory abnormality Grade ≥ 2, as defined using the Toxicity Grading Scale for Healthy Adult and Adolescent Volunteers Enrolled in Preventative Vaccine Clinical Trials,
8. Subject has received any live viral vaccine within 3 months or any other non live vaccine within 2 weeks of first study product administration.
9. Subject has primary or secondary systemic immunosuppression
10. Subject has a history of severe allergy (requiring hospital care) or history of severe asthma
11. Subject has a history of malignant cancer, except the following adequately treated cancers: basal cell carcinoma, or dermatological squamous cell carcinoma.
12. Subject was administered with another investigational drug or vaccine within 30 days prior to the screening visit or is participating in any other study.
13. Subject has a known hypersensitivity to imiquimod.
14. Subject has a history of severe reaction to any drug or vaccination.
15. Subject has a medical condition with clinical and/or biological consequences judged by the Investigator incompatible with vaccination(s).
16. Subject has positive results for human immunodeficiency virus (HIV), hepatitis B virus (HBV) surface antigen (HBsAg), or hepatitis C virus (HCV).
17. Subject has a symptomatic vaginal or genital infection
18. Subject has a history of or currently active genital herpes disease.
19. Subject is pregnant or is breastfeeding.
20. Subject has a positive serum human chorionic gonadotrophin (HCG) result at enrolment.
Minimum Eligible Age

25 Years

Maximum Eligible Age

50 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Genticel

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Regionaal Ziekenhuis Heilig Hart Tienen Hospital

Tienen, Vlaams Brabant, Belgium

Site Status

Centre for the Evaluation of Vaccination Vaccine & Infectious Disease Institute (VAXINFECTIO) Faculty of Medicine University of Antwerp Belgium

Antwerp, , Belgium

Site Status

Grand Hôpital de Charleroi Site Notre-Dame

Charleroi, , Belgium

Site Status

University Hospitals Leuven

Leuven, , Belgium

Site Status

Helsinki University Central Hospital

Helsinki, , Finland

Site Status

Kuopio University Hospital

Kuopio, , Finland

Site Status

Tampereen yliopistollinen sairaala Hospital

Tampere, , Finland

Site Status

CHU Amiens Hopital Sud

Amiens, , France

Site Status

Hôpital Saint Jacques

Besançon, , France

Site Status

GORH, CHU Estaing

Clermont-Ferrand, , France

Site Status

CHU Dijon

Dijon, , France

Site Status

Hôpital Jeanne de Flandre CHU de Lille

Lille, , France

Site Status

CHU de Nîmes - Hopital Universitaire Caremeau

Nîmes, , France

Site Status

Centre d'Investigation Clinique de Vaccinologie Cochin Pasteur (CIC BT505)

Paris, , France

Site Status

Centre Hospitalier Lyon Sud

Pierre-Bénite, , France

Site Status

CHU de Reims Institut Alix de Champagne

Reims, , France

Site Status

Hôpital de Hautepierre

Strasbourg, , France

Site Status

Charité - Universitätsmedizin Berlin Hospital

Berlin, , Germany

Site Status

Universitätsklinikum Erlangen Hospital

Erlangen, , Germany

Site Status

Elisabeth Krankenhaus Essen GmbH - Clinic/Outpatient Facility

Essen, , Germany

Site Status

Klinikum der Friedrich Schiller Universität Jena Hospital

Jena, , Germany

Site Status

LMU Klinikum der Universität- Hospital

München, , Germany

Site Status

Klinikum Wolfsburg Hospital

Wolfsburg, , Germany

Site Status

Center Gynaecological Oncology Amsterdam AMC, NKI-AVL, VUmc

Amsterdam, , Netherlands

Site Status

St. Antonius Ziekenhuis Hospital

Nieuwegein, , Netherlands

Site Status

Hospital Clinic Dept of Obstetrics and Gynecology C/ Villarroel Unidad de Ginecología Oncológica, Instituto Clínico de Ginecología y Obstetricia y Neonatología (ICGON), Hospital Clínic, Instituto de Investigaciones Biomédi

Barcelona, , Spain

Site Status

Hospital del Mar

Barcelona, , Spain

Site Status

Hospital Universitari Vall D Hebron

Barcelona, , Spain

Site Status

Institut Catala d'Oncologia L'Hopitalet de Llobregat

Barcelona, , Spain

Site Status

Clinica Ginecologica Ceoga, Clinic/Outpatient Facility

Lugo, , Spain

Site Status

Hospital Clínico San Carlos

Madrid, , Spain

Site Status

Hospital La Paz de Madrid

Madrid, , Spain

Site Status

Hospital Universitario "12 de Octubre"

Madrid, , Spain

Site Status

Hospital Regional Universitario Carlos Haya - Hospital Materno Infantil

Málaga, , Spain

Site Status

Hospital Sagrado Corazón de Sevilla

Seville, , Spain

Site Status

Dumfries and Galloway Royal Infirmary Hospital

Dumfries, , United Kingdom

Site Status

Liverpool - GUM - Liverpool Centre for Sexual Health

Liverpool, , United Kingdom

Site Status

St Mary's Hospital

London, , United Kingdom

Site Status

Academic O&G University of Manchester Research - St Mary's Hospital

Manchester, , United Kingdom

Site Status

The Centre for Immunology and Infection Hull York Medical School University of York

York, , United Kingdom

Site Status

Countries

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Belgium Finland France Germany Netherlands Spain United Kingdom

Other Identifiers

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PC10VAC02

Identifier Type: -

Identifier Source: org_study_id

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