Anal cancer related with HPV and HIV positive MSM Cancer Anal cancer related with HPV and HIV positive MSM
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. HIV-positive MSM patients 2. >18 years of age 3. Those who, at the time of inclusion into the study, had not been infected simultaneously by the 4 genotypes of HPV that the quadrivalent vaccine addresses 4. Patients who had high-resolution anoscopy (HRA) screening for inclusion are normal or had only condylomas and/or low squamous intraepithelial lesion (LSIL) in anal biopsy
Exclusion criteria
Exclusion criteria: 1. HIV positive MSM (Men Who Have Sex with Men) 2. Simultaneous anal infection caused by the 4 genotypes addressed by the vaccine, or at least HPV16 3. Aged 18 years and over 4. Active opportunist infection at the time of recruitment into the study 5. Patients who, in screening anoscopy had HSIL, or ASCC or having received treatment for these lesions 6. History of allergy to aluminium and/or yeast extract excipient
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Efficacy of the qHPV vaccine is assessed through the development of HSIL or anal cancer in anal mucosa using high resolution anoscopy at baseline and 48 months. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Clearance of HPV genotypes in anal canal mucosa after vaccination is measured using PCR at baseline, 12, 24, 36 and 48 months 2. Prevalence of high squamous intraepithelial lesion (HSIL) and HR-HPV in the anal mucosa is measured using high resolution anoscopy at baseline, 12, 24, 36 and 48 months 3. The seroconversion to the four serotypes of HPV used after vaccination is measured using PCR at baseline, 12, 24, 36 and 48 months 4. Adverse effects after vaccination are measured using a purpose build questionnaire (including questions about pain, nausea, diarrhoea, rash, abdominal pain, pain at injection site) and blood testing (to determine if there are any kidney, liver, or muscle effects) at baseline, 2 and 6 months after each vaccination | — |
Countries
Spain