Occupational Exposure to Human Papilloma Virus (HPV) and Prophylactic Vaccination

NCT ID: NCT03350698

Last Updated: 2023-02-21

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

UNKNOWN

Clinical Phase

PHASE4

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-04-06

Study Completion Date

2023-12-30

Brief Summary

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Currently there are no standards for healthcare worker vaccination with the HPV, Gardasil-9 vaccine. For health care workers, the CDC only recommends for vaccination against hepatitis B, influenza virus, Measles, Mumps and Rubella (MMR), Chickenpox (Varicella), Tetanus, Diptheria, and Pertussis (Tdap), and meninogococcal infections6

Detailed Description

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Initial antibody titers will be measured immediately prior to initial vaccination (month 0). This will entail a blood-draw sample (less than 1 teaspoon) that will be sent to FOCUS labs for evaluation. This will be paid for by funding received from Merck.

The three-dose vaccination schedule will be followed with injections at month 0, 2, and 6. Gardasil 9 dosing will be per the recommended and approved labeled guidelines. Post-vaccination titers would be measured at month 7, which is in alignment with the methods of previous studies. This will entail a blood-draw sample (less than 1 teaspoon) that will be sent to FOCUS labs for evaluation.

Conditions

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Papillomavirus Vaccines

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Prospective Single-Subject Experimental Design
Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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active drug

Human Papilloma virus ,Gardasil, 9 valent vaccine

Group Type EXPERIMENTAL

Gardasil-9

Intervention Type BIOLOGICAL

3 vaccine series

Interventions

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Gardasil-9

3 vaccine series

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

* • Actively practicing attending surgeon in the field of Otolaryngology, General Surgery, Urology, or Obstetrics-Gynecology employed by EVMS or credentialed by CHKD and/or SNGH.

or

• Current residents of EVMS Otolaryngology, General Surgery, Urology, or Obstetrics-Gynecology programs

Exclusion Criteria

* • Age 26 or younger

* Age over 69
* Hypersensitivity to vaccine component
* History of severe allergic or hypersensitivity reactions to yeast
* History of previous HPV vaccination with 9 valent vaccine
* Pregnant
* Moderate or severe acute illness
Minimum Eligible Age

27 Years

Maximum Eligible Age

69 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Merck Sharp & Dohme LLC

INDUSTRY

Sponsor Role collaborator

Eastern Virginia Medical School

OTHER

Sponsor Role lead

Responsible Party

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Craig Derkay M.D.

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Craig H Derkay, MD

Role: PRINCIPAL_INVESTIGATOR

Eastern Virginia Medical School

Locations

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EVMS Otolaryngology

Norfolk, Virginia, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Craig H Derkay, MD

Role: CONTACT

757-668-9842

Laura Stone, RN

Role: CONTACT

757-388-6238

Facility Contacts

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Laura Stone, BSN

Role: primary

757-388-6238

Craig Derkay, MD

Role: backup

References

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Marur S, D'Souza G, Westra WH, Forastiere AA. HPV-associated head and neck cancer: a virus-related cancer epidemic. Lancet Oncol. 2010 Aug;11(8):781-9. doi: 10.1016/S1470-2045(10)70017-6. Epub 2010 May 5.

Reference Type BACKGROUND
PMID: 20451455 (View on PubMed)

Munoz N, Bosch FX, de Sanjose S, Herrero R, Castellsague X, Shah KV, Snijders PJ, Meijer CJ; International Agency for Research on Cancer Multicenter Cervical Cancer Study Group. Epidemiologic classification of human papillomavirus types associated with cervical cancer. N Engl J Med. 2003 Feb 6;348(6):518-27. doi: 10.1056/NEJMoa021641.

Reference Type BACKGROUND
PMID: 12571259 (View on PubMed)

Dickens P, Srivastava G, Loke SL, Larkin S. Human papillomavirus 6, 11, and 16 in laryngeal papillomas. J Pathol. 1991 Nov;165(3):243-6. doi: 10.1002/path.1711650308.

Reference Type BACKGROUND
PMID: 1662265 (View on PubMed)

Stransky N, Egloff AM, Tward AD, Kostic AD, Cibulskis K, Sivachenko A, Kryukov GV, Lawrence MS, Sougnez C, McKenna A, Shefler E, Ramos AH, Stojanov P, Carter SL, Voet D, Cortes ML, Auclair D, Berger MF, Saksena G, Guiducci C, Onofrio RC, Parkin M, Romkes M, Weissfeld JL, Seethala RR, Wang L, Rangel-Escareno C, Fernandez-Lopez JC, Hidalgo-Miranda A, Melendez-Zajgla J, Winckler W, Ardlie K, Gabriel SB, Meyerson M, Lander ES, Getz G, Golub TR, Garraway LA, Grandis JR. The mutational landscape of head and neck squamous cell carcinoma. Science. 2011 Aug 26;333(6046):1157-60. doi: 10.1126/science.1208130. Epub 2011 Jul 28.

Reference Type BACKGROUND
PMID: 21798893 (View on PubMed)

Hallmo P, Naess O. Laryngeal papillomatosis with human papillomavirus DNA contracted by a laser surgeon. Eur Arch Otorhinolaryngol. 1991;248(7):425-7. doi: 10.1007/BF01463570.

Reference Type BACKGROUND
PMID: 1660719 (View on PubMed)

Calero L, Brusis T. [Laryngeal papillomatosis - first recognition in Germany as an occupational disease in an operating room nurse]. Laryngorhinootologie. 2003 Nov;82(11):790-3. doi: 10.1055/s-2003-44546. German.

Reference Type BACKGROUND
PMID: 14634897 (View on PubMed)

Makiyama K, Hirai R, Matsuzaki H. Gardasil Vaccination for Recurrent Laryngeal Papillomatosis in Adult Men: First Report: Changes in HPV Antibody Titer. J Voice. 2017 Jan;31(1):104-106. doi: 10.1016/j.jvoice.2016.01.008. Epub 2016 Apr 8.

Reference Type BACKGROUND
PMID: 27068425 (View on PubMed)

Einstein MH, Takacs P, Chatterjee A, Sperling RS, Chakhtoura N, Blatter MM, Lalezari J, David MP, Lin L, Struyf F, Dubin G; HPV-010 Study Group. Comparison of long-term immunogenicity and safety of human papillomavirus (HPV)-16/18 AS04-adjuvanted vaccine and HPV-6/11/16/18 vaccine in healthy women aged 18-45 years: end-of-study analysis of a Phase III randomized trial. Hum Vaccin Immunother. 2014;10(12):3435-45. doi: 10.4161/hv.36121.

Reference Type BACKGROUND
PMID: 25483701 (View on PubMed)

Sehulster L, Chinn RY; CDC; HICPAC. Guidelines for environmental infection control in health-care facilities. Recommendations of CDC and the Healthcare Infection Control Practices Advisory Committee (HICPAC). MMWR Recomm Rep. 2003 Jun 6;52(RR-10):1-42.

Reference Type BACKGROUND
PMID: 12836624 (View on PubMed)

Ilmarinen T, Auvinen E, Hiltunen-Back E, Ranki A, Aaltonen LM, Pitkaranta A. Transmission of human papillomavirus DNA from patient to surgical masks, gloves and oral mucosa of medical personnel during treatment of laryngeal papillomas and genital warts. Eur Arch Otorhinolaryngol. 2012 Nov;269(11):2367-71. doi: 10.1007/s00405-012-2049-9. Epub 2012 May 16.

Reference Type BACKGROUND
PMID: 22588197 (View on PubMed)

Garden JM, O'Banion MK, Bakus AD, Olson C. Viral disease transmitted by laser-generated plume (aerosol). Arch Dermatol. 2002 Oct;138(10):1303-7. doi: 10.1001/archderm.138.10.1303.

Reference Type BACKGROUND
PMID: 12374535 (View on PubMed)

Related Links

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http://www.cdc.gov/vaccines/adults/rec-vac/hcw.html

recommended vaccines for healthcare workers

Other Identifiers

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17-09-FB-0176

Identifier Type: -

Identifier Source: org_study_id

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