Phase 4
N=546
Evaluation of Safety and Immunogenicity of a Human Papillomavirus (HPV) Vaccine in Human Immunodeficiency Virus (HIV) Infected Females
Infections, Papillomavirus · Papillomavirus Vaccines
Bottom Line
View on ClinicalTrials.gov: NCT01031069 ↗Enrolled (actual)
546
Serious AEs
4.2%
Results posted
Jul 2019
Primary outcome: Primary: Number of Human Immunodeficiency Virus Positive Subjects (HIV+) With Any and Grade 3 Solicited Local Symptoms — 115; 58; 4; 0 Participants
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 4
- Interventions
- GSK Biologicals' HPV vaccine 580299 (Biological); Merck's Human Papillomavirus Quadrivalent (Types 6, 11, 16, and 18) Vaccine (Gardasil) (Biological)
- Age
- Pediatric, Adult · 15+ yrs
- Sex
- Female
- Sponsor
- GlaxoSmithKline
- Primary completion
- Jan 2016
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Number of Human Immunodeficiency Virus Positive Subjects (HIV+) With Any and Grade 3 Solicited Local Symptoms |
115; 58; 4; 0; 24; 19 | — |
| PRIMARY Number of HIV+ Subjects With Any, Grade 3 and Related Solicited General Symptoms |
29; 20; 1; 1; 19; 13 | — |
| PRIMARY Number of HIV+ Subjects With Any, Grade 3 and Related Unsolicited Adverse Events (AEs) |
41; 41; 7; 4; 9; 8 | — |
| PRIMARY Number of HIV+ Subjects With Serious Adverse Events (SAEs) |
6; 6 | — |
| PRIMARY Number of HIV+ Subjects With Medically Significant Conditions (MSCs) |
17; 27 | — |
| PRIMARY Number of HIV+ Subjects With Potential Immune-mediated Diseases (pIMDs) |
1; 0 | — |
| PRIMARY Number of HIV+ Subjects Reporting Pregnancies and Outcomes of Reported Pregnancies |
3; 1; 0; 0; 0; 0 | — |
| PRIMARY Number of HIV+ Subjects With Haematological and Biochemical Parameter Abnormalities |
0; 0; 4; 3; 110; 105 | — |
| PRIMARY Cluster of Differentiation 4 (CD4+) Cell Count in HIV+ Subjects at Month 7 |
554.0; 568.0 | — |
| PRIMARY HIV Viral Load (VL) in HIV+ Subjects at Month 7 |
1.9; 2.5 | — |
| PRIMARY Number of HIV+ Subjects by World Health Organization (WHO) HIV Clinical Staging |
113; 114; 6; 2; 1; 1 | — |
| PRIMARY Pseudovirion-Based Neutralization Assay (PBNA) Titers of Anti-HPV-16/18 Antibodies in HIV+ Subjects, Based on Adapted According-to-protocol (ATP) Cohort for Immunogenicity |
23436.1; 7507.0; 12490.9; 1459.6 | — |
| PRIMARY Pseudovirion-Based Neutralization Assay (PBNA) Titers of Anti-HPV-16/18 Antibodies in HIV+ Subjects, Based on Total Vaccinated Cohort (TVC) |
21106.6; 7533.7; 11580.5; 1451.9 | <0.0001 sig |
| SECONDARY Number of HIV- Subjects With Any and Grade 3 Solicited Local Symptoms |
127; 91; 10; 1; 32; 21 | — |
| SECONDARY Number of HIV- Subjects With Any, Grade 3 and Related Solicited General Symptoms |
17; 21; 0; 0; 9; 11 | — |
| SECONDARY Number of HIV- Subjects With Unsolicited Adverse Events (AEs) |
26; 32; 1; 3; 4; 2 | — |
| SECONDARY Number of HIV- Subjects With Serious Adverse Events (SAEs) |
1; 0 | — |
| SECONDARY Number of HIV- Subjects With Medically Significant Conditions (MSCs) |
7; 14 | — |
| SECONDARY Number of HIV- Subjects With Potential Immune-mediated Disease (pIMDs) |
0; 0 | — |
| SECONDARY Number of Subjects Reporting Pregnancies and Outcomes of Reported Pregnancies |
8; 7; 3; 7; 0; 0 | — |
| SECONDARY Number of Subjects With Relevant Abnormalities in Alanine Aminotransferase, Basophils, Creatinine and Eosinophils Parameters |
0; 0; 0; 0; 0; 0 | — |
| SECONDARY Number of Subjects With Relevant Abnormalities in Haematocrit, Haemoglobin, Lymphocytes and Monocytes Parameters |
0; 0; 0; 0; 0; 1 | — |
| SECONDARY Number of Subjects With Relevant Abnormalities in Neutrophils, Platelets, Red Blood Cells and White Blood Cells Parameters |
0; 0; 0; 0; 0; 0 | — |
| SECONDARY Number of Subjects With SAEs |
9; 9; 4; 1 | — |
| SECONDARY Number of Subjects With Medically Significant Conditions (MSCs) |
25; 37; 10; 17 | — |
| SECONDARY Number of Subjects With Potential Immune-mediated Diseases (pIMDs) |
1; 0; 0; 0 | — |
| SECONDARY Cluster of Differentiation 4 (CD4+) Cell Count in HIV+ Subjects at Months 12, 18 and 24 |
584.5; 602.0; 621.0; 572.0; 568.0; 598.0 | — |
| SECONDARY HIV Viral Load (VL) in HIV+ Subjects at Months 12, 18 and 24 |
1.6; 2.3; 1.7; 2.2; 1.6; 2.1 | — |
| SECONDARY Number of HIV+ Subjects by WHO HIV Clinical Staging |
113; 112; 7; 1; 1; 2 | — |
| SECONDARY Pseudovirion-Based Neutralization Assay (PBNA) Titers of Anti-HPV-16/18 Antibodies in HIV- Subjects, Based on TVC |
60550.6; 19634.8; 32118.1; 5773.4 | <0.0001 sig |
| SECONDARY Anti-HPV-16 and Anti-HPV-18 Antibody Concentrations by Enzyme-linked Immunosorbent Assay (ELISA) in Serum |
17.2; 15.0; 10.2; 10.9; 452.9; 280.2 | — |
| SECONDARY Anti-HPV-16 and Anti-HPV-18 Antibody Concentrations by ELISA in Cervicovaginal Secretion (CVS) |
1.5; 1.4; 1.0; 1.0; 31.5; 3.1 | — |
| SECONDARY Frequency of Specific B-cells for HPV-16/18 Antigens |
1.0; 1.0; 1.0; 1.0; 1.0; 1.0 | — |
| SECONDARY Frequency of Cluster of Differentiation 4/8 [CD4+/CD8+] T-cell Response |
41.0; 101.0; 1.0; 54.5; 7.0; 87.0 | — |
Summary
Infection with human papillomavirus (HPV) has been clearly established as the central cause of cervical cancer. This Phase IV, observer-blind study is designed to evaluate the safety and immunogenicity of Cervarix in HIV infected females aged 15 to 25 years as compared to Merck's HPV vaccine (Gardasil). For comparative purposes, a group of HIV negative females will also be evaluated. All subjects will receive the HPV vaccine (either Cervarix or Gardasil) according to a three-dose schedule (Day 0, Week 6, Month 6).
Eligibility Criteria
Inclusion Criteria
- Subjects who the investigator believes that they and/or their parent(s)/legally acceptable representative(s) (LAR) can and will comply with the requirements of the protocol.
- A female between, and including, 15 and 25 years of age at the time of the first vaccination.
- Written informed consent obtained from the subject and/or from the subject's parent or LAR.
- Subjects willing to undergo HIV Voluntary Counseling and Testing (VCT) and willing to be informed of their HIV infection status.
- For HIV seropositive subjects:
- Subjects must be HIV seropositive according to World Health Organization (WHO) case definition.
- Subject must be asymptomatic (or only have persistent generalized lymphadenopathy).
- Subjects should have a CD4 cell count > 350 cells/mm3.
- If currently taking antiretrovirals (ARVs), subjects must be on compliant to triple therapy (highly active ART) and have undetectable viral load on two previous clinical visits within the six months prior to study entry.
- For HIV seronegative subjects:
- Subjects confirmed as HIV seronegative at the screening visit.
- For non-virgin female subjects:
- Subjects must have no history of abnormal cytology or CIN 1/2/3.
- Subjects must have had no more than six life-time sexual partners prior to enrollment.
- Subjects must have no history of congenital malformations of the uterine cervix, or history of cauterization or surgical procedures involving damage to the transformation zone of the cervix or stenosis.
- Female subjects of non-childbearing potential may be enrolled in the study.
- Female subjects of childbearing potential may be enrolled in the study, if the subject:
- has practiced adequate contraception for 30 days prior to vaccination, and
- has a negative pregnancy test at screening and on the day of vaccination, and
- has agreed to continue adequate contraception during the entire treatment period and for two months after completion of the vaccination series.
Exclusion Criteria
- Previous vaccination against HPV, or planned administration of any HPV vaccine other than that foreseen by the study protocol during the study period (Day 0 to Month 24).
- ART not compliant with the National Guidelines.
- Active tuberculosis (TB) visit (criteria mandatory only for HIV+ subjects).
- Current TB therapy.
- Hemoglobin 1.5-fold the upper limit of normal (ULN) at the screening visit.
- Alanine aminotransferase (ALT) > 2.5-fold ULN at the screening visit.
- Use of any investigational or non-registered product (drug or vaccine) other than the study vaccine(s) within 30 days preceding the first dose of study vaccine, or planned use during the study period (Day 0 to Month 24).
- Chronic administration (defined as more than 14 consecutive days) of immunosuppressants or other immune-modifying drugs (with the exception of ART) within six months prior to the first vaccine dose.
- Administration of a vaccine not foreseen by the study protocol within 30 days (Days 0 - 29) before the first dose of study vaccine/control. Enrollment will be postponed until the subject is outside the specified window.
- Planned administration of a vaccine not foreseen by the study protocol within 30 days before or 30 days after (i.e., Days 0 - 29) any dose of study vaccine.
- Previous administration of components of the investigational vaccine.
- Cancer or autoimmune disease under treatment.
- Hypersensitivity to latex.
- History of allergic disease or reactions likely to be exacerbated by any component of the vaccine/control.
- Acute disease and/or fever at the time of enrollment.
- Acute or chronic, clinically significant pulmonary, cardiovascular, hepatic or renal functional abnormality, as determined by physical examination or laboratory testing performed at the screening visit.
- History of any neurological disorders or seizures.
- Pregnant or breastfeeding female.
- A subject planning to become pregnant, likely to become pregnant (as determined by the investigator) or pla
Data sourced from ClinicalTrials.gov (NCT01031069). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.