Efficacy, Immunogenicity and Safety of V503 in Chinese Women Aged 20-45 Years (V503-023)
A Phase 3 Randomized, Double-Blinded, Controlled With GARDASIL® Efficacy, Immunogenicity and Safety Study of V503 [a 9-Valent HPV Vaccine] in Chinese Women 20 to 45 Years of Age
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Locations
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Guangxi
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Guilin, Guangxi, China, 541200
- Lingchuan Center for Disease Control and Prevention ( Site 0002)
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Guilin, Guangxi, China, 541500
- Quanzhou Center for Disease Control and Prevention ( Site 0001)
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Shanxi
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Changzhi, Shanxi, China, 046299
- Xiangyuan Center for Disease Control and Prevention ( Site 0003)
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Yuncheng, Shanxi, China, 044000
- Yanhu Center for Disease Control and Prevention of Yuncheng ( Site 0004)
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Sichuan
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Mianyang, Sichuan, China, 621000
- Mianyang Center for Disease Control and Prevention ( Site 0005)
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Mianyang, Sichuan, China, 621100
- Santai County Center for Disease Control and Prevention ( Site 0006)
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria
- Healthy
- Has not had sex with males or has had sex with males and used effective contraception with no failures since the first day of the participant's last menstrual period through Day 1
- Agrees to use effective contraception if has sex with a male partner during study
- Has had sexual intercourse with male partners, and has had 1 to 4 male and/or female sexual partners
Exclusion Criteria
- History of a positive test for HPV
- History of an abnormal Pap test result showing ASC-US, atypical squamous cells - cannot exclude HSIL (high grade squamous intraepithelial lesion [(ASC-H)], low-grade squamous intraepithelial lesion (LSIL), HSIL), or atypical glandular cells
- History of an abnormal cervical biopsy result showing CIN, adenocarcinoma in situ or cervical cancer
- History of or clinical evidence at the Day 1 gynecologic examination of HPV-related anogenital diseases (e.g., genital warts, VIN, VaIN, AIN, vulvular cancer, vaginal cancer or anal cancer
- Does not have an intact cervix uteri or has more than one cervix uteri
- Is pregnant
- Known allergy to any vaccine component, including aluminum, yeast, or Benzonase™ (nuclease, Nycomed™ [used to remove residual nucleic acids from this and other vaccines])
- History of severe allergic reaction (e.g., swelling of the mouth and throat, difficulty breathing, hypotension or shock) that required medical intervention
- Has thrombocytopenia or any coagulation disorder that would contraindicate intramuscular injections
- Currently immunocompromised or has been diagnosed as having a 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
- Has had a splenectomy
- Is expecting to donate eggs during Day 1 through Month 7 of the study
- Plans to receive during Day 1 through Month 7 of the study, is receiving or has received within 12 months prior to enrollment the following immunosuppressive therapies: radiation therapy, cyclophosphamide, azathioprine, methotrexate, any chemotherapy, cyclosporin, leflunomide (Arava™), tumor necrosis factor (TNF)-α antagonists, monocolonal antibody therapies (including rituximab [Rituxan™]), intravenous gamma globulin (IVIG), antilymphocyte sera, or other therapy known to interfere with the immune response. With regard to systemic corticosteroids, a participant will be excluded if she is currently receiving steroid therapy, has recently (defined as within 2 weeks of enrollment) received such therapy, or has received 2 or more courses of high dose corticosteroids (orally or parenterally) lasting at least 1 week within 12 months prior to enrollment. Participants using inhaled, nasal, or topical corticosteroids are considered eligible for the study.
- Plans to receive during Day 1 through Month 7 of the study, is receiving or has received within the 6 months prior to the Day 1 vaccination any immune globulin product (including RhoGAM™) or blood derived product other than IVIG
- Has received a marketed HPV vaccine, or has participated in an HPV vaccine clinical study and has received either active agent or placebo
- Concurrently enrolled in clinical studies of investigational agents or studies involving collection of cervical specimens
- User of recreational or illicit drugs or has had a recent history (within the last year) of drug or alcohol abuse or dependence at the discretion of the investigator. Alcohol abusers are defined as those who drink despite recurrent social, interpersonal, and/or legal problems as a result of alcohol use
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: V503
Single 0.5-mL intramuscular injection at Day 1, Month 2, and Month 6
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9vHPV [Types 6, 11, 16, 18, 31, 33, 45, 52, and 58] L1 virus-like particle vaccine
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Active Comparator: Gardasil
Single 0.5-mL intramuscular injection at Day 1, Month 2, and Month 6
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qHPV [Types 6, 11, 16, and 18] L1 virus-like particle vaccine
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Stage I: Combined Incidence of HPV 31-, 33-, 45-, 52-, and 58-related 12-month Persistent Infection
Time Frame: 1 month post vaccination 3 (Month 7) up to Month 30
|
A 12-month persistent infection This endpoint is defined to have occurred if a participant who is positive for the same HPV type by the HPV PCR assay in the LVPP/EEC swabs, biopsy, ECC or definitive therapy samples obtained in 3 or more consecutive visits over a period of at least 12 months.
Incidence is defined as the number of cases of persistent infection per 10,000 person-years of follow-up in a treatment arm.
|
1 month post vaccination 3 (Month 7) up to Month 30
|
|
Stage I: Geometric Mean Titers to HPV Types 6, 11, 16, and 18 Antibodies
Time Frame: 1-month post vaccination 3 (Month 7)
|
Serum antibodies to HPV types 6/11/16/18 are measured with a Competitive Luminex Immunoassay (cLIA).
Titers are reported in milli Merck Units/mL.
|
1-month post vaccination 3 (Month 7)
|
|
Stage I: Percentage of Participants Who Report at Least 1 Solicited Injection-site Adverse Event
Time Frame: up to 8 days post any vaccination
|
An AE is defined as any untoward medical occurrence in a participant which does not necessarily have a causal relationship with study vaccine.
An AE can therefore be any unfavourable and unintended sign, symptom, or disease temporally associated with the use of study vaccine or a protocol-specified procedure, whether or not considered related to the study vaccine or protocol-specified procedure.
Any worsening of a preexisting condition that is temporally associated with the study vaccine or protocol-specified procedure is also an AE.
AEs such as redness, swelling, and pain/tenderness/soreness at the injection site are recorded.
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up to 8 days post any vaccination
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Stage I: Percentage of Participants Who Report at Least 1 Solicited Systemic Adverse Event
Time Frame: up to 30 days post any vaccination
|
An AE is defined as any untoward medical occurrence in a participant which does not necessarily have a causal relationship with study vaccine.
An AE can therefore be any unfavourable and unintended sign, symptom, or disease temporally associated with the use of study vaccine or a protocol-specified procedure, whether or not considered related to the study vaccine or protocol-specified procedure.
Any worsening of a preexisting condition that is temporally associated with the study vaccine or protocol-specified procedure is also an AE.
Systemic AEs are those not categorized as injection-site AEs.
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up to 30 days post any vaccination
|
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Stage I: Percentage of Participants Who Experience at Least 1 Serious Adverse Event (SAE)
Time Frame: Day 1 up to approximately Month 30
|
An AE is defined as any untoward medical occurrence in a participant which does not necessarily have a causal relationship with study vaccine.
An AE can therefore be any unfavourable and unintended sign, symptom, or disease temporally associated with the use of study vaccine or a protocol-specified procedure, whether or not considered related to the study vaccine or protocol-specified procedure.
Any worsening of a preexisting condition that is temporally associated with the study vaccine or protocol-specified procedure is also an AE.
An SAE is an AE that results in death, is life threatening, results in a persistent or significant disability or incapacity, results in or prolongs an existing hospitalization, is a congenital anomaly or birth defect, or is another important medical event.
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Day 1 up to approximately Month 30
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Stage II: Combined Incidence of HPV 31-, 33-, 45-, 52-, and 58-related CIN 2/3, AIS, and cervical cancer
Time Frame: Month 7 up to Month 90
|
This endpoint is defined to have occurred if on a single cervical biopsy, ECC, LEEP or Conization (cold knife/laser) specimen, there is: (a) a HPV Pathology Panel consensus diagnosis of CIN (grade 2 or 3), AIS, or cervical cancer; AND (b) detection of at least 1 of HPV types 31, 33, 45, 52 or 58 by Thinsection PCR in an adjacent section from the same tissue block.
Disease incidence is defined as the number cases per 10,000 person-years of follow-up in a treatment arm.
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Month 7 up to Month 90
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Stages I/II: Percentage of Participants Who Experience at Least 1 Serious Adverse Event (SAE)
Time Frame: Day 1 up to approximately Month 90
|
An AE is defined as any untoward medical occurrence in a participant which does not necessarily have a causal relationship with study vaccine.
An AE can therefore be any unfavourable and unintended sign, symptom, or disease temporally associated with the use of study vaccine or a protocol-specified procedure, whether or not considered related to the study vaccine or protocol-specified procedure.
Any worsening of a preexisting condition that is temporally associated with the study vaccine or protocol-specified procedure is also an AE.
An SAE is an AE that results in death, is life threatening, results in a persistent or significant disability or incapacity, results in or prolongs an existing hospitalization, is a congenital anomaly or birth defect, or is another important medical event.
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Day 1 up to approximately Month 90
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Stage I: Combined Incidence of HPV 31-, 33-, 45-, 52-, and 58-related 6-month Persistent Infection
Time Frame: 1 month post vaccination 3 (Month 7) up to Month 30
|
A 6-month persistent infection is defined to have occurred if a participant who is positive for the same HPV type by the HPV PCR assay in the LVPP/EEC swabs, biopsy, ECC or definitive therapy obtained in 2 or more consecutive visits over a period of at least 6 months.
Incidence is defined as the number of cases of persistent infection per 10,000 person-years of follow-up in a treatment arm.
|
1 month post vaccination 3 (Month 7) up to Month 30
|
|
Stage I: Percentage of Participants Who Seroconvert by cLIA to HPV Types 6, 11, 16, and 18
Time Frame: 1 Month Post Vaccination 3 (Month 7)
|
Serum antibody titers for HPV types 6, 11, 16, and 18 will be determined using cLIA.
The percentage of participants that achieve the serostatus cut-offs for seroconversion for each HPV type will be summarized.
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1 Month Post Vaccination 3 (Month 7)
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|
Stage I: Combined Incidence of HPV 31-, 33-, 45-, 52-, and 58-related 12-month Persistent Cervical Infection
Time Frame: 1 month post vaccination 3 (Month 7) up to Month 30
|
A 12-month persistent cervical infection is defined to have occurred if a participant who is positive for the same HPV type by the HPV PCR assay in the EEC swabs, cervical biopsy, ECC or cervical definitive therapy samples obtained in 3 or more consecutive visits over a period of at least 12 months.
Incidence is defined as the number of cases of persistent infection per 10,000 person-years of follow-up in a treatment arm.
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1 month post vaccination 3 (Month 7) up to Month 30
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|
Stage I: Combined Incidence of HPV 31-, 33-, 45-, 52-, and 58-related 12-month Persistent Non-cervical Infection
Time Frame: 1 month post vaccination 3 (Month 7) up to Month 30
|
A 12-month persistent non-cervical infection is defined to have occurred if a participant who is positive for the same HPV type by the HPV PCR assay in the LVPP swabs, biopsy, or definitive therapy samples obtained from the external genitalia in 3 or more consecutive visits over a period of at least 12 months.
Incidence is defined as the number of cases of persistent infection per 10,000 person-years of follow-up in a treatment arm.
|
1 month post vaccination 3 (Month 7) up to Month 30
|
|
Stage I: Combined Incidence of HPV 31-, 33-, 45-, 52-, and 58-related 6-month Persistent Cervical Infection
Time Frame: 1 month post vaccination 3 (Month 7) up to Month 30
|
A 6-month persistent cervical infection is defined to have occurred if a participant who is positive for the same HPV type by the HPV PCR assay in the EEC swabs, cervical biopsy, ECC or cervical definitive therapy samples obtained in 2 or more consecutive visits over a period of at least 6 months. .
Incidence is defined as the number of cases of persistent infection per 10,000 person-years of follow-up in a treatment arm.
|
1 month post vaccination 3 (Month 7) up to Month 30
|
|
Stage I: Combined Incidence of HPV 31-, 33-, 45-, 52-, and 58-related 6-month Persistent Non-cervical Infection
Time Frame: 1 month post vaccination 3 (Month 7) up to Month 30
|
A 6-month persistent non-cervical infection is defined to have occurred if a participant who is positive for the same HPV type by the HPV PCR assay in the LVPP swabs, biopsy, or definitive therapy samples obtained from the external genitalia in 2 or more consecutive visits over a period of at least 6 months. .
Incidence is defined as the number of cases of persistent infection per 10,000 person-years of follow-up in a treatment arm.
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1 month post vaccination 3 (Month 7) up to Month 30
|
|
Stage I: Combined Incidence of Papanicolaou (Pap) Test Abnormalities That are Related to HPV 31, 33, 45, 52, or 58
Time Frame: Month 7 up to Month 30
|
This endpoint is defined to have occurred if a participant is found to have: (a) a Pap test result of ASC-US positive for high risk HPV, LSIL, ASC-H, HSIL, atypical glandular cells, or adenocarcinoma in situ, etc.; AND (b) detection of at least 1 of HPV types 31, 33, 45, 52 or 58 by LVPP or EEC swab at the same study visit.
Incidence is defined as the number of cases of persistent infection per 10,000 person-years of follow-up in a treatment arm.
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Month 7 up to Month 30
|
|
Stage I: Geometric Mean Titers of HPV 31, 33, 45, 52 , and 58 Antibodies
Time Frame: 1 Month Post Vaccination 3 (Month 7)
|
Serum antibodies to HPV types 31/33/45/52 /58 are measured with cLIA.
Titers are reported in milli Merck Units/mL.
|
1 Month Post Vaccination 3 (Month 7)
|
|
Stage I: Percentage of Participants Who Seroconvert by cLIA to HPV Types 31, 33, 45, 52 , and 58
Time Frame: 1 Month Post Vaccination 3 (Month 7)
|
Serum antibody titers for HPV types 31/33/45/52 /58 will be determined using cLIA.
The percentage of participants that achieve the serostatus cut-offs for seroconversion for each HPV type will be summarized.
|
1 Month Post Vaccination 3 (Month 7)
|
|
Stage II: Combined Incidence of HPV 31-, 33-, 45-, 52-, and 58-related CIN 1/2/3, AIS, and cervical cancer
Time Frame: Month 7 to Month 90
|
This endpoint is defined to have occurred if on a single cervical biopsy, ECC, LEEP or Conization (cold knife/laser) specimen, there is: (a) a pathology panel consensus diagnosis of CIN (Grade 1, 2 or 3), AIS, or cervical cancer; AND (b) detection of at least 1 of HPV types 31, 33, 45, 52 or 58 by Thinsection PCR in an adjacent section from the same tissue block.
Disease incidence is defined as the number cases per 10,000 person-years of follow-up in a treatment arm.
|
Month 7 to Month 90
|
|
Stage II: Combined Incidence of HPV 31-, 33-, 45-, 52-, and 58-related genital warts, CIN 2/3, AIS, cervical cancer, VIN 2/3, VaIN 2/3, vulvar cancer, and vaginal cancer
Time Frame: Month 7 up to Month 90
|
This endpoint is defined to have occurred if on a single biopsy or excised tissue, there is: (a) a Pathology Panel consensus diagnosis of CIN (grade 2 or 3), AIS, cervical cancer, VIN (grade 2 or 3), VaIN (grade 2 or 3), vulvar cancer, or vaginal cancer; AND (b) detection of at least 1 of HPV types 31, 33, 45, 52 or 58 by Thinsection PCR in an adjacent section from the same tissue block.
Incidence is defined as the number of cases of persistent infection per 10,000 person-years of follow-up in a treatment arm.
|
Month 7 up to Month 90
|
|
Stage II: Combined Incidence of HPV 31-, 33-, 45-, 52-, and 58-related genital warts, CIN 1/2/3, AIS, cervical cancer, VIN 1/2/3, VaIN 1/2/3, vulvar cancer, and vaginal cancer
Time Frame: Month 7 to Month 90
|
This endpoint is defined to have occurred if on a single biopsy or excised tissue, there is: (a) a Pathology Panel consensus diagnosis of CIN (grade 1, 2 or 3), AIS, cervical cancer, VIN (grade 1, 2 or 3), VaIN (grade 1, 2 or 3), vulvar cancer, or vaginal cancer; AND (b) detection of at least 1 of HPV types 31, 33, 45, 52 or 58 by Thinsection PCR in an adjacent section from the same tissue block.
Disease incidence is defined as the number cases per 10,000 person-years of follow-up in a treatment arm.
|
Month 7 to Month 90
|
|
Stage II: Combined Incidence of HPV 31-, 33-, 45-, 52- , or 58-related Cervical, Vaginal and External Genital Biopsy and Definitive Therapy
Time Frame: Month 7 up to Month 90
|
This endpoint is defined to have occurred if a participant is found to have: (a) a cervical, vaginal or external genital biopsy or definitive therapy; AND (b) a tissue sample from such procedure was detected as PCR positive for at least 1 of HPV types 31, 33, 45, 52 or 58, regardless of the pathology diagnosis of such tissue sample.
Incidence of biopsy and definitive therapy will be summarized as the number of cases per 10,000 person-years of follow-up in a treatment arm.
|
Month 7 up to Month 90
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: Medical Director, Merck Sharp & Dohme LLC
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
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
- Pathologic Processes
- Disease Attributes
- Infections
- Virus Diseases
- Communicable Diseases
- Sexually Transmitted Diseases, Viral
- Sexually Transmitted Diseases
- DNA Virus Infections
- Tumor Virus Infections
- Pathological Conditions, Signs and Symptoms
- Papillomavirus Infections
- Biological Products
- Complex Mixtures
- Vaccines
- Vaccines, Combined
- Viral Vaccines
- Papillomavirus Vaccines
- Human Papillomavirus Recombinant Vaccine Quadrivalent, Types 6, 11, 16, 18
Other Study ID Numbers
Other Study ID Numbers
- V503-023 (Other Identifier: MSD)
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.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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