REVEAL 2 Trial (Evaluation of VGX-3100 and Electroporation for the Treatment of Cervical HSIL)

NCT ID: NCT03721978

Last Updated: 2024-10-17

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

203 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-02-28

Study Completion Date

2022-09-15

Brief Summary

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HPV-303 is a prospective, randomized, double-blind, placebo-controlled study of VGX-3100 delivered intramuscularly (IM) followed by electroporation (EP) delivered with CELLECTRA™ 5PSP in adult women with histologically confirmed high-grade squamous intraepithelial lesions (HSIL) (cervical intraepithelial neoplasia grade 2 \[CIN2\] or grade 3 \[CIN3\]) of the cervix, 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 3 IM injections of 6 mg (in 1 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 milliliter (mL) VGX-3100 injected IM.

CELLECTRA™-5PSP

Intervention Type DEVICE

CELLECTRA™-5PSP used for EP following IM injection of VGX 3100.

Matched Placebo + EP

Participants received 3 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

Matched Placebo

Intervention Type BIOLOGICAL

1 mL of matched Placebo injected IM.

CELLECTRA™-5PSP

Intervention Type DEVICE

CELLECTRA™-5PSP used for EP following IM injection of VGX 3100.

Interventions

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VGX-3100

1 milliliter (mL) VGX-3100 injected IM.

Intervention Type BIOLOGICAL

Matched Placebo

1 mL of matched Placebo injected IM.

Intervention Type BIOLOGICAL

CELLECTRA™-5PSP

CELLECTRA™-5PSP used for EP following IM injection of VGX 3100.

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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Visions Clinical Research- Tucson

Tucson, Arizona, United States

Site Status

Nuvance Health

Danbury, Connecticut, United States

Site Status

Christiana Care Health System

Newark, Delaware, United States

Site Status

Altus Research

Lake Worth, Florida, United States

Site Status

Salom and Tangir LLC

Miramar, Florida, United States

Site Status

Precision Clinical Research, LLC

Sunrise, Florida, United States

Site Status

Augusta University

Augusta, Georgia, United States

Site Status

Affinity Clinical Research Institute

Oak Brook, Illinois, United States

Site Status

Praetorian Pharmaceutical Research, LLC

Marrero, Louisiana, United States

Site Status

Unified Women's Clinical Research - Hagerstown

Hagerstown, Maryland, United States

Site Status

Boston Medical Center

Boston, Massachusetts, 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

Montefiore Medical Center

The Bronx, New York, United States

Site Status

Unified Women's Clinical Research - Greensboro

Greensboro, North Carolina, United States

Site Status

Unified Women's Clinical Research - Morehead City

Morehead City, North Carolina, United States

Site Status

Lyndhurst Clinical Research

Winston-Salem, North Carolina, United States

Site Status

ClinOhio Research Services

Columbus, Ohio, United States

Site Status

Obstetrics & Gynecology Associates, Inc.

Fairfield, Ohio, United States

Site Status

Frontier Clinical Research-Smithfield

Smithfield, Pennsylvania, United States

Site Status

Venus Gynecology, LLC

Myrtle Beach, South Carolina, United States

Site Status

Women's Physician Group Suite 203

Memphis, Tennessee, United States

Site Status

Storks Research

Sugar Land, Texas, United States

Site Status

Group For Women - Tidewater Clinical Research Inc.

Virginia Beach, 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 Clinica Privada

Ramos Mejía, , Argentina

Site Status

Associação Obras Sociais Irmã Dulce Hospital Santo Antônio

Salvador, Estado de Bahia, Brazil

Site Status

Hospital das Clinicas de Goiânia

Goiânia, Goiás, Brazil

Site Status

Hospital Erasto Gaertner

Curitiba, Paraná, Brazil

Site Status

Hospital Amaral Carvalho

Jaú, São Paulo, Brazil

Site Status

Hospital Das Clinicas da Faculdade de Medicina de Ribeirão Preto - USP

Ribeirão Preto, São Paulo, Brazil

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

HUS Naistentaudit ja synnytykset

Helsinki, Uusimaa, Finland

Site Status

Northern Savo Hospital District Muncipal Federation

Kuopio, , Finland

Site Status

Vilnius District Central Outpatient Clinic

Vilnius, , Lithuania

Site Status

Vilnius University Hospital Santaros Klinikos

Vilnius, , Lithuania

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

Śląskie, , Poland

Site Status

Puerto Rico Translational Research Center (PRTRC)

Rio Piedras, , Puerto Rico

Site Status

Lynette Reynders Private Practice

Centurion, Gauteng, South Africa

Site Status

University of Cape Town

Cape Town, Western Cape, South Africa

Site Status

Hospital Universitario de Bellvitge

L'Hospitalet de Llobregat, Barcelona, Spain

Site Status

Hospital General Universitario Gregorio Maranon

Madrid, , Spain

Site Status

Hospital Universitario 12 de Octubre

Madrid, , Spain

Site Status

Hospital Clinico Universitario de Valencia

Valencia, , Spain

Site Status

Hospital Universitari i Politecnic La Fe de Valencia

Valencia, , Spain

Site Status

Countries

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United States Argentina Brazil Estonia Finland Lithuania Poland Puerto Rico South Africa Spain

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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2018-004114-17

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

HPV-303

Identifier Type: -

Identifier Source: org_study_id

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