Safety and Efficacy Study of TVGV-1 Vaccine to Treat HPV Induced Cervical HSIL

NCT ID: NCT02576561

Last Updated: 2017-10-25

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

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

UNKNOWN

Clinical Phase

PHASE2

Total Enrollment

10 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-11-30

Study Completion Date

2018-09-30

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

The purpose of this research study is to test the safety and effectiveness of the investigational study vaccine, called TVGV-1. The study will test the vaccine in women with high grade HPV cervical infection.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

The purpose of the Phase 2a Study VAX 02-01 is to assess the safety and activity of TVGV-1 vaccine construct in achieving the absence of histologic HSIL (CIN2/3) (regression to LSIL or less) as assessed by biopsy at last study Visit 11, Day 270.

The objective of the TVGV-1 program is to develop a non-surgical alternative that is reliable, safe, and would avoid potential surgical risks such as preterm birth, perinatal mortality, risk of infertility, incontinence and disfigurement, as well as reduced cost and inconvenience for an otherwise economically productive young subject population.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Human Papillomavirus High-Grade Squamous Intraepithelial Lesions

Keywords

Explore important study keywords that can help with search, categorization, and topic discovery.

human papillomavirus Cervical Intraepithelial Neoplasia Cold Knife Conization hysterectomy Loop Electrosurgical Excision Procedure LEEP HSIL High-Grade Squamous Intraepithelial Lesion

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

TVGV-1 (cohort 1)

Antigen + Adjuvant - 0.6 mg lyophilized PEK fusion protein + 0.6 ml\* GPI- 0100 (1:1 ratio)

Group Type EXPERIMENTAL

TVGV-1

Intervention Type BIOLOGICAL

Antigen + Adjuvant

GPI-0100 (cohort 1)

Adjuvant Alone - 0 mg lyophilized PEK fusion protein. 0.6 mg lyophilized placebo cake + 0.6 ml\* GPI- 0100 (1:1 ratio)

Group Type ACTIVE_COMPARATOR

GPI-0100

Intervention Type BIOLOGICAL

Adjuvant Alone

Placebo (cohort 1)

Placebo- 0 mg lyophilized PEK fusion protein. 0.6 mg lyophilized placebo cake + 0.6 ml placebo-diluent (1:1 ratio)

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type BIOLOGICAL

Placebo

TVGV-1 (cohort 2)

Antigen + Adjuvant - 0.9 mg lyophilized PEK fusion protein + 0.9 ml\* GPI- 0100 (1:1 ratio)

Group Type EXPERIMENTAL

TVGV-1

Intervention Type BIOLOGICAL

Antigen + Adjuvant

GPI-0100 (cohort 2)

Adjuvant Alone - 0 mg lyophilized PEK fusion protein. 0.9 mg lyophilized placebo cake + 0.9 ml\* GPI- 0100 (1:1 ratio)

Group Type ACTIVE_COMPARATOR

GPI-0100

Intervention Type BIOLOGICAL

Adjuvant Alone

Placebo (cohort 2)

Placebo - 0 mg lyophilized PEK fusion protein. 0.9 mg lyophilized placebo cake + 0.9 ml placebo diluent (1:1 ratio)

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type BIOLOGICAL

Placebo

TVGV-1 (cohort 3)

Antigen + Adjuvant - 1.2 mg lyophilized PEK fusion protein + 1.2 ml\* GPI- 0100 (1:1 ratio)

Group Type EXPERIMENTAL

TVGV-1

Intervention Type BIOLOGICAL

Antigen + Adjuvant

GPI-0100 (cohort 3)

Adjuvant Alone - 0 mg lyophilized PEK fusion protein + 1.2 mg lyophilized placebo cake 1.2 ml\* GPI- 0100 (1:1 ratio)

Group Type ACTIVE_COMPARATOR

GPI-0100

Intervention Type BIOLOGICAL

Adjuvant Alone

Placebo (cohort 3)

Placebo - 0 mg lyophilized PEK fusion protein. 1.2 mg lyophilized placebo cake + 1.2 ml placebo-diluent (1:1 ratio)

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type BIOLOGICAL

Placebo

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

TVGV-1

Antigen + Adjuvant

Intervention Type BIOLOGICAL

GPI-0100

Adjuvant Alone

Intervention Type BIOLOGICAL

Placebo

Placebo

Intervention Type BIOLOGICAL

Other Intervention Names

Discover alternative or legacy names that may be used to describe the listed interventions across different sources.

lyophilized PEK fusion protein GPI-0100 Antigen Adjuvant Adjuvant lyophilized placebo cak placebo diluent sterile water

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

1. Female age 18 to 55 years
2. Written informed consent in accordance with institutional guidelines
3. Negative pregnancy test (urine and blood tests)
4. Women of child bearing potential must agree to use contraception through one menstrual cycle post end of study or if early withdrawal, through what would have been visit 11. Methods include intrauterine device or double barrier method, hormonal contraceptive in combination with a double barrier method.
5. Patients who have ONLY HPV 16 OR HPV 16 AND 18 and no other High-Risk HPV by Cobas test will be included.
6. Histologically confirmed, positive HSIL of CIN2+ or higher (only CIN2+/3 subjects will be selected) cervical biopsy, confirmed by external (independent) pathologist panel within the 12 weeks prior to enrollment. If the standard care biopsy is not available for evaluation by the independent pathologist, a fresh biopsy and endocervical curettage will be required. The extent of colposcopic HSIL disease should not involve more than two quadrants of the cervix. Biopsies should be taken from each affected quadrant
7. Adequate visualization of entire cervix, cervical lesion(s) and squamous-columnar junction
8. Normal electrocardiogram (ECG), laboratory values (chemistry, complete blood count) and urinalysis, as judged Grade 0-1 by per National Cancer Institute Common Toxicity Criteria (NCI-CTC)
9. Agrees to Loop Electrosurgical Excision Procedure (LEEP), Cold Knife Conization (CKC) or Hysterectomy being performed at the end of study according to the standard-of-care

Exclusion Criteria

1. History of cancer (excluding basal cell carcinoma of the skin) including cervical cancer
2. Eastern Cooperative Oncology Group (ECOG) performance status \>2 (See Appendix G)
3. Administration of any blood product within 3 months of enrollment
4. Active infection requiring antimicrobial treatment that would interfere with interpretation of adverse events, cutaneous reactions or efficacy. Treatment of minor concurrent infections should be limited to less than 10 days.
5. Administration of any vaccine within 8 weeks of enrollment and within 4 weeks for flu vaccine.
6. Participation in any study with an investigational compound or device within 30 days prior to signing informed consent
7. Any hematologic disorder involving platelets or clotting abnormalities or any condition requiring treatment with transfusions, anticoagulants except platelet inhibitors (NSAIDs as needed for pain are permitted)
8. Active drug or alcohol use or dependence that, in the opinion of the Site Investigator, would interfere with adherence to study protocol
9. Skin conditions that require consistent use of topical corticosteroids or other local or systemic therapy that may interfere with interpretation or description of skin-related adverse events linked to vaccination
10. The standard criteria for prospective clinical trials of medications developed by Drug-Induced Liver Injury Network (established by The National Institute of Diabetes and Digestive and Kidney Diseases) will be used to assess the laboratory test abnormalities. Normal range for these labs will typically be 5 - 40 IU/L for AST; 7 - 56 IU/L for ALT; 0.2 - 1.2 mg/dL for bilirubin. Subjects will be excluded if values are x 2-x 2.5 the upper limit
11. Evidence of hematopoietic, cardiovascular, hepatic, renal, neurologic, psychiatric, dermatologic, immune disorder, or other disease that may interfere with assessment of safety or efficacy of vaccine activity as indicated in study objectives
12. Any known allergic reaction to vaccine components
13. Any other medical condition(s) that, in the judgment of the Site Investigator, might interfere with the study or require treatment that might interfere with the study
14. Family member of the investigation study staff
15. Pregnant or breast-feeding
16. Inability to provide informed consent
17. A subject with a history or expectation of noncompliance with medications or treatment protocol
18. Receipt of (e.g. Gardasil® or Cervarix®) HPV preventative vaccines within 8 years of study enrollment
19. Excessive use of acetaminophen or other potentially hepatotoxic drugs
Minimum Eligible Age

18 Years

Maximum Eligible Age

55 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Clinical Research Management, Inc.

INDUSTRY

Sponsor Role collaborator

THEVAX Genetics Vaccine

INDUSTRY

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Responsibility Role SPONSOR

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

Frank L Douglas, PhD, MD

Role: STUDY_DIRECTOR

THEVAX Genetics Vaccine

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

Visions Clinical Research - Tucson

Tucson, Arizona, United States

Site Status

Red Rocks OBGYN

Lakewood, Colorado, United States

Site Status

Progressive Medical Research

Port Orange, Florida, United States

Site Status

Comprehensive Clinical Trials, LLC

West Palm Beach, Florida, United States

Site Status

Grady Memorial Hospital

Atlanta, Georgia, United States

Site Status

ProHEALTH Care Associates LLP

Port Jefferson, New York, United States

Site Status

Unified Women's Clinical Research

Raleigh, North Carolina, United States

Site Status

Unified Women's Clinical Research

Winston-Salem, North Carolina, United States

Site Status

Complete Healthcare for Women

Columbus, Ohio, United States

Site Status

Penn Fertility Care/Reproductive Research Unit Univ of Pennsylvania

Philadelphia, Pennsylvania, United States

Site Status

Insearch-Tidewater Clinical Research

Norfolk, Virginia, United States

Site Status

Countries

Review the countries where the study has at least one active or historical site.

United States

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

VAX 02-01

Identifier Type: -

Identifier Source: org_study_id