REVEAL 1 (Evaluation of VGX-3100 and Electroporation for the Treatment of Cervical HSIL)

NCT ID: NCT03185013

Last Updated: 2023-07-27

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

201 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-06-28

Study Completion Date

2021-04-06

Brief Summary

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HPV-301 is a prospective, randomized, double-blind, placebo controlled Phase 3 study to determine the efficacy, safety, and tolerability of VGX-3100 administered by intramuscular (IM) injection followed by electroporation (EP) delivered with CELLECTRA™ 5PSP in adult women with histologically confirmed cervical high grade squamous intraepithelial lesion (HSIL) (cervical intraepithelial neoplasia grade 2 \[CIN2\] or grade 3 \[CIN3\]) associated with human papillomavirus (HPV) 16 and/or HPV-18.

Detailed Description

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Conditions

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Cervical Dysplasia Cervical High Grade Squamous Intraepithelial Lesion HSIL

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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VGX-3100 + EP

Participants received three IM injections of 6 milligram (mg) (in 1 milliliter \[mL\]) VGX-3100 followed by EP using the CELLECTRA™-5PSP device on Day 0, Week 4, and Week 12.

Group Type EXPERIMENTAL

VGX-3100

Intervention Type BIOLOGICAL

1 mL VGX-3100 will be injected IM and delivered by EP using CELLECTRA™-5PSP on Day 0, Week 4 and Week 12.

Electroporation (EP)

Intervention Type DEVICE

Intramuscular injection followed by EP with the CELLECTRA™ 5PSP device.

Placebo + EP

Participants received three IM injections of 1 mL VGX-3100 matching placebo followed by EP using the CELLECTRA™-5PSP device on Day 0, Week 4, and Week 12.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type BIOLOGICAL

1 mL of Placebo will be injected IM and delivered by EP using CELLECTRA™-5PSP on Day 0, Week 4 and Week 12.

Electroporation (EP)

Intervention Type DEVICE

Intramuscular injection followed by EP with the CELLECTRA™ 5PSP device.

Interventions

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VGX-3100

1 mL VGX-3100 will be injected IM and delivered by EP using CELLECTRA™-5PSP on Day 0, Week 4 and Week 12.

Intervention Type BIOLOGICAL

Placebo

1 mL of Placebo will be injected IM and delivered by EP using CELLECTRA™-5PSP on Day 0, Week 4 and Week 12.

Intervention Type BIOLOGICAL

Electroporation (EP)

Intramuscular injection followed by EP with the CELLECTRA™ 5PSP device.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Women aged 18 years and above
* Confirmed cervical infection with HPV types 16 and/or 18 at screening
* Cervical tissue specimen/slides provided to Study Pathology Adjudication Committee for diagnosis scheduled to be collected within 10 weeks prior to anticipated date of first dose of study drug
* Confirmed histologic evidence of cervical HSIL at screening
* Must be judged by Investigator to be an appropriate candidate for the protocol-specified procedure required at Week 36
* With respect to their reproductive capacity must be post-menopausal or surgically sterile or willing to use a contraceptive method with failure rate of less than 1% per year when used consistently and correctly from screening until Week 36
* Normal screening electrocardiogram (ECG)

Exclusion Criteria

* Microscopic or gross evidence of adenocarcinoma-in-situ (AIS), high grade vulvar, vaginal, or anal intraepithelial neoplasia or invasive cancer in any histopathologic specimen at screening
* Cervical lesion(s) that cannot be fully visualized on colposcopy
* History of endocervical curettage (ECC) which showed cervical HSIL indeterminate, or insufficient for diagnosis
* Treatment for cervical HSIL within 4 weeks prior to screening
* Pregnant, breastfeeding or considering becoming pregnant during the study
* History of previous therapeutic HPV vaccination
* Immunosuppression as a result of underlying illness or treatment
* Receipt of any non-study, non-live vaccine within 2 weeks of Day 0
* Receipt of any non-study, live vaccine within 4 weeks of Day 0
* Current or history of clinically significant, medically unstable disease or condition which, in the judgment of the investigator, would jeopardize the safety of the participant, interfere with study assessments or endpoint evaluation, or otherwise impact the validity of the study results
* Presence of acute or chronic bleeding or clotting disorder that would contraindicate IM injections, or use of blood thinners within 2 weeks of Day 0
* Participation in an interventional study with an investigational compound or device within 30 days of signing informed consent
* Less than two acceptable sites available for IM injection
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Inovio Pharmaceuticals

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Jeffrey Skolnik, MD

Role: STUDY_DIRECTOR

Inovio Pharmaceuticals

Locations

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Mesa Obstetricians and Gynecologist

Mesa, Arizona, United States

Site Status

Women's Health Research

Scottsdale, Arizona, United States

Site Status

Visions Clinical Research-Tucson

Tucson, Arizona, United States

Site Status

Women's Medical Research Group

Clearwater, Florida, United States

Site Status

Altus Research

Lake Worth, Florida, United States

Site Status

Salom and Tangir LLC

Miramar, Florida, United States

Site Status

Comprehensive Clinical Trials LLC

West Palm Beach, Florida, United States

Site Status

Augusta University

Augusta, Georgia, United States

Site Status

Praetorian Pharmaceutical Research, LLC

Marrero, Louisiana, United States

Site Status

Saginaw Valley Medical Research Group LLC

Saginaw, Michigan, United States

Site Status

Meridian Clinical Research Norfolk

Norfolk, Nebraska, United States

Site Status

New Jersey Medical School

Newark, New Jersey, United States

Site Status

Columbia University Medical Center

New York, New York, United States

Site Status

Suffolk Obstetrics and Gynecology

Port Jefferson, New York, United States

Site Status

Lyndhurst Clinical Research

Winston-Salem, North Carolina, United States

Site Status

Greenville Pharmaceutical Research, Inc.

Greenville, South Carolina, United States

Site Status

Magnolia Ob/Gyn Research Center, LLC

Myrtle Beach, South Carolina, United States

Site Status

Chattanooga Medical Research Inc

Chattanooga, Tennessee, United States

Site Status

Women's Physician Group

Memphis, Tennessee, United States

Site Status

UAG Innovation Women Research, LLC

Houston, Texas, United States

Site Status

Group For Women

Norfolk, Virginia, United States

Site Status

Eastern Virginia Medical School

Norfolk, Virginia, United States

Site Status

Instituto de Ginecología

Rosario, Santa Fe Province, Argentina

Site Status

Hospital Italiano de Buenos Aires

Buenos Aires, , Argentina

Site Status

DIM Clínica Privada

Ramos Mejía, , Argentina

Site Status

Centre Hospitalier Universitaire Ambroise Paré

Mons, Hainaut, Belgium

Site Status

Ziekenhuis Oost-Limburg

Genk, Limburg, Belgium

Site Status

Pärnu Hospital

Pärnu, Pärnumaa, Estonia

Site Status

East Tallinn Central Hospital Womens Clinic

Tallinn, , Estonia

Site Status

Tartu University Hospital

Tartu, , Estonia

Site Status

Kätilöopiston sairaala

Helsinki, , Finland

Site Status

Lääkäriasema Cantti Oy

Kuopio, , Finland

Site Status

Elisabeth Krankenhaus Essen GmbH

Essen, , Germany

Site Status

Universitätsklinikum Hamburg Eppendorf

Hamburg, , Germany

Site Status

Fondazione Policlinico Universitario A Gemelli

Rome, Lazio, Italy

Site Status

Istituto Europeo Di Oncologia

Milan, , Italy

Site Status

Istituto Nazionale Dei Tumori

Milan, , Italy

Site Status

Vilnius University Hospital Santaros Klinikos

Vilnius, , Lithuania

Site Status

Vilnius District Central Outpatient Clinic

Vilnius, , Lithuania

Site Status

Nuevo Hospital Civil de Guadalajara Dr. Juan I. Menchaca

Guadalajara, Jalisco, Mexico

Site Status

Unidad de Ensayos Clinicos (UNIDEC) del Policlinico Universidad Nacional Mayor de San Marcos

Lima, , Peru

Site Status

Liga Peruana De Lucha Contra El Cancer

Lima, , Peru

Site Status

Perpetual Succour Hospital

Cebu, , Philippines

Site Status

Niepubliczny Zakład Opieki Zdrowotnej Profimed

Lublin, Lublin Voivodeship, Poland

Site Status

Samodzielny Publiczny Szpital Kliniczny nr 1 w Lublinie

Lublin, Lublin Voivodeship, Poland

Site Status

Centrum Medyczne Angelius Provita

Katowice, , Poland

Site Status

Centro Hospitalar E Universitário de Coimbra EPE

Coimbra, , Portugal

Site Status

Centro Hospitalar de Lisboa Norte, EPE - Hospital de Santa Maria

Lisbon, , Portugal

Site Status

Puerto Rico Translational Research Center (PRTRC)

Rio Piedras, , Puerto Rico

Site Status

MCM GYNPED, s.r.o.

Dubnica nad Váhom, , Slovakia

Site Status

Univerzitna nemocnica Martin

Martin, , Slovakia

Site Status

Lynette Reynders Private Practice

Centurion, Gauteng, South Africa

Site Status

University of Cape Town

Cape Town, , South Africa

Site Status

Hospital Universitario de Bellvitge

L'Hospitalet de Llobregat, Barcelona, Spain

Site Status

Hospital Clinico San Carlos

Madrid, , Spain

Site Status

Hospital Universitario 12 de Octubre

Madrid, , Spain

Site Status

Chulalongkorn University

Bangkok, , Thailand

Site Status

Siriraj Hospital Mahidol University

Bangkok, , Thailand

Site Status

Aberdeen Royal Infirmary - PPDS

Aberdeen, , United Kingdom

Site Status

St Marys Hospital

London, , United Kingdom

Site Status

Countries

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United States Argentina Belgium Estonia Finland Germany Italy Lithuania Mexico Peru Philippines Poland Portugal Puerto Rico Slovakia South Africa Spain Thailand United Kingdom

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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2016-002761-63

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

HPV-301

Identifier Type: -

Identifier Source: org_study_id

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