A Phase III Study of a 2-dose Regimen of a Multivalent Human Papillomavirus (HPV) Vaccine (V503), Administered to 9 to 14 Year-olds and Compared to Young Women, 16 to 26 Years Old (V503-010)
12. juli 2018 oppdatert av: Merck Sharp & Dohme LLC
A Phase III Clinical Trial to Study the Tolerability and Immunogenicity of a 2-dose Regimen of V503, a Multivalent Human Papillomavirus (HPV) L1 Virus-Like Particle (VLP) Vaccine, Administered in Preadolescents and Adolescents (9 to 14 Year Olds) With a Comparison to Young Women (16 to 26 Year Olds)
This was a 37-month safety and immunogenicity study conducted in boys and girls 9 to 14 years of age and in young women 16 to 26 years of age.
From this study, the goal was to establish that the investigational 2-dose regimens (0, 6 months and 0, 12 months) studied in boys and girls 9 to 14 years of age are generally safe and immunogenic, with an antibody response that is not inferior to that observed in young women 16 to 26 years of age who received the standard 3-dose regimen of V503 (i.e., the population and dose regimen used to establish V503 efficacy).
Studieoversikt
Status
Fullført
Intervensjon / Behandling
Studietype
Intervensjonell
Registrering (Faktiske)
1518
Fase
- Fase 3
Deltakelseskriterier
Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
9 år til 26 år (Barn, Voksen)
Tar imot friske frivillige
Ja
Kjønn som er kvalifisert for studier
Alle
Beskrivelse
Inclusion Criteria:
All Participants:
-Judged to be in good physical health on the basis of medical history, physical examination and laboratory results
Boys and Girls 9 to 14 Years:
-Must not have had coitarche and does not plan on becoming sexually active during the vaccination period
Women 16 to 26 Years:
- Has never had a Papanicolaou (Pap) test or only had normal Pap test results
- A lifetime history of 0 to 4 male and/or female sexual partners
Exclusion Criteria:
All Participants:
- Known allergy to any vaccine component
- History of severe allergic reaction that required medical intervention
- Thrombocytopenia or any coagulation disorder
- Females only: participant is pregnant or expecting to donate eggs during day 1 through month 7
- Currently immunocompromised, or been diagnosed with immunodeficiency
- Had a splenectomy
- Receiving or has received immunosuppressive therapies within the last year
- Received any immunoglobulin product or blood-derived product within 3 months
- Received a marketed HPV vaccine or has participated in an HPV vaccine clinical trial
Studieplan
Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.
Hvordan er studiet utformet?
Designdetaljer
- Primært formål: Forebygging
- Tildeling: Randomisert
- Intervensjonsmodell: Parallell tildeling
- Masking: Ingen (Open Label)
Våpen og intervensjoner
Deltakergruppe / Arm |
Intervensjon / Behandling |
|---|---|
|
Eksperimentell: Girls 9 to 14 Years V503 at Months 0 and 6
Girls aged 9 to 14 years received a 2-dose regimen of V503 0.5 mL intramuscular (IM) injection at Months 0 and 6.
An additional dose of V503 0.5 mL IM was administered at Month 36.
|
V503, a 9-valent HPV (Types 6, 11, 16, 18, 31, 33, 45, 52, 58) administered as a 0.5-mL intramuscular injection
|
|
Eksperimentell: Boys 9 to 14 Years V503 at Months 0 and 6
Boys aged 9 to 14 years received a 2-dose regimen of V503 0.5 mL IM injection at Months 0 and 6.
An additional dose of V503 0.5 mL IM was administered at Month 36.
|
V503, a 9-valent HPV (Types 6, 11, 16, 18, 31, 33, 45, 52, 58) administered as a 0.5-mL intramuscular injection
|
|
Eksperimentell: Girls and Boys 9 to 14 Years V503 at Months 0 and 12
Girls and boys aged 9 to 14 years received a 2-dose regimen of V503 0.5 mL IM injection at Months 0 and 12.
An additional dose of V503 0.5 mL IM was administered at Month 36.
|
V503, a 9-valent HPV (Types 6, 11, 16, 18, 31, 33, 45, 52, 58) administered as a 0.5-mL intramuscular injection
|
|
Eksperimentell: Girls 9 to 14 Years V503 at Months 0, 2, and 6
Girls aged 9 to 14 years received a 3-dose regimen of V503 0.5 mL IM injection at Months 0, 2, and 6.
An additional dose of V503 0.5 mL IM was administered at Month 36 for a subset of participants.
|
V503, a 9-valent HPV (Types 6, 11, 16, 18, 31, 33, 45, 52, 58) administered as a 0.5-mL intramuscular injection
|
|
Aktiv komparator: Young Women 16 to 26 Years V503 at Months 0, 2, and 6
Young Women aged 16 to 26 years received a 3-dose regimen of V503 0.5 mL IM injection at Months 0, 2, and 6.
An additional dose of V503 0.5 mL IM was administered at Month 36 for a subset of participants.
|
V503, a 9-valent HPV (Types 6, 11, 16, 18, 31, 33, 45, 52, 58) administered as a 0.5-mL intramuscular injection
|
Hva måler studien?
Primære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
|
Geometric Mean Titers to Human Papillomavirus (HPV) Type 6 After the Last Dose of V503 in the Planned Regimen
Tidsramme: 4 weeks after the last dose of V503 in the planned regimen (Month 7 or Month 13)
|
Antibodies to HPV virus-like particles (VLP) type 6 were measured using a competitive Luminex immunoassay.
Antibody titers were expressed as milli Merck units/mL (mMU/mL).
|
4 weeks after the last dose of V503 in the planned regimen (Month 7 or Month 13)
|
|
Geometric Mean Titers to HPV Type 11 at Four Weeks After the Last Dose of V503 in the Planned Regimen
Tidsramme: 4 weeks after the last dose of V503 in the planned regimen (Month 7 or Month 13)
|
Antibodies to HPV VLP type 11 were measured using a competitive Luminex immunoassay.
Antibody titers were expressed as milli Merck units/mL (mMU/mL).
|
4 weeks after the last dose of V503 in the planned regimen (Month 7 or Month 13)
|
|
Geometric Mean Titers to HPV Type 16 at Four Weeks After the Last Dose of V503 in the Planned Regimen
Tidsramme: 4 weeks after the last dose of V503 in the planned regimen (Month 7 or Month 13)
|
Antibodies to HPV VLP type 16 were measured using a competitive Luminex immunoassay.
Antibody titers were expressed as milli Merck units/mL (mMU/mL).
|
4 weeks after the last dose of V503 in the planned regimen (Month 7 or Month 13)
|
|
Geometric Mean Titers to HPV Type 18 at Four Weeks After the Last Dose of V503 in the Planned Regimen
Tidsramme: 4 weeks after the last dose of V503 in the planned regimen (Month 7 or Month 13)
|
Antibodies to HPV VLP type 18 were measured using a competitive Luminex immunoassay.
Antibody titers were expressed as milli Merck units/mL (mMU/mL).
|
4 weeks after the last dose of V503 in the planned regimen (Month 7 or Month 13)
|
|
Geometric Mean Titers to HPV Type 31 at Four Weeks After the Last Dose of V503 in the Planned Regimen
Tidsramme: 4 weeks after the last dose of V503 in the planned regimen (Month 7 or Month 13)
|
Antibodies to HPV VLP type 31 were measured using a competitive Luminex immunoassay.
Antibody titers were expressed as milli Merck units/mL (mMU/mL).
|
4 weeks after the last dose of V503 in the planned regimen (Month 7 or Month 13)
|
|
Geometric Mean Titers to HPV Type 33 at Four Weeks After the Last Dose of V503 in the Planned Regimen
Tidsramme: 4 weeks after the last dose of V503 in the planned regimen (Month 7 or Month 13)
|
Antibodies to HPV VLP type 33 were measured using a competitive Luminex immunoassay.
Antibody titers were expressed as milli Merck units/mL (mMU/mL).
|
4 weeks after the last dose of V503 in the planned regimen (Month 7 or Month 13)
|
|
Geometric Mean Titers to HPV Type 45 at Four Weeks After the Last Dose of V503 in the Planned Regimen
Tidsramme: 4 weeks after the last dose of V503 in the planned regimen (Month 7 or Month 13)
|
Antibodies to HPV VLP type 45 were measured using a competitive Luminex immunoassay.
Antibody titers were expressed as milli Merck units/mL (mMU/mL).
|
4 weeks after the last dose of V503 in the planned regimen (Month 7 or Month 13)
|
|
Geometric Mean Titers to HPV Type 52 at Four Weeks After the Last Dose of V503 in the Planned Regimen
Tidsramme: 4 weeks after the last dose of V503 in the planned regimen (Month 7 or Month 13)
|
Antibodies to HPV VLP type 52 were measured using a competitive Luminex immunoassay.
Antibody titers were expressed as milli Merck units/mL (mMU/mL).
|
4 weeks after the last dose of V503 in the planned regimen (Month 7 or Month 13)
|
|
Geometric Mean Titers to HPV Type 58 at Four Weeks After the Last Dose of V503 in the Planned Regimen
Tidsramme: 4 weeks after the last dose of V503 in the planned regimen (Month 7 or Month 13)
|
Antibodies to HPV VLP type 58 were measured using a competitive Luminex immunoassay.
Antibody titers were expressed as milli Merck units/mL (mMU/mL).
|
4 weeks after the last dose of V503 in the planned regimen (Month 7 or Month 13)
|
Sekundære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
|
Percentage of Participants With Seroconversion to HPV Type 6 at Four Weeks After the Last Dose of V503 in the Planned Regimen
Tidsramme: 4 weeks after the last dose of V503 in the planned regimen (Month 7 or Month 13)
|
Antibodies to HPV VLP type 6 were measured using a competitive Luminex immunoassay.
Seroconversion to HPV type 6 was defined as a titer >=30 mMU/mL.
|
4 weeks after the last dose of V503 in the planned regimen (Month 7 or Month 13)
|
|
Percentage of Participants With Seroconversion to HPV Type 11 at Four Weeks After the Last Dose of V503 in the Planned Regimen
Tidsramme: 4 weeks after the last dose of V503 in the planned regimen (Month 7 or Month 13)
|
Antibodies to HPV VLP type 11 were measured using a competitive Luminex immunoassay.
Seroconversion to HPV type 11 was defined as a titer >=16 mMU/mL.
|
4 weeks after the last dose of V503 in the planned regimen (Month 7 or Month 13)
|
|
Percentage of Participants With Seroconversion to HPV Type 16 at Four Weeks After the Last Dose of V503 in the Planned Regimen
Tidsramme: 4 weeks after the last dose of V503 in the planned regimen (Month 7 or Month 13)
|
Antibodies to HPV VLP type 16 were measured using a competitive Luminex immunoassay.
Seroconversion to HPV type 16 was defined as a titer >=20 mMU/mL.
|
4 weeks after the last dose of V503 in the planned regimen (Month 7 or Month 13)
|
|
Percentage of Participants With Seroconversion to HPV Type 18 at Four Weeks After the Last Dose of V503 in the Planned Regimen
Tidsramme: 4 weeks after the last dose of V503 in the planned regimen (Month 7 or Month 13)
|
Antibodies to HPV VLP type 18 were measured using a competitive Luminex immunoassay.
Seroconversion to HPV type 18 was defined as a titer >=24 mMU/mL.
|
4 weeks after the last dose of V503 in the planned regimen (Month 7 or Month 13)
|
|
Percentage of Participants With Seroconversion to HPV Type 31 at Four Weeks After the Last Dose of V503 in the Planned Regimen
Tidsramme: 4 weeks after the last dose of V503 in the planned regimen (Month 7 or Month 13)
|
Antibodies to HPV VLP type 31 were measured using a competitive Luminex immunoassay.
Seroconversion to HPV type 31 was defined as a titer >=10 mMU/mL.
|
4 weeks after the last dose of V503 in the planned regimen (Month 7 or Month 13)
|
|
Percentage of Participants With Seroconversion to HPV Type 33 at Four Weeks After the Last Dose of V503 in the Planned Regimen
Tidsramme: 4 weeks after the last dose of V503 in the planned regimen (Month 7 or Month 13)
|
Antibodies to HPV VLP type 33 were measured using a competitive Luminex immunoassay.
Seroconversion to HPV type 33 was defined as a titer >=8 mMU/mL.
|
4 weeks after the last dose of V503 in the planned regimen (Month 7 or Month 13)
|
|
Percentage of Participants With Seroconversion to HPV Type 45 at Four Weeks After the Last Dose of V503 in the Planned Regimen
Tidsramme: 4 weeks after the last dose of V503 in the planned regimen (Month 7 or Month 13)
|
Antibodies to HPV VLP type 45 were measured using a competitive Luminex immunoassay.
Seroconversion to HPV type 45 was defined as a titer >=8 mMU/mL.
|
4 weeks after the last dose of V503 in the planned regimen (Month 7 or Month 13)
|
|
Percentage of Participants With Seroconversion to HPV Type 52 at Four Weeks After the Last Dose of V503 in the Planned Regimen
Tidsramme: 4 weeks after the last dose of V503 in the planned regimen (Month 7 or Month 13)
|
Antibodies to HPV VLP type 52 were measured using a competitive Luminex immunoassay.
Seroconversion to HPV type 52 was defined as a titer >=8 mMU/mL.
|
4 weeks after the last dose of V503 in the planned regimen (Month 7 or Month 13)
|
|
Percentage of Participants With Seroconversion to HPV Type 58 at Four Weeks After the Last Dose of V503 in the Planned Regimen
Tidsramme: 4 weeks after the last dose of V503 in the planned regimen (Month 7 or Month 13)
|
Antibodies to HPV VLP type 58 were measured using a competitive Luminex immunoassay.
Seroconversion to HPV type 58 was defined as a titer >=8 mMU/mL.
|
4 weeks after the last dose of V503 in the planned regimen (Month 7 or Month 13)
|
Andre resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
|
Antibody Persistence: Geometric Mean Titers to HPV Types 6, 11, 16, 18, 31, 33, 45, 52, and 58 at Month 24
Tidsramme: Month 24
|
Antibodies to HPV VLP types were measured using a competitive Luminex immunoassay.
This outcome measure assessed the long-term persistence of antibody response.
Antibody titers were expressed as milli Merck units/mL (mMU/mL).
|
Month 24
|
|
Antibody Persistence: Percentage of Participants With Seroconversion to HPV Types 6, 11, 16, 18, 31, 33, 45, 52, and 58 at Month 24
Tidsramme: Month 24
|
Antibodies to HPV VLP types were measured using a competitive Luminex immunoassay.
This outcome measure assessed the long-term persistence of antibody response.
Seroconversion to HPV types 6, 11, 16, 18, 31, 33, 45, 52, and 58 were defined as a titer >=41, 24, 34, 39, 24, 18, 12, 16, and 12 mMU/mL, respectively.
These cutoffs differ from analyses performed on samples collected up to Month 13; the antibody persistence analysis employed a new version of the assay.
|
Month 24
|
|
Antibody Persistence: Geometric Mean Titers to HPV Types 6, 11, 16, 18, 31, 33, 45, 52, and 58 at Month 36
Tidsramme: Month 36
|
Antibodies to HPV VLP types were measured using a competitive Luminex immunoassay.
This outcome measure assessed the long-term persistence of antibody response.
Antibody titers were expressed as milli Merck units/mL (mMU/mL).
|
Month 36
|
|
Antibody Persistence: Percentage of Participants With Seroconversion to HPV Types 6, 11, 16, 18, 31, 33, 45, 52, and 58 at Month 36
Tidsramme: Month 36
|
Antibodies to HPV VLP types were measured using a competitive Luminex immunoassay.
This outcome measure assessed the long-term persistence of antibody response.
Seroconversion to HPV types 6, 11, 16, 18, 31, 33, 45, 52, and 58 were defined as a titer >=41, 24, 34, 39, 24, 18, 12, 16, and 12 mMU/mL, respectively.
These cutoffs differ from analyses performed on samples collected up to Month 13; the antibody persistence analysis employed a new version of the assay.
|
Month 36
|
Samarbeidspartnere og etterforskere
Det er her du vil finne personer og organisasjoner som er involvert i denne studien.
Sponsor
Publikasjoner og nyttige lenker
Den som er ansvarlig for å legge inn informasjon om studien leverer frivillig disse publikasjonene. Disse kan handle om alt relatert til studiet.
Generelle publikasjoner
- Iversen OE, Miranda MJ, Ulied A, Soerdal T, Lazarus E, Chokephaibulkit K, Block SL, Skrivanek A, Nur Azurah AG, Fong SM, Dvorak V, Kim KH, Cestero RM, Berkovitch M, Ceyhan M, Ellison MC, Ritter MA, Yuan SS, DiNubile MJ, Saah AJ, Luxembourg A. Immunogenicity of the 9-Valent HPV Vaccine Using 2-Dose Regimens in Girls and Boys vs a 3-Dose Regimen in Women. JAMA. 2016 Dec 13;316(22):2411-2421. doi: 10.1001/jama.2016.17615.
- Bornstein J, Roux S, Kjeld Petersen L, Huang LM, Dobson SR, Pitisuttithum P, Diez-Domingo J, Schilling A, Ariffin H, Tytus R, Rupp R, Senders S, Engel E, Ferris D, Kim YJ, Tae Kim Y, Kurugol Z, Bautista O, Nolan KM, Sankaranarayanan S, Saah A, Luxembourg A. Three-Year Follow-up of 2-Dose Versus 3-Dose HPV Vaccine. Pediatrics. 2021 Jan;147(1):e20194035. doi: 10.1542/peds.2019-4035. Epub 2020 Dec 22.
Studierekorddatoer
Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.
Studer hoveddatoer
Studiestart (Faktiske)
12. desember 2013
Primær fullføring (Faktiske)
19. juni 2015
Studiet fullført (Faktiske)
24. juli 2017
Datoer for studieregistrering
Først innsendt
8. november 2013
Først innsendt som oppfylte QC-kriteriene
14. november 2013
Først lagt ut (Anslag)
15. november 2013
Oppdateringer av studieposter
Sist oppdatering lagt ut (Faktiske)
8. august 2018
Siste oppdatering sendt inn som oppfylte QC-kriteriene
12. juli 2018
Sist bekreftet
1. juli 2018
Mer informasjon
Begreper knyttet til denne studien
Ytterligere relevante MeSH-vilkår
Andre studie-ID-numre
- V503-010 (Annen identifikator: Merck Protocol Number)
- 2013-001314-15 (EudraCT-nummer)
Plan for individuelle deltakerdata (IPD)
Planlegger du å dele individuelle deltakerdata (IPD)?
JA
IPD-planbeskrivelse
https://www.merck.com/clinical-trials/pdf/ProcedureAccessClinicalTrialData.pdf
Denne informasjonen ble hentet direkte fra nettstedet clinicaltrials.gov uten noen endringer. Hvis du har noen forespørsler om å endre, fjerne eller oppdatere studiedetaljene dine, vennligst kontakt register@clinicaltrials.gov. Så snart en endring er implementert på clinicaltrials.gov, vil denne også bli oppdatert automatisk på nettstedet vårt. .
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