Anogenital Human Papilloma Virus Infection, Condyloma Acuminata
Conditions
Brief summary
This is a study of V501 \[quadrivalent Human Papillomavirus (HPV) (Type 6, 11, 16 and 18) L1 virus-like particle (VLP) vaccine\] in healthy Japanese boys. This study will consist of two periods. Period I of the study is to evaluate the immunogenicity and tolerability of V501 up to Month 7. Period II of the study is to evaluate the long-term immunogenicity and safety from Month 7 to Month 30. Two analyses are planned. The first analysis will be conducted when all subjects have completed their Month 7 visit or have been discontinued before that time. The second analysis will be conducted at the end of study. The primary hypothesis tested in this study is that seroconversion rates for the vaccine HPV types will be \>90% at 4 weeks postdose 3.
Interventions
Quadrivalent HPV \[Type 6, 11, 16 and 18\] L1 VLP vaccine), 0.5 mL intramuscular injection on Day 1, Month 2, and Month 6
Sponsors
Study design
Eligibility
Inclusion criteria
* Healthy Japanese male * Have a legal representative who provides written informed consent for the trial on the participant's behalf * Have a legal representative who is able to read, understand, and complete the vaccine report card * Has not yet had coitarche and does not plan on becoming sexually active from Day 1 through Month 7 of the study * Other inclusion criteria will be discussed with the investigator during screening
Exclusion criteria
* Currently enrolled in clinical studies of investigational agents * History of known prior vaccination with an HPV vaccine or plans to receive one outside the study * History of severe allergic reaction that required medical intervention * Allergic to any vaccine component, including aluminum, yeast, or BENZONASE™ * Received immune globulin or blood-derived products in the past 6 months or plans to receive any before Month 7 of the study * History of splenectomy, is currently immunocompromised, or has been diagnosed with immunodeficiency, Human Immunodeficiency Virus (HIV) infection, lymphoma, leukemia, systemic lupus erythematosus, rheumatoid arthritis, juvenile rheumatoid arthritis, inflammatory bowel disease, or other autoimmune condition * Received immunosuppressive therapy in the past year, excluding inhaled, nasal, or topical corticosteroids * Known thrombocytopenia or coagulation disorder that would contraindicate intramuscular injections * Ongoing alcohol or drug abuse within the past 12 months * History of genital warts or a positive test for HPV
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Percentage of Participants With a Vaccine-related Serious Adverse Event | Up to 30 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. A serious adverse event (SAE) is an AE that results in death, is life threatening, results in a persistent or significant disability or incapacity, results in or prolongs an existing hospitalization, is a congenital anomaly or birth defect, is a cancer, is an overdose, or is another important medical event. The percentage of participants that experienced 1 or more SAEs that were considered at least possibly related to the study vaccine was summarized. |
| Percentage of Participants With Seroconversion for HPV Types 6, 11, 16, and 18 | Four weeks postdose 3 (Month 7) | Antibodies to HPV Types 6, 11, 16, and 18 were measured using a competitive luminex immunoassay 4 weeks after 3rd vaccination (Month 7). Antibody titers were expressed as milli Merck units/mL (mMU/mL). Seroconversion was defined as an anti-HPV 6 titer ≥20 mMU/mL, an anti-HPV 11 titer ≥16 mMU/mL, an anti-HPV 16 titer of ≥20 mMU/mL and an anti-HPV 18 titer of ≥24 mMU/mL. |
| Percentage of Participants With Elevated Oral Temperature (>=37.5° C) | Up to Day 5 after any vaccination | The parent/guardian of the participant was to record the participant's oral temperature in the evening after each study vaccination and daily for 4 days after each study vaccination. Elevated temperature was defined as ≥99.5°F (≥37.5ºC). The percentage of participants that had an elevated temperature was summarized. |
| Percentage of Participants With an Injection-site Adverse Event | Up to Day 5 after any vaccination | An adverse event (AE) is defined as any untoward medical occurrence in a participant which does not necessarily have a causal relationship with study drug. An AE can therefore be any unfavourable and unintended sign, symptom, or disease temporally associated with the use of study drug or a protocol-specified procedure, whether or not considered related to the study drug or protocol-specified procedure. Any worsening of a preexisting condition that is temporally associated with the study drug or protocol-specified procedure is also an AE. The parent/guardian of the participant was to record the presence of any vaccination report card (VRC)-prompted injection-site AEs that occurred in the 5 days after any vaccination. The percentage of participants with an injection-site AE prompted on the VRC (erythema, pain, and swelling) was summarized. |
| Percentage of Participants With a Systemic Adverse Event | Up to Day 15 after any vaccination | An adverse event (AE) is defined as any untoward medical occurrence in a participant which does not necessarily have a causal relationship with study drug. An AE can therefore be any unfavourable and unintended sign, symptom, or disease temporally associated with the use of study drug or a protocol-specified procedure, whether or not considered related to the study drug or protocol-specified procedure. Any worsening of a preexisting condition that is temporally associated with the study drug or protocol-specified procedure is also an AE. The parent/guardian of the participant was to record the presence of any VRC-prompted systemic AEs that occurred in the 5 days after any vaccination. The percentage of participants with a systemic AE was summarized. |
| Percentage of Participants With a Serious Adverse Event | Up to Day 15 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. A serious adverse event (SAE) is an AE that results in death, is life threatening, results in a persistent or significant disability or incapacity, results in or prolongs an existing hospitalization, is a congenital anomaly or birth defect, is a cancer, is an overdose, or is another important medical event. The percentage of participants that experienced 1 or more SAEs was summarized. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Geometric Mean Titers for Serum Anti-HPV Types 6, 11, 16, and 18: Persistence at 18 Months | 12 months postdose 3 (18 months) | Antibodies to HPV Types 6, 11, 16, and 18 were measured using a competitive luminex immunoassay. Antibody titers were expressed as mMU/mL. |
| Geometric Mean Titers for Serum Anti-HPV Types 6, 11, 16, and 18: Persistence at 30 Months | 24 months postdose 3 (30 months) | Antibodies to HPV Types 6, 11, 16, and 18 were measured using a competitive luminex immunoassay. Antibody titers were expressed as mMU/mL. |
| Percentage of Participants With Seroconversion for HPV Types 6, 11, 16, and 18: Persistence at 18 Months | 12 months postdose 3 (18 months) | Serum antibodies to HPV types were measured with a competitive luminex immunoassay. The serostatus cutoffs (mMU/mL) for HPV types were as follows: HPV Type 6: ≥20; HPV Type 11: ≥16; HPV Type 16: ≥20; HPV Type 18: ≥24 |
| Percentage of Participants With Seroconversion for HPV Types 6, 11, 16, and 18: Persistence at 30 Months | 24 months postdose 3 (30 months) | Serum antibodies to HPV types were measured with a competitive luminex immunoassay. The serostatus cutoffs (mMU/mL) for HPV types were as follows: HPV Type 6: ≥20; HPV Type 11: ≥16; HPV Type 16: ≥20; HPV Type 18: ≥24. |
| Geometric Mean Titers for Serum Anti-HPV Types 6, 11, 16, and 18 Participants Aged 9 to 15 Years Versus Participants Aged 16 to 26 Years | Four weeks postdose 3 (Month 7) | Antibodies to HPV Types 6, 11, 16, and 18 were measured using a competitive luminex immunoassay. Antibody titers were expressed mMU/mL. GMTs obtained for each anti-HPV from this study were compared to each of the ant-HPV GMTs obtained in study V501-122 (NCT NCT01862874) in which Japanese males 16 to 26 years received V501 in the same 3 dose regimen, to test a hypothesis that would demonstrate non-inferiority. |
Countries
Japan
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| V501 0.5 mL intramuscular injection on Day 1, Month 2, and Month 6 | 101 |
| Total | 101 |
Withdrawals & dropouts
| Period | Reason | FG000 |
|---|---|---|
| Overall Study | Withdrawal by Subject | 1 |
Baseline characteristics
| Characteristic | V501 |
|---|---|
| Age, Continuous | 12.2 years STANDARD_DEVIATION 2 |
| Ethnicity (NIH/OMB) Hispanic or Latino | 0 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 101 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 0 Participants |
| Race (NIH/OMB) American Indian or Alaska Native | 0 Participants |
| Race (NIH/OMB) Asian | 101 Participants |
| Race (NIH/OMB) Black or African American | 0 Participants |
| Race (NIH/OMB) More than one race | 0 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 0 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 0 Participants |
| Race (NIH/OMB) White | 0 Participants |
| Sex: Female, Male Female | 0 Participants |
| Sex: Female, Male Male | 101 Participants |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | 0 / 100 |
| other Total, other adverse events | 67 / 100 |
| serious Total, serious adverse events | 0 / 100 |
Outcome results
Percentage of Participants With an Injection-site Adverse Event
An adverse event (AE) is defined as any untoward medical occurrence in a participant which does not necessarily have a causal relationship with study drug. An AE can therefore be any unfavourable and unintended sign, symptom, or disease temporally associated with the use of study drug or a protocol-specified procedure, whether or not considered related to the study drug or protocol-specified procedure. Any worsening of a preexisting condition that is temporally associated with the study drug or protocol-specified procedure is also an AE. The parent/guardian of the participant was to record the presence of any vaccination report card (VRC)-prompted injection-site AEs that occurred in the 5 days after any vaccination. The percentage of participants with an injection-site AE prompted on the VRC (erythema, pain, and swelling) was summarized.
Time frame: Up to Day 5 after any vaccination
Population: All participants who received at least 1 study vaccination and had follow-up safety data.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| V501 | Percentage of Participants With an Injection-site Adverse Event | 64.0 Percentage of Participants |
Percentage of Participants With a Serious 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. A serious adverse event (SAE) is an AE that results in death, is life threatening, results in a persistent or significant disability or incapacity, results in or prolongs an existing hospitalization, is a congenital anomaly or birth defect, is a cancer, is an overdose, or is another important medical event. The percentage of participants that experienced 1 or more SAEs was summarized.
Time frame: Up to Day 15 after any vaccination
Population: All participants who received at least 1 study vaccination and had follow-up safety data.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| V501 | Percentage of Participants With a Serious Adverse Event | 0.0 Percentage of Participants |
Percentage of Participants With a Systemic Adverse Event
An adverse event (AE) is defined as any untoward medical occurrence in a participant which does not necessarily have a causal relationship with study drug. An AE can therefore be any unfavourable and unintended sign, symptom, or disease temporally associated with the use of study drug or a protocol-specified procedure, whether or not considered related to the study drug or protocol-specified procedure. Any worsening of a preexisting condition that is temporally associated with the study drug or protocol-specified procedure is also an AE. The parent/guardian of the participant was to record the presence of any VRC-prompted systemic AEs that occurred in the 5 days after any vaccination. The percentage of participants with a systemic AE was summarized.
Time frame: Up to Day 15 after any vaccination
Population: All participants who received at least 1 study vaccination and had follow-up safety data.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| V501 | Percentage of Participants With a Systemic Adverse Event | 21.0 Percentage of Participants |
Percentage of Participants With a Vaccine-related Serious 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. A serious adverse event (SAE) is an AE that results in death, is life threatening, results in a persistent or significant disability or incapacity, results in or prolongs an existing hospitalization, is a congenital anomaly or birth defect, is a cancer, is an overdose, or is another important medical event. The percentage of participants that experienced 1 or more SAEs that were considered at least possibly related to the study vaccine was summarized.
Time frame: Up to 30 months
Population: All participants who received at least 1 study vaccination and had follow-up safety data.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| V501 | Percentage of Participants With a Vaccine-related Serious Adverse Event | 0.0 Percentage of Participants |
Percentage of Participants With Elevated Oral Temperature (>=37.5° C)
The parent/guardian of the participant was to record the participant's oral temperature in the evening after each study vaccination and daily for 4 days after each study vaccination. Elevated temperature was defined as ≥99.5°F (≥37.5ºC). The percentage of participants that had an elevated temperature was summarized.
Time frame: Up to Day 5 after any vaccination
Population: All participants who received at least 1 study vaccination and had follow-up safety data.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| V501 | Percentage of Participants With Elevated Oral Temperature (>=37.5° C) | ≥ 37.5 °C (99.5 °F) and < 38.0 °C (100.4 °F) | 3.0 Percentage of Participants |
| V501 | Percentage of Participants With Elevated Oral Temperature (>=37.5° C) | ≥ 38.0 °C (100.4 °F) and < 38.5 °C (101.3 °F) | 1.0 Percentage of Participants |
| V501 | Percentage of Participants With Elevated Oral Temperature (>=37.5° C) | ≥ 38.5 °C (101.3 °F) | 2.0 Percentage of Participants |
Percentage of Participants With Seroconversion for HPV Types 6, 11, 16, and 18
Antibodies to HPV Types 6, 11, 16, and 18 were measured using a competitive luminex immunoassay 4 weeks after 3rd vaccination (Month 7). Antibody titers were expressed as milli Merck units/mL (mMU/mL). Seroconversion was defined as an anti-HPV 6 titer ≥20 mMU/mL, an anti-HPV 11 titer ≥16 mMU/mL, an anti-HPV 16 titer of ≥20 mMU/mL and an anti-HPV 18 titer of ≥24 mMU/mL.
Time frame: Four weeks postdose 3 (Month 7)
Population: All participants that received all 3 vaccinations within acceptable day ranges, were seronegative to the relevant HPV type at Day 1, did not have protocol violations that could interfere with evaluation of the immune response, and provided Month 7 serology result within 21 to 49 days post dose 3.
| Arm | Measure | Group | Value (MEAN) |
|---|---|---|---|
| V501 | Percentage of Participants With Seroconversion for HPV Types 6, 11, 16, and 18 | Anti HPV 16 | 99.0 Percentage of Participants |
| V501 | Percentage of Participants With Seroconversion for HPV Types 6, 11, 16, and 18 | Anti HPV 6 | 94.9 Percentage of Participants |
| V501 | Percentage of Participants With Seroconversion for HPV Types 6, 11, 16, and 18 | Anti HPV 11 | 99.0 Percentage of Participants |
| V501 | Percentage of Participants With Seroconversion for HPV Types 6, 11, 16, and 18 | Anti HPV 18 | 99.0 Percentage of Participants |
Geometric Mean Titers for Serum Anti-HPV Types 6, 11, 16, and 18 Participants Aged 9 to 15 Years Versus Participants Aged 16 to 26 Years
Antibodies to HPV Types 6, 11, 16, and 18 were measured using a competitive luminex immunoassay. Antibody titers were expressed mMU/mL. GMTs obtained for each anti-HPV from this study were compared to each of the ant-HPV GMTs obtained in study V501-122 (NCT NCT01862874) in which Japanese males 16 to 26 years received V501 in the same 3 dose regimen, to test a hypothesis that would demonstrate non-inferiority.
Time frame: Four weeks postdose 3 (Month 7)
Population: Participants 9 to 15 years old (PN200) or 16 to 26 years old (PN122) that received all 3 vaccinations within acceptable day ranges, were seronegative to the relevant HPV type at Day 1, did not have protocol violations that could interfere with evaluation of the immune response, and provided Month 7 serology result within 21 to 49 days post dose 3.
| Arm | Measure | Group | Value (GEOMETRIC_MEAN) |
|---|---|---|---|
| V501 | Geometric Mean Titers for Serum Anti-HPV Types 6, 11, 16, and 18 Participants Aged 9 to 15 Years Versus Participants Aged 16 to 26 Years | Anti-HPV 11 | 1052.8 mMU/mL |
| V501 | Geometric Mean Titers for Serum Anti-HPV Types 6, 11, 16, and 18 Participants Aged 9 to 15 Years Versus Participants Aged 16 to 26 Years | Anti-HPV 16 | 3878.3 mMU/mL |
| V501 | Geometric Mean Titers for Serum Anti-HPV Types 6, 11, 16, and 18 Participants Aged 9 to 15 Years Versus Participants Aged 16 to 26 Years | Anti-HPV 18 | 1114.5 mMU/mL |
| V501 | Geometric Mean Titers for Serum Anti-HPV Types 6, 11, 16, and 18 Participants Aged 9 to 15 Years Versus Participants Aged 16 to 26 Years | Anti-HPV 6 | 482.9 mMU/mL |
| Participants Aged 16 to 26 Years (PN122) | Geometric Mean Titers for Serum Anti-HPV Types 6, 11, 16, and 18 Participants Aged 9 to 15 Years Versus Participants Aged 16 to 26 Years | Anti-HPV 18 | 365.4 mMU/mL |
| Participants Aged 16 to 26 Years (PN122) | Geometric Mean Titers for Serum Anti-HPV Types 6, 11, 16, and 18 Participants Aged 9 to 15 Years Versus Participants Aged 16 to 26 Years | Anti-HPV 11 | 458.4 mMU/mL |
| Participants Aged 16 to 26 Years (PN122) | Geometric Mean Titers for Serum Anti-HPV Types 6, 11, 16, and 18 Participants Aged 9 to 15 Years Versus Participants Aged 16 to 26 Years | Anti-HPV 16 | 2294.8 mMU/mL |
| Participants Aged 16 to 26 Years (PN122) | Geometric Mean Titers for Serum Anti-HPV Types 6, 11, 16, and 18 Participants Aged 9 to 15 Years Versus Participants Aged 16 to 26 Years | Anti-HPV 6 | 385.0 mMU/mL |
Geometric Mean Titers for Serum Anti-HPV Types 6, 11, 16, and 18: Persistence at 18 Months
Antibodies to HPV Types 6, 11, 16, and 18 were measured using a competitive luminex immunoassay. Antibody titers were expressed as mMU/mL.
Time frame: 12 months postdose 3 (18 months)
Population: All participants that received all 3 vaccinations within acceptable day ranges, were seronegative to the relevant HPV type at Day 1, did not have protocol violations that could interfere with evaluation of the immune response, and provided Month 18 data within an acceptable date range of 12 months postdose 3.
| Arm | Measure | Group | Value (GEOMETRIC_MEAN) |
|---|---|---|---|
| V501 | Geometric Mean Titers for Serum Anti-HPV Types 6, 11, 16, and 18: Persistence at 18 Months | Anti-HPV 6 | 222.0 mMU/mL |
| V501 | Geometric Mean Titers for Serum Anti-HPV Types 6, 11, 16, and 18: Persistence at 18 Months | Anti-HPV 11 | 259.9 mMU/mL |
| V501 | Geometric Mean Titers for Serum Anti-HPV Types 6, 11, 16, and 18: Persistence at 18 Months | Anti-HPV 16 | 1154.1 mMU/mL |
| V501 | Geometric Mean Titers for Serum Anti-HPV Types 6, 11, 16, and 18: Persistence at 18 Months | Anti-HPV 18 | 212.1 mMU/mL |
Geometric Mean Titers for Serum Anti-HPV Types 6, 11, 16, and 18: Persistence at 30 Months
Antibodies to HPV Types 6, 11, 16, and 18 were measured using a competitive luminex immunoassay. Antibody titers were expressed as mMU/mL.
Time frame: 24 months postdose 3 (30 months)
Population: All participants that received all 3 vaccinations within acceptable day ranges, were seronegative to the relevant HPV type at Day 1, did not have protocol violations that could interfere with evaluation of the immune response, and provided Month 30 data within an acceptable date range of 24 months postdose 3.
| Arm | Measure | Group | Value (GEOMETRIC_MEAN) |
|---|---|---|---|
| V501 | Geometric Mean Titers for Serum Anti-HPV Types 6, 11, 16, and 18: Persistence at 30 Months | Anti-HPV 6 | 177.5 mMU/mL |
| V501 | Geometric Mean Titers for Serum Anti-HPV Types 6, 11, 16, and 18: Persistence at 30 Months | Anti-HPV 11 | 181.5 mMU/mL |
| V501 | Geometric Mean Titers for Serum Anti-HPV Types 6, 11, 16, and 18: Persistence at 30 Months | Anti-HPV 16 | 831.3 mMU/mL |
| V501 | Geometric Mean Titers for Serum Anti-HPV Types 6, 11, 16, and 18: Persistence at 30 Months | Anti-HPV 18 | 144.2 mMU/mL |
Percentage of Participants With Seroconversion for HPV Types 6, 11, 16, and 18: Persistence at 18 Months
Serum antibodies to HPV types were measured with a competitive luminex immunoassay. The serostatus cutoffs (mMU/mL) for HPV types were as follows: HPV Type 6: ≥20; HPV Type 11: ≥16; HPV Type 16: ≥20; HPV Type 18: ≥24
Time frame: 12 months postdose 3 (18 months)
Population: All participants that received all 3 vaccinations within acceptable day ranges, were seronegative to the relevant HPV type at Day 1, did not have protocol violations that could interfere with evaluation of the immune response, and provided Month 18 data within an acceptable date range of 12 months postdose 3.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| V501 | Percentage of Participants With Seroconversion for HPV Types 6, 11, 16, and 18: Persistence at 18 Months | Anti-HPV 6 | 97.9 Percentage of Participants |
| V501 | Percentage of Participants With Seroconversion for HPV Types 6, 11, 16, and 18: Persistence at 18 Months | Anti-HPV 11 | 100.0 Percentage of Participants |
| V501 | Percentage of Participants With Seroconversion for HPV Types 6, 11, 16, and 18: Persistence at 18 Months | Anti-HPV 16 | 99.0 Percentage of Participants |
| V501 | Percentage of Participants With Seroconversion for HPV Types 6, 11, 16, and 18: Persistence at 18 Months | Anti-HPV 18 | 94.8 Percentage of Participants |
Percentage of Participants With Seroconversion for HPV Types 6, 11, 16, and 18: Persistence at 30 Months
Serum antibodies to HPV types were measured with a competitive luminex immunoassay. The serostatus cutoffs (mMU/mL) for HPV types were as follows: HPV Type 6: ≥20; HPV Type 11: ≥16; HPV Type 16: ≥20; HPV Type 18: ≥24.
Time frame: 24 months postdose 3 (30 months)
Population: All participants that received all 3 vaccinations within acceptable day ranges, were seronegative to the relevant HPV type at Day 1, did not have protocol violations that could interfere with evaluation of the immune response, and provided Month 30 data within an acceptable date range of 24 months postdose 3.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| V501 | Percentage of Participants With Seroconversion for HPV Types 6, 11, 16, and 18: Persistence at 30 Months | Anti-HPV 6 | 98.0 Percentage of Participants |
| V501 | Percentage of Participants With Seroconversion for HPV Types 6, 11, 16, and 18: Persistence at 30 Months | Anti-HPV 11 | 98.0 Percentage of Participants |
| V501 | Percentage of Participants With Seroconversion for HPV Types 6, 11, 16, and 18: Persistence at 30 Months | Anti-HPV 16 | 99.0 Percentage of Participants |
| V501 | Percentage of Participants With Seroconversion for HPV Types 6, 11, 16, and 18: Persistence at 30 Months | Anti-HPV 18 | 93.9 Percentage of Participants |