Immunogenicity and Safety of HPV Vaccine Gardasil in Young Women
Immunogenicity and Safety of the Quadrivalent HPV Vaccine Gardasil in Female Systemic Lupus Erythematosus Patients Aged 9-26
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Detaljeret beskrivelse
Female patients with systemic lupus erythematosus (SLE) have been found have higher rates of persistent HPV infections and precancerous lesions compared to the healthy population. The HPV vaccine Gardasil has been found to be safe and efficacious in females aged 9 to 26 years. There are no data on the immunogenicity and safety of Gardasil in females with SLE. Immune dysfunction related to SLE itself and the immunosuppression secondary to treatment of SLE might prevent patients with SLE from developing an adequate immune response to the vaccine. Also, theoretically, the vaccine might induce a disease exacerbation or production of new autoantibodies.
The purpose of this study is to evaluate immunogenicity and safety of Gardasil and its effects on autoantibody profile in female SLE patients aged 9-26 years
Undersøgelsestype
Undersøgelsestype
Tilmelding (Faktiske)
Tilmelding
Fase
Fase
- Ikke anvendelig
Kontakter og lokationer
Studiesteder
-
-
Illinois
-
Chicago, Illinois, Forenede Stater, 60637
- University of Chicago
-
-
Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inclusion Criteria:
- Age: 9 to 26 years of age
- Gender: Female
- All patients must fulfill the revised American College of Rheumatology Classification Criteria for SLE diagnosis.
- Current SLEDAI score ≤ 6
- Written, witnessed informed consent and/or assent will be obtained from the subject and the subject's parents (if under 18 years of age) or legally acceptable representative prior to enrollment
Exclusion Criteria:
- Acute exacerbation of disease within past 30 days which required increase in corticosteroid dose, initiation of a new immunosuppressive medication, or hospitalization
- Current SLEDAI score > 6
- Patients who have received rituximab in the last 6 months, or are currently on cyclophosphamide treatment
- History of allergic disease or reactions likely to be exacerbated by any component of the study vaccine
- Previous administration of any HPV vaccine
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Forebyggelse
- Tildeling: N/A
- Interventionel model: Enkelt gruppeopgave
- Maskning: Ingen (Åben etiket)
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
|
Andet: Gardasil
30 patients will receive 0.5 ml Gardasil vaccine at months 0,2, and 6.
|
0.5 ml Gardasil vaccine will be administered to each patient at months 0,2 and 6.
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Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Anti-HPV 6 Seroconversion
Tidsramme: 7 months
|
Percent Seropositive
|
7 months
|
|
Anti-HPV 6 GMT
Tidsramme: 7 months
|
Geometric mean titre in milli-Merck units per ml (mMu/ml)
|
7 months
|
|
Anti-HPV 11 Seroconversion
Tidsramme: 7 months
|
% Seropositive
|
7 months
|
|
Anti-HPV 11 GMT
Tidsramme: 7 months
|
Geometric mean titre in milli-Merck units per ml (mMu/ml)
|
7 months
|
|
Anti-HPV 16 Seroconversion
Tidsramme: 7 months
|
% Seropositive
|
7 months
|
|
Anti-HPV 16 GMT
Tidsramme: 7 months
|
Geometric mean titre in milli-Merck units per ml (mMu/ml)
|
7 months
|
|
Anti-HPV 18 Seroconversion
Tidsramme: 7 months
|
% Seropositive
|
7 months
|
|
Anti-HPV 18 GMT
Tidsramme: 7 months
|
Geometric mean titre in milli-Merck units per ml (mMu/ml)
|
7 months
|
|
SLEDAI Change Score
Tidsramme: 7 months
|
Systemic Lupus Erythematosus Disease Activity Index (SLEDAI): change from baseline to 7 months.
The SLEDAI scale is a weighted sum of 16 clinical and 8 laboratory items.
Scores range from 0 to 105 with higher scores indicating worse outcome.
The variable analyzed here is the 7 month score minus the baseline score.
Therefore negative values indicate an improvement in outcome.
|
7 months
|
Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Tidsramme |
|---|---|
|
Induction or Increase of Autoantibodies (Conversion From Negative Anti-RNP to Positive Anti-RNP) Anti-RNP
Tidsramme: 7 months
|
7 months
|
|
Induction or Increase of Autoantibodies (Conversion From Negative Smith to Positive Smith)
Tidsramme: 7 months
|
7 months
|
|
Induction or Increase of Autoantibodies (Conversion From Lupus Anticoagulant Negative to Lupus Anticoagulant Positive)
Tidsramme: 7 months
|
7 months
|
Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Samarbejdspartnere
Samarbejdspartnere
Efterforskere
Efterforskere
- Ledende efterforsker: Linda Wagner-Weiner, MD, University of Chicago
Publikationer og nyttige links
Datoer for undersøgelser
Studer store datoer
Studiestart
Studiestart
Primær færdiggørelse (Faktiske)
Primær færdiggørelse
Studieafslutning (Faktiske)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Skøn)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- 15960A
- MERCK: MISP for Gardasil#33598
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