HPV Infections
Conditions
Keywords
HPV 6/11/16/18 Infection
Brief summary
A study to test the safety and effectiveness of Quadrivalent HPV (types 6, 11, 16, 18) L1 VLP vaccine against combined incidence of HPV 6/11/16/18-related persistent infection and vaccine type-specific genital disease among Chinese females between the ages of 20 and 45.
Detailed description
The Base Study V501-041 duration was 30 months. The study was extended to further evaluate the efficacy of Quadrivalent HPV (Type 6, 11, 16, 18) L1 VLP (qHPV) vaccine against Cervical Intraepithelial Neoplasia Grade 2 (CIN 2), CIN 3, Adenocarcinoma In Situ (AIS), and/or cervical cancer. The efficacy was followed through the Month 78 visit, and the close-out visit was conducted at approximately Month 90 with only safety data collected
Interventions
Quadrivalent Human Papillomavirus (Types 6, 11, 16, 18) Recombinant Vaccine injection at Day 1, Month 2, and Month 6.
Aluminum-containing Vaccine placebo injection at Day 1, Month 2, and Month 6.
Sponsors
Study design
Eligibility
Inclusion criteria
* Healthy women between the ages of 20 and 45 * Have used effective contraception for 2 weeks prior to starting in the study * Does not have a temperature within 24 hours before the first injection
Exclusion criteria
* Prior history of genital warts * More than 4 lifetime sexual partners * Have undergone hysterectomy * Have active cervical disease or history of cervical disease
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Entire Study: Percentage of Participants Who Died | Up to approximately 90 months | The percentage of participants who died on study due to any cause, whether or not related to the investigational product, were reported for each arm |
| Base Study: Percentage of Participants Discontinued From Study Vaccination Due to an Adverse Event | Up to 6 months | An AE is defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the sponsor's product, whether or not considered related to the use of the product. Any worsening of a preexisting condition which is temporally associated with the use of the sponsor's product, is also an AE. |
| Entire Study: Percentage of Participants With One or More Vaccine-related Serious Adverse Events | Up to approximately 90 months | 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 an overdose or, based on medical judgment, may jeopardize the participant and may require medical or surgical intervention. Related SAEs were those deemed possibly, probably, or definitely related to study vaccine or a study procedure. |
| Base Study: Combined Incidence of 6-Month Persistent Infection, Cervical Intraepithelial Neoplasia (CIN+), and External Genital Lesions Related to Human Papillomavirus (HPV) Type 6, 11, 16, or 18 in 20 to 45 Year Old Participants (Test of Hypothesis) | From Day 1 until >=25 cases accumulate, up to Month 30 | The endpoint included pathology panel consensus diagnosis of 6-month persistent infection, CIN+ (including CIN grade 1, 2, or 3, cervical adenocarcinoma in situ (AIS), and cervical cancer), or external genital lesions related to HPV Types 6, 11, 16, or 18 detected by polymerase chain reaction (PCR) in an adjacent section from the same tissue block. |
| Base Study: Combined Incidence of 6-Month Persistent Infection, CIN+, and External Genital Lesions Related to Human Papillomavirus (HPV) Type 6, 11, 16, or 18 in 20 to 26 Years Old Participants (Test of Hypothesis) | From Day 1 until >=17 cases accumulate, up to Month 30 | The endpoint included pathology panel consensus diagnosis of 6-month persistent infection, CIN+ (including CIN grade 1, 2, or 3, cervical adenocarcinoma in situ (AIS), and cervical cancer), or external genital lesions related to HPV Types 6, 11, 16, or 18 detected by PCR in an adjacent section from the same tissue block. |
| Entire Study: Combined Incidence of CIN2+ Related to HPV Types 16 or 18 in 20 to 45 Year Old Participants (End of Study Test of Hypothesis) | Up to Month 78 | The endpoint included pathology panel consensus diagnosis of CIN2+ (including CIN grade 2 or 3, AIS, and cervical cancer) related to HPV Types 16 or 18 detected by PCR in an adjacent section from the same tissue block. |
| Base Study: Percentage of Participants With One or More Solicited Injection-site Adverse Events | Up to 15 days after any vaccination | An adverse event (AE) is defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the sponsor's product, whether or not considered related to the use of the product. Any worsening of a preexisting condition which is temporally associated with the use of the sponsor's product, is also an AE. Injection-site AEs were prompted on the Vaccination Report Card (VRC), which was completed by the participant for 15 days after each vaccination. |
| Base Study: Percentage of Participants With One or More Systemic Adverse Events | Up to 15 days after any vaccination | An AE is defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the sponsor's product, whether or not considered related to the use of the product. Any worsening of a preexisting condition which is temporally associated with the use of the sponsor's product, is also an AE. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Entire Study: Combined Incidence of 12-Month Persistent Infection, CIN+, and External Genital Lesions Related to Human Papillomavirus (HPV) Type 6, 11, 16, or 18 in 20 to 26 Year Old Participants (End of Study Update) | Up to 78 months | The endpoint included pathology panel consensus diagnosis of 12-month persistent infection, CIN+ (including CIN grade 1, 2, or 3, cervical adenocarcinoma in situ (AIS), and cervical cancer), or external genital lesions related to HPV Types 6, 11, 16, or 18 detected by PCR in an adjacent section from the same tissue block. |
| Entire Study: Combined Incidence of 12-Month Persistent Infection, CIN+, and External Genital Lesions Related to Human Papillomavirus (HPV) Type 6, 11, 16, or 18 in 20 to 45 Year Old Participants (End of Study Update) | Up to 78 months | The endpoint included pathology panel consensus diagnosis of 12-month persistent infection, CIN+ (including CIN grade 1, 2, or 3, cervical adenocarcinoma in situ (AIS), and cervical cancer), or external genital lesions related to HPV Types 6, 11, 16, or 18 detected by PCR in an adjacent section from the same tissue block. |
Participant flow
Pre-assignment details
Participants were stratified by age before randomization: 20 to 26 years of age and 27 to 45 years of age.
Participants by arm
| Arm | Count |
|---|---|
| qHPV Quadrivalent Human Papillomavirus (Types 6, 11, 16, 18) Recombinant Vaccine administered by intramuscular injection on Day 1, Month 2, and Month 6 | 1,503 |
| Placebo Placebo administered by intramuscular injection on Day 1, Month 2, and Month 6 | 1,503 |
| Total | 3,006 |
Baseline characteristics
| Characteristic | qHPV | Placebo | Total |
|---|---|---|---|
| Age, Continuous | 28.7 Years STANDARD_DEVIATION 6.4 | 28.7 Years STANDARD_DEVIATION 6.4 | 28.7 Years STANDARD_DEVIATION 6.4 |
| Age, Customized 20 to 26 years of age | 923 Participants | 917 Participants | 1840 Participants |
| Age, Customized 27 to 45 years of age | 580 Participants | 586 Participants | 1166 Participants |
| Race/Ethnicity, Customized Asian | 1503 Participants | 1503 Participants | 3006 Participants |
| Sex: Female, Male Female | 1503 Participants | 1503 Participants | 3006 Participants |
| Sex: Female, Male Male | 0 Participants | 0 Participants | 0 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | — / — | — / — |
| other Total, other adverse events | 876 / 1,499 | 799 / 1,498 |
| serious Total, serious adverse events | 38 / 1,499 | 43 / 1,498 |
Outcome results
Base Study: Combined Incidence of 6-Month Persistent Infection, Cervical Intraepithelial Neoplasia (CIN+), and External Genital Lesions Related to Human Papillomavirus (HPV) Type 6, 11, 16, or 18 in 20 to 45 Year Old Participants (Test of Hypothesis)
The endpoint included pathology panel consensus diagnosis of 6-month persistent infection, CIN+ (including CIN grade 1, 2, or 3, cervical adenocarcinoma in situ (AIS), and cervical cancer), or external genital lesions related to HPV Types 6, 11, 16, or 18 detected by polymerase chain reaction (PCR) in an adjacent section from the same tissue block.
Time frame: From Day 1 until >=25 cases accumulate, up to Month 30
Population: The population analyzed included participants who received the full vaccination series, had at least 1 visit after Month 7, had no general protocol violations, and were seronegative at Baseline and polymerase chain reaction-negative from Baseline through Month 7 for HPV types 6, 11, 16, and 18.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| qHPV | Base Study: Combined Incidence of 6-Month Persistent Infection, Cervical Intraepithelial Neoplasia (CIN+), and External Genital Lesions Related to Human Papillomavirus (HPV) Type 6, 11, 16, or 18 in 20 to 45 Year Old Participants (Test of Hypothesis) | 0.3 Cases per 100 person-years of follow-up |
| Placebo | Base Study: Combined Incidence of 6-Month Persistent Infection, Cervical Intraepithelial Neoplasia (CIN+), and External Genital Lesions Related to Human Papillomavirus (HPV) Type 6, 11, 16, or 18 in 20 to 45 Year Old Participants (Test of Hypothesis) | 1.2 Cases per 100 person-years of follow-up |
Base Study: Combined Incidence of 6-Month Persistent Infection, CIN+, and External Genital Lesions Related to Human Papillomavirus (HPV) Type 6, 11, 16, or 18 in 20 to 26 Years Old Participants (Test of Hypothesis)
The endpoint included pathology panel consensus diagnosis of 6-month persistent infection, CIN+ (including CIN grade 1, 2, or 3, cervical adenocarcinoma in situ (AIS), and cervical cancer), or external genital lesions related to HPV Types 6, 11, 16, or 18 detected by PCR in an adjacent section from the same tissue block.
Time frame: From Day 1 until >=17 cases accumulate, up to Month 30
Population: The population analyzed included participants 20 to 26 years old at Baseline who received the full vaccination series, had at least 1 visit after Month 7, had no general protocol violations, and were seronegative at Baseline and polymerase chain reaction-negative from Baseline through Month 7 for HPV types 6, 11, 16, and 18.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| qHPV | Base Study: Combined Incidence of 6-Month Persistent Infection, CIN+, and External Genital Lesions Related to Human Papillomavirus (HPV) Type 6, 11, 16, or 18 in 20 to 26 Years Old Participants (Test of Hypothesis) | 0.2 Cases per 100 person-years of follow-up |
| Placebo | Base Study: Combined Incidence of 6-Month Persistent Infection, CIN+, and External Genital Lesions Related to Human Papillomavirus (HPV) Type 6, 11, 16, or 18 in 20 to 26 Years Old Participants (Test of Hypothesis) | 1.2 Cases per 100 person-years of follow-up |
Base Study: Percentage of Participants Discontinued From Study Vaccination Due to an Adverse Event
An AE is defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the sponsor's product, whether or not considered related to the use of the product. Any worsening of a preexisting condition which is temporally associated with the use of the sponsor's product, is also an AE.
Time frame: Up to 6 months
Population: All vaccinated participants with safety follow-up
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| qHPV | Base Study: Percentage of Participants Discontinued From Study Vaccination Due to an Adverse Event | 0.1 Percentage of participants |
| Placebo | Base Study: Percentage of Participants Discontinued From Study Vaccination Due to an Adverse Event | 0.2 Percentage of participants |
Base Study: Percentage of Participants With One or More Solicited Injection-site Adverse Events
An adverse event (AE) is defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the sponsor's product, whether or not considered related to the use of the product. Any worsening of a preexisting condition which is temporally associated with the use of the sponsor's product, is also an AE. Injection-site AEs were prompted on the Vaccination Report Card (VRC), which was completed by the participant for 15 days after each vaccination.
Time frame: Up to 15 days after any vaccination
Population: All vaccinated participants with safety follow-up
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| qHPV | Base Study: Percentage of Participants With One or More Solicited Injection-site Adverse Events | 37.6 Percentage of participants |
| Placebo | Base Study: Percentage of Participants With One or More Solicited Injection-site Adverse Events | 27.8 Percentage of participants |
Base Study: Percentage of Participants With One or More Systemic Adverse Events
An AE is defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the sponsor's product, whether or not considered related to the use of the product. Any worsening of a preexisting condition which is temporally associated with the use of the sponsor's product, is also an AE.
Time frame: Up to 15 days after any vaccination
Population: All vaccinated participants with safety follow-up
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| qHPV | Base Study: Percentage of Participants With One or More Systemic Adverse Events | 50.4 Percentage of participants |
| Placebo | Base Study: Percentage of Participants With One or More Systemic Adverse Events | 48.7 Percentage of participants |
Entire Study: Combined Incidence of CIN2+ Related to HPV Types 16 or 18 in 20 to 45 Year Old Participants (End of Study Test of Hypothesis)
The endpoint included pathology panel consensus diagnosis of CIN2+ (including CIN grade 2 or 3, AIS, and cervical cancer) related to HPV Types 16 or 18 detected by PCR in an adjacent section from the same tissue block.
Time frame: Up to Month 78
Population: The population analyzed included participants who received the full vaccination series, had at least 1 visit after Month 7, had no general protocol violations, and were seronegative at Baseline and polymerase chain reaction-negative from Baseline through Month 7 for HPV types 16 and 18.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| qHPV | Entire Study: Combined Incidence of CIN2+ Related to HPV Types 16 or 18 in 20 to 45 Year Old Participants (End of Study Test of Hypothesis) | 0.0 Cases per 100 person-years of follow-up |
| Placebo | Entire Study: Combined Incidence of CIN2+ Related to HPV Types 16 or 18 in 20 to 45 Year Old Participants (End of Study Test of Hypothesis) | 0.1 Cases per 100 person-years of follow-up |
Entire Study: Percentage of Participants Who Died
The percentage of participants who died on study due to any cause, whether or not related to the investigational product, were reported for each arm
Time frame: Up to approximately 90 months
Population: All vaccinated participants with safety follow-up
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| qHPV | Entire Study: Percentage of Participants Who Died | 0.1 Percentage of participants |
| Placebo | Entire Study: Percentage of Participants Who Died | 0.0 Percentage of participants |
Entire Study: Percentage of Participants With One or More Vaccine-related Serious Adverse Events
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 an overdose or, based on medical judgment, may jeopardize the participant and may require medical or surgical intervention. Related SAEs were those deemed possibly, probably, or definitely related to study vaccine or a study procedure.
Time frame: Up to approximately 90 months
Population: All vaccinated participants with safety follow-up
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| qHPV | Entire Study: Percentage of Participants With One or More Vaccine-related Serious Adverse Events | 0.0 Percentage of participants |
| Placebo | Entire Study: Percentage of Participants With One or More Vaccine-related Serious Adverse Events | 0.1 Percentage of participants |
Entire Study: Combined Incidence of 12-Month Persistent Infection, CIN+, and External Genital Lesions Related to Human Papillomavirus (HPV) Type 6, 11, 16, or 18 in 20 to 26 Year Old Participants (End of Study Update)
The endpoint included pathology panel consensus diagnosis of 12-month persistent infection, CIN+ (including CIN grade 1, 2, or 3, cervical adenocarcinoma in situ (AIS), and cervical cancer), or external genital lesions related to HPV Types 6, 11, 16, or 18 detected by PCR in an adjacent section from the same tissue block.
Time frame: Up to 78 months
Population: The population analyzed included participants 20 to 26 years of age at Baseline who received the full vaccination series, had at least 1 visit after Month 7, had no general protocol violations, and were seronegative at Baseline and polymerase chain reaction-negative from Baseline through Month 7 for HPV types 6, 11, 16, and 18.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| qHPV | Entire Study: Combined Incidence of 12-Month Persistent Infection, CIN+, and External Genital Lesions Related to Human Papillomavirus (HPV) Type 6, 11, 16, or 18 in 20 to 26 Year Old Participants (End of Study Update) | 0.0 Cases per 100 person-years of follow-up |
| Placebo | Entire Study: Combined Incidence of 12-Month Persistent Infection, CIN+, and External Genital Lesions Related to Human Papillomavirus (HPV) Type 6, 11, 16, or 18 in 20 to 26 Year Old Participants (End of Study Update) | 0.6 Cases per 100 person-years of follow-up |
Entire Study: Combined Incidence of 12-Month Persistent Infection, CIN+, and External Genital Lesions Related to Human Papillomavirus (HPV) Type 6, 11, 16, or 18 in 20 to 45 Year Old Participants (End of Study Update)
The endpoint included pathology panel consensus diagnosis of 12-month persistent infection, CIN+ (including CIN grade 1, 2, or 3, cervical adenocarcinoma in situ (AIS), and cervical cancer), or external genital lesions related to HPV Types 6, 11, 16, or 18 detected by PCR in an adjacent section from the same tissue block.
Time frame: Up to 78 months
Population: The population analyzed included participants who received the full vaccination series, had at least 1 visit after Month 7, had no general protocol violations, and were seronegative at Baseline and polymerase chain reaction-negative from Baseline through Month 7 for HPV types 6, 11, 16, and 18.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| qHPV | Entire Study: Combined Incidence of 12-Month Persistent Infection, CIN+, and External Genital Lesions Related to Human Papillomavirus (HPV) Type 6, 11, 16, or 18 in 20 to 45 Year Old Participants (End of Study Update) | 0.1 Cases per 100 person-years of follow-up |
| Placebo | Entire Study: Combined Incidence of 12-Month Persistent Infection, CIN+, and External Genital Lesions Related to Human Papillomavirus (HPV) Type 6, 11, 16, or 18 in 20 to 45 Year Old Participants (End of Study Update) | 0.7 Cases per 100 person-years of follow-up |