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A Study to Evaluate the Safety, Immune Response, and Efficacy of Gardasil (V501, qHPV) in Mid-Adult Women (V501-019)

Safety, Immunogenicity, and Efficacy of Gardasil (V501 (Human Papilloma Virus [Types 6, 11, 16, 18] Recombinant Vaccine) in Mid-Adult Women - The FUTURE III (Females United to Unilaterally Reduce Endo/Ectocervical Cancer) Study

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00090220
Enrollment
3819
Registered
2004-08-27
Start date
2004-06-16
Completion date
2015-11-12
Last updated
2017-04-21

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Healthy Adult Female Participants, Prevention, Papillomavirus Infection, Human Papillomavirus Recombinant Vaccine Quadrivalent, Types 6, 11, 16, 18

Brief summary

This study was conducted to assess the safety, immunogenicity, efficacy and long-term effectiveness of a vaccine being evaluated for the prevention of human papillomavirus (HPV) infection and disease in mid-adult women.

Detailed description

The Base study vaccination period (V501-019) encompassed Day 1 through Month 7, during which time participants received randomly assigned, blinded Gardasil™ (V501, qHPV vaccine) or placebo at Day 1, Month 2 and Month 6. The Base study follow-up period continued through approximately Month 48. The base study was extended in protocol V501-019-10 (EXT1). Participants who received placebo and participants who received only 1 dose of qHPV vaccine in the Base Study were offered a complete, open-label, 3-dose qHPV vaccine regimen (administered at EXT1 Day 1, Month 2 and Month 6). Participants who received only 2 doses of qHPV vaccine in the base study were offered a single additional dose of qHPV vaccine (administered at EXT1 Day 1). Participants were followed to EXT1 Month 7. A Long Term Follow-Up (LTFU) extension study V501-019-21 (EXT2) was added to observe the long term safety, effectiveness, and immunogenicity of qHPV vaccine in approximately 1,600 women who participated in the Base Study at sites in Colombia. Data were collected over a period of 6-10 years following participant's enrollment in the original Base Study.

Interventions

qHPV intramuscular injection in three 0.5 mL doses over 6 months in the Base Study or EXT1

BIOLOGICALComparator: Placebo

Placebo intramuscular injection in three 0.5 mL doses over 6 months.

Sponsors

Merck Sharp & Dohme LLC
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
DOUBLE (Subject, Investigator)

Eligibility

Sex/Gender
FEMALE
Age
24 Years to 45 Years
Healthy volunteers
Yes

Inclusion criteria

* No history of genital warts, vulvar intraepithelial neoplasia (VIN), or vaginal intraepithelial neoplasia (VaIN) * Not pregnant and agrees to use effective contraception through Month 7 of the study * Additional criteria applied

Exclusion criteria

* Pregnant * Concurrently enrolled in a clinical study involving collection of cervical specimens * Previously received any HPV vaccine * History of severe allergic reaction that required medical intervention * Received any immune globulin or blood-derived products within 3 months prior to the first study injection * History of splenectomy, known immune disorders, or receiving immunosuppressives * Immunocompromised or diagnosed with human immunodeficiency virus (HIV) infection * Known thrombocytopenia or any coagulation disorders that could contraindicate intramuscular injections * History of recent or ongoing alcohol or drug abuse * Prior treatment for genital warts, VIN, or VaIN * History of cervical disease (ie, surgical treatment for cervical lesions) * Hysterectomy

Design outcomes

Primary

MeasureTime frameDescription
Percentage of Participants Seropositive for Anti-HPV Antibody at 114 Months Postdose 3 in the Base StudyMonth 120 (114 months after the third dose of qHPV vaccine in the Base Study)Serum antibodies to HPV Types 6, 11, 16, and 18 were determined by Competitive Luminex Immunoassay (cLIA). The seropositive thresholds (in mMU/mL) were \>20 for Type 6, \>16 for Type 11, \>20 for Type 16, and \>24 for Type 18. This Outcome Measure evaluated age-specific immunogenicity responses, and applied only to participants who received qHPV in the Base Study.
Geometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 1 Month Postdose 3 in the Base StudyMonth 7 (1 month after the third dose of qHPV vaccine in the Base Study)Serum antibodies to the HPV Types were determined by Competitive Luminex Immunoassay (cLIA). Geometric Mean Titers (GMT) are reported in milli-Merck Units/mL (mMU/mL). This Outcome Measure evaluated age-specific immunogenicity responses, and applied only to participants who received qHPV in the Base Study.
Geometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 6 Months Postdose 3 in the Base StudyMonth 12 (6 months after the third dose of qHPV vaccine in the Base Study)Serum antibodies to the HPV Types were determined by Competitive Luminex Immunoassay (cLIA). Geometric Mean Titers (GMT) are reported in milli-Merck Units/mL (mMU/mL). This Outcome Measure evaluated age-specific immunogenicity responses, and applied only to participants who received qHPV in the Base Study.
Geometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 18 Months Postdose 3 in the Base StudyMonth 24 (18 months after the third dose of qHPV vaccine in the Base Study)Serum antibodies to the HPV Types were determined by Competitive Luminex Immunoassay (cLIA). Geometric Mean Titers (GMT) are reported in milli-Merck Units/mL (mMU/mL). This Outcome Measure evaluated age-specific immunogenicity responses, and applied only to participants who received qHPV in the Base Study.
Geometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 30 Months Postdose 3 in the Base StudyMonth 36 (30 months after the third dose of qHPV vaccine in the Base Study)Serum antibodies to the HPV Types were determined by Competitive Luminex Immunoassay (cLIA). Geometric Mean Titers (GMT) are reported in milli-Merck Units/mL (mMU/mL). This Outcome Measure evaluated age-specific immunogenicity responses, and applied only to participants who received qHPV in the Base Study.
Geometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 42 Months Postdose 3 in the Base StudyMonth 48 (42 months after the third dose of qHPV vaccine in the Base Study)Serum antibodies to the HPV Types were determined by Competitive Luminex Immunoassay (cLIA). Geometric Mean Titers (GMT) are reported in milli-Merck Units/mL (mMU/mL). This Outcome Measure evaluated age-specific immunogenicity responses, and applied only to participants who received qHPV in the Base Study.
Geometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 66 Months Postdose 3 in the Base StudyMonth 72 (66 months after the third dose of qHPV vaccine in the Base Study)Serum antibodies to the HPV Types were determined by Competitive Luminex Immunoassay (cLIA). Geometric Mean Titers (GMT) are reported in milli-Merck Units/mL (mMU/mL). This Outcome Measure evaluated age-specific immunogenicity responses, and applied only to participants who received qHPV in the Base Study.
Geometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 90 Months Postdose 3 in the Base StudyMonth 96 (90 months after the third dose of qHPV vaccine in the Base Study)Serum antibodies to the HPV Types were determined by Competitive Luminex Immunoassay (cLIA). Geometric Mean Titers (GMT) are reported in milli-Merck Units/mL (mMU/mL). This Outcome Measure evaluated age-specific immunogenicity responses, and applied only to participants who received qHPV in the Base Study.
Geometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 114 Months Postdose 3 in the Base StudyMonth 120 (114 months after the third dose of qHPV vaccine in the Base Study)Serum antibodies to the HPV Types were determined by Competitive Luminex Immunoassay (cLIA). Geometric Mean Titers (GMT) are reported in milli-Merck Units/mL (mMU/mL). This Outcome Measure evaluated age-specific immunogenicity responses, and applied only to participants who received qHPV in the Base Study.
Percentage of Participants Seropositive for Anti-HPV Antibody at 1 Month Postdose 3 in the Base StudyMonth 7 (1 month after the third dose of qHPV vaccine in the Base Study)Serum antibodies to HPV Types 6, 11, 16, and 18 were determined by Competitive Luminex Immunoassay (cLIA). The seropositive thresholds (in mMU/mL) were \>20 for Type 6, \>16 for Type 11, \>20 for Type 16, and \>24 for Type 18. This Outcome Measure evaluated age-specific immunogenicity responses, and applied only to participants who received qHPV in the Base Study.
Percentage of Participants Seropositive for Anti-HPV Antibody at 6 Months Postdose 3 in the Base StudyMonth 12 (6 months after the third dose of qHPV vaccine in the Base Study)Serum antibodies to HPV Types 6, 11, 16, and 18 were determined by Competitive Luminex Immunoassay (cLIA). The seropositive thresholds (in mMU/mL) were \>20 for Type 6, \>16 for Type 11, \>20 for Type 16, and \>24 for Type 18. This Outcome Measure evaluated age-specific immunogenicity responses, and applied only to participants who received qHPV in the Base Study.
Percentage of Participants Seropositive for Anti-HPV Antibody at 18 Months Postdose 3 in the Base StudyMonth 24 (18 months after the third dose of qHPV vaccine in the Base Study)Serum antibodies to HPV Types 6, 11, 16, and 18 were determined by Competitive Luminex Immunoassay (cLIA). The seropositive thresholds (in mMU/mL) were \>20 for Type 6, \>16 for Type 11, \>20 for Type 16, and \>24 for Type 18. This Outcome Measure evaluated age-specific immunogenicity responses, and applied only to participants who received qHPV in the Base Study.
Percentage of Participants Seropositive for Anti-HPV Antibody at 30 Months Postdose 3 in the Base StudyMonth 36 (30 months after the third dose of qHPV vaccine in the Base Study)Serum antibodies to HPV Types 6, 11, 16, and 18 were determined by Competitive Luminex Immunoassay (cLIA). The seropositive thresholds (in mMU/mL) were \>20 for Type 6, \>16 for Type 11, \>20 for Type 16, and \>24 for Type 18. This Outcome Measure evaluated age-specific immunogenicity responses, and applied only to participants who received qHPV in the Base Study.
Percentage of Participants Seropositive for Anti-HPV Antibody at 42 Months Postdose 3 in the Base StudyMonth 48 (42 months after the third dose of qHPV vaccine in the Base Study)Serum antibodies to HPV Types 6, 11, 16, and 18 were determined by Competitive Luminex Immunoassay (cLIA). The seropositive thresholds (in mMU/mL) were \>20 for Type 6, \>16 for Type 11, \>20 for Type 16, and \>24 for Type 18. This Outcome Measure evaluated age-specific immunogenicity responses, and applied only to participants who received qHPV in the Base Study.
Percentage of Participants Seropositive for Anti-HPV Antibody at 66 Months Postdose 3 in the Base StudyMonth 72 (66 months after the third dose of qHPV vaccine in the Base Study)Serum antibodies to HPV Types 6, 11, 16, and 18 were determined by Competitive Luminex Immunoassay (cLIA). The seropositive thresholds (in mMU/mL) were \>20 for Type 6, \>16 for Type 11, \>20 for Type 16, and \>24 for Type 18. This Outcome Measure evaluated age-specific immunogenicity responses, and applied only to participants who received qHPV in the Base Study.
Percentage of Participants Seropositive for Anti-HPV Antibody at 90 Months Postdose 3 in the Base StudyMonth 96 (96 months after the third dose of qHPV vaccine in the Base Study)Serum antibodies to HPV Types 6, 11, 16, and 18 were determined by Competitive Luminex Immunoassay (cLIA). The seropositive thresholds (in mMU/mL) were \>20 for Type 6, \>16 for Type 11, \>20 for Type 16, and \>24 for Type 18. This Outcome Measure evaluated age-specific immunogenicity responses, and applied only to participants who received qHPV in the Base Study.
Incidence Rate of HPV 6/11/16/18 Related Persistent Infection, Genital Warts, VIN, VaIN, Vulvar Cancer, Vaginal Cancer, Cervical Dysplasia, Cervical AIS, and Cervical CancerUp to 48 months (4 years) after the first dose of qHPV vaccine in the Base StudyThe four HPV types were determined by polymerase chain reaction (PCR) testing. VIN = vulvar intraepithelial neoplasia; VaIN = vaginal intraepithelial neoplasia; AIS = adenocarcinoma in situ.
Number of Participants With Vaccine- or Placebo-Related Serious Adverse Events (SAEs) in the Base StudyUp to Month 48 (up to 42 months after the third dose of qHPV vaccine in the Base Study)An adverse event (AE) is any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the study vaccine. Any worsening of a preexisting condition which is temporally associated with the use of the study vaccine is also an adverse event. A serious adverse event (SAE) is an AE that results in death, is life threatening, results in persistent or significant disability or incapacity, results in or prolongs a hospitalization, is a congenital anomaly or birth defect, is a cancer, or is an overdose. Vaccine-related SAEs are those deemed by the investigator to be definitely, probably, or possibly related to study vaccine.
Number of Participants With Vaccine-Related SAEs After Vaccine AdministrationqHPV in Base Study: Up to Month 120; Placebo in Base Study: approximately Month 60 up to Month 120An adverse event (AE) is any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the study vaccine. Any worsening of a preexisting condition which is temporally associated with the use of the study vaccine is also an adverse event. A serious adverse event (SAE) is an AE that results in death, is life threatening, results in persistent or significant disability or incapacity, results in or prolongs a hospitalization, is a congenital anomaly or birth defect, is a cancer, or is an overdose. Vaccine-related SAEs are those deemed by the investigator to be definitely, probably, or possibly related to study vaccine.
Number of Participants With an SAE Resulting in Death After Vaccine AdministrationqHPV in Base Study: Up to Month 120; Placebo in Base Study: approximately Month 60 up to Month 120An adverse event (AE) is any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the study vaccine. Any worsening of a preexisting condition which is temporally associated with the use of the study vaccine is also an adverse event. A serious adverse event (SAE) is an AE that results in death, is life threatening, results in persistent or significant disability or incapacity, results in or prolongs a hospitalization, is a congenital anomaly or birth defect, is a cancer, or is an overdose.
Cumulative Incidence of HPV 6/11/16/18-related Cervical Intraepithelial Neoplasia (CIN) or Condyloma: Day 1 to Year 4Up to Month 48 (up to 42 months after the third dose of qHPV vaccine in the Base Study)The four HPV types were determined by PCR testing. Cumulative incidence probability is the probability of becoming an endpoint case at any time from Day 1 to Year 4, conditional on having been event-free at Day 1.
Cumulative Incidence of HPV 6/11/16/18-related CIN or Condyloma: Year 4 to 8From 48 to 96 months (4 to 8 years) after the first dose of qHPV vaccine in the Base StudyThe four HPV types were determined by PCR testing. Cumulative incidence probability is the probability of becoming an endpoint case at any time from Year 4 to Year 8, conditional on having been event-free from Day 1 to Year 4. The analysis windows were cut at the exact time points, e.g., Year 4. Visits and events which occurred after Year 4 due to visit window or follow-up investigations are included in the Year 4 to Year 8 time interval.
Cumulative Incidence of HPV 6/11/16/18-related CIN or Condyloma: Year 6 to 10From 72 to 120 months (6 to 10 years) after the first dose of qHPV vaccine in the Base StudyThe four HPV types were determined by PCR testing. Cumulative incidence probability is the probability of becoming an endpoint case at any time from Year 6 to Year 10, conditional on having been event-free from Day 1 to Year 6.
Incidence Rate of HPV 6/11/16/18-related CIN or Condyloma (Secondary Analysis): Day 1 to Year 4Up to Month 48 (up to 42 months after the third dose of qHPV vaccine in the Base Study)The four HPV types were determined by PCR testing.
Incidence Rate of HPV 6/11/16/18-related CIN or Condyloma (Secondary Analysis): Year 4 to 8From 48 to 96 months (4 to 8 years) after the first dose of qHPV vaccine in the Base StudyThe four HPV types were determined by PCR testing. The analysis windows were cut at the exact time points, e.g., Year 4. Visits and events which occurred after Year 4 due to visit window or follow-up investigations are included in the Year 4 to Year 8 time interval.
Incidence Rate of HPV 6/11/16/18-related CIN or Condyloma (Secondary Analysis): Year 6 to 10From 72 to 120 months (6 to 10 years) after the first dose of qHPV vaccine in the Base StudyThe four HPV types were determined by PCR testing.

Secondary

MeasureTime frameDescription
Cumulative Incidence of HPV 6/11-related Condyloma: Year 4 to Year 8From 48 to 96 months (4 to 8 years) after the first dose of qHPV vaccine in the Base StudyThe four HPV types were determined by PCR testing. Cumulative incidence probability is the probability of becoming an endpoint case at any time from Year 4 to Year 8 conditional on having been event-free from Day 1 to Year 4. The analysis windows were cut at the exact time points, e.g., Year 4. Visits and events which occurred after Year 4 due to visit window or follow-up investigations are included in the Year 4 to Year 8 time interval.
Cumulative Incidence of HPV 6/11-related Condyloma: Year 6 to Year 10From 72 to 120 months (6 to 10 years) after the first dose of qHPV vaccine in the Base StudyThe four HPV types were determined by PCR testing. Cumulative incidence probability is the probability of becoming an endpoint case at any time from Year 6 to Year 10 conditional on having been event-free from Day 1 to Year 6.
Incidence Rate of HPV 6/11-related Condyloma (Secondary Analysis): Day 1 to Year 4Up to 48 months (4 years) after the first dose of qHPV vaccine or placebo in the Base StudyThe four HPV types were determined by PCR testing.
Incidence Rate of HPV 6/11-related Condyloma (Secondary Analysis): Year 4 to Year 8From 48 to 96 months (4 to 8 years) after the first dose of qHPV vaccine in the Base StudyThe four HPV types were determined by PCR testing. The analysis windows were cut at the exact time points, e.g., Year 4. Visits and events which occurred after Year 4 due to visit window or follow-up investigations are included in the Year 4 to Year 8 time interval.
Incidence Rate of HPV 6/11-related Condyloma (Secondary Analysis): Year 6 to Year 10From 72 to 120 months (6 to 10 years) after the first dose of qHPV vaccine in the Base StudyThe four HPV types were determined by PCR testing. Cumulative incidence probability is the probability of becoming an endpoint case at any time from Year 6 to Year 10 conditional on having been event-free from Day 1 to Year 6.
Incidence Rate of HPV 31/33/35/52/58 Related Persistent Infection, Genital Warts, VIN, VaIN, Vulvar Cancer, Vaginal Cancer, Cervical Dysplasia, Cervical AIS, and Cervical CancerUp to Month 48 (up to 42 months after the third dose of qHPV vaccine in the Base Study)This outcome measure was not analyzed because of diminished interest by experts in composite efficacy endpoints associated with these HPV types
Incidence Rate of HPV 6/11 Related Persistent Infection, Genital Warts, VIN, VaIN, Vulvar Cancer, Vaginal Cancer, Cervical Dysplasia, Cervical AIS, and Cervical CancerUp to Month 48 (up to 42 months after the third dose of qHPV vaccine in the Base Study)HPV 6/11: The two types of HPV (types 6/11) were determined by PCR testing
Cumulative Incidence of HPV 6/11-related Condyloma: Day 1 to Year 4Up to 48 months (4 years) after the first dose of qHPV vaccine or placebo in the Base StudyThe four HPV types were determined by PCR testing. Cumulative incidence probability is the probability of becoming an endpoint case at any time from Day 1 to Year 4 conditional on having been event-free at Day 1.

Other

MeasureTime frameDescription
Incidence Rate of HPV 16/18 Related Persistent Infection, Genital Warts, VIN, VaIN, Vulvar Cancer, Vaginal Cancer, Cervical Dysplasia, Cervical AIS, and Cervical CancerUp to Month 48 (up to 42 months after the third dose of qHPV vaccine in the Base Study)HPV 16/18: The two types of HPV (types 16/18) were determined by PCR testing
Cumulative Incidence of HPV 16/18-related CIN 2 or Worse: Year 4 to 8From 48 to 96 months (4 to 8 years) after the first dose of qHPV vaccine in the Base StudyThe four HPV types were determined by PCR testing. Cumulative incidence probability is the probability of becoming an endpoint case at any time from Year 4 to Year 8 conditional on having been event-free from Day 1 to Year 4. The analysis windows were cut at the exact time points, e.g., Year 4. Visits and events which occurred after Year 4 due to visit window or follow-up investigations are included in the Year 4 to Year 8 time interval.
Cumulative Incidence of HPV 16/18-related CIN 2 or Worse: Year 6 to 10From 72 to 120 months (6 to 10 years) after the first dose of qHPV vaccine in the Base StudyThe four HPV types were determined by PCR testing. Cumulative incidence probability is the probability of becoming an endpoint case at any time from Year 6 to Year 10 conditional on having been event-free from Day 1 to Year 6.
Incidence Rate of HPV 16/18-related CIN 2 or Worse (Secondary Analysis): Day 1 to Year 4Up to Month 48 (up to 42 months after the third dose of qHPV vaccine in the Base Study)The four HPV types were determined by PCR testing.
Incidence Rate of HPV 16/18-related CIN 2 or Worse (Secondary Analysis): Year 4 to 8From 48 to 96 months (4 to 8 years) after the first dose of qHPV vaccine in the Base StudyThe four HPV types were determined by PCR testing. The analysis windows were cut at the exact time points, e.g., Year 4. Visits and events which occurred after Year 4 due to visit window or follow-up investigations are included in the Year 4 to Year 8 time interval.
Incidence Rate of HPV 16/18-related CIN 2 or Worse (Secondary Analysis): Year 6 to 10From 72 to 120 months (6 to 10 years) after the first dose of qHPV vaccine in the Base StudyThe four HPV types were determined by PCR testing.
Cumulative Incidence of HPV 16/18-related CIN 2 or Worse: Day 1 to Year 4Up to Month 48 (up to 42 months after the third dose of qHPV vaccine in the Base Study)The four HPV types were determined by PCR testing. Cumulative incidence probability is the probability of becoming an endpoint case at any time from Day 1 to Year 4 conditional on having been event-free at Day 1.

Participant flow

Recruitment details

Base Study Vaccination Period covers Day 1 to Month 7; Base Study Follow-up Period covers Month 7 up to approximately Month 48; Extension 1 (EXT1) Period covers approximately Month 60 to Month 67; Long-term Follow-up (LTFU, EXT2) covers approximately Month 72 up to Month 120

Participants by arm

ArmCount
qHPV Vaccine in Base Study
Participants received qHPV vaccination at Day 1, Month 2, and Month 6 in the Base Study
1,911
Placebo in Base Study
Participants received placebo at Day 1, Month 2, and Month 6 in the Base Study
1,908
Total3,819

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004FG005
Base Study Follow-up PeriodAdverse Event610000
Base Study Follow-up PeriodLost to Follow-up88780000
Base Study Follow-up PeriodOther19210000
Base Study Follow-up PeriodPatient Moved20280000
Base Study Follow-up PeriodWithdrawal by Subject27360000
Base Study Vaccination PeriodAdverse Event610000
Base Study Vaccination PeriodLost to Follow-up24280000
Base Study Vaccination PeriodOther440000
Base Study Vaccination PeriodPatient Moved620000
Base Study Vaccination PeriodRandomized not Vaccinated110000
Base Study Vaccination PeriodWithdrawal by Subject23270000
Extension 1 (EXT1)Adverse Event004000
Extension 1 (EXT1)Lost to Follow-up0022000
Extension 1 (EXT1)Moved002100
Extension 1 (EXT1)Other reason002000
Extension 1 (EXT1)Protocol Violation000100
Extension 1 (EXT1)Withdrawal by Subject0025000
Long-term Follow-up (EXT2)Death000011
Long-term Follow-up (EXT2)Lost to Follow-up00003823
Long-term Follow-up (EXT2)Other000010
Long-term Follow-up (EXT2)Withdrawal by Subject000044

Baseline characteristics

CharacteristicTotalqHPV Vaccine in Base StudyPlacebo in Base Study
Age, Continuous34.3 years
STANDARD_DEVIATION 6.3
35 Years34 Years
Race/Ethnicity, Customized
Asian
1192 participants596 participants596 participants
Race/Ethnicity, Customized
Black
182 participants100 participants82 participants
Race/Ethnicity, Customized
Hispanic American
1649 participants822 participants827 participants
Race/Ethnicity, Customized
Multi-Racial
7 participants3 participants4 participants
Race/Ethnicity, Customized
Native American
3 participants2 participants1 participants
Race/Ethnicity, Customized
Polynesian
1 participants0 participants1 participants
Race/Ethnicity, Customized
White
785 participants388 participants397 participants
Sex: Female, Male
Female
3819 Participants1911 Participants1908 Participants
Sex: Female, Male
Male
0 Participants0 Participants0 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —— / —
other
Total, other adverse events
1,565 / 1,8901,390 / 1,8882 / 1,3270 / 1,336
serious
Total, serious adverse events
15 / 1,89017 / 1,8886 / 1,3276 / 1,336

Outcome results

Primary

Cumulative Incidence of HPV 6/11/16/18-related Cervical Intraepithelial Neoplasia (CIN) or Condyloma: Day 1 to Year 4

The four HPV types were determined by PCR testing. Cumulative incidence probability is the probability of becoming an endpoint case at any time from Day 1 to Year 4, conditional on having been event-free at Day 1.

Time frame: Up to Month 48 (up to 42 months after the third dose of qHPV vaccine in the Base Study)

Population: Participants who had no major protocol violations, received all 3 vaccinations, were seronegative to the HPV types at Day 1 and PCR negative to the HPV types through Month 7, and provided follow-up data.

ArmMeasureValue (NUMBER)
qHPV in Base StudyCumulative Incidence of HPV 6/11/16/18-related Cervical Intraepithelial Neoplasia (CIN) or Condyloma: Day 1 to Year 40.0006 Cumulative Incidence Probability
Placebo in Base StudyCumulative Incidence of HPV 6/11/16/18-related Cervical Intraepithelial Neoplasia (CIN) or Condyloma: Day 1 to Year 40.0124 Cumulative Incidence Probability
Primary

Cumulative Incidence of HPV 6/11/16/18-related CIN or Condyloma: Year 4 to 8

The four HPV types were determined by PCR testing. Cumulative incidence probability is the probability of becoming an endpoint case at any time from Year 4 to Year 8, conditional on having been event-free from Day 1 to Year 4. The analysis windows were cut at the exact time points, e.g., Year 4. Visits and events which occurred after Year 4 due to visit window or follow-up investigations are included in the Year 4 to Year 8 time interval.

Time frame: From 48 to 96 months (4 to 8 years) after the first dose of qHPV vaccine in the Base Study

Population: Participants who had no major protocol violations, received all 3 vaccinations, were seronegative to the HPV types at Day 1 and PCR negative to the HPV types through Month 7, and provided follow-up data after Year 4. This Outcome Measure applied only to participants who received qHPV in the Base Study.

ArmMeasureValue (NUMBER)
qHPV in Base StudyCumulative Incidence of HPV 6/11/16/18-related CIN or Condyloma: Year 4 to 80.0000 Cumulative Incidence Probability
Primary

Cumulative Incidence of HPV 6/11/16/18-related CIN or Condyloma: Year 6 to 10

The four HPV types were determined by PCR testing. Cumulative incidence probability is the probability of becoming an endpoint case at any time from Year 6 to Year 10, conditional on having been event-free from Day 1 to Year 6.

Time frame: From 72 to 120 months (6 to 10 years) after the first dose of qHPV vaccine in the Base Study

Population: Participants who had no major protocol violations, received all 3 vaccinations, were seronegative to the HPV types at Day 1 and PCR negative to the HPV types through Month 7, and provided follow-up data after Year 6. This Outcome Measure applied only to participants who received qHPV in the Base Study.

ArmMeasureValue (NUMBER)
qHPV in Base StudyCumulative Incidence of HPV 6/11/16/18-related CIN or Condyloma: Year 6 to 100.0000 Cumulative Incidence Probability
Primary

Geometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 114 Months Postdose 3 in the Base Study

Serum antibodies to the HPV Types were determined by Competitive Luminex Immunoassay (cLIA). Geometric Mean Titers (GMT) are reported in milli-Merck Units/mL (mMU/mL). This Outcome Measure evaluated age-specific immunogenicity responses, and applied only to participants who received qHPV in the Base Study.

Time frame: Month 120 (114 months after the third dose of qHPV vaccine in the Base Study)

Population: Participants who received ≥1 qHPV vaccination. n = participants who were seronegative to the HPV type on Day 1 and PCR negative to the HPV type through Month 7, received 3 doses of qHPV, had a valid postdose 3 serology result for the HPV type, and did not fail any exclusion criteria pertinent to immunogenicity.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
qHPV in Base StudyGeometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 114 Months Postdose 3 in the Base StudyHPV Type 6: n=441, 181, 26046.9 mMU/mL
qHPV in Base StudyGeometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 114 Months Postdose 3 in the Base StudyHPV Type 11: n=441, 181, 26042.3 mMU/mL
qHPV in Base StudyGeometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 114 Months Postdose 3 in the Base StudyHPV Type 16: n=443, 179, 264140.9 mMU/mL
qHPV in Base StudyGeometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 114 Months Postdose 3 in the Base StudyHPV Type 18: n=498, 216, 28216.0 mMU/mL
Placebo in Base StudyGeometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 114 Months Postdose 3 in the Base StudyHPV Type 18: n=498, 216, 28216.6 mMU/mL
Placebo in Base StudyGeometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 114 Months Postdose 3 in the Base StudyHPV Type 6: n=441, 181, 26045.7 mMU/mL
Placebo in Base StudyGeometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 114 Months Postdose 3 in the Base StudyHPV Type 16: n=443, 179, 264147.0 mMU/mL
Placebo in Base StudyGeometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 114 Months Postdose 3 in the Base StudyHPV Type 11: n=441, 181, 26045.2 mMU/mL
qHPV in Base Study: Participants 35 to 45 Years OldGeometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 114 Months Postdose 3 in the Base StudyHPV Type 18: n=498, 216, 28215.5 mMU/mL
qHPV in Base Study: Participants 35 to 45 Years OldGeometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 114 Months Postdose 3 in the Base StudyHPV Type 11: n=441, 181, 26040.4 mMU/mL
qHPV in Base Study: Participants 35 to 45 Years OldGeometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 114 Months Postdose 3 in the Base StudyHPV Type 16: n=443, 179, 264136.9 mMU/mL
qHPV in Base Study: Participants 35 to 45 Years OldGeometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 114 Months Postdose 3 in the Base StudyHPV Type 6: n=441, 181, 26047.7 mMU/mL
Primary

Geometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 18 Months Postdose 3 in the Base Study

Serum antibodies to the HPV Types were determined by Competitive Luminex Immunoassay (cLIA). Geometric Mean Titers (GMT) are reported in milli-Merck Units/mL (mMU/mL). This Outcome Measure evaluated age-specific immunogenicity responses, and applied only to participants who received qHPV in the Base Study.

Time frame: Month 24 (18 months after the third dose of qHPV vaccine in the Base Study)

Population: Participants who received ≥1 qHPV vaccination. n = participants who were seronegative to the HPV type on Day 1 and PCR negative to the HPV type through Month 7, received 3 doses of qHPV, had a valid postdose 3 serology result for the HPV type, and did not fail any exclusion criteria pertinent to immunogenicity.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
qHPV in Base StudyGeometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 18 Months Postdose 3 in the Base StudyHPV Type 11: n=1207, 579, 62877.6 mMU/mL
qHPV in Base StudyGeometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 18 Months Postdose 3 in the Base StudyHPV Type 18: n=1378, 673, 70528.3 mMU/mL
qHPV in Base StudyGeometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 18 Months Postdose 3 in the Base StudyHPV Type 16: n=1225, 583, 642278.9 mMU/mL
qHPV in Base StudyGeometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 18 Months Postdose 3 in the Base StudyHPV Type 6: n=1207, 579, 62870.3 mMU/mL
Placebo in Base StudyGeometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 18 Months Postdose 3 in the Base StudyHPV Type 16: n=1225, 583, 642287.3 mMU/mL
Placebo in Base StudyGeometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 18 Months Postdose 3 in the Base StudyHPV Type 18: n=1378, 673, 70531.0 mMU/mL
Placebo in Base StudyGeometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 18 Months Postdose 3 in the Base StudyHPV Type 11: n=1207, 579, 62882.5 mMU/mL
Placebo in Base StudyGeometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 18 Months Postdose 3 in the Base StudyHPV Type 6: n=1207, 579, 62871.3 mMU/mL
qHPV in Base Study: Participants 35 to 45 Years OldGeometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 18 Months Postdose 3 in the Base StudyHPV Type 18: n=1378, 673, 70526.0 mMU/mL
qHPV in Base Study: Participants 35 to 45 Years OldGeometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 18 Months Postdose 3 in the Base StudyHPV Type 6: n=1207, 579, 62869.3 mMU/mL
qHPV in Base Study: Participants 35 to 45 Years OldGeometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 18 Months Postdose 3 in the Base StudyHPV Type 16: n=1225, 583, 642271.4 mMU/mL
qHPV in Base Study: Participants 35 to 45 Years OldGeometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 18 Months Postdose 3 in the Base StudyHPV Type 11: n=1207, 579, 62873.4 mMU/mL
Primary

Geometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 1 Month Postdose 3 in the Base Study

Serum antibodies to the HPV Types were determined by Competitive Luminex Immunoassay (cLIA). Geometric Mean Titers (GMT) are reported in milli-Merck Units/mL (mMU/mL). This Outcome Measure evaluated age-specific immunogenicity responses, and applied only to participants who received qHPV in the Base Study.

Time frame: Month 7 (1 month after the third dose of qHPV vaccine in the Base Study)

Population: Participants who received ≥1 qHPV vaccination. n = participants who were seronegative to the HPV type on Day 1 and PCR negative to the HPV type through Month 7, received 3 doses of qHPV, had a valid postdose 3 serology result for the HPV type, and did not fail any exclusion criteria pertinent to immunogenicity.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
qHPV in Base StudyGeometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 1 Month Postdose 3 in the Base StudyHPV Type 6: n=1249, 605, 644416.2 mMU/mL
qHPV in Base StudyGeometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 1 Month Postdose 3 in the Base StudyHPV Type 11: n=1249, 605, 644551.2 mMU/mL
qHPV in Base StudyGeometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 1 Month Postdose 3 in the Base StudyHPV Type 16: n=1269, 612, 6572225.9 mMU/mL
qHPV in Base StudyGeometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 1 Month Postdose 3 in the Base StudyHPV Type 18: n=1430, 708, 722356.9 mMU/mL
Placebo in Base StudyGeometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 1 Month Postdose 3 in the Base StudyHPV Type 18: n=1430, 708, 722393.1 mMU/mL
Placebo in Base StudyGeometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 1 Month Postdose 3 in the Base StudyHPV Type 6: n=1249, 605, 644437.4 mMU/mL
Placebo in Base StudyGeometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 1 Month Postdose 3 in the Base StudyHPV Type 16: n=1269, 612, 6572334.2 mMU/mL
Placebo in Base StudyGeometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 1 Month Postdose 3 in the Base StudyHPV Type 11: n=1249, 605, 644595.1 mMU/mL
qHPV in Base Study: Participants 35 to 45 Years OldGeometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 1 Month Postdose 3 in the Base StudyHPV Type 18: n=1430, 708, 722324.6 mMU/mL
qHPV in Base Study: Participants 35 to 45 Years OldGeometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 1 Month Postdose 3 in the Base StudyHPV Type 11: n=1249, 605, 644512.8 mMU/mL
qHPV in Base Study: Participants 35 to 45 Years OldGeometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 1 Month Postdose 3 in the Base StudyHPV Type 16: n=1269, 612, 6572129.5 mMU/mL
qHPV in Base Study: Participants 35 to 45 Years OldGeometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 1 Month Postdose 3 in the Base StudyHPV Type 6: n=1249, 605, 644397.3 mMU/mL
Primary

Geometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 30 Months Postdose 3 in the Base Study

Serum antibodies to the HPV Types were determined by Competitive Luminex Immunoassay (cLIA). Geometric Mean Titers (GMT) are reported in milli-Merck Units/mL (mMU/mL). This Outcome Measure evaluated age-specific immunogenicity responses, and applied only to participants who received qHPV in the Base Study.

Time frame: Month 36 (30 months after the third dose of qHPV vaccine in the Base Study)

Population: Participants who received ≥1 qHPV vaccination. n = participants who were seronegative to the HPV type on Day 1 and PCR negative to the HPV type through Month 7, received 3 doses of qHPV, had a valid postdose 3 serology result for the HPV type, and did not fail any exclusion criteria pertinent to immunogenicity.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
qHPV in Base StudyGeometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 30 Months Postdose 3 in the Base StudyHPV Type 11: n=1169, 551, 61881.0 mMU/mL
qHPV in Base StudyGeometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 30 Months Postdose 3 in the Base StudyHPV Type 6: n=1169, 551, 61880.8 mMU/mL
qHPV in Base StudyGeometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 30 Months Postdose 3 in the Base StudyHPV Type 16: n=1190, 559, 631285.7 mMU/mL
qHPV in Base StudyGeometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 30 Months Postdose 3 in the Base StudyHPV Type 18: n=1331, 642, 68929.4 mMU/mL
Placebo in Base StudyGeometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 30 Months Postdose 3 in the Base StudyHPV Type 18: n=1331, 642, 68932.2 mMU/mL
Placebo in Base StudyGeometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 30 Months Postdose 3 in the Base StudyHPV Type 16: n=1190, 559, 631296.2 mMU/mL
Placebo in Base StudyGeometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 30 Months Postdose 3 in the Base StudyHPV Type 6: n=1169, 551, 61880.5 mMU/mL
Placebo in Base StudyGeometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 30 Months Postdose 3 in the Base StudyHPV Type 11: n=1169, 551, 61885.3 mMU/mL
qHPV in Base Study: Participants 35 to 45 Years OldGeometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 30 Months Postdose 3 in the Base StudyHPV Type 6: n=1169, 551, 61881.1 mMU/mL
qHPV in Base Study: Participants 35 to 45 Years OldGeometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 30 Months Postdose 3 in the Base StudyHPV Type 11: n=1169, 551, 61877.4 mMU/mL
qHPV in Base Study: Participants 35 to 45 Years OldGeometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 30 Months Postdose 3 in the Base StudyHPV Type 16: n=1190, 559, 631276.7 mMU/mL
qHPV in Base Study: Participants 35 to 45 Years OldGeometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 30 Months Postdose 3 in the Base StudyHPV Type 18: n=1331, 642, 68927.0 mMU/mL
Primary

Geometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 42 Months Postdose 3 in the Base Study

Serum antibodies to the HPV Types were determined by Competitive Luminex Immunoassay (cLIA). Geometric Mean Titers (GMT) are reported in milli-Merck Units/mL (mMU/mL). This Outcome Measure evaluated age-specific immunogenicity responses, and applied only to participants who received qHPV in the Base Study.

Time frame: Month 48 (42 months after the third dose of qHPV vaccine in the Base Study)

Population: Participants who received ≥1 qHPV vaccination. n = participants who were seronegative to the HPV type on Day 1 and PCR negative to the HPV type through Month 7, received 3 doses of qHPV, had a valid postdose 3 serology result for the HPV type, and did not fail any exclusion criteria pertinent to immunogenicity.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
qHPV in Base StudyGeometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 42 Months Postdose 3 in the Base StudyHPV Type 6: n=1152, 536, 61660.9 mMU/mL
qHPV in Base StudyGeometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 42 Months Postdose 3 in the Base StudyHPV Type 11: n=1152, 536, 61665.9 mMU/mL
qHPV in Base StudyGeometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 42 Months Postdose 3 in the Base StudyHPV Type 16: n=1172, 544, 628202.1 mMU/mL
qHPV in Base StudyGeometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 42 Months Postdose 3 in the Base StudyHPV Type 18: n=1313, 625, 68823.1 mMU/mL
Placebo in Base StudyGeometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 42 Months Postdose 3 in the Base StudyHPV Type 18: n=1313, 625, 68825.3 mMU/mL
Placebo in Base StudyGeometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 42 Months Postdose 3 in the Base StudyHPV Type 6: n=1152, 536, 61659.6 mMU/mL
Placebo in Base StudyGeometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 42 Months Postdose 3 in the Base StudyHPV Type 16: n=1172, 544, 628213.4 mMU/mL
Placebo in Base StudyGeometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 42 Months Postdose 3 in the Base StudyHPV Type 11: n=1152, 536, 61669.7 mMU/mL
qHPV in Base Study: Participants 35 to 45 Years OldGeometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 42 Months Postdose 3 in the Base StudyHPV Type 18: n=1313, 625, 68821.2 mMU/mL
qHPV in Base Study: Participants 35 to 45 Years OldGeometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 42 Months Postdose 3 in the Base StudyHPV Type 11: n=1152, 536, 61662.7 mMU/mL
qHPV in Base Study: Participants 35 to 45 Years OldGeometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 42 Months Postdose 3 in the Base StudyHPV Type 16: n=1172, 544, 628192.8 mMU/mL
qHPV in Base Study: Participants 35 to 45 Years OldGeometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 42 Months Postdose 3 in the Base StudyHPV Type 6: n=1152, 536, 61662.0 mMU/mL
Primary

Geometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 66 Months Postdose 3 in the Base Study

Serum antibodies to the HPV Types were determined by Competitive Luminex Immunoassay (cLIA). Geometric Mean Titers (GMT) are reported in milli-Merck Units/mL (mMU/mL). This Outcome Measure evaluated age-specific immunogenicity responses, and applied only to participants who received qHPV in the Base Study.

Time frame: Month 72 (66 months after the third dose of qHPV vaccine in the Base Study)

Population: Participants who received ≥1 qHPV vaccination. n = participants who were seronegative to the HPV type on Day 1 and PCR negative to the HPV type through Month 7, received 3 doses of qHPV, had a valid postdose 3 serology result for the HPV type, and did not fail any exclusion criteria pertinent to immunogenicity.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
qHPV in Base StudyGeometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 66 Months Postdose 3 in the Base StudyHPV Type 18: n=530, 237, 29320.9 mMU/mL
qHPV in Base StudyGeometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 66 Months Postdose 3 in the Base StudyHPV Type 16: n=473, 197, 276219.5 mMU/mL
qHPV in Base StudyGeometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 66 Months Postdose 3 in the Base StudyHPV Type 11: n=466, 196, 27064.3 mMU/mL
qHPV in Base StudyGeometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 66 Months Postdose 3 in the Base StudyHPV Type 6: n=468, 198, 27064.3 mMU/mL
Placebo in Base StudyGeometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 66 Months Postdose 3 in the Base StudyHPV Type 16: n=473, 197, 276220.3 mMU/mL
Placebo in Base StudyGeometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 66 Months Postdose 3 in the Base StudyHPV Type 11: n=466, 196, 27068.9 mMU/mL
Placebo in Base StudyGeometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 66 Months Postdose 3 in the Base StudyHPV Type 6: n=468, 198, 27060.7 mMU/mL
Placebo in Base StudyGeometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 66 Months Postdose 3 in the Base StudyHPV Type 18: n=530, 237, 29322.8 mMU/mL
qHPV in Base Study: Participants 35 to 45 Years OldGeometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 66 Months Postdose 3 in the Base StudyHPV Type 11: n=466, 196, 27061.1 mMU/mL
qHPV in Base Study: Participants 35 to 45 Years OldGeometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 66 Months Postdose 3 in the Base StudyHPV Type 6: n=468, 198, 27067.0 mMU/mL
qHPV in Base Study: Participants 35 to 45 Years OldGeometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 66 Months Postdose 3 in the Base StudyHPV Type 18: n=530, 237, 29319.5 mMU/mL
qHPV in Base Study: Participants 35 to 45 Years OldGeometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 66 Months Postdose 3 in the Base StudyHPV Type 16: n=473, 197, 276218.9 mMU/mL
Primary

Geometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 6 Months Postdose 3 in the Base Study

Serum antibodies to the HPV Types were determined by Competitive Luminex Immunoassay (cLIA). Geometric Mean Titers (GMT) are reported in milli-Merck Units/mL (mMU/mL). This Outcome Measure evaluated age-specific immunogenicity responses, and applied only to participants who received qHPV in the Base Study.

Time frame: Month 12 (6 months after the third dose of qHPV vaccine in the Base Study)

Population: Participants who received ≥1 qHPV vaccination. n = participants who were seronegative to the HPV type on Day 1 and PCR negative to the HPV type through Month 7, received 3 doses of qHPV, had a valid postdose 3 serology result for the HPV type, and did not fail any exclusion criteria pertinent to immunogenicity.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
qHPV in Base StudyGeometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 6 Months Postdose 3 in the Base StudyHPV Type 18: n=1387, 678, 70979.2 mMU/mL
qHPV in Base StudyGeometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 6 Months Postdose 3 in the Base StudyHPV Type 6: n=1225, 589, 636155.1 mMU/mL
qHPV in Base StudyGeometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 6 Months Postdose 3 in the Base StudyHPV Type 11: n=1225, 589, 636176.9 mMU/mL
qHPV in Base StudyGeometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 6 Months Postdose 3 in the Base StudyHPV Type 16: n=1236, 588, 648719.6 mMU/mL
Placebo in Base StudyGeometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 6 Months Postdose 3 in the Base StudyHPV Type 6: n=1225, 589, 636157.3 mMU/mL
Placebo in Base StudyGeometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 6 Months Postdose 3 in the Base StudyHPV Type 11: n=1225, 589, 636184.5 mMU/mL
Placebo in Base StudyGeometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 6 Months Postdose 3 in the Base StudyHPV Type 16: n=1236, 588, 648743.4 mMU/mL
Placebo in Base StudyGeometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 6 Months Postdose 3 in the Base StudyHPV Type 18: n=1387, 678, 70984.2 mMU/mL
qHPV in Base Study: Participants 35 to 45 Years OldGeometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 6 Months Postdose 3 in the Base StudyHPV Type 16: n=1236, 588, 648698.6 mMU/mL
qHPV in Base Study: Participants 35 to 45 Years OldGeometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 6 Months Postdose 3 in the Base StudyHPV Type 11: n=1225, 589, 636170.2 mMU/mL
qHPV in Base Study: Participants 35 to 45 Years OldGeometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 6 Months Postdose 3 in the Base StudyHPV Type 18: n=1387, 678, 70974.7 mMU/mL
qHPV in Base Study: Participants 35 to 45 Years OldGeometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 6 Months Postdose 3 in the Base StudyHPV Type 6: n=1225, 589, 636153.2 mMU/mL
Primary

Geometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 90 Months Postdose 3 in the Base Study

Serum antibodies to the HPV Types were determined by Competitive Luminex Immunoassay (cLIA). Geometric Mean Titers (GMT) are reported in milli-Merck Units/mL (mMU/mL). This Outcome Measure evaluated age-specific immunogenicity responses, and applied only to participants who received qHPV in the Base Study.

Time frame: Month 96 (90 months after the third dose of qHPV vaccine in the Base Study)

Population: Participants who received ≥1 qHPV vaccination. n = participants who were seronegative to the HPV type on Day 1 and PCR negative to the HPV type through Month 7, received 3 doses of qHPV, had a valid postdose 3 serology result for the HPV type, and did not fail any exclusion criteria pertinent to immunogenicity.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
qHPV in Base StudyGeometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 90 Months Postdose 3 in the Base StudyHPV Type 6: n=459, 193, 26656.7 mMU/mL
qHPV in Base StudyGeometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 90 Months Postdose 3 in the Base StudyHPV Type 11: n=459, 193, 26645.9 mMU/mL
qHPV in Base StudyGeometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 90 Months Postdose 3 in the Base StudyHPV Type 16: n=464, 192, 272168.3 mMU/mL
qHPV in Base StudyGeometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 90 Months Postdose 3 in the Base StudyHPV Type 18: n=519, 230, 28918.3 mMU/mL
Placebo in Base StudyGeometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 90 Months Postdose 3 in the Base StudyHPV Type 18: n=519, 230, 28919.1 mMU/mL
Placebo in Base StudyGeometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 90 Months Postdose 3 in the Base StudyHPV Type 6: n=459, 193, 26656.1 mMU/mL
Placebo in Base StudyGeometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 90 Months Postdose 3 in the Base StudyHPV Type 16: n=464, 192, 272174.1 mMU/mL
Placebo in Base StudyGeometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 90 Months Postdose 3 in the Base StudyHPV Type 11: n=459, 193, 26649.6 mMU/mL
qHPV in Base Study: Participants 35 to 45 Years OldGeometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 90 Months Postdose 3 in the Base StudyHPV Type 18: n=519, 230, 28917.7 mMU/mL
qHPV in Base Study: Participants 35 to 45 Years OldGeometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 90 Months Postdose 3 in the Base StudyHPV Type 11: n=459, 193, 26643.5 mMU/mL
qHPV in Base Study: Participants 35 to 45 Years OldGeometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 90 Months Postdose 3 in the Base StudyHPV Type 16: n=464, 192, 272164.4 mMU/mL
qHPV in Base Study: Participants 35 to 45 Years OldGeometric Mean Titer for Anti-HPV Type 6, 11, 16, and 18 Antibody at 90 Months Postdose 3 in the Base StudyHPV Type 6: n=459, 193, 26657.2 mMU/mL
Primary

Incidence Rate of HPV 6/11/16/18-related CIN or Condyloma (Secondary Analysis): Day 1 to Year 4

The four HPV types were determined by PCR testing.

Time frame: Up to Month 48 (up to 42 months after the third dose of qHPV vaccine in the Base Study)

Population: Participants who had no major protocol violations, received all 3 vaccinations, were seronegative to the HPV types at Day 1 and PCR negative to the HPV types through Month 7, and provided follow-up data.

ArmMeasureValue (NUMBER)
qHPV in Base StudyIncidence Rate of HPV 6/11/16/18-related CIN or Condyloma (Secondary Analysis): Day 1 to Year 40.0 Incidence per 100 person-years
Placebo in Base StudyIncidence Rate of HPV 6/11/16/18-related CIN or Condyloma (Secondary Analysis): Day 1 to Year 40.4 Incidence per 100 person-years
Primary

Incidence Rate of HPV 6/11/16/18-related CIN or Condyloma (Secondary Analysis): Year 4 to 8

The four HPV types were determined by PCR testing. The analysis windows were cut at the exact time points, e.g., Year 4. Visits and events which occurred after Year 4 due to visit window or follow-up investigations are included in the Year 4 to Year 8 time interval.

Time frame: From 48 to 96 months (4 to 8 years) after the first dose of qHPV vaccine in the Base Study

Population: Participants who had no major protocol violations, received all 3 vaccinations, were seronegative to the HPV types at Day 1 and PCR negative to the HPV types through Month 7, and provided follow-up data after Year 4. This Outcome Measure applied only to participants who received qHPV in the Base Study.

ArmMeasureValue (NUMBER)
qHPV in Base StudyIncidence Rate of HPV 6/11/16/18-related CIN or Condyloma (Secondary Analysis): Year 4 to 80.0 Incidence per 100 person-years
Primary

Incidence Rate of HPV 6/11/16/18-related CIN or Condyloma (Secondary Analysis): Year 6 to 10

The four HPV types were determined by PCR testing.

Time frame: From 72 to 120 months (6 to 10 years) after the first dose of qHPV vaccine in the Base Study

Population: Participants who had no major protocol violations, received all 3 vaccinations, were seronegative to the HPV types at Day 1 and PCR negative to the HPV types through Month 7, and provided follow-up data after Year 6. This Outcome Measure applied only to participants who received qHPV in the Base Study.

ArmMeasureValue (NUMBER)
qHPV in Base StudyIncidence Rate of HPV 6/11/16/18-related CIN or Condyloma (Secondary Analysis): Year 6 to 100.0 Incidence per 100 person-years
Primary

Incidence Rate of HPV 6/11/16/18 Related Persistent Infection, Genital Warts, VIN, VaIN, Vulvar Cancer, Vaginal Cancer, Cervical Dysplasia, Cervical AIS, and Cervical Cancer

The four HPV types were determined by polymerase chain reaction (PCR) testing. VIN = vulvar intraepithelial neoplasia; VaIN = vaginal intraepithelial neoplasia; AIS = adenocarcinoma in situ.

Time frame: Up to 48 months (4 years) after the first dose of qHPV vaccine in the Base Study

Population: Participants who had no major protocol violations, received all 3 vaccinations, were seronegative to the relevant HPV type at Day 1 and PCR negative to the relevant HPV type Day 1 through Month 7, and provided follow-up data after Month 7

ArmMeasureValue (NUMBER)
qHPV in Base StudyIncidence Rate of HPV 6/11/16/18 Related Persistent Infection, Genital Warts, VIN, VaIN, Vulvar Cancer, Vaginal Cancer, Cervical Dysplasia, Cervical AIS, and Cervical Cancer0.2 Incidence per 100 person-years
Placebo in Base StudyIncidence Rate of HPV 6/11/16/18 Related Persistent Infection, Genital Warts, VIN, VaIN, Vulvar Cancer, Vaginal Cancer, Cervical Dysplasia, Cervical AIS, and Cervical Cancer1.7 Incidence per 100 person-years
95% CI: [78.1, 94.8]
Primary

Number of Participants With an SAE Resulting in Death After Vaccine Administration

An adverse event (AE) is any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the study vaccine. Any worsening of a preexisting condition which is temporally associated with the use of the study vaccine is also an adverse event. A serious adverse event (SAE) is an AE that results in death, is life threatening, results in persistent or significant disability or incapacity, results in or prolongs a hospitalization, is a congenital anomaly or birth defect, is a cancer, or is an overdose.

Time frame: qHPV in Base Study: Up to Month 120; Placebo in Base Study: approximately Month 60 up to Month 120

Population: Participants who received \>=1 qHPV vaccination in the Base Study or EXT1 and had safety follow-up

ArmMeasureValue (NUMBER)
qHPV in Base StudyNumber of Participants With an SAE Resulting in Death After Vaccine Administration8 Participants
Placebo in Base StudyNumber of Participants With an SAE Resulting in Death After Vaccine Administration4 Participants
Primary

Number of Participants With Vaccine- or Placebo-Related Serious Adverse Events (SAEs) in the Base Study

An adverse event (AE) is any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the study vaccine. Any worsening of a preexisting condition which is temporally associated with the use of the study vaccine is also an adverse event. A serious adverse event (SAE) is an AE that results in death, is life threatening, results in persistent or significant disability or incapacity, results in or prolongs a hospitalization, is a congenital anomaly or birth defect, is a cancer, or is an overdose. Vaccine-related SAEs are those deemed by the investigator to be definitely, probably, or possibly related to study vaccine.

Time frame: Up to Month 48 (up to 42 months after the third dose of qHPV vaccine in the Base Study)

Population: Participants who received \>=1 qHPV vaccination or placebo injection in the Base Study and had safety follow-up

ArmMeasureValue (NUMBER)
qHPV in Base StudyNumber of Participants With Vaccine- or Placebo-Related Serious Adverse Events (SAEs) in the Base Study0 Participants
Placebo in Base StudyNumber of Participants With Vaccine- or Placebo-Related Serious Adverse Events (SAEs) in the Base Study0 Participants
Primary

Number of Participants With Vaccine-Related SAEs After Vaccine Administration

An adverse event (AE) is any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the study vaccine. Any worsening of a preexisting condition which is temporally associated with the use of the study vaccine is also an adverse event. A serious adverse event (SAE) is an AE that results in death, is life threatening, results in persistent or significant disability or incapacity, results in or prolongs a hospitalization, is a congenital anomaly or birth defect, is a cancer, or is an overdose. Vaccine-related SAEs are those deemed by the investigator to be definitely, probably, or possibly related to study vaccine.

Time frame: qHPV in Base Study: Up to Month 120; Placebo in Base Study: approximately Month 60 up to Month 120

Population: Participants who received \>=1 qHPV vaccination in the Base Study or EXT1 and had safety follow-up

ArmMeasureValue (NUMBER)
qHPV in Base StudyNumber of Participants With Vaccine-Related SAEs After Vaccine Administration0 Participants
Placebo in Base StudyNumber of Participants With Vaccine-Related SAEs After Vaccine Administration1 Participants
Primary

Percentage of Participants Seropositive for Anti-HPV Antibody at 114 Months Postdose 3 in the Base Study

Serum antibodies to HPV Types 6, 11, 16, and 18 were determined by Competitive Luminex Immunoassay (cLIA). The seropositive thresholds (in mMU/mL) were \>20 for Type 6, \>16 for Type 11, \>20 for Type 16, and \>24 for Type 18. This Outcome Measure evaluated age-specific immunogenicity responses, and applied only to participants who received qHPV in the Base Study.

Time frame: Month 120 (114 months after the third dose of qHPV vaccine in the Base Study)

Population: Participants who received ≥1 qHPV vaccination. n = participants who were seronegative to the HPV type on Day 1 and PCR negative to the HPV type through Month 7, received 3 doses of qHPV, had a valid postdose 3 serology result for the HPV type, and did not fail any exclusion criteria pertinent to immunogenicity.

ArmMeasureGroupValue (NUMBER)
qHPV in Base StudyPercentage of Participants Seropositive for Anti-HPV Antibody at 114 Months Postdose 3 in the Base StudyHPV Type 6: n=441, 181, 26078.7 Percentage of participants
qHPV in Base StudyPercentage of Participants Seropositive for Anti-HPV Antibody at 114 Months Postdose 3 in the Base StudyHPV Type 11: n=441, 181, 26085.0 Percentage of participants
qHPV in Base StudyPercentage of Participants Seropositive for Anti-HPV Antibody at 114 Months Postdose 3 in the Base StudyHPV Type 16: n=443, 179, 26493.9 Percentage of participants
qHPV in Base StudyPercentage of Participants Seropositive for Anti-HPV Antibody at 114 Months Postdose 3 in the Base StudyHPV Type 18: n=498, 216, 28235.9 Percentage of participants
Placebo in Base StudyPercentage of Participants Seropositive for Anti-HPV Antibody at 114 Months Postdose 3 in the Base StudyHPV Type 18: n=498, 216, 28238.9 Percentage of participants
Placebo in Base StudyPercentage of Participants Seropositive for Anti-HPV Antibody at 114 Months Postdose 3 in the Base StudyHPV Type 6: n=441, 181, 26079.0 Percentage of participants
Placebo in Base StudyPercentage of Participants Seropositive for Anti-HPV Antibody at 114 Months Postdose 3 in the Base StudyHPV Type 16: n=443, 179, 26495.0 Percentage of participants
Placebo in Base StudyPercentage of Participants Seropositive for Anti-HPV Antibody at 114 Months Postdose 3 in the Base StudyHPV Type 11: n=441, 181, 26086.7 Percentage of participants
qHPV in Base Study: Participants 35 to 45 Years OldPercentage of Participants Seropositive for Anti-HPV Antibody at 114 Months Postdose 3 in the Base StudyHPV Type 18: n=498, 216, 28233.7 Percentage of participants
qHPV in Base Study: Participants 35 to 45 Years OldPercentage of Participants Seropositive for Anti-HPV Antibody at 114 Months Postdose 3 in the Base StudyHPV Type 11: n=441, 181, 26083.8 Percentage of participants
qHPV in Base Study: Participants 35 to 45 Years OldPercentage of Participants Seropositive for Anti-HPV Antibody at 114 Months Postdose 3 in the Base StudyHPV Type 16: n=443, 179, 26493.2 Percentage of participants
qHPV in Base Study: Participants 35 to 45 Years OldPercentage of Participants Seropositive for Anti-HPV Antibody at 114 Months Postdose 3 in the Base StudyHPV Type 6: n=441, 181, 26078.5 Percentage of participants
Primary

Percentage of Participants Seropositive for Anti-HPV Antibody at 18 Months Postdose 3 in the Base Study

Serum antibodies to HPV Types 6, 11, 16, and 18 were determined by Competitive Luminex Immunoassay (cLIA). The seropositive thresholds (in mMU/mL) were \>20 for Type 6, \>16 for Type 11, \>20 for Type 16, and \>24 for Type 18. This Outcome Measure evaluated age-specific immunogenicity responses, and applied only to participants who received qHPV in the Base Study.

Time frame: Month 24 (18 months after the third dose of qHPV vaccine in the Base Study)

Population: Participants who received ≥1 qHPV vaccination. n = participants who were seronegative to the HPV type on Day 1 and PCR negative to the HPV type through Month 7, received 3 doses of qHPV, had a valid postdose 3 serology result for the HPV type, and did not fail any exclusion criteria pertinent to immunogenicity.

ArmMeasureGroupValue (NUMBER)
qHPV in Base StudyPercentage of Participants Seropositive for Anti-HPV Antibody at 18 Months Postdose 3 in the Base StudyHPV Type 16: n=1225, 583, 64296.5 Percentage of participants
qHPV in Base StudyPercentage of Participants Seropositive for Anti-HPV Antibody at 18 Months Postdose 3 in the Base StudyHPV Type 6: n=1207, 579, 62889.3 Percentage of participants
qHPV in Base StudyPercentage of Participants Seropositive for Anti-HPV Antibody at 18 Months Postdose 3 in the Base StudyHPV Type 18: n=1378, 673, 70554.6 Percentage of participants
qHPV in Base StudyPercentage of Participants Seropositive for Anti-HPV Antibody at 18 Months Postdose 3 in the Base StudyHPV Type 11: n=1207, 579, 62892.4 Percentage of participants
Placebo in Base StudyPercentage of Participants Seropositive for Anti-HPV Antibody at 18 Months Postdose 3 in the Base StudyHPV Type 16: n=1225, 583, 64296.9 Percentage of participants
Placebo in Base StudyPercentage of Participants Seropositive for Anti-HPV Antibody at 18 Months Postdose 3 in the Base StudyHPV Type 11: n=1207, 579, 62894.0 Percentage of participants
Placebo in Base StudyPercentage of Participants Seropositive for Anti-HPV Antibody at 18 Months Postdose 3 in the Base StudyHPV Type 6: n=1207, 579, 62889.5 Percentage of participants
Placebo in Base StudyPercentage of Participants Seropositive for Anti-HPV Antibody at 18 Months Postdose 3 in the Base StudyHPV Type 18: n=1378, 673, 70557.4 Percentage of participants
qHPV in Base Study: Participants 35 to 45 Years OldPercentage of Participants Seropositive for Anti-HPV Antibody at 18 Months Postdose 3 in the Base StudyHPV Type 18: n=1378, 673, 70552.1 Percentage of participants
qHPV in Base Study: Participants 35 to 45 Years OldPercentage of Participants Seropositive for Anti-HPV Antibody at 18 Months Postdose 3 in the Base StudyHPV Type 6: n=1207, 579, 62889.2 Percentage of participants
qHPV in Base Study: Participants 35 to 45 Years OldPercentage of Participants Seropositive for Anti-HPV Antibody at 18 Months Postdose 3 in the Base StudyHPV Type 11: n=1207, 579, 62890.9 Percentage of participants
qHPV in Base Study: Participants 35 to 45 Years OldPercentage of Participants Seropositive for Anti-HPV Antibody at 18 Months Postdose 3 in the Base StudyHPV Type 16: n=1225, 583, 64296.1 Percentage of participants
Primary

Percentage of Participants Seropositive for Anti-HPV Antibody at 1 Month Postdose 3 in the Base Study

Serum antibodies to HPV Types 6, 11, 16, and 18 were determined by Competitive Luminex Immunoassay (cLIA). The seropositive thresholds (in mMU/mL) were \>20 for Type 6, \>16 for Type 11, \>20 for Type 16, and \>24 for Type 18. This Outcome Measure evaluated age-specific immunogenicity responses, and applied only to participants who received qHPV in the Base Study.

Time frame: Month 7 (1 month after the third dose of qHPV vaccine in the Base Study)

Population: Participants who received ≥1 qHPV vaccination. n = participants who were seronegative to the HPV type on Day 1 and PCR negative to the HPV type through Month 7, received 3 doses of qHPV, had a valid postdose 3 serology result for the HPV type, and did not fail any exclusion criteria pertinent to immunogenicity.

ArmMeasureGroupValue (NUMBER)
qHPV in Base StudyPercentage of Participants Seropositive for Anti-HPV Antibody at 1 Month Postdose 3 in the Base StudyHPV Type 6: n=1249, 605, 64498.4 Percentage of participants
qHPV in Base StudyPercentage of Participants Seropositive for Anti-HPV Antibody at 1 Month Postdose 3 in the Base StudyHPV Type 11: n=1249, 605, 64498.1 Percentage of participants
qHPV in Base StudyPercentage of Participants Seropositive for Anti-HPV Antibody at 1 Month Postdose 3 in the Base StudyHPV Type 16: n=1269, 612, 65798.8 Percentage of participants
qHPV in Base StudyPercentage of Participants Seropositive for Anti-HPV Antibody at 1 Month Postdose 3 in the Base StudyHPV Type 18: n=1430, 708, 72297.3 Percentage of participants
Placebo in Base StudyPercentage of Participants Seropositive for Anti-HPV Antibody at 1 Month Postdose 3 in the Base StudyHPV Type 18: n=1430, 708, 72298.3 Percentage of participants
Placebo in Base StudyPercentage of Participants Seropositive for Anti-HPV Antibody at 1 Month Postdose 3 in the Base StudyHPV Type 6: n=1249, 605, 64498.7 Percentage of participants
Placebo in Base StudyPercentage of Participants Seropositive for Anti-HPV Antibody at 1 Month Postdose 3 in the Base StudyHPV Type 16: n=1269, 612, 65799.5 Percentage of participants
Placebo in Base StudyPercentage of Participants Seropositive for Anti-HPV Antibody at 1 Month Postdose 3 in the Base StudyHPV Type 11: n=1249, 605, 64498.5 Percentage of participants
qHPV in Base Study: Participants 35 to 45 Years OldPercentage of Participants Seropositive for Anti-HPV Antibody at 1 Month Postdose 3 in the Base StudyHPV Type 18: n=1430, 708, 72296.4 Percentage of participants
qHPV in Base Study: Participants 35 to 45 Years OldPercentage of Participants Seropositive for Anti-HPV Antibody at 1 Month Postdose 3 in the Base StudyHPV Type 11: n=1249, 605, 64497.7 Percentage of participants
qHPV in Base Study: Participants 35 to 45 Years OldPercentage of Participants Seropositive for Anti-HPV Antibody at 1 Month Postdose 3 in the Base StudyHPV Type 16: n=1269, 612, 65798.2 Percentage of participants
qHPV in Base Study: Participants 35 to 45 Years OldPercentage of Participants Seropositive for Anti-HPV Antibody at 1 Month Postdose 3 in the Base StudyHPV Type 6: n=1249, 605, 64498.1 Percentage of participants
Primary

Percentage of Participants Seropositive for Anti-HPV Antibody at 30 Months Postdose 3 in the Base Study

Serum antibodies to HPV Types 6, 11, 16, and 18 were determined by Competitive Luminex Immunoassay (cLIA). The seropositive thresholds (in mMU/mL) were \>20 for Type 6, \>16 for Type 11, \>20 for Type 16, and \>24 for Type 18. This Outcome Measure evaluated age-specific immunogenicity responses, and applied only to participants who received qHPV in the Base Study.

Time frame: Month 36 (30 months after the third dose of qHPV vaccine in the Base Study)

Population: Participants who received ≥1 qHPV vaccination. n = participants who were seronegative to the HPV type on Day 1 and PCR negative to the HPV type through Month 7, received 3 doses of qHPV, had a valid postdose 3 serology result for the HPV type, and did not fail any exclusion criteria pertinent to immunogenicity.

ArmMeasureGroupValue (NUMBER)
qHPV in Base StudyPercentage of Participants Seropositive for Anti-HPV Antibody at 30 Months Postdose 3 in the Base StudyHPV Type 6: n=1169, 551, 61891.5 Percentage of participants
qHPV in Base StudyPercentage of Participants Seropositive for Anti-HPV Antibody at 30 Months Postdose 3 in the Base StudyHPV Type 11: n=1169, 551, 61895.5 Percentage of participants
qHPV in Base StudyPercentage of Participants Seropositive for Anti-HPV Antibody at 30 Months Postdose 3 in the Base StudyHPV Type 16: n=1190, 559, 63198.7 Percentage of participants
qHPV in Base StudyPercentage of Participants Seropositive for Anti-HPV Antibody at 30 Months Postdose 3 in the Base StudyHPV Type 18: n=1331, 642, 68955.5 Percentage of participants
Placebo in Base StudyPercentage of Participants Seropositive for Anti-HPV Antibody at 30 Months Postdose 3 in the Base StudyHPV Type 18: n=1331, 642, 68958.7 Percentage of participants
Placebo in Base StudyPercentage of Participants Seropositive for Anti-HPV Antibody at 30 Months Postdose 3 in the Base StudyHPV Type 6: n=1169, 551, 61892.0 Percentage of participants
Placebo in Base StudyPercentage of Participants Seropositive for Anti-HPV Antibody at 30 Months Postdose 3 in the Base StudyHPV Type 16: n=1190, 559, 63199.1 Percentage of participants
Placebo in Base StudyPercentage of Participants Seropositive for Anti-HPV Antibody at 30 Months Postdose 3 in the Base StudyHPV Type 11: n=1169, 551, 61896.7 Percentage of participants
qHPV in Base Study: Participants 35 to 45 Years OldPercentage of Participants Seropositive for Anti-HPV Antibody at 30 Months Postdose 3 in the Base StudyHPV Type 18: n=1331, 642, 68952.5 Percentage of participants
qHPV in Base Study: Participants 35 to 45 Years OldPercentage of Participants Seropositive for Anti-HPV Antibody at 30 Months Postdose 3 in the Base StudyHPV Type 11: n=1169, 551, 61894.3 Percentage of participants
qHPV in Base Study: Participants 35 to 45 Years OldPercentage of Participants Seropositive for Anti-HPV Antibody at 30 Months Postdose 3 in the Base StudyHPV Type 16: n=1190, 559, 63198.4 Percentage of participants
qHPV in Base Study: Participants 35 to 45 Years OldPercentage of Participants Seropositive for Anti-HPV Antibody at 30 Months Postdose 3 in the Base StudyHPV Type 6: n=1169, 551, 61891.1 Percentage of participants
Primary

Percentage of Participants Seropositive for Anti-HPV Antibody at 42 Months Postdose 3 in the Base Study

Serum antibodies to HPV Types 6, 11, 16, and 18 were determined by Competitive Luminex Immunoassay (cLIA). The seropositive thresholds (in mMU/mL) were \>20 for Type 6, \>16 for Type 11, \>20 for Type 16, and \>24 for Type 18. This Outcome Measure evaluated age-specific immunogenicity responses, and applied only to participants who received qHPV in the Base Study.

Time frame: Month 48 (42 months after the third dose of qHPV vaccine in the Base Study)

Population: Participants who received ≥1 qHPV vaccination. n = participants who were seronegative to the HPV type on Day 1 and PCR negative to the HPV type through Month 7, received 3 doses of qHPV, had a valid postdose 3 serology result for the HPV type, and did not fail any exclusion criteria pertinent to immunogenicity.

ArmMeasureGroupValue (NUMBER)
qHPV in Base StudyPercentage of Participants Seropositive for Anti-HPV Antibody at 42 Months Postdose 3 in the Base StudyHPV Type 6: n=1152, 536, 61685.6 Percentage of participants
qHPV in Base StudyPercentage of Participants Seropositive for Anti-HPV Antibody at 42 Months Postdose 3 in the Base StudyHPV Type 11: n=1152, 536, 61692.0 Percentage of participants
qHPV in Base StudyPercentage of Participants Seropositive for Anti-HPV Antibody at 42 Months Postdose 3 in the Base StudyHPV Type 16: n=1172, 544, 62897.4 Percentage of participants
qHPV in Base StudyPercentage of Participants Seropositive for Anti-HPV Antibody at 42 Months Postdose 3 in the Base StudyHPV Type 18: n=1313, 625, 68847.9 Percentage of participants
Placebo in Base StudyPercentage of Participants Seropositive for Anti-HPV Antibody at 42 Months Postdose 3 in the Base StudyHPV Type 18: n=1313, 625, 68850.7 Percentage of participants
Placebo in Base StudyPercentage of Participants Seropositive for Anti-HPV Antibody at 42 Months Postdose 3 in the Base StudyHPV Type 6: n=1152, 536, 61686.2 Percentage of participants
Placebo in Base StudyPercentage of Participants Seropositive for Anti-HPV Antibody at 42 Months Postdose 3 in the Base StudyHPV Type 16: n=1172, 544, 62897.8 Percentage of participants
Placebo in Base StudyPercentage of Participants Seropositive for Anti-HPV Antibody at 42 Months Postdose 3 in the Base StudyHPV Type 11: n=1152, 536, 61693.8 Percentage of participants
qHPV in Base Study: Participants 35 to 45 Years OldPercentage of Participants Seropositive for Anti-HPV Antibody at 42 Months Postdose 3 in the Base StudyHPV Type 18: n=1313, 625, 68845.3 Percentage of participants
qHPV in Base Study: Participants 35 to 45 Years OldPercentage of Participants Seropositive for Anti-HPV Antibody at 42 Months Postdose 3 in the Base StudyHPV Type 11: n=1152, 536, 61690.4 Percentage of participants
qHPV in Base Study: Participants 35 to 45 Years OldPercentage of Participants Seropositive for Anti-HPV Antibody at 42 Months Postdose 3 in the Base StudyHPV Type 16: n=1172, 544, 62897.0 Percentage of participants
qHPV in Base Study: Participants 35 to 45 Years OldPercentage of Participants Seropositive for Anti-HPV Antibody at 42 Months Postdose 3 in the Base StudyHPV Type 6: n=1152, 536, 61685.1 Percentage of participants
Primary

Percentage of Participants Seropositive for Anti-HPV Antibody at 66 Months Postdose 3 in the Base Study

Serum antibodies to HPV Types 6, 11, 16, and 18 were determined by Competitive Luminex Immunoassay (cLIA). The seropositive thresholds (in mMU/mL) were \>20 for Type 6, \>16 for Type 11, \>20 for Type 16, and \>24 for Type 18. This Outcome Measure evaluated age-specific immunogenicity responses, and applied only to participants who received qHPV in the Base Study.

Time frame: Month 72 (66 months after the third dose of qHPV vaccine in the Base Study)

Population: Participants who received ≥1 qHPV vaccination. n = participants who were seronegative to the HPV type on Day 1 and PCR negative to the HPV type through Month 7, received 3 doses of qHPV, had a valid postdose 3 serology result for the HPV type, and did not fail any exclusion criteria pertinent to immunogenicity.

ArmMeasureGroupValue (NUMBER)
qHPV in Base StudyPercentage of Participants Seropositive for Anti-HPV Antibody at 66 Months Postdose 3 in the Base StudyHPV Type 18: n=530, 237, 29345.3 Percentage of participants
qHPV in Base StudyPercentage of Participants Seropositive for Anti-HPV Antibody at 66 Months Postdose 3 in the Base StudyHPV Type 11: n=466, 196, 27092.1 Percentage of participants
qHPV in Base StudyPercentage of Participants Seropositive for Anti-HPV Antibody at 66 Months Postdose 3 in the Base StudyHPV Type 16: n=473, 197, 27697.3 Percentage of participants
qHPV in Base StudyPercentage of Participants Seropositive for Anti-HPV Antibody at 66 Months Postdose 3 in the Base StudyHPV Type 6: n=468, 198, 27089.1 Percentage of participants
Placebo in Base StudyPercentage of Participants Seropositive for Anti-HPV Antibody at 66 Months Postdose 3 in the Base StudyHPV Type 11: n=466, 196, 27094.4 Percentage of participants
Placebo in Base StudyPercentage of Participants Seropositive for Anti-HPV Antibody at 66 Months Postdose 3 in the Base StudyHPV Type 16: n=473, 197, 27697.5 Percentage of participants
Placebo in Base StudyPercentage of Participants Seropositive for Anti-HPV Antibody at 66 Months Postdose 3 in the Base StudyHPV Type 6: n=468, 198, 27089.4 Percentage of participants
Placebo in Base StudyPercentage of Participants Seropositive for Anti-HPV Antibody at 66 Months Postdose 3 in the Base StudyHPV Type 18: n=530, 237, 29348.5 Percentage of participants
qHPV in Base Study: Participants 35 to 45 Years OldPercentage of Participants Seropositive for Anti-HPV Antibody at 66 Months Postdose 3 in the Base StudyHPV Type 16: n=473, 197, 27697.1 Percentage of participants
qHPV in Base Study: Participants 35 to 45 Years OldPercentage of Participants Seropositive for Anti-HPV Antibody at 66 Months Postdose 3 in the Base StudyHPV Type 6: n=468, 198, 27088.9 Percentage of participants
qHPV in Base Study: Participants 35 to 45 Years OldPercentage of Participants Seropositive for Anti-HPV Antibody at 66 Months Postdose 3 in the Base StudyHPV Type 18: n=530, 237, 29342.7 Percentage of participants
qHPV in Base Study: Participants 35 to 45 Years OldPercentage of Participants Seropositive for Anti-HPV Antibody at 66 Months Postdose 3 in the Base StudyHPV Type 11: n=466, 196, 27090.4 Percentage of participants
Primary

Percentage of Participants Seropositive for Anti-HPV Antibody at 6 Months Postdose 3 in the Base Study

Serum antibodies to HPV Types 6, 11, 16, and 18 were determined by Competitive Luminex Immunoassay (cLIA). The seropositive thresholds (in mMU/mL) were \>20 for Type 6, \>16 for Type 11, \>20 for Type 16, and \>24 for Type 18. This Outcome Measure evaluated age-specific immunogenicity responses, and applied only to participants who received qHPV in the Base Study.

Time frame: Month 12 (6 months after the third dose of qHPV vaccine in the Base Study)

Population: Participants who received ≥1 qHPV vaccination. n = participants who were seronegative to the HPV type on Day 1 and PCR negative to the HPV type through Month 7, received 3 doses of qHPV, had a valid postdose 3 serology result for the HPV type, and did not fail any exclusion criteria pertinent to immunogenicity.

ArmMeasureGroupValue (NUMBER)
qHPV in Base StudyPercentage of Participants Seropositive for Anti-HPV Antibody at 6 Months Postdose 3 in the Base StudyHPV Type 6: n=1225, 589, 63698.7 Percentage of participants
qHPV in Base StudyPercentage of Participants Seropositive for Anti-HPV Antibody at 6 Months Postdose 3 in the Base StudyHPV Type 11: n=1225, 589, 63698.8 Percentage of participants
qHPV in Base StudyPercentage of Participants Seropositive for Anti-HPV Antibody at 6 Months Postdose 3 in the Base StudyHPV Type 16: n=1236, 588, 64899.7 Percentage of participants
qHPV in Base StudyPercentage of Participants Seropositive for Anti-HPV Antibody at 6 Months Postdose 3 in the Base StudyHPV Type 18: n=1387, 678, 70984.6 Percentage of participants
Placebo in Base StudyPercentage of Participants Seropositive for Anti-HPV Antibody at 6 Months Postdose 3 in the Base StudyHPV Type 18: n=1387, 678, 70986.1 Percentage of participants
Placebo in Base StudyPercentage of Participants Seropositive for Anti-HPV Antibody at 6 Months Postdose 3 in the Base StudyHPV Type 6: n=1225, 589, 63698.6 Percentage of participants
Placebo in Base StudyPercentage of Participants Seropositive for Anti-HPV Antibody at 6 Months Postdose 3 in the Base StudyHPV Type 16: n=1236, 588, 64899.8 Percentage of participants
Placebo in Base StudyPercentage of Participants Seropositive for Anti-HPV Antibody at 6 Months Postdose 3 in the Base StudyHPV Type 11: n=1225, 589, 63699.3 Percentage of participants
qHPV in Base Study: Participants 35 to 45 Years OldPercentage of Participants Seropositive for Anti-HPV Antibody at 6 Months Postdose 3 in the Base StudyHPV Type 18: n=1387, 678, 70983.2 Percentage of participants
qHPV in Base Study: Participants 35 to 45 Years OldPercentage of Participants Seropositive for Anti-HPV Antibody at 6 Months Postdose 3 in the Base StudyHPV Type 11: n=1225, 589, 63698.3 Percentage of participants
qHPV in Base Study: Participants 35 to 45 Years OldPercentage of Participants Seropositive for Anti-HPV Antibody at 6 Months Postdose 3 in the Base StudyHPV Type 16: n=1236, 588, 64899.5 Percentage of participants
qHPV in Base Study: Participants 35 to 45 Years OldPercentage of Participants Seropositive for Anti-HPV Antibody at 6 Months Postdose 3 in the Base StudyHPV Type 6: n=1225, 589, 63698.7 Percentage of participants
Primary

Percentage of Participants Seropositive for Anti-HPV Antibody at 90 Months Postdose 3 in the Base Study

Serum antibodies to HPV Types 6, 11, 16, and 18 were determined by Competitive Luminex Immunoassay (cLIA). The seropositive thresholds (in mMU/mL) were \>20 for Type 6, \>16 for Type 11, \>20 for Type 16, and \>24 for Type 18. This Outcome Measure evaluated age-specific immunogenicity responses, and applied only to participants who received qHPV in the Base Study.

Time frame: Month 96 (96 months after the third dose of qHPV vaccine in the Base Study)

Population: Participants who received ≥1 qHPV vaccination. n = participants who were seronegative to the HPV type on Day 1 and PCR negative to the HPV type through Month 7, received 3 doses of qHPV, had a valid postdose 3 serology result for the HPV type, and did not fail any exclusion criteria pertinent to immunogenicity.

ArmMeasureGroupValue (NUMBER)
qHPV in Base StudyPercentage of Participants Seropositive for Anti-HPV Antibody at 90 Months Postdose 3 in the Base StudyHPV Type 18: n=519, 230, 28940.1 Percentage of participants
qHPV in Base StudyPercentage of Participants Seropositive for Anti-HPV Antibody at 90 Months Postdose 3 in the Base StudyHPV Type 6: n=459, 193, 26684.7 Percentage of participants
qHPV in Base StudyPercentage of Participants Seropositive for Anti-HPV Antibody at 90 Months Postdose 3 in the Base StudyHPV Type 16: n=464, 192, 27295.5 Percentage of participants
qHPV in Base StudyPercentage of Participants Seropositive for Anti-HPV Antibody at 90 Months Postdose 3 in the Base StudyHPV Type 11: n=459, 193, 26685.0 Percentage of participants
Placebo in Base StudyPercentage of Participants Seropositive for Anti-HPV Antibody at 90 Months Postdose 3 in the Base StudyHPV Type 16: n=464, 192, 27295.8 Percentage of participants
Placebo in Base StudyPercentage of Participants Seropositive for Anti-HPV Antibody at 90 Months Postdose 3 in the Base StudyHPV Type 18: n=519, 230, 28941.3 Percentage of participants
Placebo in Base StudyPercentage of Participants Seropositive for Anti-HPV Antibody at 90 Months Postdose 3 in the Base StudyHPV Type 11: n=459, 193, 26690.7 Percentage of participants
Placebo in Base StudyPercentage of Participants Seropositive for Anti-HPV Antibody at 90 Months Postdose 3 in the Base StudyHPV Type 6: n=459, 193, 26685.0 Percentage of participants
qHPV in Base Study: Participants 35 to 45 Years OldPercentage of Participants Seropositive for Anti-HPV Antibody at 90 Months Postdose 3 in the Base StudyHPV Type 18: n=519, 230, 28939.1 Percentage of participants
qHPV in Base Study: Participants 35 to 45 Years OldPercentage of Participants Seropositive for Anti-HPV Antibody at 90 Months Postdose 3 in the Base StudyHPV Type 11: n=459, 193, 26680.8 Percentage of participants
qHPV in Base Study: Participants 35 to 45 Years OldPercentage of Participants Seropositive for Anti-HPV Antibody at 90 Months Postdose 3 in the Base StudyHPV Type 16: n=464, 192, 27295.2 Percentage of participants
qHPV in Base Study: Participants 35 to 45 Years OldPercentage of Participants Seropositive for Anti-HPV Antibody at 90 Months Postdose 3 in the Base StudyHPV Type 6: n=459, 193, 26684.6 Percentage of participants
Secondary

Cumulative Incidence of HPV 6/11-related Condyloma: Day 1 to Year 4

The four HPV types were determined by PCR testing. Cumulative incidence probability is the probability of becoming an endpoint case at any time from Day 1 to Year 4 conditional on having been event-free at Day 1.

Time frame: Up to 48 months (4 years) after the first dose of qHPV vaccine or placebo in the Base Study

Population: Participants who had no major protocol violations, received all 3 vaccinations, were seronegative to the HPV types at Day 1 and PCR negative to the HPV types through Month 7, and provided follow-up data.

ArmMeasureValue (NUMBER)
qHPV in Base StudyCumulative Incidence of HPV 6/11-related Condyloma: Day 1 to Year 40.0000 Cumulative Incidence Probability
Placebo in Base StudyCumulative Incidence of HPV 6/11-related Condyloma: Day 1 to Year 40.0055 Cumulative Incidence Probability
Secondary

Cumulative Incidence of HPV 6/11-related Condyloma: Year 4 to Year 8

The four HPV types were determined by PCR testing. Cumulative incidence probability is the probability of becoming an endpoint case at any time from Year 4 to Year 8 conditional on having been event-free from Day 1 to Year 4. The analysis windows were cut at the exact time points, e.g., Year 4. Visits and events which occurred after Year 4 due to visit window or follow-up investigations are included in the Year 4 to Year 8 time interval.

Time frame: From 48 to 96 months (4 to 8 years) after the first dose of qHPV vaccine in the Base Study

Population: Participants who had no major protocol violations, received all 3 vaccinations, were seronegative to the HPV types at Day 1 and PCR negative to the HPV types through Month 7, and provided follow-up data after Year 4. This Outcome Measure applied only to participants who received qHPV in the Base Study.

ArmMeasureValue (NUMBER)
qHPV in Base StudyCumulative Incidence of HPV 6/11-related Condyloma: Year 4 to Year 80.0000 Cumulative Incidence Probability
Secondary

Cumulative Incidence of HPV 6/11-related Condyloma: Year 6 to Year 10

The four HPV types were determined by PCR testing. Cumulative incidence probability is the probability of becoming an endpoint case at any time from Year 6 to Year 10 conditional on having been event-free from Day 1 to Year 6.

Time frame: From 72 to 120 months (6 to 10 years) after the first dose of qHPV vaccine in the Base Study

Population: Participants who had no major protocol violations, received all 3 vaccinations, were seronegative to the HPV types at Day 1 and PCR negative to the HPV types through Month 7, and provided follow-up data after Year 6. This Outcome Measure applied only to participants who received qHPV in the Base Study.

ArmMeasureValue (NUMBER)
qHPV in Base StudyCumulative Incidence of HPV 6/11-related Condyloma: Year 6 to Year 100.0000 Cumulative Incidence Probability
Secondary

Incidence Rate of HPV 31/33/35/52/58 Related Persistent Infection, Genital Warts, VIN, VaIN, Vulvar Cancer, Vaginal Cancer, Cervical Dysplasia, Cervical AIS, and Cervical Cancer

This outcome measure was not analyzed because of diminished interest by experts in composite efficacy endpoints associated with these HPV types

Time frame: Up to Month 48 (up to 42 months after the third dose of qHPV vaccine in the Base Study)

Secondary

Incidence Rate of HPV 6/11-related Condyloma (Secondary Analysis): Day 1 to Year 4

The four HPV types were determined by PCR testing.

Time frame: Up to 48 months (4 years) after the first dose of qHPV vaccine or placebo in the Base Study

Population: Participants who had no major protocol violations, received all 3 vaccinations, were seronegative to the HPV types at Day 1 and PCR negative to the HPV types through Month 7, and provided follow-up data.

ArmMeasureValue (NUMBER)
qHPV in Base StudyIncidence Rate of HPV 6/11-related Condyloma (Secondary Analysis): Day 1 to Year 40.0 Incidence per 100 person-years
Placebo in Base StudyIncidence Rate of HPV 6/11-related Condyloma (Secondary Analysis): Day 1 to Year 40.2 Incidence per 100 person-years
Secondary

Incidence Rate of HPV 6/11-related Condyloma (Secondary Analysis): Year 4 to Year 8

The four HPV types were determined by PCR testing. The analysis windows were cut at the exact time points, e.g., Year 4. Visits and events which occurred after Year 4 due to visit window or follow-up investigations are included in the Year 4 to Year 8 time interval.

Time frame: From 48 to 96 months (4 to 8 years) after the first dose of qHPV vaccine in the Base Study

Population: Participants who had no major protocol violations, received all 3 vaccinations, were seronegative to the HPV types at Day 1 and PCR negative to the HPV types through Month 7, and provided follow-up data after Year 4. This Outcome Measure applied only to participants who received qHPV in the Base Study.

ArmMeasureValue (NUMBER)
qHPV in Base StudyIncidence Rate of HPV 6/11-related Condyloma (Secondary Analysis): Year 4 to Year 80.0 Incidence per 100 person-years
Secondary

Incidence Rate of HPV 6/11-related Condyloma (Secondary Analysis): Year 6 to Year 10

The four HPV types were determined by PCR testing. Cumulative incidence probability is the probability of becoming an endpoint case at any time from Year 6 to Year 10 conditional on having been event-free from Day 1 to Year 6.

Time frame: From 72 to 120 months (6 to 10 years) after the first dose of qHPV vaccine in the Base Study

Population: Participants who had no major protocol violations, received all 3 vaccinations, were seronegative to the HPV types at Day 1 and PCR negative to the HPV types through Month 7, and provided follow-up data after Year 6. This Outcome Measure applied only to participants who received qHPV in the Base Study.

ArmMeasureValue (NUMBER)
qHPV in Base StudyIncidence Rate of HPV 6/11-related Condyloma (Secondary Analysis): Year 6 to Year 100.0 Incidence per 100 person-years
Secondary

Incidence Rate of HPV 6/11 Related Persistent Infection, Genital Warts, VIN, VaIN, Vulvar Cancer, Vaginal Cancer, Cervical Dysplasia, Cervical AIS, and Cervical Cancer

HPV 6/11: The two types of HPV (types 6/11) were determined by PCR testing

Time frame: Up to Month 48 (up to 42 months after the third dose of qHPV vaccine in the Base Study)

Population: Participants who had no major protocol violations, received all 3 vaccinations, were seronegative to the relevant HPV type at Day 1 and PCR negative to the relevant HPV type Day 1 through Month 7, and provided follow-up data after Month 7

ArmMeasureValue (NUMBER)
qHPV in Base StudyIncidence Rate of HPV 6/11 Related Persistent Infection, Genital Warts, VIN, VaIN, Vulvar Cancer, Vaginal Cancer, Cervical Dysplasia, Cervical AIS, and Cervical Cancer0.0 Incidence per 100 person-years
Placebo in Base StudyIncidence Rate of HPV 6/11 Related Persistent Infection, Genital Warts, VIN, VaIN, Vulvar Cancer, Vaginal Cancer, Cervical Dysplasia, Cervical AIS, and Cervical Cancer0.9 Incidence per 100 person-years
95% CI: [79.9, 99.4]
Other Pre-specified

Cumulative Incidence of HPV 16/18-related CIN 2 or Worse: Day 1 to Year 4

The four HPV types were determined by PCR testing. Cumulative incidence probability is the probability of becoming an endpoint case at any time from Day 1 to Year 4 conditional on having been event-free at Day 1.

Time frame: Up to Month 48 (up to 42 months after the third dose of qHPV vaccine in the Base Study)

Population: Participants who had no major protocol violations, received all 3 vaccinations, were seronegative to the HPV types at Day 1 and PCR negative to the HPV types through Month 7, and provided follow-up data.

ArmMeasureValue (NUMBER)
qHPV in Base StudyCumulative Incidence of HPV 16/18-related CIN 2 or Worse: Day 1 to Year 40.0007 Cumulative Incidence Probability
Placebo in Base StudyCumulative Incidence of HPV 16/18-related CIN 2 or Worse: Day 1 to Year 40.0041 Cumulative Incidence Probability
Other Pre-specified

Cumulative Incidence of HPV 16/18-related CIN 2 or Worse: Year 4 to 8

The four HPV types were determined by PCR testing. Cumulative incidence probability is the probability of becoming an endpoint case at any time from Year 4 to Year 8 conditional on having been event-free from Day 1 to Year 4. The analysis windows were cut at the exact time points, e.g., Year 4. Visits and events which occurred after Year 4 due to visit window or follow-up investigations are included in the Year 4 to Year 8 time interval.

Time frame: From 48 to 96 months (4 to 8 years) after the first dose of qHPV vaccine in the Base Study

Population: Participants who had no major protocol violations, received all 3 vaccinations, were seronegative to the HPV types at Day 1 and PCR negative to the HPV types through Month 7, and provided follow-up data after Year 4. This Outcome Measure applied only to participants who received qHPV in the Base Study.

ArmMeasureValue (NUMBER)
qHPV in Base StudyCumulative Incidence of HPV 16/18-related CIN 2 or Worse: Year 4 to 80.0000 Cumulative Incidence Probability
Other Pre-specified

Cumulative Incidence of HPV 16/18-related CIN 2 or Worse: Year 6 to 10

The four HPV types were determined by PCR testing. Cumulative incidence probability is the probability of becoming an endpoint case at any time from Year 6 to Year 10 conditional on having been event-free from Day 1 to Year 6.

Time frame: From 72 to 120 months (6 to 10 years) after the first dose of qHPV vaccine in the Base Study

Population: Participants who had no major protocol violations, received all 3 vaccinations, were seronegative to the HPV types at Day 1 and PCR negative to the HPV types through Month 7, and provided follow-up data after Year 6. This Outcome Measure applied only to participants who received qHPV in the Base Study.

ArmMeasureValue (NUMBER)
qHPV in Base StudyCumulative Incidence of HPV 16/18-related CIN 2 or Worse: Year 6 to 100.0000 Cumulative Incidence Probability
Other Pre-specified

Incidence Rate of HPV 16/18-related CIN 2 or Worse (Secondary Analysis): Day 1 to Year 4

The four HPV types were determined by PCR testing.

Time frame: Up to Month 48 (up to 42 months after the third dose of qHPV vaccine in the Base Study)

Population: Participants who had no major protocol violations, received all 3 vaccinations, were seronegative to the HPV types at Day 1 and PCR negative to the HPV types through Month 7, and provided follow-up data.

ArmMeasureValue (NUMBER)
qHPV in Base StudyIncidence Rate of HPV 16/18-related CIN 2 or Worse (Secondary Analysis): Day 1 to Year 40.0 Incidence per 100 person-years
Placebo in Base StudyIncidence Rate of HPV 16/18-related CIN 2 or Worse (Secondary Analysis): Day 1 to Year 40.1 Incidence per 100 person-years
Other Pre-specified

Incidence Rate of HPV 16/18-related CIN 2 or Worse (Secondary Analysis): Year 4 to 8

The four HPV types were determined by PCR testing. The analysis windows were cut at the exact time points, e.g., Year 4. Visits and events which occurred after Year 4 due to visit window or follow-up investigations are included in the Year 4 to Year 8 time interval.

Time frame: From 48 to 96 months (4 to 8 years) after the first dose of qHPV vaccine in the Base Study

Population: Participants who had no major protocol violations, received all 3 vaccinations, were seronegative to the HPV types at Day 1 and PCR negative to the HPV types through Month 7, and provided follow-up data after Year 4. This Outcome Measure applied only to participants who received qHPV in the Base Study.

ArmMeasureValue (NUMBER)
qHPV in Base StudyIncidence Rate of HPV 16/18-related CIN 2 or Worse (Secondary Analysis): Year 4 to 80.0 Incidence per 100 person-years
Other Pre-specified

Incidence Rate of HPV 16/18-related CIN 2 or Worse (Secondary Analysis): Year 6 to 10

The four HPV types were determined by PCR testing.

Time frame: From 72 to 120 months (6 to 10 years) after the first dose of qHPV vaccine in the Base Study

Population: Participants who had no major protocol violations, received all 3 vaccinations, were seronegative to the HPV types at Day 1 and PCR negative to the HPV types through Month 7, and provided follow-up data after Year 6. This Outcome Measure applied only to participants who received qHPV in the Base Study.

ArmMeasureValue (NUMBER)
qHPV in Base StudyIncidence Rate of HPV 16/18-related CIN 2 or Worse (Secondary Analysis): Year 6 to 100.0 Incidence per 100 person-years
Other Pre-specified

Incidence Rate of HPV 16/18 Related Persistent Infection, Genital Warts, VIN, VaIN, Vulvar Cancer, Vaginal Cancer, Cervical Dysplasia, Cervical AIS, and Cervical Cancer

HPV 16/18: The two types of HPV (types 16/18) were determined by PCR testing

Time frame: Up to Month 48 (up to 42 months after the third dose of qHPV vaccine in the Base Study)

Population: Participants who had no major protocol violations, received all 3 vaccinations, were seronegative to the relevant HPV type at Day 1 and PCR negative to the relevant HPV type Day 1 through Month 7, and provided follow-up data after Month 7

ArmMeasureValue (NUMBER)
qHPV in Base StudyIncidence Rate of HPV 16/18 Related Persistent Infection, Genital Warts, VIN, VaIN, Vulvar Cancer, Vaginal Cancer, Cervical Dysplasia, Cervical AIS, and Cervical Cancer0.2 Incidence per 100 person-years
Placebo in Base StudyIncidence Rate of HPV 16/18 Related Persistent Infection, Genital Warts, VIN, VaIN, Vulvar Cancer, Vaginal Cancer, Cervical Dysplasia, Cervical AIS, and Cervical Cancer1.0 Incidence per 100 person-years
95% CI: [67.5, 93.7]

Source: ClinicalTrials.gov · Data processed: Apr 2, 2026