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
- Contact Person Email
- jjegou@ch-chalonsenchampagne.fr
- 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
- Contact Person Email
- marie.beylot-barry@chu-bordeaux.fr
- 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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