A Study to Evaluate the Immunogenicity, Safety and Tolerability of Quadrivalent Human Papillomavirus Vaccine (V501) in Chinese Girls Aged 9-19 Years and Young Women Aged 20-26 Years (V501-213)
A Phase 3 Open-Label Clinical Trial to Study the Immunogenicity, Safety and Tolerability of Recombinant Human Papillomavirus Quadrivalent (Types 6, 11, 16, 18) Vaccine (V501) in Chinese Girls Aged 9-19 Years and Young Women Aged 20-26 Years
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Locations
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Guangdong
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Yangchun, Guangdong, China, 529600
- Yangchun Center For Disease Prevention And Control ( Site 0003)
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Not pregnant and 1) not a woman of childbearing potential (WOCBP), or 2) a WOCBP who has not had sex with males or has had sex with males and used effective contraception since the first day of participant's last menstrual period through Day 1 and understands and agrees that during the study she should not have sexual intercourse with males without effective contraception (the rhythm method, withdrawal, and emergency contraception are not acceptable methods per the protocol).
- Participant and participant's parent or guardian (participants aged 9-17 years only) provided written informed consent/assent.
- Provided a primary and alternative telephone for follow-up purposes.
- Extension Stage: participant was enrolled in the 9-19 years old group, received 3 doses of V501 in the Base Stage, and participant and participant's legally acceptable representative (if applicable) provided written informed consent/assent for the study extension.
Exclusion Criteria:
- History of severe allergic reaction that required medical intervention.
- Allergic to any vaccine component, including aluminum, yeast, or Benzonase® (nuclease).
- Known thrombocytopenia or any coagulation disorder that would contraindicate intramuscular injections.
- Currently immunocompromised or was diagnosed as having congenital or acquired immunodeficiency, human immunodeficiency virus (HIV) infection, lymphoma, leukemia, systemic lupus erythematosus (SLE), rheumatoid arthritis, juvenile rheumatoid arthritis (JRA), inflammatory bowel disease, or other autoimmune condition.
- History of splenectomy.
- Any condition which in the opinion of the investigator might interfere with the evaluation of the study objectives.
- History of recent or ongoing alcohol or other drug abuse.
- History of a positive test for HPV.
- Any history of abnormal Pap test.
- History of external genital wart, vulvar intraepithelial neoplasia (VIN), vaginal intraepithelial neoplasia (VaIN), vulvar cancer or vaginal cancer.
- Undergone hysterectomy (either vaginal or total abdominal hysterectomy).
- Receiving or has received in the year prior to Day 1 vaccination an excluded immunosuppressive therapy. A participant will be excluded if she is currently receiving steroid therapy, has recently received such therapy, or has received 2 or more courses of corticosteroids (orally or parenterally) lasting at least 1 week in duration in the year prior to Day 1 vaccination. Participants using inhaled, nasal or topical steroids are considered eligible for the study.
- Received immune globulin product or blood-derived product within 6 months prior to Day 1 vaccination, or plans to receive any such product during the study.
- Received a marketed HPV vaccine, or has participated in an HPV vaccine clinical trial and has received either active agent or placebo.
- Received inactivated or recombinant vaccines within 14 days prior to Day 1 vaccination or receipt of live vaccines within 21 days prior to Day 1 vaccination.
- Concurrently enrolled in a clinical study of investigational agents.
- Had >4 lifetime sexual partners.
- Unlikely to adhere to the study procedures, keep appointments, or is planning to permanently relocate from the area prior to the completion of the study or to leave for an extended period of time when study visits would need to be scheduled.
- An immediate family member who is investigational site or sponsor staff directly involved with this study.
- Extension Stage: reported overdose or received non-study HPV vaccine during the Base Stage.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Experimental: Chinese Girls Aged 9 to 19 Years
Participants will receive V501 0.5 mL intramuscular injection at Day 1, Month 2, and Month 6
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0.5 mL intramuscular injection in the deltoid muscle at Day 1, Month 2, and Month 6
Other Names:
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Active Comparator: Chinese Young Women Aged 20 to 26 Years
Participants will receive V501 0.5 mL intramuscular injection at Day 1, Month 2, and Month 6
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0.5 mL intramuscular injection in the deltoid muscle at Day 1, Month 2, and Month 6
Other Names:
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Base Stage: Geometric Mean Titers for Serum Anti-Human Papillomavirus (HPV) Types 6, 11, 16, and 18: Competitive Luminex Immunoassay (cLIA)
Time Frame: Month 7 (1 month postdose 3)
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Serum antibody titers (Geometric mean titers) for HPV Types 6, 11, 16, and 18 were measured.
Antibodies were measured using a Competitive Luminex Immunoassay (cLIA).
Antibody titers were expressed as milli Merck Units/milliliter (mMU/mL).
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Month 7 (1 month postdose 3)
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Extension Stage: GMTs for Serum Anti-Human Papillomavirus (HPV) Types 6, 11, 16, and 18 at Month 12 Assessed by cLIA
Time Frame: Month 12 post-vaccination 1
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Serum antibody titers (Geometric mean titers) for HPV Types 6, 11, 16, and 18 were measured.
Antibodies were measured using a Competitive Luminex Immunoassay (cLIA).
Antibody titers were expressed as (mMU/mL).
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Month 12 post-vaccination 1
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Extension Stage: GMTs for Serum Anti-Human Papillomavirus (HPV) Types 6, 11, 16, and 18 at Month 24 Assessed by cLIA
Time Frame: Month 24 post-vaccination 1
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Serum antibody titers (Geometric mean titers) for HPV Types 6, 11, 16, and 18 were measured.
Antibodies were measured using a Competitive Luminex Immunoassay (cLIA).
Antibody titers were expressed as (mMU/mL).
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Month 24 post-vaccination 1
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Extension Stage: GMTs for Serum Anti-Human Papillomavirus (HPV) Types 6, 11, 16, and 18 at Month 36 Assessed by cLIA
Time Frame: Month 36 post-vaccination 1
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Serum antibody titers (Geometric mean titers) for HPV Types 6, 11, 16, and 18 were measured.
Antibodies were measured using a Competitive Luminex Immunoassay (cLIA).
Antibody titers were expressed as (mMU/mL).
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Month 36 post-vaccination 1
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Extension Stage: GMTs for Serum Anti-Human Papillomavirus (HPV) Types 6, 11, 16, and 18 at Month 48 Assessed by cLIA
Time Frame: Month 48 post-vaccination 1
|
Serum antibody titers (Geometric mean titers) for HPV Types 6, 11, 16, and 18 were measured.
Antibodies were measured using a Competitive Luminex Immunoassay (cLIA).
Antibody titers were expressed as (mMU/mL).
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Month 48 post-vaccination 1
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Extension Stage: GMTs for Serum Anti-Human Papillomavirus (HPV) Types 6, 11, 16, and 18 at Month 60 Assessed by cLIA
Time Frame: Month 60 post-vaccination 1
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Serum antibody titers (Geometric mean titers) for HPV virus-like particles (VLPs) Types 6, 11, 16, and 18 were measured.
Antibodies were measured using a Competitive Luminex Immunoassay (cLIA).
Antibody titers were expressed as (mMU/mL).
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Month 60 post-vaccination 1
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Extension Stage: Percentage of Participants With Seropositivity to HPV Types 6, 11, 16, and 18 at Month 12 Assessed by cLIA
Time Frame: Month 12 post-vaccination 1
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The percentage of participants who are seropositive to each of HPV Types 6, 11, 16, and 18 were assessed.
Antibodies were measured using cLIA.
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Month 12 post-vaccination 1
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Extension Stage: Percentage of Participants With Seropositivity to HPV Types 6, 11, 16, and 18 at Month 24 Assessed by cLIA
Time Frame: Month 24 post-vaccination 1
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The percentage of participants who are seropositive to each of HPV Types 6, 11, 16, and 18 were assessed.
Antibodies were measured using cLIA.
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Month 24 post-vaccination 1
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Extension Stage: Percentage of Participants With Seropositivity to HPV Types 6, 11, 16, and 18 at Month 36 Assessed by cLIA
Time Frame: Month 36 post-vaccination 1
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The percentage of participants who are seropositive to each of HPV Types 6, 11, 16, and 18 were assessed.
Antibodies were measured using cLIA.
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Month 36 post-vaccination 1
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Extension Stage: Percentage of Participants With Seropositivity to HPV Types 6, 11, 16, and 18 at Month 48 Assessed by cLIA
Time Frame: Month 48 post-vaccination 1
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The percentage of participants who are seropositive to each of HPV Types 6, 11, 16, and 18 were assessed.
Antibodies were measured using cLIA.
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Month 48 post-vaccination 1
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Extension Stage: Percentage of Participants With Seropositivity to HPV Types 6, 11, 16, and 18 at Month 60 Assessed by cLIA
Time Frame: Month 60 post-vaccination 1
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The percentage of participants who are seropositive to each of HPV Types 6, 11, 16, and 18 were assessed.
Antibodies were measured using cLIA.
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Month 60 post-vaccination 1
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Extension Stage: GMTs for Serum Anti-HPV Types 6, 11, 16, and 18 at Month 12 Assessed by Immunoglobulin G Luminex Immunoassay (IgG LIA)
Time Frame: Month 12 post-vaccination 1
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Serum antibody titers (Geometric mean titers) for HPV Types 6, 11, 16, and 18 were measured.
Antibodies were measured using IgG LIA.
Antibody titers were expressed as (mMU/mL).
|
Month 12 post-vaccination 1
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Extension Stage: GMTs for Serum Anti-HPV Types 6, 11, 16, and 18 at Month 24 Assessed by Immunoglobulin G Luminex Immunoassay (IgG LIA)
Time Frame: Month 24 post-vaccination 1
|
Serum antibody titers (Geometric mean titers) for HPV Types 6, 11, 16, and 18 were measured.
Antibodies were measured using IgG LIA.
Antibody titers were expressed as (mMU/mL).
|
Month 24 post-vaccination 1
|
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Extension Stage: GMTs for Serum Anti-HPV Types 6, 11, 16, and 18 at Month 36 Assessed by Immunoglobulin G Luminex Immunoassay (IgG LIA)
Time Frame: Month 36 post-vaccination 1
|
Serum antibody titers (Geometric mean titers) for HPV Types 6, 11, 16, and 18 were measured.
Antibodies were measured using IgG LIA.
Antibody titers were expressed as (mMU/mL).
|
Month 36 post-vaccination 1
|
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Extension Stage: GMTs for Serum Anti-HPV Types 6, 11, 16, and 18 at Month 48 Assessed by Immunoglobulin G Luminex Immunoassay (IgG LIA)
Time Frame: Month 48 post-vaccination 1
|
Serum antibody titers (Geometric mean titers) for HPV Types 6, 11, 16, and 18 were measured.
Antibodies were measured using IgG LIA.
|
Month 48 post-vaccination 1
|
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Extension Stage: GMTs for Serum Anti-HPV Types 6, 11, 16, and 18 at Month 60 Assessed by Immunoglobulin G Luminex Immunoassay (IgG LIA)
Time Frame: Month 60 post-vaccination 1
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Serum antibody titers (Geometric mean titers) for HPV Types 6, 11, 16, and 18 were measured.
Antibodies were measured using IgG LIA.
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Month 60 post-vaccination 1
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Extension Stage: Percentage of Participants With Seropositivity to HPV Types 6, 11, 16, and 18 at Month 12 Assessed by IgG LIA
Time Frame: Month 12 post-vaccination 1
|
The percentage of participants who are seropositive to each of HPV Types 6, 11, 16, and 18 were assessed.
Antibodies were measured using IgG LIA.
|
Month 12 post-vaccination 1
|
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Extension Stage: Percentage of Participants With Seropositivity to HPV Types 6, 11, 16, and 18 at Month 24 Assessed by IgG LIA
Time Frame: Month 24 post-vaccination 1
|
The percentage of participants who are seropositive to each of HPV Types 6, 11, 16, and 18 were assessed.
Antibodies were measured using IgG LIA.
|
Month 24 post-vaccination 1
|
|
Extension Stage: Percentage of Participants With Seropositivity to HPV Types 6, 11, 16, and 18 at Month 36 Assessed by IgG LIA
Time Frame: Month 36 post-vaccination 1
|
The percentage of participants who are seropositive to each of HPV Types 6, 11, 16, and 18 were assessed.
Antibodies were measured using IgG LIA.
|
Month 36 post-vaccination 1
|
|
Extension Stage: Percentage of Participants With Seropositivity to HPV Types 6, 11, 16, and 18 at Month 48 Assessed by IgG LIA
Time Frame: Month 48 post-vaccination 1
|
The percentage of participants who are seropositive to each of HPV Types 6, 11, 16, and 18 were assessed.
Antibodies were measured using IgG LIA.
|
Month 48 post-vaccination 1
|
|
Extension Stage: Percentage of Participants With Seropositivity to HPV Types 6, 11, 16, and 18 at Month 60 Assessed by IgG LIA
Time Frame: Month 60 post-vaccination 1
|
The percentage of participants who are seropositive to each of HPV Types 6, 11, 16, and 18 were assessed.
Antibodies were measured using IgG LIA.
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Month 60 post-vaccination 1
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Base Stage: Percentage of Participants With Seroconversion for HPV Types 6, 11, 16, and 18: cLIA
Time Frame: Month 7 (1 month postdose 3)
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Seroconversion is defined as changing serostatus from seronegative at Day 1 to seropositive at 1 month post dose 3. Antibodies were measured using a Competitive Luminex Immunoassay (cLIA).
Antibody titers were expressed as milli Merck Units/milliliter (mMU/mL).
|
Month 7 (1 month postdose 3)
|
|
Base Stage: Geometric Mean Titers for Serum Anti-HPV Types 6, 11, 16, and 18: IgG LIA
Time Frame: Month 7 (1 month postdose 3)
|
Antibodies to HPV Types 6, 11, 16, and 18 were measured using an IgG LIA.
Antibody titers were expressed as milli Merck Units/milliliter (mMU/mL).
|
Month 7 (1 month postdose 3)
|
|
Base Stage: Percentage of Participants With Seroconversion for HPV Types 6, 11, 16, and 18: IgG LIA
Time Frame: Month 7 (1 month postdose 3)
|
The percentage of participants who seroconverted to each of HPV Types 6, 11, 16, and 18 was assessed.
Antibodies were measured using IgG LIA.
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Month 7 (1 month postdose 3)
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Base Stage: Percentage of Participants Who Experienced a Solicited Injection-site Adverse Event (AE)
Time Frame: Up to 15 days after any vaccination
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An AE is any untoward medical occurrence in a patient or clinical study participant, temporally associated with the use of study treatment, whether or not considered related to the study treatment.
Solicited injection-site AEs included injection-site redness, swelling, induration, pain, and pruritus.
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Up to 15 days after any vaccination
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Base Stage: Percentage of Participants Participants Who Experienced a Solicited Systemic AE
Time Frame: Up to 15 days after any vaccination
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An AE is any untoward medical occurrence in a patient or clinical study participant, temporally associated with the use of study treatment, whether or not considered related to the study treatment.
Solicited systemic AEs included hypersensitivity, headache, fatigue, vomiting, nausea, diarrhea, myalgia, pyrexia, and cough.
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Up to 15 days after any vaccination
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Base Stage: Percentage of Participants Who Experienced a Serious Adverse Event (SAE)
Time Frame: Up to Month 7 (1 month postdose 3)
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An SAE is an AE that results in death, is life threatening, requires hospitalization or prolongs an existing hospitalization, results in persistent or significant disability or incapacity, is a congenital anomaly or birth defect, according to medical or scientific judgment, may jeopardize the participant or requires medical or surgical intervention to prevent one of the other outcomes listed in the above definition.
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Up to Month 7 (1 month postdose 3)
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Base Stage: Percentage of Participants Who Experienced an AE
Time Frame: Up to 31 days after any vaccination
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An AE is any untoward medical occurrence in a patient or clinical study participant, temporally associated with the use of study treatment, whether or not considered related to the study treatment
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Up to 31 days after any vaccination
|
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Base Stage: Maximum Axillary Temperature: Merck Sharp & Dohme (MSD) Criteria
Time Frame: Up to 5 days after any vaccination
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In the global studies, fever is defined as an oral temperature of ≥37.8°C or 100.0°F, which is equivalent to axillary temperature of ≥37.2°C, while the definition of fever is axillary temperature of ≥37.1°C in Chinese criteria.
To be compliant to Chinese criteria, axillary temperatures of ≥37.1°C was considered as a fever in this study.
Body temperature readings assessed orally were converted to the axillary equivalent.
The percentage of participants with a maximum axillary or converted axillary temperature was summarized by temperature range.
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Up to 5 days after any vaccination
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Extension Stage: Percentage of Participants Who Experienced an SAE
Time Frame: Month 7 up to Month 60
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The percentage of participants with an SAE will be assessed.
An SAE is an AE that results in death, is life threatening, requires hospitalization or prolongs an existing hospitalization, results in persistent or significant disability or incapacity, is a congenital anomaly or birth defect, according to medical or scientific judgment, may jeopardize the participant or requires medical or surgical intervention to prevent one of the other outcomes listed in the above definition.
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Month 7 up to Month 60
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: Medical Director, Merck Sharp & Dohme LLC
Publications and helpful links
Helpful Links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Urogenital Diseases
- Genital Diseases
- Neoplasms
- Female Urogenital Diseases
- Female Urogenital Diseases and Pregnancy Complications
- Neoplasms by Histologic Type
- Uterine Diseases
- Genital Diseases, Female
- Neoplasms, Glandular and Epithelial
- Adenocarcinoma
- Carcinoma
- Precancerous Conditions
- Uterine Cervical Diseases
- Carcinoma in Situ
- Uterine Cervical Dysplasia
- Adenocarcinoma in Situ
- Immunologic Factors
- Physiological Effects of Drugs
- Vaccines
Other Study ID Numbers
Other Study ID Numbers
- V501-213 (Other Identifier: MSD Protocol Number)
- 2023-001144-29 (EudraCT Number)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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