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Multivalent HPV (Human Papillomavirus) Vaccine Study in 16- to 26-Year Old Men and Women (V503-003)

A Phase III Clinical Trial to Study the Tolerability and Immunogenicity of 9vHPV (V503), a Multivalent Human Papillomavirus (HPV) L1 Virus-Like Particle (VLP) Vaccine, in 16- to 26-Year-Old Men and 16- to 26-Year-Old Women

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01651949
Enrollment
2520
Registered
2012-07-27
Start date
2012-10-29
Completion date
2014-08-04
Last updated
2018-11-27

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

Conditions

Anal Cancer, Anal Intraepithelial Neoplasia, Genital Warts

Brief summary

This study is designed to evaluate the immunogenicity and tolerability of 9vHPV (9-valent HPV vaccine, V503) in 16- to 26-year old men and women. The overall goal is to bridge 9vHPV efficacy findings in young women to young men based on the demonstration of similar immunogenicity and safety profiles. The primary hypothesis is that 9vHPV induces antibody responses at 4 weeks postdose 3 in heterosexual males that are non-inferior to antibody responses in young women.

Detailed description

Study participants will be administered a 3-dose regimen of 9vHPV. They will be assessed for immunogenicity 1 month following completion of vaccination. All participants will be followed for safety for a total of 12 months.

Interventions

BIOLOGICAL9vHPV Vaccine

9vHPV, V503 (9-valent HPV \[Types 6, 11, 16, 18, 31, 33, 45, 52, and 58\] L1 virus-like particle vaccine), 0.5 mL injection in 3-dose regimen

Sponsors

Merck Sharp & Dohme LLC
Lead SponsorINDUSTRY

Study design

Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
16 Years to 26 Years
Healthy volunteers
Yes

Inclusion criteria

* Good physical health * Has never had Papanicolaou testing (Pap, cervical or anal) or has only had normal Pap test results * Other inclusion criteria will be discussed with the investigator

Exclusion criteria

* History of severe allergic reaction that required medical intervention * Currently enrolled in a clinical trial * If participant is female, pregnant * Currently immunocompromised or having received immunosuppressive therapy in the last year * Positive test for HPV * History of HPV-related external genital lesions or HPV-related anal lesions or anal cancer * If participant is female, history of abnormal cervical biopsy results * Other

Design outcomes

Primary

MeasureTime frameDescription
Geometric Mean Titers (GMTs) to the HPV Types Contained in the 9vHPV VaccineFour weeks post vaccination 3 (Month 7)Serum antibodies to HPV types 6/11/16/18/31/33/45/52/58 were measured with a Competitive Luminex Immunoassay. Titers are reported in milli Merck Units/mL
Percentage of Participants With One or More Injection-site Adverse Experiences Prompted on the Vaccination Report CardUp to 5 days after any vaccinationAn adverse experience (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 study vaccine, 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 study vaccine is also an AE. Injection-site AEs prompted on the Vaccination Report Card (VRC) were erythema, pain, and swelling. Participants were instructed to use the Vaccination Report Card to record AEs daily after each study vaccination.
Percentage of Participants With Elevated Oral Body Temperature (>=37.8° C, >=100° F)Up to 5 days after any vaccinationParticipants were instructed by the investigator to use the Vaccination Report Card to document evening oral temperature daily after each study vaccination
Percentage of Participants With an Adverse EventUp to Month 12An 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 study vaccine, 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 study vaccine is also an AE.
Percentage of Participants Who Had Study Vaccine Discontinued Due to an Adverse EventUp to Month 12An 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 study vaccine, 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 study vaccine is also an AE.

Secondary

MeasureTime frameDescription
Percentage of Participants With Seroconversion to the HPV Types Contained in the 9vHPV VaccineFour weeks post vaccination 3 (Month 7)Serum antibodies to HPV types were measured with a Competitive Luminex Immunoassay. The serostatus cutoffs (milli Merck U/mL) for HPV types were as follows: HPV Type 6: ≥30; HPV Type 11: ≥16; HPV Type 16: ≥20; HPV Type 18: ≥24; HPV Type 31: ≥10; HPV Types 33, 45, 52, and 58: ≥8.

Participant flow

Participants by arm

ArmCount
Heterosexual Males
Healthy heterosexual males 16 to 26 years of age received 9vHPV vaccine 0.5 mL intramuscular injection on Day 1, Month 1, and Month 6
1,106
Females
Healthy females 16 to 26 years of age received 9vHPV vaccine 0.5 mL intramuscular injection on Day 1, Month 1, and Month 6
1,101
Men Who Have Sex With Men (MSM)
Healthy MSM 16 to 26 years of age received 9vHPV vaccine 0.5 mL intramuscular injection on Day 1, Month 1, and Month 6
313
Total2,520

Withdrawals & dropouts

PeriodReasonFG000FG001FG002
Overall StudyAdverse Event021
Overall StudyLost to Follow-up305620
Overall StudyPhysician Decision020
Overall StudyProtocol Violation021
Overall StudyScreen failure220
Overall StudyUnknown status440
Overall StudyWithdrawal by Subject17189

Baseline characteristics

CharacteristicHeterosexual MalesFemalesMen Who Have Sex With Men (MSM)Total
Age, Continuous20.8 Years
STANDARD_DEVIATION 3
21.3 Years
STANDARD_DEVIATION 2.9
22.2 Years
STANDARD_DEVIATION 2.4
21.2 Years
STANDARD_DEVIATION 2.9
Sex: Female, Male
Female
0 Participants1101 Participants0 Participants1101 Participants
Sex: Female, Male
Male
1106 Participants0 Participants313 Participants1419 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
976 / 1,394924 / 1,075
serious
Total, serious adverse events
23 / 1,39426 / 1,075

Outcome results

Primary

Geometric Mean Titers (GMTs) to the HPV Types Contained in the 9vHPV Vaccine

Serum antibodies to HPV types 6/11/16/18/31/33/45/52/58 were measured with a Competitive Luminex Immunoassay. Titers are reported in milli Merck Units/mL

Time frame: Four weeks post vaccination 3 (Month 7)

Population: The analysis set includes heterosexual male and female participants who received the 3 vaccinations, were seronegative to the appropriate HPV type at baseline, and had Month 7 immunogenicity results for the appropriate HPV type. Per-protocol non-inferiority analysis compared heterosexual males and females only.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Heterosexual MalesGeometric Mean Titers (GMTs) to the HPV Types Contained in the 9vHPV VaccineAnti-HPV Type 45 (n=909, 871, 232)235.6 milli Merck Units/mL
Heterosexual MalesGeometric Mean Titers (GMTs) to the HPV Types Contained in the 9vHPV VaccineAnti-HPV Type 18 (n=906, 831, 220)808.2 milli Merck Units/mL
Heterosexual MalesGeometric Mean Titers (GMTs) to the HPV Types Contained in the 9vHPV VaccineAnti-HPV Type 11 (n=851, 712, 165)616.7 milli Merck Units/mL
Heterosexual MalesGeometric Mean Titers (GMTs) to the HPV Types Contained in the 9vHPV VaccineAnti-HPV Type 33 (n=901, 853, 230)384.8 milli Merck Units/mL
Heterosexual MalesGeometric Mean Titers (GMTs) to the HPV Types Contained in the 9vHPV VaccineAnti-HPV Type 31 (n=908, 826, 227)708.5 milli Merck Units/mL
Heterosexual MalesGeometric Mean Titers (GMTs) to the HPV Types Contained in the 9vHPV VaccineAnti-HPV Type 6 (n=847, 708, 164)782.0 milli Merck Units/mL
Heterosexual MalesGeometric Mean Titers (GMTs) to the HPV Types Contained in the 9vHPV VaccineAnti-HPV Type 52 (n=907, 849, 232)386.8 milli Merck Units/mL
Heterosexual MalesGeometric Mean Titers (GMTs) to the HPV Types Contained in the 9vHPV VaccineAnti-HPV Type 16 (n=899, 781, 212)3346.0 milli Merck Units/mL
Heterosexual MalesGeometric Mean Titers (GMTs) to the HPV Types Contained in the 9vHPV VaccineAnti-HPV Type 58 (n=897, 839, 223)509.8 milli Merck Units/mL
FemalesGeometric Mean Titers (GMTs) to the HPV Types Contained in the 9vHPV VaccineAnti-HPV Type 52 (n=907, 849, 232)335.2 milli Merck Units/mL
FemalesGeometric Mean Titers (GMTs) to the HPV Types Contained in the 9vHPV VaccineAnti-HPV Type 6 (n=847, 708, 164)703.9 milli Merck Units/mL
FemalesGeometric Mean Titers (GMTs) to the HPV Types Contained in the 9vHPV VaccineAnti-HPV Type 11 (n=851, 712, 165)564.9 milli Merck Units/mL
FemalesGeometric Mean Titers (GMTs) to the HPV Types Contained in the 9vHPV VaccineAnti-HPV Type 16 (n=899, 781, 212)2788.3 milli Merck Units/mL
FemalesGeometric Mean Titers (GMTs) to the HPV Types Contained in the 9vHPV VaccineAnti-HPV Type 18 (n=906, 831, 220)679.8 milli Merck Units/mL
FemalesGeometric Mean Titers (GMTs) to the HPV Types Contained in the 9vHPV VaccineAnti-HPV Type 31 (n=908, 826, 227)570.1 milli Merck Units/mL
FemalesGeometric Mean Titers (GMTs) to the HPV Types Contained in the 9vHPV VaccineAnti-HPV Type 33 (n=901, 853, 230)322.0 milli Merck Units/mL
FemalesGeometric Mean Titers (GMTs) to the HPV Types Contained in the 9vHPV VaccineAnti-HPV Type 45 (n=909, 871, 232)185.7 milli Merck Units/mL
FemalesGeometric Mean Titers (GMTs) to the HPV Types Contained in the 9vHPV VaccineAnti-HPV Type 58 (n=897, 839, 223)409.3 milli Merck Units/mL
Men Who Have Sex With MenGeometric Mean Titers (GMTs) to the HPV Types Contained in the 9vHPV VaccineAnti-HPV Type 33 (n=901, 853, 230)252.3 milli Merck Units/mL
Men Who Have Sex With MenGeometric Mean Titers (GMTs) to the HPV Types Contained in the 9vHPV VaccineAnti-HPV Type 16 (n=899, 781, 212)2294.0 milli Merck Units/mL
Men Who Have Sex With MenGeometric Mean Titers (GMTs) to the HPV Types Contained in the 9vHPV VaccineAnti-HPV Type 58 (n=897, 839, 223)319.8 milli Merck Units/mL
Men Who Have Sex With MenGeometric Mean Titers (GMTs) to the HPV Types Contained in the 9vHPV VaccineAnti-HPV Type 45 (n=909, 871, 232)157.5 milli Merck Units/mL
Men Who Have Sex With MenGeometric Mean Titers (GMTs) to the HPV Types Contained in the 9vHPV VaccineAnti-HPV Type 11 (n=851, 712, 165)437.7 milli Merck Units/mL
Men Who Have Sex With MenGeometric Mean Titers (GMTs) to the HPV Types Contained in the 9vHPV VaccineAnti-HPV Type 52 (n=907, 849, 232)233.1 milli Merck Units/mL
Men Who Have Sex With MenGeometric Mean Titers (GMTs) to the HPV Types Contained in the 9vHPV VaccineAnti-HPV Type 31 (n=908, 826, 227)420.7 milli Merck Units/mL
Men Who Have Sex With MenGeometric Mean Titers (GMTs) to the HPV Types Contained in the 9vHPV VaccineAnti-HPV Type 18 (n=906, 831, 220)608.1 milli Merck Units/mL
Men Who Have Sex With MenGeometric Mean Titers (GMTs) to the HPV Types Contained in the 9vHPV VaccineAnti-HPV Type 6 (n=847, 708, 164)568.9 milli Merck Units/mL
Comparison: Anti-HPV Type 6p-value: <0.00195% CI: [1.02, 1.21]ANOVA
Comparison: Anti-HPV Type 11p-value: <0.00195% CI: [1, 1.19]ANOVA
Comparison: Anti-HPV Type 16p-value: <0.00195% CI: [1.1, 1.3]ANOVA
Comparison: Anti-HPV Type 18p-value: <0.00195% CI: [1.08, 1.31]ANOVA
Comparison: Anti-HPV Type 31p-value: <0.00195% CI: [1.13, 1.37]ANOVA
Comparison: Anti-HPV Type 33p-value: <0.00195% CI: [1.1, 1.3]ANOVA
Comparison: Anti-HPV Type 45p-value: <0.00195% CI: [1.14, 1.41]ANOVA
Comparison: Anti-HPV Type 52p-value: <0.00195% CI: [1.05, 1.26]ANOVA
Comparison: Anti-HPV Type 58p-value: <0.00195% CI: [1.14, 1.36]ANOVA
Primary

Percentage of Participants Who Had Study Vaccine Discontinued 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 study vaccine, 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 study vaccine is also an AE.

Time frame: Up to Month 12

Population: The analysis set includes all participants who received \>=1 vaccination and had safety follow-up. Heterosexual and MSM males were combined for safety outcomes.

ArmMeasureValue (NUMBER)
Heterosexual MalesPercentage of Participants Who Had Study Vaccine Discontinued Due to an Adverse Event0.1 Percentage of Participants
FemalesPercentage of Participants Who Had Study Vaccine Discontinued Due to an Adverse Event0.3 Percentage of Participants
Primary

Percentage of Participants With 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 study vaccine, 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 study vaccine is also an AE.

Time frame: Up to Month 12

Population: The analysis set includes all participants who received \>=1 vaccination and had safety follow-up. Heterosexual and MSM males were combined for safety outcomes.

ArmMeasureValue (NUMBER)
Heterosexual MalesPercentage of Participants With an Adverse Event76.2 Percentage of Participants
FemalesPercentage of Participants With an Adverse Event89.4 Percentage of Participants
Primary

Percentage of Participants With Elevated Oral Body Temperature (>=37.8° C, >=100° F)

Participants were instructed by the investigator to use the Vaccination Report Card to document evening oral temperature daily after each study vaccination

Time frame: Up to 5 days after any vaccination

Population: The analysis set includes all participants who received \>=1 vaccination and had safety follow-up. Heterosexual and MSM males were combined for safety outcomes.

ArmMeasureValue (NUMBER)
Heterosexual MalesPercentage of Participants With Elevated Oral Body Temperature (>=37.8° C, >=100° F)4.4 Percentage of Participants
FemalesPercentage of Participants With Elevated Oral Body Temperature (>=37.8° C, >=100° F)5.9 Percentage of Participants
Comparison: Elevated Body Temperaturep-value: 0.09195% CI: [-3.4, 0.2]Miettinen & Nurminen
Primary

Percentage of Participants With One or More Injection-site Adverse Experiences Prompted on the Vaccination Report Card

An adverse experience (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 study vaccine, 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 study vaccine is also an AE. Injection-site AEs prompted on the Vaccination Report Card (VRC) were erythema, pain, and swelling. Participants were instructed to use the Vaccination Report Card to record AEs daily after each study vaccination.

Time frame: Up to 5 days after any vaccination

Population: The analysis set includes all participants who received \>=1 vaccination and had safety follow-up. Heterosexual and MSM males were combined for safety outcomes.

ArmMeasureGroupValue (NUMBER)
Heterosexual MalesPercentage of Participants With One or More Injection-site Adverse Experiences Prompted on the Vaccination Report CardInjection-site Erythema20.7 Percentage of Participants
Heterosexual MalesPercentage of Participants With One or More Injection-site Adverse Experiences Prompted on the Vaccination Report CardInjection-site Swelling20.2 Percentage of Participants
Heterosexual MalesPercentage of Participants With One or More Injection-site Adverse Experiences Prompted on the Vaccination Report CardInjection-site Pain63.4 Percentage of Participants
Heterosexual MalesPercentage of Participants With One or More Injection-site Adverse Experiences Prompted on the Vaccination Report CardOverall injection-site AEs66.7 Percentage of Participants
FemalesPercentage of Participants With One or More Injection-site Adverse Experiences Prompted on the Vaccination Report CardInjection-site Pain82.5 Percentage of Participants
FemalesPercentage of Participants With One or More Injection-site Adverse Experiences Prompted on the Vaccination Report CardInjection-site Erythema32.2 Percentage of Participants
FemalesPercentage of Participants With One or More Injection-site Adverse Experiences Prompted on the Vaccination Report CardOverall injection-site AEs84.0 Percentage of Participants
FemalesPercentage of Participants With One or More Injection-site Adverse Experiences Prompted on the Vaccination Report CardInjection-site Swelling37.5 Percentage of Participants
Comparison: Injection-site Erythemap-value: <0.00195% CI: [-15, -8]Miettinen & Nurminen
Comparison: Injection-site Painp-value: <0.00195% CI: [-22.5, -15.7]Miettinen & Nurminen
Comparison: Injection-site Swellingp-value: <0.00195% CI: [-20.8, -13.7]Miettinen & Nurminen
Secondary

Percentage of Participants With Seroconversion to the HPV Types Contained in the 9vHPV Vaccine

Serum antibodies to HPV types were measured with a Competitive Luminex Immunoassay. The serostatus cutoffs (milli Merck U/mL) for HPV types were as follows: HPV Type 6: ≥30; HPV Type 11: ≥16; HPV Type 16: ≥20; HPV Type 18: ≥24; HPV Type 31: ≥10; HPV Types 33, 45, 52, and 58: ≥8.

Time frame: Four weeks post vaccination 3 (Month 7)

Population: The analysis set includes participants who received the 3 vaccinations, were seronegative to the appropriate HPV type at baseline, and had Month 7 immunogenicity results for the appropriate HPV type. Per-protocol non-inferiority analysis compared heterosexual males and females only.

ArmMeasureGroupValue (NUMBER)
Heterosexual MalesPercentage of Participants With Seroconversion to the HPV Types Contained in the 9vHPV VaccineAnti-HPV Type 18 (n=906, 831, 220)99.9 Percentage of Participants
Heterosexual MalesPercentage of Participants With Seroconversion to the HPV Types Contained in the 9vHPV VaccineAnti-HPV Type 58 (n=897, 839, 223)100 Percentage of Participants
Heterosexual MalesPercentage of Participants With Seroconversion to the HPV Types Contained in the 9vHPV VaccineAnti-HPV Type 33 (n=901, 853, 230)100 Percentage of Participants
Heterosexual MalesPercentage of Participants With Seroconversion to the HPV Types Contained in the 9vHPV VaccineAnti-HPV Type 31 (n=908, 826, 227)100 Percentage of Participants
Heterosexual MalesPercentage of Participants With Seroconversion to the HPV Types Contained in the 9vHPV VaccineAnti-HPV Type 6 (n=847, 708, 164)99.6 Percentage of Participants
Heterosexual MalesPercentage of Participants With Seroconversion to the HPV Types Contained in the 9vHPV VaccineAnti-HPV Type 52 (n=907, 849, 232)100 Percentage of Participants
Heterosexual MalesPercentage of Participants With Seroconversion to the HPV Types Contained in the 9vHPV VaccineAnti-HPV Type 16 (n=899, 781, 212)100 Percentage of Participants
Heterosexual MalesPercentage of Participants With Seroconversion to the HPV Types Contained in the 9vHPV VaccineAnti-HPV Type 11 (n=851, 712, 165)100 Percentage of Participants
Heterosexual MalesPercentage of Participants With Seroconversion to the HPV Types Contained in the 9vHPV VaccineAnti-HPV Type 45 (n=909, 871, 232)99.8 Percentage of Participants
FemalesPercentage of Participants With Seroconversion to the HPV Types Contained in the 9vHPV VaccineAnti-HPV Type 31 (n=908, 826, 227)100 Percentage of Participants
FemalesPercentage of Participants With Seroconversion to the HPV Types Contained in the 9vHPV VaccineAnti-HPV Type 6 (n=847, 708, 164)99.6 Percentage of Participants
FemalesPercentage of Participants With Seroconversion to the HPV Types Contained in the 9vHPV VaccineAnti-HPV Type 11 (n=851, 712, 165)99.9 Percentage of Participants
FemalesPercentage of Participants With Seroconversion to the HPV Types Contained in the 9vHPV VaccineAnti-HPV Type 16 (n=899, 781, 212)99.9 Percentage of Participants
FemalesPercentage of Participants With Seroconversion to the HPV Types Contained in the 9vHPV VaccineAnti-HPV Type 18 (n=906, 831, 220)99.8 Percentage of Participants
FemalesPercentage of Participants With Seroconversion to the HPV Types Contained in the 9vHPV VaccineAnti-HPV Type 33 (n=901, 853, 230)99.9 Percentage of Participants
FemalesPercentage of Participants With Seroconversion to the HPV Types Contained in the 9vHPV VaccineAnti-HPV Type 45 (n=909, 871, 232)99.5 Percentage of Participants
FemalesPercentage of Participants With Seroconversion to the HPV Types Contained in the 9vHPV VaccineAnti-HPV Type 52 (n=907, 849, 232)99.8 Percentage of Participants
FemalesPercentage of Participants With Seroconversion to the HPV Types Contained in the 9vHPV VaccineAnti-HPV Type 58 (n=897, 839, 223)99.8 Percentage of Participants
Men Who Have Sex With MenPercentage of Participants With Seroconversion to the HPV Types Contained in the 9vHPV VaccineAnti-HPV Type 16 (n=899, 781, 212)100 Percentage of Participants
Men Who Have Sex With MenPercentage of Participants With Seroconversion to the HPV Types Contained in the 9vHPV VaccineAnti-HPV Type 6 (n=847, 708, 164)99.4 Percentage of Participants
Men Who Have Sex With MenPercentage of Participants With Seroconversion to the HPV Types Contained in the 9vHPV VaccineAnti-HPV Type 45 (n=909, 871, 232)100 Percentage of Participants
Men Who Have Sex With MenPercentage of Participants With Seroconversion to the HPV Types Contained in the 9vHPV VaccineAnti-HPV Type 11 (n=851, 712, 165)100 Percentage of Participants
Men Who Have Sex With MenPercentage of Participants With Seroconversion to the HPV Types Contained in the 9vHPV VaccineAnti-HPV Type 58 (n=897, 839, 223)100 Percentage of Participants
Men Who Have Sex With MenPercentage of Participants With Seroconversion to the HPV Types Contained in the 9vHPV VaccineAnti-HPV Type 31 (n=908, 826, 227)100 Percentage of Participants
Men Who Have Sex With MenPercentage of Participants With Seroconversion to the HPV Types Contained in the 9vHPV VaccineAnti-HPV Type 18 (n=906, 831, 220)99.5 Percentage of Participants
Men Who Have Sex With MenPercentage of Participants With Seroconversion to the HPV Types Contained in the 9vHPV VaccineAnti-HPV Type 52 (n=907, 849, 232)100 Percentage of Participants
Men Who Have Sex With MenPercentage of Participants With Seroconversion to the HPV Types Contained in the 9vHPV VaccineAnti-HPV Type 33 (n=901, 853, 230)100 Percentage of Participants
Comparison: Anti-HPV Type 6p-value: <0.00195% CI: [-0.7, 0.9]Miettinen & Nurminen
Comparison: Anti-HPV Type 11p-value: <0.00195% CI: [-0.3, 0.8]Miettinen & Nurminen
Comparison: Anti-HPV Type 16p-value: <0.00195% CI: [-0.3, 0.7]Miettinen & Nurminen
Comparison: Anti-HPV Type 18p-value: <0.00195% CI: [-0.4, 0.8]Miettinen & Nurminen
Comparison: Anti-HPV Type 31p-value: <0.00195% CI: [-0.4, 0.5]Miettinen & Nurminen
Comparison: Anti-HPV Type 33p-value: <0.00195% CI: [-0.3, 0.7]Miettinen & Nurminen
Comparison: Anti-HPV Type 45p-value: <0.00195% CI: [-0.4, 1]Miettinen & Nurminen
Comparison: Anti-HPV Type 52p-value: <0.00195% CI: [-0.2, 0.9]Miettinen & Nurminen
Comparison: Anti-HPV Type 58p-value: <0.00195% CI: [-0.2, 0.9]Miettinen & Nurminen

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026