Clinical trial • Phase III • Infectious Disease

Human papillomavirus (HPV) L1 virus-like particles for types 6, 11, 16, 18, 31, 33, 45, 52, and 58 (adsorbed) for Human papillomavirus (HPV) infection | Cervical intraepithelial neoplasia (CIN) | Cervical cancer | Vulvar cancer | Vaginal cancer | Genital warts (condyloma acuminata)

Phase III trial of Human papillomavirus (HPV) L1 virus-like particles for types 6, 11, 16, 18, 31, 33, 45, 52, and 58 (adsorbed) for Human papillomavirus…

Overview

Trial Therapeutic Area
Infectious Disease
Trial Disease
Human papillomavirus (HPV) infection | Cervical intraepithelial neoplasia (CIN) | Cervical cancer | Vulvar cancer | Vaginal cancer | Genital warts (condyloma acuminata)
Trial Stage
Phase III
Drug Modality
Vaccine
Paediatric Trial
Yes

Key dates

Initial CTIS Submission Date
17-04-2024
First CTIS Authorization Date
24-05-2024

Trial design

open-label, gardasil (recipients of gardasil in the original v503-001 study serve as comparator group)-controlled Phase III trial across 7 sites in Sweden, Denmark, Norway.

Open Label
Yes
Comparator
GARDASIL (recipients of GARDASIL in the original V503-001 study serve as comparator group)
Real World Control
Yes
Target Sample Size
2220
Trial Duration For Participant
10074

Eligibility

Recruits 2220 paediatric patients.

Vulnerable Population
No vulnerable populations selected. Participants are females originally enrolled in V503-001 (16- to 26-year-old women). Informed consent is required from participants. Subject information and informed consent forms are available for Sweden (SWE_SV), Denmark (DNK_DA) and Norway (NOR_NN); eConsent forms are available for Denmark.

Inclusion criteria

  • {"criterion_text":"- Randomized into the V503-001 (NCT00543543) study from a Denmark, Norway, or Sweden site and participated in the study by receiving either the selected dose formulation of the 9vHPV vaccine or GARDASIL\n- Agrees to allow passive follow-up, analysis of biopsy specimens, future contact from the National Registry Study Centers, and serum collection"}

Exclusion criteria

  • {"criterion_text":"- There are no exclusion criteria"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Combined Incidence of Human Papillomavirus (HPV) Type 16, 18, 31, 33, 45, 52, or 58-related CIN Grades 2 or 3, Adenocarcinoma in Situ (AIS), and Cervical Cancer in Cohort 1","definition_or_measurement_approach":"Monitoring the combined incidence of CIN2 or CIN3, Adenocarcinoma in Situ (AIS), and cervical cancer related to HPV types 16, 18, 31, 33, 45, 52, and 58 in Cohort 1 (long-term effectiveness assessment via registry-based follow-up)."}

Secondary endpoints

  • {"endpoint_text":"- Combined Incidence of CIN 2, CIN 3, AIS, or cervical cancer related to HPV 35, 39, 51, 56, or 59","definition_or_measurement_approach":"Estimate of combined incidence of CIN2/3, AIS, or cervical cancer related to specified non-vaccine HPV types using registry data."}
  • {"endpoint_text":"- Combined Incidence of CIN (any grade), AIS, cervical cancer, vulvar cancer, or vaginal cancer related to HPV 6, 11, 16, 18, 31, 33, 45, 52, or 58","definition_or_measurement_approach":"Estimate of combined incidence of listed neoplasias and cancers related to specified HPV types using registry data."}
  • {"endpoint_text":"- Geometric Mean Titers (GMTs) of HPV 6, 11, 16, 18, 31, 33, 45, 52, and 58","definition_or_measurement_approach":"Measurement of antibody geometric mean titers for specified HPV types (immunogenicity assessment, presumably via serum testing)."}
  • {"endpoint_text":"- Seropositivity rates of HPV 6, 11, 16, 18, 31, 33, 45, 52, and 58","definition_or_measurement_approach":"Measurement of seropositivity rates for specified HPV types (immunogenicity assessment, presumably via serum testing)."}

Recruitment

Registry Or Advocacy Recruitment
Yes
Digital Remote Recruitment
Yes
Planned Sample Size
2220
Recruitment Window Months
330
Consent Approach
Informed consent obtained from participants (adult female participants). Subject information and informed consent forms available in Swedish (SWE_SV), Danish (DNK_DA) and Norwegian (NOR_NN). eConsent forms are available for Denmark.

Methods

  • Passive registry-based follow-up via National Registry Study Centers (participants agree to allow passive follow-up and future contact).
  • Letters of invitation and reminder letters (Denmark-specific recruitment documents: multiple 'Letter of Invitation' and reminder documents).
  • Recruitment and data linkage via cancer registries (e.g., Cancer Registry of Norway) and national screening infrastructures.

Geography

Total Number Of Sites
7
Total Number Of Participants
2220

Sweden

Earliest CTIS Part Ii Submission Date
07-05-2024
Latest Decision Or Authorization Date
19-11-2025
Processing Time Days
561
Number Of Sites
1
Number Of Participants
58

Sites

Site Name
Karolinska University Hospital
Department Name
Insitutionen för laboratoriemedicin, Forskningsgatan F56
Contact Person Name
Karin Sundström
Contact Person Email
karin.sundstrom@ki.se

Denmark

Earliest CTIS Part Ii Submission Date
22-11-2024
Latest Decision Or Authorization Date
17-11-2025
Processing Time Days
360
Number Of Sites
5
Number Of Participants
1844

Sites

Site Name
Odense University Hospital
Department Name
Department of Gynecology and Obstetrics
Contact Person Name
Lone Kjeld Petersen
Contact Person Email
Lone.kjeld.petersen@rsyd.dk
Site Name
Sanos A/S (Vejle)
Department Name
Sanos Clinic Vejle
Contact Person Name
Sidsel Boll
Contact Person Email
sib@sanosclinic.com
Site Name
Sanos A/S (Herlev)
Department Name
Sanos Clinic Herlev
Contact Person Name
Sine Suhr Larsen
Contact Person Email
ssl@sanosclinic.com
Site Name
Sanos A/S (Gandrup)
Department Name
Sanos Clinic Gandrup
Contact Person Name
Helene Rovsing
Contact Person Email
hel@sanosclinic.com
Site Name
Danish Cancer Society Research Center
Department Name
Unit of Virus, Lifestyle, and Genes
Contact Person Name
Susanne K. Kjaer
Contact Person Email
susanne@cancer.dk

Norway

Earliest CTIS Part Ii Submission Date
07-05-2024
Latest Decision Or Authorization Date
17-12-2025
Processing Time Days
589
Number Of Sites
1
Number Of Participants
318

Sites

Site Name
Cancer Registry Of Norway
Department Name
Cancer Registry of Norway
Contact Person Name
Thea Falkenthal
Contact Person Email
tehd@kreftregisteret.no

Sponsor

Primary sponsor

Full Name
Merck Sharp & Dohme LLC
Organisation Type
Pharmaceutical company
Country Of Registered Address
United States

Third parties

  • {"country":"United States","full_name":"Q Squared Solutions Holdings LLC","duties_or_roles":"Sample testing- Immunogenicity (optional Danish substudy only)","organisation_type":"Laboratory/Research/Testing facility"}

Investigational products

Investigational Product Name
Gardasil 9 suspension for injection in a pre-filled syringe. Human Papillomavirus 9-valent Vaccine (Recombinant, adsorbed)
Active Substance
Human papillomavirus (HPV) L1 virus-like particles for types 6, 11, 16, 18, 31, 33, 45, 52, and 58 (adsorbed)
Modality
Vaccine
Routes Of Administration
Intramuscular
Route
Intramuscular
Authorisation Status
Authorised (marketing authorisation EU/1/15/1007/004)

Related trials

Other published trials that may interest you.