Broad Spectrum HPV Vaccine Dose Escalation Study (V502-002)

February 2, 2016 updated by: Merck Sharp & Dohme LLC

A Randomized, Double-Blind, Multicenter, Biphasic, Controlled With GARDASIL™ Dose-Escalation Study of Octavalent Human Papillomavirus (HPV) L1 Virus-Like Particle (VLP) Vaccine Adjuvanted With Amorphous Aluminum Hydroxyphosphate Sulfate (AAHS) and ISCOMATRIX™ (IMX)

This study will examine the safety and tolerability of octavalent Human Papillomavirus (HPV) L1 Virus-Like Particle (VLP) vaccine formulated with amorphous aluminum hydroxysulfate (AAHS) and ISCOMATRIX™ (IMX). Reviews of safety and tolerability will be used to select the dose(s) of IMX for further studies of the octavalent HPV L1 VLP vaccine.

Study Overview

Detailed Description

The study was performed in 2 staggered phases, Phase A and Phase B. In Phase A, participants were randomized to qHPV, Octavalent HPV with 15 mcg IMX/AAHS, or Octavalent HPV with 30 mcg IMX/AAHS. After the safety for Phase A was reviewed, Phase B was initiated. In Phase B, participants were randomized to qHPV, Octavalent HPV with 60 mcg IMX/AAHS or Octavalent HPV with 120 mcg IMX/AAHS.

Study Type

Interventional

Enrollment (Actual)

158

Phase

  • Phase 1

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years to 24 years (ADULT)

Accepts Healthy Volunteers

Yes

Genders Eligible for Study

Female

Description

Inclusion Criteria:

  • Participant is in good physical health
  • Participant has had a lifetime history of 0 to 4 sexual partners
  • Females between 18-to-24 years

Exclusion Criteria:

  • Participant has a history of abnormal Pap test
  • Participant has a history of positive test for HPV
  • Participant has a history of recent or ongoing alcohol or drug abuse
  • Participant is immunocompromised or has an autoimmune condition
  • Participant has received immunosuppressive therapy within a year of screening
  • Participant has previously received an HPV vaccine
  • Participant is pregnant
  • Participant has a history of external genital/vaginal warts
  • Participant is currently enrolled in a clinical trial
  • Participant has a history of a severe allergic reaction that required medical attention

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: PREVENTION
  • Allocation: RANDOMIZED
  • Interventional Model: PARALLEL
  • Masking: DOUBLE

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
ACTIVE_COMPARATOR: qHPV (GARDASIL™) - Phase A Control
Quadrivalent Human Papillomavirus (qHPV) (Types 6, 11, 16, 18) Recombinant Vaccine (GARDASIL™). This is the control for the Octavalent HPV with 15 mcg ISCOMATRIX™ (IMX) / Aluminum Hydroxyphosphate Sulfate (AAHS) and Octavalent HPV with 30 mcg IMX / AAHS during Phase A.
0.5-mL intramuscular injection administered at Day 1, Month 2 and Month 6
Other Names:
  • V502-002
EXPERIMENTAL: Octavalent HPV with 15 mcg IMX / AAHS
Octavalent Human Papillomavirus (HPV) (Types 6, 11, 16, 18, 31, 45, 52, and 58) L1 Virus-Like Particle (VLP) Vaccine Adjuvanted With 281 mcg AAHS and 15 mcg IMX.
0.5-mL intramuscular injection administered at Day 1, Month 2 and Month 6
Other Names:
  • V502
EXPERIMENTAL: Octavalent HPV with 30 mcg IMX / AAHS
Octavalent Human Papillomavirus (HPV) (Types 6, 11, 16, 18, 31, 45, 52, and 58) L1 VLP Vaccine Adjuvanted With 281 mcg AAHS and 30 mcg IMX.
0.5-mL intramuscular injection administered at Day 1, Month 2 and Month 6
Other Names:
  • V502
ACTIVE_COMPARATOR: qHPV (GARDASIL™) - Phase B Control
Quadrivalent Human Papillomavirus (Types 6, 11, 16, 18) Recombinant Vaccine (GARDASIL™). This is the control for the Octavalent HPV with 60 mcg IMX / AAHS and Octavalent HPV with 120 mcg IMX / AAHS during Phase B.
0.5-mL intramuscular injection administered at Day 1, Month 2 and Month 6
Other Names:
  • V502-002
EXPERIMENTAL: Octavalent HPV with 60 mcg IMX / AAHS
Octavalent Human Papillomavirus (HPV) (Types 6, 11, 16, 18, 31, 45, 52, and 58) L1 VLP Vaccine Adjuvanted With 281 mcg AAHS and 60 mcg IMX.
0.5-mL intramuscular injection administered at Day 1, Month 2 and Month 6
Other Names:
  • V502
EXPERIMENTAL: Octavalent HPV with 120 mcg IMX / AAHS
Octavalent Human Papillomavirus (HPV) (Types 6, 11, 16, 18, 31, 45, 52, and 58) L1 VLP Vaccine Adjuvanted With 281 mcg AAHS and 120 mcg IMX.
0.5-mL intramuscular injection administered at Day 1, Month 2 and Month 6
Other Names:
  • V502

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Geometric Mean Titers (GMTs) to Each of the HPV Types Contained in the Vaccine for Phase A
Time Frame: 4 weeks postdose 3 (Phase A)
The quadrivalent HPV (GARDASIL™) vaccine has types 6, 11, 16, 18, and the octavalent HPV has types 6, 11, 16, 18, 31, 45, 52, and 58. Serum antibody titres to the HPV type were obtained using a competitive Luminex immunoassay (cLIA) after vaccination with GARDASIL™ or the octavalent HPV vaccine. GMTs were calculated and are reported as the antibody concentration in milli-Merck Units per milliliter (mMU/mL) of neutralizing monoclonal antibody equivalent.
4 weeks postdose 3 (Phase A)
Geometric Mean Titers (GMTs) to Each of the HPV Types Contained in the Vaccine for Phase B
Time Frame: 4 weeks postdose 3 (Phase B)
The quadrivalent HPV (GARDASIL™) vaccine has types 6, 11, 16, 18, and the octavalent HPV has types 6, 11, 16, 18, 31, 45, 52, and 58. Serum antibody titres to the HPV type were obtained using cLIA after vaccination with GARDASIL™ or the octavalent HPV vaccine. GMTs were calculated and are reported as the antibody concentration in milli-Merck Units per milliliter (mMU/mL) of neutralizing monoclonal antibody equivalent.
4 weeks postdose 3 (Phase B)
Number of Participants Who Seroconverted to Each of the HPV Types Contained in the Vaccine During Phase A
Time Frame: 4 weeks postdose 3 (Phase A)
A vaccinated participant was considered seropositive for a given HPV type if her serum antibody titer by cLIA for the HPV type was greater than the serostatus cutoff. The serostatus cutoffs for HPV Types 6, 11, 16, 18, 31, 45, 52, and 58 were 20, 20, 20, 20, 16, 16, 20, and 16 mMU/mL, respectively.
4 weeks postdose 3 (Phase A)
Number of Participants Who Seroconverted to Each of the HPV Types Contained in the Vaccine During Phase B
Time Frame: 4 weeks postdose 3 (Phase B)
A vaccinated participant was considered seropositive for a given HPV type if her serum antibody titer by cLIA for the HPV type was greater than the serostatus cutoff. The serostatus cutoffs for HPV Types 6, 11, 16, 18, 31, 45, 52, and 58 were 20, 20, 20, 20, 16, 16, 20, and 16 mMU/mL, respectively.
4 weeks postdose 3 (Phase B)

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

April 1, 2006

Primary Completion (ACTUAL)

December 1, 2007

Study Completion (ACTUAL)

November 1, 2009

Study Registration Dates

First Submitted

February 24, 2009

First Submitted That Met QC Criteria

February 24, 2009

First Posted (ESTIMATE)

February 26, 2009

Study Record Updates

Last Update Posted (ESTIMATE)

February 3, 2016

Last Update Submitted That Met QC Criteria

February 2, 2016

Last Verified

February 1, 2016

More Information

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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