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A Study of Gardasil (V501) in Preadolescents and Adolescents (V501-018)

A Safety and Immunogenicity Study of Quadrivalent HPV (Types 6, 11, 16, 18) L1 Virus-Like Particle (VLP) Vaccine in Preadolescents and Adolescents (Base Study). A Long Term Immunogenicity, Safety, and Effectiveness Study of GARDASIL (Human Papillomavirus [Types 6, 11, 16, 18] Recombinant Vaccine) Among Adolescents Who Received GARDASIL at 9-18 Years of Age (Extension Study).

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00092547
Enrollment
1781
Registered
2004-09-28
Start date
2003-10-08
Completion date
2015-06-01
Last updated
2018-02-20

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

Conditions

Human, Papillomavirus Infections

Brief summary

This study is to evaluate the safety, tolerability, and immune response of an investigational vaccine in preadolescent and adolescent boys and girls for the prevention of Human Papilloma Virus (HPV).

Detailed description

The original base protocol (V501-018)(NCT00092547) was extended in amendments V501-018-05 and -06 to provide 37 months of follow-up. Additionally, subjects in the Placebo Group during the base study were given 3 doses of open-label GARDASIL™ (V501) at Months 30, 32, and 36. The study was extended again in amendment V501-018-10(NCT00092547), titled A Long Term Immunogenicity, Safety, and Effectiveness Study of GARDASIL (Human Papillomavirus \[Types 6, 11, 16, 18\] Recombinant Vaccine) Among Adolescents Who Received GARDASIL at 9-18 Years of Age to allow a follow-up period to Month 126.

Interventions

BIOLOGICALV501

0.5 mL intramuscular injection of V501

BIOLOGICALComparator: Placebo

0.5 mL intramuscular injection of placebo

Sponsors

Merck Sharp & Dohme LLC
Lead SponsorINDUSTRY

Study design

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

Eligibility

Sex/Gender
ALL
Age
9 Years to 15 Years
Healthy volunteers
Yes

Inclusion criteria

* Healthy adolescents and preadolescents with no prior sexual history

Exclusion criteria

* Subjects with compromised immune system or have a history of severe allergic reaction

Design outcomes

Primary

MeasureTime frameDescription
Number of Participants Reporting Serious Adverse Experiences (SAEs) Through Month 18Up to Month 18Tolerability as assessed by the number of participants with clinical adverse experiences through Month 18. A serious adverse event is any adverse event that results in death, is life threatening, results in a persistent or significant disability/incapacity, results in hospitalization or prolongs an existing hospitalization, is a congenital anomaly/birth defect, is a cancer, is an overdose, or is considered an other important medical event based on medical judgment.
Number of Participants Reporting SAEs From Month 18 Through Month 37Month 18 to Month 37Tolerability as assessed by the number of participants with clinical adverse experiences from Month 18 through Month 37
Number of Participants Reporting Other (Non-serious) AEs Through Month 18Up to Month 18: Injection site AEs were collected from Days 1-5 and other non-serious AEs from Days 1-15 after any vaccinationTolerability as assessed by the number of participants with clinical adverse experiences through Month 18
Percentage of Participants Who Are Seropositive for HPV Types 6, 11, 16, and 18 at Month 72Month 72 (66 Months Post-dose 3 for the Original qHPV Vaccine Cohort and 36 months Post-dose 3 for the Extension Group)A participant is considered seropositive for a given HPV type if he or she has a cLIA titer at or above the serostatus cutoff for that HPV type. Serostatus cutoffs are ≥ 20 mMU/mL for HPV 6 and 16, ≥ 16 mMU/mL for HPV 11, and ≥ 24 mMU/mL for HPV 18.
Geometric Mean Titers (GMTs) for Anti-HPV 6, 11, 16, and 18 at Month 72Month 72 (66 Months Post-dose 3 for the Original qHPV Vaccine Cohort and 36 months Post-dose 3 for the Extension Group)
Geometric Mean Titers for Anti-HPV 6, 11, 16, and 18 at Month 96Month 96 (90 Months Post-dose 3 for Original qHPV Vaccine Group and 60 Months Post-dose 3 for Extension Group)
Percentage of Participants Who Are Seropositive for HPV Types 6, 11, 16, and 18 at Month 96Month 96 (90 Months Post-dose 3 for Original qHPV Vaccine Cohort and 60 Months Post-dose 3 for Extension Group)A participant is considered seropositive for a given HPV type if he or she has a cLIA titer at or above the serostatus cutoff for that HPV type. Serostatus cutoffs are ≥ 20 mMU/mL for HPV 6 and 16, ≥ 16 mMU/mL for HPV 11, and ≥ 24 mMU/mL for HPV 18.
Geometric Mean Titers for Anti-HPV 6, 11, 16, and 18 at Month 126Month 126 (120 Months Post-dose 3 for Original qHPV Vaccine Cohort and 90 Months Post-dose 3 for Extension Group)
Percentage of Participants Who Are Seropositive for HPV Types 6, 11, 16, and 18 at Month 126Month 126 (120 Months Post-dose 3 for Original qHPV Vaccine Cohort and 90 Months Post-dose 3 for Extension Group)A participant is considered seropositive for a given HPV type if he or she has a cLIA titer at or above the serostatus cutoff for that HPV type. Serostatus cutoffs are ≥ 20 mMU/mL for HPV 6 and 16, ≥ 16 mMU/mL for HPV 11, and ≥ 24 mMU/mL for HPV 18.
Number of Participants Reporting SAEs Related to Study Vaccine or to a Study Procedure in the Long-term Follow-upMonth 37 to Month 126A serious adverse event is any adverse event that results in death, is life threatening, results in a persistent or significant disability/incapacity, results in hospitalization or prolongs an existing hospitalization, is a congenital anomaly/birth defect, is a cancer, is an overdose, or is considered an other important medical event based on medical judgment. SAEs considered by the investigator to be possibly, probably, or definitely related to study vaccine or a study procedure were reported.

Secondary

MeasureTime frameDescription
Geometric Mean Titers of Original qHPV Vaccine Cohort for Anti-HPV 6, 11, 16, and 18 at Month 31 Postdose 3 of qHPV Vaccine (Month 37)Month 37 (31 Months Post-dose 3)
Geometric Mean Titers in the Extension Group for Anti-HPV 6, 11, 16, and 18 at Month 1 Postdose 3 of qHPV Vaccine (Month 37)Month 37 (1 Month Post-dose 3 of qHPV)
Percentage of Original qHPV Vaccine Participants Who Are Seropositive for HPV Types 6, 11, 16, and 18 at Month 12 Postdose 3 (Month 18).Month 18 (12 Months Post-dose 3)A participant is considered seropositive for a given HPV type if he or she has a cLIA titer at or above the serostatus cutoff for that HPV type. Serostatus cutoffs are ≥ 20 mMU/mL for HPV 6 and 16, ≥ 16 mMU/mL for HPV 11, and ≥ 24 mMU/mL for HPV 18.
Combined Incidence of HPV 6/11/16/18-related Persistent Infection and HPV 6/11/16/18-related PIN, Genital Warts, and Penile/Perineal/Perianal Cancer in MalesUp to Month 126The HPV types were determined by PCR testing. Combined incidence of HPV 6/11/16/18-related persistent infection and HPV 6/11/16/18-related penile/perineal/perianal intraepithelial neoplasia (PIN), genital warts, and penile/perineal/perianal cancer was assessed in male participants.
Combined Incidence of HPV 6/11/16/18-related Persistent Infection and HPV 6/11/16/18-related CIN, AIS, VIN, VaIN, Genital Warts, and Cervical/Vaginal/Vulvar Cancer in FemalesUp to Month 126The HPV types were determined by polymerase chain reaction (PCR) testing. The combined incidence of HPV 6/11/16/18-related persistent infection and HPV 6/11/16/18-related cervical intraepithelial neoplasia (CIN), adenocarcinoma in situ (AIS), vulvar intraepithelial neoplasia (VIN), vaginal intraepithelial neoplasia (VaIN), genital warts, and cervical/Vaginal/vulvar cancer was assessed in female participants.
Percentage of Original qHPV Vaccine Participants Who Are Seropositive for HPV Types 6, 11, 16, and 18 at Month 1 Postdose 3 (Month 7)Month 7 (1 Month Postdose 3)A participant is considered seropositive for a given HPV type if he or she has a cLIA titer at or above the serostatus cutoff for that HPV type. Serostatus cutoffs are ≥ 20 mMU/mL for HPV 6 and 16, ≥ 16 mMU/mL for HPV 11, and ≥ 24 mMU/mL for HPV 18.
Percentage of Original qHPV Vaccine Participants Who Are Seropositive for HPV Types 6, 11, 16, and 18 at Month 18 Postdose 3 (Month 24)Month 24 (18 Months Post-dose 3)A participant is considered seropositive for a given HPV type if he or she has a cLIA titer at or above the serostatus cutoff for that HPV type. Serostatus cutoffs are ≥ 20 mMU/mL for HPV 6 and 16, ≥ 16 mMU/mL for HPV 11, and ≥ 24 mMU/mL for HPV 18.
Percentage of Original qHPV Vaccine Participants Who Are Seropositive for HPV Types 6, 11, 16, and 18 at Month 24 Postdose 3 (Month 30)Month 30 (24 Months Post-dose 3)A participant is considered seropositive for a given HPV type if he or she has a cLIA titer at or above the serostatus cutoff for that HPV type. Serostatus cutoffs are ≥ 20 mMU/mL for HPV 6 and 16, ≥ 16 mMU/mL for HPV 11, and ≥ 24 mMU/mL for HPV 18.
Percentage of Original qHPV Vaccine Participants Who Are Seropositive for HPV Types 6, 11, 16, and 18 at Month 31 Postdose 3 (Month 37).Month 37 (31 Months Post-dose 3)A participant is considered seropositive for a given HPV type if he or she has a cLIA titer at or above the serostatus cutoff for that HPV type. Serostatus cutoffs are ≥ 20 mMU/mL for HPV 6 and 16, ≥ 16 mMU/mL for HPV 11, and ≥ 24 mMU/mL for HPV 18.
Percentage of Participants in the Extension Group Who Are Seropositive for HPV Types 6, 11, 16, and 18 at Month 1 Postdose 3 of qHPV (Month 37)Month 37 (1 Month Post-dose 3 of qHPV)A participant is considered seropositive for a given HPV type if he or she has a cLIA titer at or above the serostatus cutoff for that HPV type. Serostatus cutoffs are ≥ 20 mMU/mL for HPV 6 and 16, ≥ 16 mMU/mL for HPV 11, and ≥ 24 mMU/mL for HPV 18.
Geometric Mean Titers of Original qHPV Vaccine Cohort for Anti-HPV 6, 11, 16, and 18 at Month 1 Postdose 3 of qHPV Vaccine (Month 7)Month 7 (1 Month Post-dose 3)
Geometric Mean Titers of Original qHPV Vaccine Cohort for Anti-HPV 6, 11, 16, and 18 at Month 12 Postdose 3 of qHPV Vaccine (Month 18)Month 18 (Month 12 Post-dose 3)
Geometric Mean Titers of Original qHPV Vaccine Cohort for Anti-HPV 6, 11, 16, and 18 at Month 18 Postdose 3 of qHPV Vaccine (Month 24)Month 24 (18 Months Post-dose 3)
Geometric Mean Titers of Original qHPV Vaccine Cohort for Anti-HPV 6, 11, 16, and 18 at Month 24 Postdose 3 of qHPV Vaccine (Month 30)Month 30 (24 Months Post-dose 3)

Participant flow

Recruitment details

1781 participants were randomized to receive qHPV or Placebo in the Base Study. At month 30, participants who received Placebo in the Base Study were eligible to receive qHPV, and formed the Extension Group. Participants were to be followed for safety and efficacy for up to 10 years.

Participants by arm

ArmCount
qHPV Vaccine in Base Study
Represents participants who were randomized into the qHPV Group, who received three 0.5 mL intramuscular injections of V501 (qHPV) at Day 1, Month 2, and Month 6
1,184
Placebo in Base Study
Represents participants who were randomized into the Placebo Group, who received three 0.5 mL intramuscular injections of placebo at Day 1, Month 2, and Month 6
597
Total1,781

Withdrawals & dropouts

PeriodReasonFG000FG001FG002
Base Follow-up Phase (Month 18 to 30)Lost to Follow-up200
Base Follow-up Phase (Month 18 to 30)Protocol Violation100
Base Follow-up Phase (Month 18 to 30)Subject moved420
Base Follow-up Phase (Month 18 to 30)Withdrawal by Subject130
Base Follow-up Phase (Month 7 to 18)Lost to Follow-up1370
Base Follow-up Phase (Month 7 to 18)Physician Decision100
Base Follow-up Phase (Month 7 to 18)Protocol Violation100
Base Follow-up Phase (Month 7 to 18)Subject moved150
Base Follow-up Phase (Month 7 to 18)Withdrawal by Subject420
Base Vaccine Phase (Day 1 to Month 7)Adverse Event410
Base Vaccine Phase (Day 1 to Month 7)Did not meet local regulations010
Base Vaccine Phase (Day 1 to Month 7)Lost to Follow-up1870
Base Vaccine Phase (Day 1 to Month 7)Moved310
Base Vaccine Phase (Day 1 to Month 7)Not Vaccinated510
Base Vaccine Phase (Day 1 to Month 7)per sponsor request: (noncompliant)010
Base Vaccine Phase (Day 1 to Month 7)Refused Vaccination530
Base Vaccine Phase (Day 1 to Month 7)Withdrawal by Subject28210
Extension Vaccine Phase (Month 30 to 37)Lost to Follow-up1407
Extension Vaccine Phase (Month 30 to 37)Subject moved300
Extension Vaccine Phase (Month 30 to 37)Withdrawal by Subject609
Long-term Follow-up (Month 42 Visit)Adverse Event100

Baseline characteristics

CharacteristicqHPV Vaccine in Base StudyPlacebo in Base StudyTotal
Age, Continuous11.9 years
STANDARD_DEVIATION 1.9
11.8 years
STANDARD_DEVIATION 1.9
11.9 years
STANDARD_DEVIATION 1.9
Age, Customized
17 Years of Age and Over
0 Participants0 Participants0 Participants
Age, Customized
8 Years of Age and Under
0 Participants0 Participants0 Participants
Age, Customized
9 to 16 Years of Age
1184 Participants597 Participants1781 Participants
Race/Ethnicity, Customized
Asian
149 participants70 participants219 participants
Race/Ethnicity, Customized
Black
50 participants21 participants71 participants
Race/Ethnicity, Customized
Hispanic American
260 participants130 participants390 participants
Race/Ethnicity, Customized
Native American
0 participants1 participants1 participants
Race/Ethnicity, Customized
Other
9 participants6 participants15 participants
Race/Ethnicity, Customized
White
716 participants369 participants1085 participants
Sex: Female, Male
Female
616 Participants322 Participants938 Participants
Sex: Female, Male
Male
568 Participants275 Participants843 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
918 / 1,165344 / 5840 / 9323 / 481
serious
Total, serious adverse events
6 / 1,1650 / 5842 / 9323 / 481

Outcome results

Primary

Geometric Mean Titers for Anti-HPV 6, 11, 16, and 18 at Month 126

Time frame: Month 126 (120 Months Post-dose 3 for Original qHPV Vaccine Cohort and 90 Months Post-dose 3 for Extension Group)

Population: Per-protocol population: participants without protocol violations who received all 3 vaccinations within appropriate day ranges as defined in the CSR, were seronegative to the respective HPV type at Day 1 (for the Main Vaccination group), or Month 30 (for the Extension Group), and had a valid serology result at the specified time for assessment.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
qHPV Vaccine in Base StudyGeometric Mean Titers for Anti-HPV 6, 11, 16, and 18 at Month 126Type 6: n=409, 11288.0 milliMerck units/mL
qHPV Vaccine in Base StudyGeometric Mean Titers for Anti-HPV 6, 11, 16, and 18 at Month 126Type 11: n=409, 11274.6 milliMerck units/mL
qHPV Vaccine in Base StudyGeometric Mean Titers for Anti-HPV 6, 11, 16, and 18 at Month 126Type 16: n=403, 115320.1 milliMerck units/mL
qHPV Vaccine in Base StudyGeometric Mean Titers for Anti-HPV 6, 11, 16, and 18 at Month 126Type 18: n=408, 12036.5 milliMerck units/mL
Placebo in Base StudyGeometric Mean Titers for Anti-HPV 6, 11, 16, and 18 at Month 126Type 18: n=408, 12039.6 milliMerck units/mL
Placebo in Base StudyGeometric Mean Titers for Anti-HPV 6, 11, 16, and 18 at Month 126Type 6: n=409, 11299.3 milliMerck units/mL
Placebo in Base StudyGeometric Mean Titers for Anti-HPV 6, 11, 16, and 18 at Month 126Type 16: n=403, 115351.6 milliMerck units/mL
Placebo in Base StudyGeometric Mean Titers for Anti-HPV 6, 11, 16, and 18 at Month 126Type 11: n=409, 11296.0 milliMerck units/mL
Primary

Geometric Mean Titers for Anti-HPV 6, 11, 16, and 18 at Month 96

Time frame: Month 96 (90 Months Post-dose 3 for Original qHPV Vaccine Group and 60 Months Post-dose 3 for Extension Group)

Population: Per-protocol population: participants without protocol violations who received all 3 vaccinations within appropriate day ranges as defined in the CSR, were seronegative to the respective HPV type at Day 1 (for the Main Vaccination group), or Month 30 (for the Extension Group), and had a valid serology result at the specified time for assessment.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
qHPV Vaccine in Base StudyGeometric Mean Titers for Anti-HPV 6, 11, 16, and 18 at Month 96Type 6: n=451, 14171.4 milliMerck units/mL
qHPV Vaccine in Base StudyGeometric Mean Titers for Anti-HPV 6, 11, 16, and 18 at Month 96Type 11: n=451, 14167.5 milliMerck units/mL
qHPV Vaccine in Base StudyGeometric Mean Titers for Anti-HPV 6, 11, 16, and 18 at Month 96Type 16: n=447, 143325.5 milliMerck units/mL
qHPV Vaccine in Base StudyGeometric Mean Titers for Anti-HPV 6, 11, 16, and 18 at Month 96Type 18: n=452, 15241.6 milliMerck units/mL
Placebo in Base StudyGeometric Mean Titers for Anti-HPV 6, 11, 16, and 18 at Month 96Type 18: n=452, 15248.3 milliMerck units/mL
Placebo in Base StudyGeometric Mean Titers for Anti-HPV 6, 11, 16, and 18 at Month 96Type 6: n=451, 14191.0 milliMerck units/mL
Placebo in Base StudyGeometric Mean Titers for Anti-HPV 6, 11, 16, and 18 at Month 96Type 16: n=447, 143387.4 milliMerck units/mL
Placebo in Base StudyGeometric Mean Titers for Anti-HPV 6, 11, 16, and 18 at Month 96Type 11: n=451, 14190.3 milliMerck units/mL
Primary

Geometric Mean Titers (GMTs) for Anti-HPV 6, 11, 16, and 18 at Month 72

Time frame: Month 72 (66 Months Post-dose 3 for the Original qHPV Vaccine Cohort and 36 months Post-dose 3 for the Extension Group)

Population: Per-protocol population: participants without protocol violations who received all 3 vaccinations within appropriate day ranges as defined in the CSR, were seronegative to the respective HPV type at Day 1 (for the Main Vaccination group), or Month 30 (for the Extension Group), and had a valid serology result at the specified time for assessment.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
qHPV Vaccine in Base StudyGeometric Mean Titers (GMTs) for Anti-HPV 6, 11, 16, and 18 at Month 72Type 6: n=475, 151118.9 milliMerck units/mL
qHPV Vaccine in Base StudyGeometric Mean Titers (GMTs) for Anti-HPV 6, 11, 16, and 18 at Month 72Type 11: n=475, 151135.7 milliMerck units/mL
qHPV Vaccine in Base StudyGeometric Mean Titers (GMTs) for Anti-HPV 6, 11, 16, and 18 at Month 72Type 16: n=473, 154521.2 milliMerck units/mL
qHPV Vaccine in Base StudyGeometric Mean Titers (GMTs) for Anti-HPV 6, 11, 16, and 18 at Month 72Type 18: n=477, 16070.9 milliMerck units/mL
Placebo in Base StudyGeometric Mean Titers (GMTs) for Anti-HPV 6, 11, 16, and 18 at Month 72Type 18: n=477, 16067.7 milliMerck units/mL
Placebo in Base StudyGeometric Mean Titers (GMTs) for Anti-HPV 6, 11, 16, and 18 at Month 72Type 6: n=475, 151113.9 milliMerck units/mL
Placebo in Base StudyGeometric Mean Titers (GMTs) for Anti-HPV 6, 11, 16, and 18 at Month 72Type 16: n=473, 154485.8 milliMerck units/mL
Placebo in Base StudyGeometric Mean Titers (GMTs) for Anti-HPV 6, 11, 16, and 18 at Month 72Type 11: n=475, 151137.9 milliMerck units/mL
Primary

Number of Participants Reporting Other (Non-serious) AEs Through Month 18

Tolerability as assessed by the number of participants with clinical adverse experiences through Month 18

Time frame: Up to Month 18: Injection site AEs were collected from Days 1-5 and other non-serious AEs from Days 1-15 after any vaccination

Population: All participants who were vaccinated according to actual treatment received (qHPV or placebo) and had safety follow-up.

ArmMeasureValue (NUMBER)
qHPV Vaccine in Base StudyNumber of Participants Reporting Other (Non-serious) AEs Through Month 18918 participants
Placebo in Base StudyNumber of Participants Reporting Other (Non-serious) AEs Through Month 18340 participants
Primary

Number of Participants Reporting SAEs From Month 18 Through Month 37

Tolerability as assessed by the number of participants with clinical adverse experiences from Month 18 through Month 37

Time frame: Month 18 to Month 37

Population: All participants who were vaccinated according to actual treatment received (qHPV or placebo) and had safety follow-up.

ArmMeasureValue (NUMBER)
qHPV Vaccine in Base StudyNumber of Participants Reporting SAEs From Month 18 Through Month 370 participants
Placebo in Base StudyNumber of Participants Reporting SAEs From Month 18 Through Month 373 participants
Primary

Number of Participants Reporting SAEs Related to Study Vaccine or to a Study Procedure in the Long-term Follow-up

A serious adverse event is any adverse event that results in death, is life threatening, results in a persistent or significant disability/incapacity, results in hospitalization or prolongs an existing hospitalization, is a congenital anomaly/birth defect, is a cancer, is an overdose, or is considered an other important medical event based on medical judgment. SAEs considered by the investigator to be possibly, probably, or definitely related to study vaccine or a study procedure were reported.

Time frame: Month 37 to Month 126

Population: The analysis population was all participants who were vaccinated according to actual treatment received and had safety follow-up.

ArmMeasureValue (NUMBER)
qHPV Vaccine in Base StudyNumber of Participants Reporting SAEs Related to Study Vaccine or to a Study Procedure in the Long-term Follow-up0 Participants
Placebo in Base StudyNumber of Participants Reporting SAEs Related to Study Vaccine or to a Study Procedure in the Long-term Follow-up1 Participants
Primary

Number of Participants Reporting Serious Adverse Experiences (SAEs) Through Month 18

Tolerability as assessed by the number of participants with clinical adverse experiences through Month 18. A serious adverse event is any adverse event that results in death, is life threatening, results in a persistent or significant disability/incapacity, results in hospitalization or prolongs an existing hospitalization, is a congenital anomaly/birth defect, is a cancer, is an overdose, or is considered an other important medical event based on medical judgment.

Time frame: Up to Month 18

Population: All participants who were vaccinated according to actual treatment received (qHPV or placebo) and had safety follow-up.

ArmMeasureValue (NUMBER)
qHPV Vaccine in Base StudyNumber of Participants Reporting Serious Adverse Experiences (SAEs) Through Month 186 participants
Placebo in Base StudyNumber of Participants Reporting Serious Adverse Experiences (SAEs) Through Month 180 participants
Primary

Percentage of Participants Who Are Seropositive for HPV Types 6, 11, 16, and 18 at Month 126

A participant is considered seropositive for a given HPV type if he or she has a cLIA titer at or above the serostatus cutoff for that HPV type. Serostatus cutoffs are ≥ 20 mMU/mL for HPV 6 and 16, ≥ 16 mMU/mL for HPV 11, and ≥ 24 mMU/mL for HPV 18.

Time frame: Month 126 (120 Months Post-dose 3 for Original qHPV Vaccine Cohort and 90 Months Post-dose 3 for Extension Group)

Population: Per-protocol population: participants without protocol violations who received all 3 qHPV vaccinations, were seronegative to the respective HPV type at Day 1 (for the Main Vaccination group), or Month 30 (for the Extension Group), and had a valid serology result at the specified time for assessment.

ArmMeasureGroupValue (NUMBER)
qHPV Vaccine in Base StudyPercentage of Participants Who Are Seropositive for HPV Types 6, 11, 16, and 18 at Month 126Type 6: n=409, 11289.0 Percentage of participants
qHPV Vaccine in Base StudyPercentage of Participants Who Are Seropositive for HPV Types 6, 11, 16, and 18 at Month 126Type 11: n=409, 11288.8 Percentage of participants
qHPV Vaccine in Base StudyPercentage of Participants Who Are Seropositive for HPV Types 6, 11, 16, and 18 at Month 126Type 16: n=403, 11596.0 Percentage of participants
qHPV Vaccine in Base StudyPercentage of Participants Who Are Seropositive for HPV Types 6, 11, 16, and 18 at Month 126Type 18: n=408, 12060.5 Percentage of participants
Placebo in Base StudyPercentage of Participants Who Are Seropositive for HPV Types 6, 11, 16, and 18 at Month 126Type 18: n=408, 12065.0 Percentage of participants
Placebo in Base StudyPercentage of Participants Who Are Seropositive for HPV Types 6, 11, 16, and 18 at Month 126Type 6: n=409, 11291.1 Percentage of participants
Placebo in Base StudyPercentage of Participants Who Are Seropositive for HPV Types 6, 11, 16, and 18 at Month 126Type 16: n=403, 11596.5 Percentage of participants
Placebo in Base StudyPercentage of Participants Who Are Seropositive for HPV Types 6, 11, 16, and 18 at Month 126Type 11: n=409, 11292.9 Percentage of participants
Primary

Percentage of Participants Who Are Seropositive for HPV Types 6, 11, 16, and 18 at Month 72

A participant is considered seropositive for a given HPV type if he or she has a cLIA titer at or above the serostatus cutoff for that HPV type. Serostatus cutoffs are ≥ 20 mMU/mL for HPV 6 and 16, ≥ 16 mMU/mL for HPV 11, and ≥ 24 mMU/mL for HPV 18.

Time frame: Month 72 (66 Months Post-dose 3 for the Original qHPV Vaccine Cohort and 36 months Post-dose 3 for the Extension Group)

Population: Per-protocol population: participants without protocol violations who received all 3 vaccinations, were seronegative to the respective HPV type at Day 1 (for the Base Vaccination group), or Month 30 (for the Extension Group), and had a valid serology result at the specified time for assessment.

ArmMeasureGroupValue (NUMBER)
qHPV Vaccine in Base StudyPercentage of Participants Who Are Seropositive for HPV Types 6, 11, 16, and 18 at Month 72Type 16: n=473, 15497.9 Percentage of participants
qHPV Vaccine in Base StudyPercentage of Participants Who Are Seropositive for HPV Types 6, 11, 16, and 18 at Month 72Type 11: n=475, 15196.0 Percentage of participants
qHPV Vaccine in Base StudyPercentage of Participants Who Are Seropositive for HPV Types 6, 11, 16, and 18 at Month 72Type 18: n=477, 16074.4 Percentage of participants
qHPV Vaccine in Base StudyPercentage of Participants Who Are Seropositive for HPV Types 6, 11, 16, and 18 at Month 72Type 6: n=475, 15193.3 Percentage of participants
Placebo in Base StudyPercentage of Participants Who Are Seropositive for HPV Types 6, 11, 16, and 18 at Month 72Type 18: n=477, 16079.4 Percentage of participants
Placebo in Base StudyPercentage of Participants Who Are Seropositive for HPV Types 6, 11, 16, and 18 at Month 72Type 11: n=475, 15196.7 Percentage of participants
Placebo in Base StudyPercentage of Participants Who Are Seropositive for HPV Types 6, 11, 16, and 18 at Month 72Type 16: n=473, 15497.4 Percentage of participants
Placebo in Base StudyPercentage of Participants Who Are Seropositive for HPV Types 6, 11, 16, and 18 at Month 72Type 6: n=475, 15191.4 Percentage of participants
Primary

Percentage of Participants Who Are Seropositive for HPV Types 6, 11, 16, and 18 at Month 96

A participant is considered seropositive for a given HPV type if he or she has a cLIA titer at or above the serostatus cutoff for that HPV type. Serostatus cutoffs are ≥ 20 mMU/mL for HPV 6 and 16, ≥ 16 mMU/mL for HPV 11, and ≥ 24 mMU/mL for HPV 18.

Time frame: Month 96 (90 Months Post-dose 3 for Original qHPV Vaccine Cohort and 60 Months Post-dose 3 for Extension Group)

Population: Per-protocol population: participants without protocol violations who received all 3 qHPV vaccinations, were seronegative to the respective HPV type at Day 1 (for the Main Vaccination group), or Month 30 (for the Extension Group), and had a valid serology result at the specified time for assessment.

ArmMeasureGroupValue (NUMBER)
qHPV Vaccine in Base StudyPercentage of Participants Who Are Seropositive for HPV Types 6, 11, 16, and 18 at Month 96Type 6: n=451, 14188.2 Percentage of participants
qHPV Vaccine in Base StudyPercentage of Participants Who Are Seropositive for HPV Types 6, 11, 16, and 18 at Month 96Type 11: n=451, 14189.1 Percentage of participants
qHPV Vaccine in Base StudyPercentage of Participants Who Are Seropositive for HPV Types 6, 11, 16, and 18 at Month 96Type 16: n=447, 14396.9 Percentage of participants
qHPV Vaccine in Base StudyPercentage of Participants Who Are Seropositive for HPV Types 6, 11, 16, and 18 at Month 96Type 18: n=452, 15263.9 Percentage of participants
Placebo in Base StudyPercentage of Participants Who Are Seropositive for HPV Types 6, 11, 16, and 18 at Month 96Type 18: n=452, 15269.1 Percentage of participants
Placebo in Base StudyPercentage of Participants Who Are Seropositive for HPV Types 6, 11, 16, and 18 at Month 96Type 6: n=451, 14191.5 Percentage of participants
Placebo in Base StudyPercentage of Participants Who Are Seropositive for HPV Types 6, 11, 16, and 18 at Month 96Type 16: n=447, 14397.9 Percentage of participants
Placebo in Base StudyPercentage of Participants Who Are Seropositive for HPV Types 6, 11, 16, and 18 at Month 96Type 11: n=451, 14193.6 Percentage of participants
Secondary

Combined Incidence of HPV 6/11/16/18-related Persistent Infection and HPV 6/11/16/18-related CIN, AIS, VIN, VaIN, Genital Warts, and Cervical/Vaginal/Vulvar Cancer in Females

The HPV types were determined by polymerase chain reaction (PCR) testing. The combined incidence of HPV 6/11/16/18-related persistent infection and HPV 6/11/16/18-related cervical intraepithelial neoplasia (CIN), adenocarcinoma in situ (AIS), vulvar intraepithelial neoplasia (VIN), vaginal intraepithelial neoplasia (VaIN), genital warts, and cervical/Vaginal/vulvar cancer was assessed in female participants.

Time frame: Up to Month 126

Population: Per-Protocol Effectiveness population: male participants without protocol violations who received at least 1 dose of qHPV vaccine and at least 1 effectiveness follow-up visit.

ArmMeasureValue (NUMBER)
qHPV Vaccine in Base StudyCombined Incidence of HPV 6/11/16/18-related Persistent Infection and HPV 6/11/16/18-related CIN, AIS, VIN, VaIN, Genital Warts, and Cervical/Vaginal/Vulvar Cancer in Females0.2 Cases per 100 person-years at risk
Placebo in Base StudyCombined Incidence of HPV 6/11/16/18-related Persistent Infection and HPV 6/11/16/18-related CIN, AIS, VIN, VaIN, Genital Warts, and Cervical/Vaginal/Vulvar Cancer in Females0.2 Cases per 100 person-years at risk
Secondary

Combined Incidence of HPV 6/11/16/18-related Persistent Infection and HPV 6/11/16/18-related PIN, Genital Warts, and Penile/Perineal/Perianal Cancer in Males

The HPV types were determined by PCR testing. Combined incidence of HPV 6/11/16/18-related persistent infection and HPV 6/11/16/18-related penile/perineal/perianal intraepithelial neoplasia (PIN), genital warts, and penile/perineal/perianal cancer was assessed in male participants.

Time frame: Up to Month 126

Population: Per-Protocol Effectiveness population: male participants without protocol violations who received at least 1 dose of qHPV vaccine and at least 1 effectiveness follow-up visit.

ArmMeasureValue (NUMBER)
qHPV Vaccine in Base StudyCombined Incidence of HPV 6/11/16/18-related Persistent Infection and HPV 6/11/16/18-related PIN, Genital Warts, and Penile/Perineal/Perianal Cancer in Males0.6 Cases per 100 person-years at risk
Placebo in Base StudyCombined Incidence of HPV 6/11/16/18-related Persistent Infection and HPV 6/11/16/18-related PIN, Genital Warts, and Penile/Perineal/Perianal Cancer in Males0.3 Cases per 100 person-years at risk
Secondary

Geometric Mean Titers in the Extension Group for Anti-HPV 6, 11, 16, and 18 at Month 1 Postdose 3 of qHPV Vaccine (Month 37)

Time frame: Month 37 (1 Month Post-dose 3 of qHPV)

Population: Per-protocol population: participants without protocol violations who received all 3 qHPV vaccinations within appropriate day ranges, were seronegative to the respective HPV type at Month 30, and had a valid serology result at the specified time for assessment.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
qHPV Vaccine in Base StudyGeometric Mean Titers in the Extension Group for Anti-HPV 6, 11, 16, and 18 at Month 1 Postdose 3 of qHPV Vaccine (Month 37)Type 6: n=246768.6 milliMerck units/mL
qHPV Vaccine in Base StudyGeometric Mean Titers in the Extension Group for Anti-HPV 6, 11, 16, and 18 at Month 1 Postdose 3 of qHPV Vaccine (Month 37)Type 16: n=2464312.7 milliMerck units/mL
qHPV Vaccine in Base StudyGeometric Mean Titers in the Extension Group for Anti-HPV 6, 11, 16, and 18 at Month 1 Postdose 3 of qHPV Vaccine (Month 37)Type 18: n=255830.1 milliMerck units/mL
qHPV Vaccine in Base StudyGeometric Mean Titers in the Extension Group for Anti-HPV 6, 11, 16, and 18 at Month 1 Postdose 3 of qHPV Vaccine (Month 37)Type 11: n=2461041.0 milliMerck units/mL
Secondary

Geometric Mean Titers of Original qHPV Vaccine Cohort for Anti-HPV 6, 11, 16, and 18 at Month 12 Postdose 3 of qHPV Vaccine (Month 18)

Time frame: Month 18 (Month 12 Post-dose 3)

Population: Per-protocol population: participants without protocol violations who received all 3 qHPV vaccinations, were seronegative to the respective HPV type at Day 1, and had a valid serology result at the specified time for assessment.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
qHPV Vaccine in Base StudyGeometric Mean Titers of Original qHPV Vaccine Cohort for Anti-HPV 6, 11, 16, and 18 at Month 12 Postdose 3 of qHPV Vaccine (Month 18)Type 6: n=937219.3 milliMerck units/mL
qHPV Vaccine in Base StudyGeometric Mean Titers of Original qHPV Vaccine Cohort for Anti-HPV 6, 11, 16, and 18 at Month 12 Postdose 3 of qHPV Vaccine (Month 18)Type 11: n=938296.9 milliMerck units/mL
qHPV Vaccine in Base StudyGeometric Mean Titers of Original qHPV Vaccine Cohort for Anti-HPV 6, 11, 16, and 18 at Month 12 Postdose 3 of qHPV Vaccine (Month 18)Type 16: n=9331314.8 milliMerck units/mL
qHPV Vaccine in Base StudyGeometric Mean Titers of Original qHPV Vaccine Cohort for Anti-HPV 6, 11, 16, and 18 at Month 12 Postdose 3 of qHPV Vaccine (Month 18)Type 18: n=940203.0 milliMerck units/mL
Secondary

Geometric Mean Titers of Original qHPV Vaccine Cohort for Anti-HPV 6, 11, 16, and 18 at Month 18 Postdose 3 of qHPV Vaccine (Month 24)

Time frame: Month 24 (18 Months Post-dose 3)

Population: Per-protocol population: participants without protocol violations who received all 3 qHPV vaccinations, were seronegative to the respective HPV type at Day 1, and had a valid serology result at the specified time for assessment.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
qHPV Vaccine in Base StudyGeometric Mean Titers of Original qHPV Vaccine Cohort for Anti-HPV 6, 11, 16, and 18 at Month 18 Postdose 3 of qHPV Vaccine (Month 24)Type 6: n=446143.5 milliMerck units/mL
qHPV Vaccine in Base StudyGeometric Mean Titers of Original qHPV Vaccine Cohort for Anti-HPV 6, 11, 16, and 18 at Month 18 Postdose 3 of qHPV Vaccine (Month 24)Type 11: n=447206.6 milliMerck units/mL
qHPV Vaccine in Base StudyGeometric Mean Titers of Original qHPV Vaccine Cohort for Anti-HPV 6, 11, 16, and 18 at Month 18 Postdose 3 of qHPV Vaccine (Month 24)Type 16: n=442932.1 milliMerck units/mL
qHPV Vaccine in Base StudyGeometric Mean Titers of Original qHPV Vaccine Cohort for Anti-HPV 6, 11, 16, and 18 at Month 18 Postdose 3 of qHPV Vaccine (Month 24)Type 18: n=447136.2 milliMerck units/mL
Secondary

Geometric Mean Titers of Original qHPV Vaccine Cohort for Anti-HPV 6, 11, 16, and 18 at Month 1 Postdose 3 of qHPV Vaccine (Month 7)

Time frame: Month 7 (1 Month Post-dose 3)

Population: Per-protocol population: participants without protocol violations who received all 3 qHPV vaccinations, were seronegative to the respective HPV type at Day 1, and had a valid serology result at the specified time for assessment.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
qHPV Vaccine in Base StudyGeometric Mean Titers of Original qHPV Vaccine Cohort for Anti-HPV 6, 11, 16, and 18 at Month 1 Postdose 3 of qHPV Vaccine (Month 7)Type 6: n=953929.2 milliMerck units/mL
qHPV Vaccine in Base StudyGeometric Mean Titers of Original qHPV Vaccine Cohort for Anti-HPV 6, 11, 16, and 18 at Month 1 Postdose 3 of qHPV Vaccine (Month 7)Type 11: n=9541362.8 milliMerck units/mL
qHPV Vaccine in Base StudyGeometric Mean Titers of Original qHPV Vaccine Cohort for Anti-HPV 6, 11, 16, and 18 at Month 1 Postdose 3 of qHPV Vaccine (Month 7)Type 16: n=9495512.7 milliMerck units/mL
qHPV Vaccine in Base StudyGeometric Mean Titers of Original qHPV Vaccine Cohort for Anti-HPV 6, 11, 16, and 18 at Month 1 Postdose 3 of qHPV Vaccine (Month 7)Type 18: n=9561278.9 milliMerck units/mL
Secondary

Geometric Mean Titers of Original qHPV Vaccine Cohort for Anti-HPV 6, 11, 16, and 18 at Month 24 Postdose 3 of qHPV Vaccine (Month 30)

Time frame: Month 30 (24 Months Post-dose 3)

Population: Per-protocol population: participants without protocol violations who received all 3 qHPV vaccinations, were seronegative to the respective HPV type at Day 1, and had a valid serology result at the specified time for assessment.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
qHPV Vaccine in Base StudyGeometric Mean Titers of Original qHPV Vaccine Cohort for Anti-HPV 6, 11, 16, and 18 at Month 24 Postdose 3 of qHPV Vaccine (Month 30)Type 6: n=799146.5 milliMerck units/mL
qHPV Vaccine in Base StudyGeometric Mean Titers of Original qHPV Vaccine Cohort for Anti-HPV 6, 11, 16, and 18 at Month 24 Postdose 3 of qHPV Vaccine (Month 30)Type 11: n=800177.0 milliMerck units/mL
qHPV Vaccine in Base StudyGeometric Mean Titers of Original qHPV Vaccine Cohort for Anti-HPV 6, 11, 16, and 18 at Month 24 Postdose 3 of qHPV Vaccine (Month 30)Type 16: n=795826.1 milliMerck units/mL
qHPV Vaccine in Base StudyGeometric Mean Titers of Original qHPV Vaccine Cohort for Anti-HPV 6, 11, 16, and 18 at Month 24 Postdose 3 of qHPV Vaccine (Month 30)Type 18: n=803114.7 milliMerck units/mL
Secondary

Geometric Mean Titers of Original qHPV Vaccine Cohort for Anti-HPV 6, 11, 16, and 18 at Month 31 Postdose 3 of qHPV Vaccine (Month 37)

Time frame: Month 37 (31 Months Post-dose 3)

Population: Per-protocol population: participants without protocol violations who received all 3 qHPV vaccinations, were seronegative to the respective HPV type at Day 1, and had a valid serology result at the specified time for assessment.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
qHPV Vaccine in Base StudyGeometric Mean Titers of Original qHPV Vaccine Cohort for Anti-HPV 6, 11, 16, and 18 at Month 31 Postdose 3 of qHPV Vaccine (Month 37)Type 18: n=660102.4 milliMerck units/mL
qHPV Vaccine in Base StudyGeometric Mean Titers of Original qHPV Vaccine Cohort for Anti-HPV 6, 11, 16, and 18 at Month 31 Postdose 3 of qHPV Vaccine (Month 37)Type 6: n=657128.6 milliMerck units/mL
qHPV Vaccine in Base StudyGeometric Mean Titers of Original qHPV Vaccine Cohort for Anti-HPV 6, 11, 16, and 18 at Month 31 Postdose 3 of qHPV Vaccine (Month 37)Type 11: n=657149.7 milliMerck units/mL
qHPV Vaccine in Base StudyGeometric Mean Titers of Original qHPV Vaccine Cohort for Anti-HPV 6, 11, 16, and 18 at Month 31 Postdose 3 of qHPV Vaccine (Month 37)Type 16: n=655680.4 milliMerck units/mL
Secondary

Percentage of Original qHPV Vaccine Participants Who Are Seropositive for HPV Types 6, 11, 16, and 18 at Month 12 Postdose 3 (Month 18).

A participant is considered seropositive for a given HPV type if he or she has a cLIA titer at or above the serostatus cutoff for that HPV type. Serostatus cutoffs are ≥ 20 mMU/mL for HPV 6 and 16, ≥ 16 mMU/mL for HPV 11, and ≥ 24 mMU/mL for HPV 18.

Time frame: Month 18 (12 Months Post-dose 3)

Population: Per-protocol population: participants without protocol violations who received all 3 qHPV vaccinations, were seronegative to the respective HPV type at Day 1, and had a valid serology result at the specified time for assessment.

ArmMeasureGroupValue (NUMBER)
qHPV Vaccine in Base StudyPercentage of Original qHPV Vaccine Participants Who Are Seropositive for HPV Types 6, 11, 16, and 18 at Month 12 Postdose 3 (Month 18).Type 6: n=93797.8 Percentage of participants
qHPV Vaccine in Base StudyPercentage of Original qHPV Vaccine Participants Who Are Seropositive for HPV Types 6, 11, 16, and 18 at Month 12 Postdose 3 (Month 18).Type 11: n=93899.3 Percentage of participants
qHPV Vaccine in Base StudyPercentage of Original qHPV Vaccine Participants Who Are Seropositive for HPV Types 6, 11, 16, and 18 at Month 12 Postdose 3 (Month 18).Type 16: n=93399.6 Percentage of participants
qHPV Vaccine in Base StudyPercentage of Original qHPV Vaccine Participants Who Are Seropositive for HPV Types 6, 11, 16, and 18 at Month 12 Postdose 3 (Month 18).Type 18: n=94091.6 Percentage of participants
Secondary

Percentage of Original qHPV Vaccine Participants Who Are Seropositive for HPV Types 6, 11, 16, and 18 at Month 18 Postdose 3 (Month 24)

A participant is considered seropositive for a given HPV type if he or she has a cLIA titer at or above the serostatus cutoff for that HPV type. Serostatus cutoffs are ≥ 20 mMU/mL for HPV 6 and 16, ≥ 16 mMU/mL for HPV 11, and ≥ 24 mMU/mL for HPV 18.

Time frame: Month 24 (18 Months Post-dose 3)

Population: Per-protocol population: participants without protocol violations who received all 3 qHPV vaccinations, were seronegative to the respective HPV type at Day 1, and had a valid serology result at the specified time for assessment.

ArmMeasureGroupValue (NUMBER)
qHPV Vaccine in Base StudyPercentage of Original qHPV Vaccine Participants Who Are Seropositive for HPV Types 6, 11, 16, and 18 at Month 18 Postdose 3 (Month 24)Type 6: n=44695.1 Percentage of participants
qHPV Vaccine in Base StudyPercentage of Original qHPV Vaccine Participants Who Are Seropositive for HPV Types 6, 11, 16, and 18 at Month 18 Postdose 3 (Month 24)Type 11: n=44798.2 Percentage of participants
qHPV Vaccine in Base StudyPercentage of Original qHPV Vaccine Participants Who Are Seropositive for HPV Types 6, 11, 16, and 18 at Month 18 Postdose 3 (Month 24)Type 16: n=44298.4 Percentage of participants
qHPV Vaccine in Base StudyPercentage of Original qHPV Vaccine Participants Who Are Seropositive for HPV Types 6, 11, 16, and 18 at Month 18 Postdose 3 (Month 24)Type 18: n=44787.5 Percentage of participants
Secondary

Percentage of Original qHPV Vaccine Participants Who Are Seropositive for HPV Types 6, 11, 16, and 18 at Month 1 Postdose 3 (Month 7)

A participant is considered seropositive for a given HPV type if he or she has a cLIA titer at or above the serostatus cutoff for that HPV type. Serostatus cutoffs are ≥ 20 mMU/mL for HPV 6 and 16, ≥ 16 mMU/mL for HPV 11, and ≥ 24 mMU/mL for HPV 18.

Time frame: Month 7 (1 Month Postdose 3)

Population: Per-protocol population: participants without protocol violations who received all 3 qHPV vaccinations, were seronegative to the respective HPV type at Day 1, and had a valid serology result at the specified time for assessment.

ArmMeasureGroupValue (NUMBER)
qHPV Vaccine in Base StudyPercentage of Original qHPV Vaccine Participants Who Are Seropositive for HPV Types 6, 11, 16, and 18 at Month 1 Postdose 3 (Month 7)Type 6: n=95399.8 Percentage of participants
qHPV Vaccine in Base StudyPercentage of Original qHPV Vaccine Participants Who Are Seropositive for HPV Types 6, 11, 16, and 18 at Month 1 Postdose 3 (Month 7)Type 11: n=95499.8 Percentage of participants
qHPV Vaccine in Base StudyPercentage of Original qHPV Vaccine Participants Who Are Seropositive for HPV Types 6, 11, 16, and 18 at Month 1 Postdose 3 (Month 7)Type 16: n=94999.7 Percentage of participants
qHPV Vaccine in Base StudyPercentage of Original qHPV Vaccine Participants Who Are Seropositive for HPV Types 6, 11, 16, and 18 at Month 1 Postdose 3 (Month 7)Type 18: n=95699.7 Percentage of participants
Secondary

Percentage of Original qHPV Vaccine Participants Who Are Seropositive for HPV Types 6, 11, 16, and 18 at Month 24 Postdose 3 (Month 30)

A participant is considered seropositive for a given HPV type if he or she has a cLIA titer at or above the serostatus cutoff for that HPV type. Serostatus cutoffs are ≥ 20 mMU/mL for HPV 6 and 16, ≥ 16 mMU/mL for HPV 11, and ≥ 24 mMU/mL for HPV 18.

Time frame: Month 30 (24 Months Post-dose 3)

Population: Per-protocol population: participants without protocol violations who received all 3 qHPV vaccinations, were seronegative to the respective HPV type at Day 1, and had a valid serology result at the specified time for assessment.

ArmMeasureGroupValue (NUMBER)
qHPV Vaccine in Base StudyPercentage of Original qHPV Vaccine Participants Who Are Seropositive for HPV Types 6, 11, 16, and 18 at Month 24 Postdose 3 (Month 30)Type 18: n=80384.3 Percentage of participants
qHPV Vaccine in Base StudyPercentage of Original qHPV Vaccine Participants Who Are Seropositive for HPV Types 6, 11, 16, and 18 at Month 24 Postdose 3 (Month 30)Type 6: n=79995.6 Percentage of participants
qHPV Vaccine in Base StudyPercentage of Original qHPV Vaccine Participants Who Are Seropositive for HPV Types 6, 11, 16, and 18 at Month 24 Postdose 3 (Month 30)Type 11: n=80097.5 Percentage of participants
qHPV Vaccine in Base StudyPercentage of Original qHPV Vaccine Participants Who Are Seropositive for HPV Types 6, 11, 16, and 18 at Month 24 Postdose 3 (Month 30)Type 16: n=79598.6 Percentage of participants
Secondary

Percentage of Original qHPV Vaccine Participants Who Are Seropositive for HPV Types 6, 11, 16, and 18 at Month 31 Postdose 3 (Month 37).

A participant is considered seropositive for a given HPV type if he or she has a cLIA titer at or above the serostatus cutoff for that HPV type. Serostatus cutoffs are ≥ 20 mMU/mL for HPV 6 and 16, ≥ 16 mMU/mL for HPV 11, and ≥ 24 mMU/mL for HPV 18.

Time frame: Month 37 (31 Months Post-dose 3)

Population: Per-protocol population: participants without protocol violations who received all 3 qHPV vaccinations, were seronegative to the respective HPV type at Day 1, and had a valid serology result at the specified time for assessment.

ArmMeasureGroupValue (NUMBER)
qHPV Vaccine in Base StudyPercentage of Original qHPV Vaccine Participants Who Are Seropositive for HPV Types 6, 11, 16, and 18 at Month 31 Postdose 3 (Month 37).Type 18: n=66081.1 Percentage of participants
qHPV Vaccine in Base StudyPercentage of Original qHPV Vaccine Participants Who Are Seropositive for HPV Types 6, 11, 16, and 18 at Month 31 Postdose 3 (Month 37).Type 6: n=65794.5 Percentage of participants
qHPV Vaccine in Base StudyPercentage of Original qHPV Vaccine Participants Who Are Seropositive for HPV Types 6, 11, 16, and 18 at Month 31 Postdose 3 (Month 37).Type 11: n=65796.0 Percentage of participants
qHPV Vaccine in Base StudyPercentage of Original qHPV Vaccine Participants Who Are Seropositive for HPV Types 6, 11, 16, and 18 at Month 31 Postdose 3 (Month 37).Type 16: n=65598.2 Percentage of participants
Secondary

Percentage of Participants in the Extension Group Who Are Seropositive for HPV Types 6, 11, 16, and 18 at Month 1 Postdose 3 of qHPV (Month 37)

A participant is considered seropositive for a given HPV type if he or she has a cLIA titer at or above the serostatus cutoff for that HPV type. Serostatus cutoffs are ≥ 20 mMU/mL for HPV 6 and 16, ≥ 16 mMU/mL for HPV 11, and ≥ 24 mMU/mL for HPV 18.

Time frame: Month 37 (1 Month Post-dose 3 of qHPV)

Population: Per-protocol population: participants without protocol violations who received all 3 qHPV vaccinations, were seronegative to the respective HPV type at Month 30, and had a valid serology result at the specified time for assessment.

ArmMeasureGroupValue (NUMBER)
qHPV Vaccine in Base StudyPercentage of Participants in the Extension Group Who Are Seropositive for HPV Types 6, 11, 16, and 18 at Month 1 Postdose 3 of qHPV (Month 37)Type 16: n=246100 Percentage of participants
qHPV Vaccine in Base StudyPercentage of Participants in the Extension Group Who Are Seropositive for HPV Types 6, 11, 16, and 18 at Month 1 Postdose 3 of qHPV (Month 37)Type 18: n=25598.8 Percentage of participants
qHPV Vaccine in Base StudyPercentage of Participants in the Extension Group Who Are Seropositive for HPV Types 6, 11, 16, and 18 at Month 1 Postdose 3 of qHPV (Month 37)Type 6: n=24699.6 Percentage of participants
qHPV Vaccine in Base StudyPercentage of Participants in the Extension Group Who Are Seropositive for HPV Types 6, 11, 16, and 18 at Month 1 Postdose 3 of qHPV (Month 37)Type 11: n=246100 Percentage of participants

Source: ClinicalTrials.gov · Data processed: Apr 1, 2026