Clinical trial • Not applicable • Infectious Disease

HUMAN PAPILLOMAVIRUS TYPE 31 L1 PROTEIN - ADSORBED - ... HUMAN PAPILLOMAVIRUS TYPE 6 L1 PROTEIN - ADSORBED (list of HPV L1 proteins for types 31,33,45,52,58,11,16,18,6 as given in product data) for HIV infection | Human papillomavirus infection

Not applicable trial of HUMAN PAPILLOMAVIRUS TYPE 31 L1 PROTEIN - ADSORBED - ... HUMAN PAPILLOMAVIRUS TYPE 6 L1 PROTEIN - ADSORBED (list of HPV L1 protein…

Overview

Trial Therapeutic Area
Infectious Disease
Trial Disease
HIV infection | Human papillomavirus infection
Trial Stage
Not applicable
Drug Modality
Vaccine
Paediatric Trial
Yes

Key dates

Initial CTIS Submission Date
30-01-2025
First CTIS Authorization Date
30-01-2025

Trial design

Randomised, open-label, two active comparator schedules of the same vaccine (gardasil 9): arm a: 2 doses of gardasil 9 at baseline and month 6; arm b: 3 doses of gardasil 9 at baseline, month 2 and month 6.-controlled Not applicable trial across 1 site in Belgium.

Randomised
Yes
Open Label
Yes
Comparator
Two active comparator schedules of the same vaccine (Gardasil 9): Arm A: 2 doses of Gardasil 9 at baseline and month 6; Arm B: 3 doses of Gardasil 9 at baseline, month 2 and month 6.
Target Sample Size
169

Eligibility

Recruits 169 paediatric patients.

Pregnancy Exclusion
• Ongoing or planned pregnancy foreseen in the next 7 months
Vulnerable Population
Vulnerable population flag not selected in CTIS; however inclusion allows females aged 15-40 (includes minors aged 15-17). Informed consent (IC) is required (IC signed is an inclusion criterion). A separate informed consent is required for the PBMC subgroup analysis. Subject information and informed consent form documents are available (languages indicated: DU, FR, EN). There is no explicit mention in the available record of assent or parental/guardian consent procedures for minors.

Inclusion criteria

  • {"criterion_text":"- •\tHIV-positive woman"}
  • {"criterion_text":"- •\tAge 15-40 years"}
  • {"criterion_text":"- •\tUndetectable HIV viral load (VL) <400 cp/ml) for at least 6 months (i,e: having at least two separate VL<400 cp/ml at 6 months intervals; the most recent VL <400 cp/ml may be the screening CV for the study)."}
  • {"criterion_text":"- •\tNo planned pregnancy foreseen for the next 7 first months and use of contraception such as condom, hormonal contraception or intrauterine device"}
  • {"criterion_text":"- •\tIC signed"}

Exclusion criteria

  • {"criterion_text":"- •\tPrevious hysterectomy or conisation"}
  • {"criterion_text":"- •\tPrevious or current biopsy-proven cervical, vulvar or vaginal HPV-associated lesion defined as ≥CIN2, VIN2, VaIN2 or invasive carcinoma"}
  • {"criterion_text":"- •\tPrevious vaccination against HPV (at least one dose)"}
  • {"criterion_text":"- •\tOngoing or planned pregnancy foreseen in the next 7 months"}
  • {"criterion_text":"- •\tOther immunodeficiency conditions such as ongoing or previous (within 6 months) chemotherapy against cancer or chronic systemic corticosteroids treatment or immunosuppressive therapy after transplantation"}
  • {"criterion_text":"- •\tAny condition contraindicating intramuscular injection such as warfarin therapy."}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Rate of seroconversion of neutralizing antibodies against each HPV vaccine genotypes namely 6/11/16/18/31/33/45/52/58 among women seronegative at baseline for HPV vaccine genotypes, by measuring neutralizing antibody against the 9 vaccine genotypes of HPV at baseline, month 7. Comparison of that rate at month 7 (non inferiority defined as at least 80% of seroconversion in ARM A).","definition_or_measurement_approach":"Measured by neutralizing antibody against the 9 vaccine genotypes of HPV at baseline and month 7; comparison at month 7 with non-inferiority margin defined as at least 80% seroconversion in ARM A."}

Other endpoints

  • {"endpoint_text":"- •\tCompletion of vaccine schedule.","definition_or_measurement_approach":"Completion of scheduled vaccine doses as per arm (2-dose or 3-dose schedule)."}
  • {"endpoint_text":"- •\tSafety and clinical tolerance of the vaccine administration.","definition_or_measurement_approach":"Assessment of safety and tolerability during and after vaccination (clinically recorded adverse events and tolerability assessments)."}
  • {"endpoint_text":"- •\tImpact on T-lymphocytes CD4+ counts and HIV viremia at month 7.","definition_or_measurement_approach":"Measurement of CD4+ T-lymphocyte counts and HIV viral load (viremia) at month 7."}
  • {"endpoint_text":"- •\tRate of seroconversion of neutralizing antibodies against each HPV vaccine genotypes namely 6/11/16/18/31/33/45/52/58 among women seronegative at baseline for HPV vaccine genotypes, by measuring neutralizing antibody against the 9 vaccine genotypes of HPV at Month 18, 24, 36, 48 and 60 compared to baseline.","definition_or_measurement_approach":"Measurement of neutralizing antibodies at baseline and months 18, 24, 36, 48, 60 to assess seroconversion rates over time."}
  • {"endpoint_text":"- •\tMeasure of neutralizing antibodies title against each HPV vaccine types at baseline, month 7 and 18","definition_or_measurement_approach":"Quantitative titers of neutralizing antibodies against each HPV vaccine type at specified time points (baseline, month 7, month 18)."}
  • {"endpoint_text":"- •\tAssessment of long term persistence of HPV-specific antibody responses at 24,36,48 and 60 months after completion of the last vaccine administration dose.","definition_or_measurement_approach":"Measurement of HPV-specific antibody levels at 24, 36, 48 and 60 months post-completion of vaccination to assess persistence."}
  • {"endpoint_text":"- •\tThe cellular immune response against HPV 16/18/31/52/58 will be assessed in a subgroup of patients (n=40, 20 in each arm) on PBMC samples tested. For this analysis, a separated IC should be first signed by the patient.","definition_or_measurement_approach":"Cellular immune response assays on PBMC samples in a predefined subgroup (n=40); requires separate informed consent for this substudy."}
  • {"endpoint_text":"- •\tIncidence and prevalence of HPV infections and of abnormal cervical cytology performed by cytology and PCR on cervical swab at baseline and 12 months after the end of vaccination.","definition_or_measurement_approach":"Cervical swab PCR for HPV and cytology assessments at baseline and 12 months after vaccination completion to determine incidence and prevalence of HPV infection and abnormal cytology."}

Recruitment

Planned Sample Size
169
Recruitment Window Months
100
Consent Approach
Informed consent is required (IC signed is an inclusion criterion). A separate informed consent is required for the PBMC (cellular immune response) subgroup. Subject information and informed consent form documents are available in Dutch (DU), French (FR) and English (EN) and an IC procedure document is listed. There is no explicit information in the available record about assent or parental/guardian consent for minors.

Geography

Total Number Of Sites
1
Total Number Of Participants
169

Belgium

Earliest CTIS Part Ii Submission Date
24-12-2024
Latest Decision Or Authorization Date
30-01-2025
Processing Time Days
37
Number Of Sites
1
Number Of Participants
169

Sites

Site Name
CHU Saint Pierre
Department Name
Infectious Diseases
Principal Investigator Name
Deborah Konopnicki
Principal Investigator Email
deborah.konopnicki@stpierre-bru.be
Contact Person Name
Deborah Konopnicki
Number Of Participants
169

Sponsor

Primary sponsor

Full Name
CHU Saint Pierre
Organisation Type
Hospital/Clinic/Other health care facility
Country Of Registered Address
Belgium

Third parties

  • {"country":"Belgium","full_name":"CHU Saint Pierre","duties_or_roles":"[2,5,7,8]","organisation_type":"Hospital/Clinic/Other health care facility"}
  • {"country":"","full_name":"King Bauduin Foundation","duties_or_roles":"Monetary support","organisation_type":""}

Investigational products

Investigational Product Name
Gardasil 9 suspension for injection. Human Papillomavirus 9-valent Vaccine (Recombinant, adsorbed)
Active Substance
HUMAN PAPILLOMAVIRUS TYPE 31 L1 PROTEIN - ADSORBED - ... HUMAN PAPILLOMAVIRUS TYPE 6 L1 PROTEIN - ADSORBED (list of HPV L1 proteins for types 31,33,45,52,58,11,16,18,6 as given in product data)
Modality
Vaccine
Routes Of Administration
INTRAMUSCULAR USE
Route
Intramuscular
Authorisation Status
Authorised (marketing authorisation EU/1/15/1007/001)
Starting Dose
0.5 ml
Dose Levels
0.5 ml per injection
Frequency
Arm A: baseline and month 6; Arm B: baseline, month 2 and month 6
Maximum Dose
1.5 ml

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