Clinical trial • Phase III • Infectious Disease

HUMAN PAPILLOMAVIRUS TYPE 31 L1 PROTEIN - ADSORBED; HUMAN PAPILLOMAVIRUS TYPE 33 L1 PROTEIN - ADSORBED; HUMAN PAPILLOMAVIRUS TYPE 45 L1 PROTEIN - ADSORBED; HUMAN PAPILLOMAVIRUS TYPE 52 L1 PROTEIN - ADSORBED; HUMAN PAPILLOMAVIRUS TYPE 58 L1 PROTEIN - ADSORBED; HUMAN PAPILLOMAVIRUS TYPE 11 L1 PROTEIN - ADSORBED; HUMAN PAPILLOMAVIRUS TYPE 16 L1 PROTEIN - ADSORBED; HUMAN PAPILLOMAVIRUS TYPE 18 L1 PROTEIN - ADSORBED; HUMAN PAPILLOMAVIRUS TYPE 6 L1 PROTEIN - ADSORBED for Cutaneous warts (palmar and plantar)

Phase III trial of HUMAN PAPILLOMAVIRUS TYPE 31 L1 PROTEIN - ADSORBED; HUMAN PAPILLOMAVIRUS TYPE 33 L1 PROTEIN - ADSORBED; HUMAN PAPILLOMAVIRUS TYPE 45 L1…

Overview

Trial Therapeutic Area
Infectious Disease
Trial Disease
Cutaneous warts (palmar and plantar)
Trial Stage
Phase III
Drug Modality
Vaccine | Small molecule
Paediatric Trial
Yes

Key dates

Initial CTIS Submission Date
25-06-2024
First CTIS Authorization Date
24-07-2024

Trial design

SODIUM CHLORIDE (Comparator/placebo): solution for injection, intramuscular; dose unit ml; max daily dose 0.5 ml; max total dose 1.5 ml (as recorded in product information).-controlled Phase III trial across 14 sites in France.

Comparator
SODIUM CHLORIDE (Comparator/placebo): solution for injection, intramuscular; dose unit ml; max daily dose 0.5 ml; max total dose 1.5 ml (as recorded in product information).
Target Sample Size
146
Trial Duration For Participant
210

Eligibility

Recruits 146 paediatric patients.

Pregnancy Exclusion
Women who are pregnant or are breast-feeding, or are of childbearing age who have not used or do not plan to use acceptable birth control measures, during the first 6 months ½ of the study
Vulnerable Population
Individuals under a measure of legal protection or unable to consent are excluded; the dossier includes subject information and informed consent forms for adults ('L1_ICF_majeur'), minors ('L1_ICF_mineur') and parental/authority consent ('L1_ICF_autorite-parentale'), indicating specific consent handling for minors.

Inclusion criteria

  • {"criterion_text":"- Patients of age ≥ 15 years and 3 months with palmar or plantar warts (including periungueal and back of hands or feet warts) since more than one year with: - ≥ 5 warts (X palmar and X plantar) or - ≥ 4 cm2 of Total surface involved by the warts (Y cm x Z cm)."}
  • {"criterion_text":"- Patients should have received two lines of treatment during the past year before inclusion, the last treatment must be at 3 weeks maximum before inclusion:"}
  • {"criterion_text":"- Painful warts (VAS ≥ 4) or functional discomfort (Revised foot function index (RFFI) or Cochin Hand Function Scale (CHSF) or social discomfort (DLQI))."}
  • {"criterion_text":"- No systemic immunosuppresive/ immunomodulating drugs"}
  • {"criterion_text":"- Women of childbearing potential must have a negative pregnancy test and an effective contraception (V1) and up the end of the vaccination period of 6 months;"}
  • {"criterion_text":"- Individuals affiliated to a social security regimen;"}
  • {"criterion_text":"- Individuals able to participate and to follow up during the study period"}

Exclusion criteria

  • {"criterion_text":"- Suspicion of COVID, with confirmation by autotest"}
  • {"criterion_text":"- Women who are pregnant or are breast-feeding, or are of childbearing age who have not used or do not plan to use acceptable birth control measures, during the first 6 months ½ of the study"}
  • {"criterion_text":"- Individuals under a measure of legal protection or unable to consent;"}
  • {"criterion_text":"- Individuals participating in any clinical trial with another investigational product 28 days prior to first study visit or intent to participate in another clinical study at any time during the conduct of the study"}
  • {"criterion_text":"- Participation in another interventional study involving human participants or being in the exclusion period at the end of a previous study involving human participants, if applicable"}
  • {"criterion_text":"- Patient on AME (state medical aid) (unless exemption from affiliation)."}
  • {"criterion_text":"- Patient wishing to be vaccinated with Gardasil 9® within 6 months (in accordance to the approval of the vaccine) or refusing the principle of postponing vaccination."}
  • {"criterion_text":"- Immunosuppressive therapy including use of systemic corticosteroids or chronic immunosuppressant medication (more than 14 days)"}
  • {"criterion_text":"- Any causes of immunosupression: organ transplant recipients, bone-marrow transplantation, immunosupressive regimens for any diseases, HIV positivity."}
  • {"criterion_text":"- Women or men who received HPV Vaccine previously of the study;"}
  • {"criterion_text":"- Any serious chronic or progressive disease according to the judgement of the investigator;"}
  • {"criterion_text":"- Individuals with history of known allergies/hypersensitivity to any component of study vaccine;"}
  • {"criterion_text":"- Individuals who have any malignancy or lymphoproliferative disorder;"}
  • {"criterion_text":"- Individuals with thrombocytopenia or coagulation disorder contre-indicating intramusculary injections;"}
  • {"criterion_text":"- Patient with anticoagulant therapy"}
  • {"criterion_text":"- Individuals with body temperature > 38.0 degrees Celsius or/and acute disease within 3 days of intended study vaccination;"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Complete remission of cutaneous warts 7 months after the first injection of the vaccine","definition_or_measurement_approach":"Complete remission assessed at 7 months after the first injection of the vaccine (endpoint text as stated)."}

Secondary endpoints

  • {"endpoint_text":"- Quality of Life will be evaluated with QoL Questionnaire (DLQI) at M0, M2, M6, M7","definition_or_measurement_approach":"Quality of life measured using DLQI at M0, M2, M6, and M7."}
  • {"endpoint_text":"- Pain will be assess using VAS at M0, M2, M6, M7","definition_or_measurement_approach":"Pain assessed using Visual Analogue Scale (VAS) at M0, M2, M6, and M7."}
  • {"endpoint_text":"- Functional discomfort for walking and functional disability in hands will be evaluated using the Revised Foot Function index or Cochin hand function scale respectively at M0, M2, M6, M7","definition_or_measurement_approach":"Functional impairment evaluated using Revised Foot Function Index for walking and Cochin Hand Function Scale for hands at M0, M2, M6, and M7."}
  • {"endpoint_text":"- Partial remission of cutaneous warts 7 months after the first injection of the vaccine.","definition_or_measurement_approach":"Partial remission assessed at 7 months after the first injection of the vaccine."}
  • {"endpoint_text":"- Number of warts appeared at M2, M6, M7","definition_or_measurement_approach":"Count of new warts recorded at visits M2, M6, and M7."}

Recruitment

Digital Remote Recruitment
True, document filenames/titles indicate potential use of Facebook (social media) as a recruitment channel in addition to radio and press.
Planned Sample Size
146
Recruitment Window Months
48
Consent Approach
Adults expected to provide written informed consent (document 'L1_ICF_majeur'); minors have a minor information/assent form ('L1_ICF_mineur') and a parental/authority consent form ('L1_ICF_autorite-parentale'). Individuals under legal protection or unable to consent are excluded. Languages of the consent documents are not specified in the available metadata.

Methods

  • Recruitment arrangements documented (K1_Recruitment arrangements).
  • Document titled 'K1_Recruitment arrangement radio_presse' indicates use of radio and press for recruitment (channel: radio, press).
  • File naming suggests use of Facebook (digital/social media) in recruitment materials (document filename includes 'radio_presse_fb...').

Geography

Total Number Of Sites
14
Total Number Of Participants
146

France

Earliest CTIS Part Ii Submission Date
05-07-2024
Latest Decision Or Authorization Date
16-05-2025
Processing Time Days
315
Number Of Sites
14
Number Of Participants
146

Sites

Site Name
Assistance Publique Hopitaux De Paris
Department Name
Dermatology
Contact Person Name
Tu-Anh Duong-Eclancher
Contact Person Email
tu-anh.duong@aphp.fr
Site Name
Centre Hospitalier Universitaire Reims
Department Name
Dermatology
Contact Person Name
Juliette JEGOU
Site Name
Assistance Publique Hopitaux De Paris
Department Name
Dermatology
Contact Person Name
Vincent Descamps
Contact Person Email
vincent.descamps@aphp.fr
Site Name
Hospital Edouard Herriot
Department Name
Dermatology
Contact Person Name
Jullien Denis
Contact Person Email
denis.jullien@chu-lyon.fr
Site Name
CHU De Bordeaux
Department Name
Dermatology
Contact Person Name
Maris Beylot-Barry
Site Name
Assistance Publique Hopitaux De Paris
Department Name
Dermatology
Contact Person Name
Gérome Bohelay
Contact Person Email
gerome.bohelay@aphp.fr
Site Name
Centre Hospitalier Intercommunal De Frejus-Saint-Raphaeel
Department Name
Dermatology
Contact Person Name
Pascal Del Giudice
Contact Person Email
del-giudice-p@chi-fsr.fr
Site Name
Centre Hospitalier Intercommunal Creteil
Department Name
Internal medicine
Contact Person Name
Giao DO-PHAM
Contact Person Email
giao.do-pham@aphp.fr
Site Name
Assistance Publique Hopitaux De Paris
Department Name
Dermatology
Contact Person Name
sebastien Fouere
Contact Person Email
sebastien.fouere@aphp.fr
Site Name
Centre Hospitalier Regional Universitaire De Tours
Department Name
Dermatology
Contact Person Name
Mahtab Samimi
Contact Person Email
mahtab.samimi@univ-tours.fr
Site Name
Centre Hospitalier William Morey
Department Name
Dermatology
Contact Person Name
Elisa Goujon
Contact Person Email
elisa.goujon@ch-chalon71.fr
Site Name
HIA Sainte Anne
Department Name
Dermatology
Contact Person Name
Aude VALOIS
Contact Person Email
audevalois4@yahoo.fr
Site Name
CHU Besancon
Department Name
Dermatology
Contact Person Name
Aubin François
Contact Person Email
faubin@chu-besancon.fr
Site Name
Assistance Publique Hopitaux De Paris
Department Name
Dermatology
Contact Person Name
Johan Chanal
Contact Person Email
johan.chanal@aphp.fr

Sponsor

Primary sponsor

Full Name
Assistance Publique Hopitaux De Paris
Organisation Type
Hospital/Clinic/Other health care facility
Country Of Registered Address
France

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 TYPE 31 L1 PROTEIN - ADSORBED; HUMAN PAPILLOMAVIRUS TYPE 33 L1 PROTEIN - ADSORBED; HUMAN PAPILLOMAVIRUS TYPE 45 L1 PROTEIN - ADSORBED; HUMAN PAPILLOMAVIRUS TYPE 52 L1 PROTEIN - ADSORBED; HUMAN PAPILLOMAVIRUS TYPE 58 L1 PROTEIN - ADSORBED; HUMAN PAPILLOMAVIRUS TYPE 11 L1 PROTEIN - ADSORBED; HUMAN PAPILLOMAVIRUS TYPE 16 L1 PROTEIN - ADSORBED; HUMAN PAPILLOMAVIRUS TYPE 18 L1 PROTEIN - ADSORBED; HUMAN PAPILLOMAVIRUS TYPE 6 L1 PROTEIN - ADSORBED
Modality
Vaccine
Routes Of Administration
INTRAMUSCULAR
Route
Intramuscular
Authorisation Status
Marketing authorisation EU/1/15/1007/002
Starting Dose
0.5 ml
Dose Levels
0.5 ml per injection, three injections (total 1.5 ml)
Frequency
Three injections (visits at M0, M2, M6 as per visit schedule)
Maximum Dose
1.5 ml (total)
Investigational Product Name
SODIUM CHLORIDE
Active Substance
SODIUM CHLORIDE
Modality
Small molecule
Routes Of Administration
INTRAMUSCULAR
Route
Intramuscular
Authorisation Status
No marketing authorisation number provided (product record includes euMpNumber SUB12581MIG)
Starting Dose
0.5 ml
Dose Levels
0.5 ml per injection, up to total 1.5 ml
Frequency
As comparator for three injections (schedule aligned with active arm)
Maximum Dose
1.5 ml (total)

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